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  1. ACOG Committee Opinion #320: partnering with patients to improve safety. | PSNet

    psnet.ahrq.gov/issue/acog-committee-opinion-320-partnering-patients-improve-safety
    July 15, 2010 - Commentary ACOG Committee Opinion #320: partnering with patients to improve safety. Citation Text: ACOG Committee Opinion #320: partnering with patients to improve safety. ACOG Committee on Quality Improvement and Patient Safety. Copy Citation Save Save to you…

  2. Pharmacy Education and Practice. | PSNet

    psnet.ahrq.gov/issue/pharmacy-education-and-practice
    September 27, 2016 - Special or Theme Issue Pharmacy Education and Practice. Citation Text: Pharmacy Education and Practice. Cohen M, Degnan D, McDonnell P, eds. Patient Saf. 2022;4(s1):1-45 Copy Citation Save Save to your library Print Download PDF Share Faceb…

  3. Listening for What Matters: Avoiding Contextual Errors in Health Care. | PSNet

    psnet.ahrq.gov/issue/listening-what-matters-avoiding-contextual-errors-health-care
    February 03, 2016 - Book/Report Listening for What Matters: Avoiding Contextual Errors in Health Care. Citation Text: Listening for What Matters: Avoiding Contextual Errors in Health Care. Weiner SJ, Schwartz A. New York, NY: Oxford University Press; 2016. ISBN: 9780190228996. Copy Citation …

  4. National Agenda for Action: Patients and Families in Patient Safety.  | PSNet

    psnet.ahrq.gov/issue/national-agenda-action-patients-and-families-patient-safety
    November 23, 2016 - Book/Report National Agenda for Action: Patients and Families in Patient Safety.  Citation Text: National Agenda for Action: Patients and Families in Patient Safety.  Boston, MA: National Patient Safety Foundation; 2008. Copy Citation Save Save to your library …

  5. Deep Dive: Safe Ambulatory Care, Strategies for Patient Safety & Risk Reduction. | PSNet

    psnet.ahrq.gov/issue/deep-dive-safe-ambulatory-care-strategies-patient-safety-risk-reduction
    August 07, 2019 - Book/Report Deep Dive: Safe Ambulatory Care, Strategies for Patient Safety & Risk Reduction. Citation Text: Deep Dive: Safe Ambulatory Care, Strategies for Patient Safety & Risk Reduction. Plymouth Meeting, PA: ECRI Institute; 2019. Copy Citation Save Save to your…

  6. Toolkit for Reduction of Clostridium difficile Infections Through Antimicrobial Stewardship. | PSNet

    psnet.ahrq.gov/issue/toolkit-reduction-clostridium-difficile-infections-through-antimicrobial-stewardship
    October 23, 2019 - Toolkit Toolkit for Reduction of Clostridium difficile Infections Through Antimicrobial Stewardship. Citation Text: Toolkit for Reduction of Clostridium difficile Infections Through Antimicrobial Stewardship. Boston University School of Public Health. Rockville, MD: Agency for Healthcare…

  7. Protect Patients Against Preventable Harm from Improper Use of Single-dose⁄Single-use Vials. | PSNet

    psnet.ahrq.gov/issue/protect-patients-against-preventable-harm-improper-use-single-dosesingle-use-vials
    June 11, 2014 - Government Resource Protect Patients Against Preventable Harm from Improper Use of Single-dose⁄Single-use Vials. Citation Text: Protect Patients Against Preventable Harm from Improper Use of Single-dose⁄Single-use Vials. Atlanta, GA: Centers for Disease Control and Prevention; May 2,…

  8. Inpatient Quality Indicators. | PSNet

    psnet.ahrq.gov/issue/inpatient-quality-indicators
    December 22, 2014 - Multi-use Website Inpatient Quality Indicators. Citation Text: Inpatient Quality Indicators. Agency for Healthcare Research and Quality; AHRQ; University of California, San Francisco-Stanford Evidence-based Practice Center. Copy Citation Save Save to your library …

  9. Ensuring patient safety in wireless medical device networks. | PSNet

    psnet.ahrq.gov/issue/ensuring-patient-safety-wireless-medical-device-networks
    May 03, 2006 - Newspaper/Magazine Article Ensuring patient safety in wireless medical device networks. Citation Text: Ensuring patient safety in wireless medical device networks. Gehlot V; Sloane EB. Copy Citation Save Save to your library Print Download PDF …

  10. Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Systems Analysis, Change and Implementation Theories Group Report Day 2 (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/Systems%20Analysis,%20Change%20and%20Implementation%20Theories%20Group%20Report%20Day%202.pdf
    September 21, 2009 - Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Systems Analysis, Change and Implementation Theories Group Report Day 2 Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop Monday, September 21, 2009 Systems Analysis, Change and Implementa…

  11. Are Workarounds Ethical? Managing Moral Problems in Health Care Systems. | PSNet

    psnet.ahrq.gov/issue/are-workarounds-ethical-managing-moral-problems-health-care-systems
    March 09, 2016 - Book/Report Are Workarounds Ethical? Managing Moral Problems in Health Care Systems. Citation Text: Are Workarounds Ethical? Managing Moral Problems in Health Care Systems. Berlinger N. New York, NY: Oxford University Press; 2016. ISBN: 9780190269296. Copy Citation Save…

  12. Emergency nursing and medical error—a survey of two states. | PSNet

    psnet.ahrq.gov/issue/emergency-nursing-and-medical-error-survey-two-states
    January 25, 2010 - Study Emergency nursing and medical error—a survey of two states. Citation Text: Emergency nursing and medical error—a survey of two states. Hohenhaus SM. Copy Citation Save Save to your library Print Download PDF Share Facebook Tw…

  13. Quality and Safety in Anesthesia and Perioperative Care. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-anesthesia-and-perioperative-care
    March 09, 2016 - Book/Report Quality and Safety in Anesthesia and Perioperative Care. Citation Text: Quality and Safety in Anesthesia and Perioperative Care. Ruskin KJ, Stiegler MP, Rosenbaum SH, eds. New York, NY: Oxford University Press; 2016. ISBN: 9780199366149. Copy Citation Save …

  14. Medication safety issue brief. Counterfeit drug prevention and identification. | PSNet

    psnet.ahrq.gov/issue/medication-safety-issue-brief-counterfeit-drug-prevention-and-identification
    June 17, 2014 - Fact Sheet/FAQs Medication safety issue brief. Counterfeit drug prevention and identification. Citation Text: Medication safety issue brief. Counterfeit drug prevention and identification. American Hospital Association, American Society of Health-System Pharmacists. Hosp Health Netw. 200…

  15. Scant oversight of drug maker in fatal meningitis outbreak. | PSNet

    psnet.ahrq.gov/issue/scant-oversight-drug-maker-fatal-meningitis-outbreak
    March 17, 2015 - Newspaper/Magazine Article Scant oversight of drug maker in fatal meningitis outbreak. Citation Text: Scant oversight of drug maker in fatal meningitis outbreak. Grady D, Pollack A, Tavernise S. New York Times. October 6, 2012. Copy Citation Save Save t…

  16. Dallas Ebola case shows even sound plans can fail spectacularly. | PSNet

    psnet.ahrq.gov/issue/dallas-ebola-case-shows-even-sound-plans-can-fail-spectacularly
    September 30, 2009 - Newspaper/Magazine Article Dallas Ebola case shows even sound plans can fail spectacularly. Citation Text: Dallas Ebola case shows even sound plans can fail spectacularly. Loftis RL. Dallas Morning News. October 5, 2014. Copy Citation Save Save to your library …

  17. Service members are left in dark on health errors. | PSNet

    psnet.ahrq.gov/issue/service-members-are-left-dark-health-errors
    July 09, 2014 - Newspaper/Magazine Article Service members are left in dark on health errors. Citation Text: Service members are left in dark on health errors. LaFraniere S. New York Times. April 19, 2015. Copy Citation Save Save to your library Print Download PDF …

  18. Preventing infections: how Portland hospitals compare. | PSNet

    psnet.ahrq.gov/issue/preventing-infections-how-portland-hospitals-compare
    June 08, 2011 - Newspaper/Magazine Article Preventing infections: how Portland hospitals compare. Citation Text: Preventing infections: how Portland hospitals compare. Rojas-Burke J. The Oregonian. May 8, 2010. Copy Citation Save Save to your library Print Download P…

  19. Kepner-Tregoe Matrix | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/kepner-tregoe-matrix
    January 01, 2023 - Kepner-Tregoe Matrix Also Known As Is-Is Not Matrix Kepner and Tregoe Method Description A Kepner-Tregoe matrix is used to find causes of a problem. It isolates the who, what, when, where, and how aspects of an event, keeping the focus on the elements that have an impact on the event and…

  20. Clash in the name of care. | PSNet

    psnet.ahrq.gov/issue/clash-name-care
    April 27, 2016 - Newspaper/Magazine Article Clash in the name of care. Citation Text: Clash in the name of care. Abelson J, Saltzman J, Kowalcyzk L, Allen S. Boston Globe. October 26, 2015. Copy Citation Save Save to your library Print Download PDF Share Face…
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