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psnet.ahrq.gov/node/35221/psn-pdf
August 03, 2005 - Fixing a broken healthcare system.
August 3, 2005
Delbanco SF.
https://psnet.ahrq.gov/issue/fixing-broken-healthcare-system
The author reports on the work of The Leapfrog Group in promoting safety and quality in health care.
https://psnet.ahrq.gov/issue/fixing-broken-healthcare-system
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/37800/psn-pdf
December 23, 2012 - Correlates of Medication Error in Hospitals.
December 23, 2012
Correlates Of Medication Error In Hospitals.
https://psnet.ahrq.gov/issue/correlates-medication-error-hospitals
This report describes results of a large survey of Canadian nurses and identifies work-related factors that
contribute to medication errors.…
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psnet.ahrq.gov/youtube
Introducing Curated Libraries
Curated Libraries are groupings of PSNet content, curated by AHRQ and by other experts in the patient safety field. Watch the video below to learn more about how this new feature works and how it can be of benefit to you.
Visit Curated Libraries
Audio-Described Version (…
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psnet.ahrq.gov/node/36043/psn-pdf
May 11, 2012 - Safer Patients Network.
May 11, 2012
The Health Foundation.
https://psnet.ahrq.gov/issue/safer-patients-network
This program seeks to work with member acute care hospitals in the United Kingdom to build, sustain, and
spread models of safety improvement developed during the Safer Patients Initiative.
https://psnet…
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psnet.ahrq.gov/node/40551/psn-pdf
June 22, 2011 - Shifting the risks at night.
June 22, 2011
Boodman SG. Washington Post. June 7, 2011:E7.
https://psnet.ahrq.gov/issue/shifting-risks-night
This newspaper article discusses how nocturnists—physicians who work overnight in the hospital—may
improve patient safety.
https://psnet.ahrq.gov/issue/shifting-risks-night
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psnet.ahrq.gov/node/36415/psn-pdf
December 22, 2010 - Trust and Safety.
December 22, 2010
Risk Anal. 2006;26(5):1097-1407.
https://psnet.ahrq.gov/issue/trust-missing-pieces-safety-puzzle
This special issue includes eight articles that discuss the relationship between safety and trust in high-risk
work environments.
https://psnet.ahrq.gov/issue/trust-missing-pieces-s…
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psnet.ahrq.gov/node/72564/psn-pdf
November 14, 2018 - Antibiotic and Opioid Stewardship in Dentistry
December 7, 2020
Suda KJ, Fitall E, Hall KK, et al. Antibiotic and Opioid Stewardship in Dentistry. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/antibiotic-and-opioid-stewardship-dentistry
Introduction
Medication stewardship refers to efforts by frontlin…
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psnet.ahrq.gov/node/867849/psn-pdf
February 26, 2025 - High Reliability Organization (HRO) Principles and Patient
Safety
February 26, 2025
Vogus T, Lee M, Mossburg SE. High Reliability Organization (HRO) Principles and Patient Safety. PSNet
[internet]. 2025.
https://psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
In To Err I…
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psnet.ahrq.gov/node/35360/psn-pdf
September 28, 2005 - Hospitals cutting nurses' long shifts.
September 28, 2005
Kowalczyk L.
https://psnet.ahrq.gov/issue/hospitals-cutting-nurses-long-shifts
This article reports on changes that hospitals are making to curb long work hours for nurses and how such
efforts could reduce potential errors.
https://psnet.ahrq.gov/issue/hos…
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psnet.ahrq.gov/node/36585/psn-pdf
June 17, 2014 - Under-mined.
June 17, 2014
Greene J. Under-mined. Hospitals & health networks. 2006;80(12):38-40, 42, 44, 1.
https://psnet.ahrq.gov/issue/under-mined
This article describes some of the challenges in collecting, storing, coding, and sharing data to help inform
patient safety work.
https://psnet.ahrq.gov/issue/unde…
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psnet.ahrq.gov/node/35151/psn-pdf
March 29, 2007 - Identifying and Preventing Medication Errors.
March 29, 2007
Institute of Medicine; IOM
https://psnet.ahrq.gov/issue/identifying-and-preventing-medication-errors
The Institute of Medicine was directed by Congress to conduct a comprehensive study on medication
safety and quality. This web site disseminates informat…
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psnet.ahrq.gov/node/38299/psn-pdf
August 06, 2012 - Arrogant, abusive and disruptive — and a doctor.
August 6, 2012
Tarkan L.
https://psnet.ahrq.gov/issue/arrogant-abusive-and-disruptive-and-doctor
This newspaper article discusses how disruptive physician behavior affects patient safety and describes
policy and organizational efforts to curtail such conduct and fos…
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psnet.ahrq.gov/perspective/patient-safety-perspective-office-practice
May 01, 2009 - Patient Safety: A Perspective from Office Practice
Richard J. Baron, MD | May 1, 2009
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Baron RJ. Patient Safety: A Perspective from Office Practice. PSNet [internet]. Rockville (MD…
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psnet.ahrq.gov/node/37129/psn-pdf
August 22, 2007 - Hospitals boost patients' power as advisers.
August 22, 2007
Landro L. Wall Street Journal. Aug. 8, 2007.
https://psnet.ahrq.gov/issue/hospitals-boost-patients-power-advisers
This article discusses the development of programs to actively involve patients in administrative, policy,
and safety work in hospitals.
ht…
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psnet.ahrq.gov/node/38150/psn-pdf
October 15, 2008 - Enhancing Surgical Systems.
October 15, 2008
Healey AN, Catchpole K, Yule S, eds. Cogn Tech Work. 2008;10(4):249-333.
https://psnet.ahrq.gov/issue/enhancing-surgical-systems
This special issue focuses on improving safety in surgery containing articles on performance, crew
resource management, skills trainin…
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psnet.ahrq.gov/node/35508/psn-pdf
November 23, 2005 - Ding-a-ling-a-ling: ambulances can be dangerous places.
November 23, 2005
Meisel Z.
https://psnet.ahrq.gov/issue/ding-ling-ling-ambulances-can-be-dangerous-places
In this article, an emergency medicine physician describes the work environment of emergency medical
technicians and paramedics and why it is prone to e…
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psnet.ahrq.gov/node/38932/psn-pdf
November 14, 2011 - Pediatric Quality.
November 14, 2011
Feld LG, Jain S, eds. Pediatr Clin North Am. 2009;56:731-1034.
https://psnet.ahrq.gov/issue/pediatric-quality
This special issue expands on a 2006 collection and places pediatric patient safety work in the broader
context of quality.
https://psnet.ahrq.gov/issue/pediatric-qual…
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psnet.ahrq.gov/perspective/patient-engagement-safety
January 01, 2018 - Annual Perspective
Patient Engagement in Safety
Rachel J. Stern, MD, and Urmimala Sarkar, MD | January 1, 2017
View more articles from the same authors.
Citation Text:
Stern RJ, Sarkar U. Patient Engagement in Safety. PSNet [internet]. Rockville (MD): Agency…
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psnet.ahrq.gov/node/33827/psn-pdf
February 01, 2017 - New Insights About Team Training From a Decade of
TeamSTEPPS
February 1, 2017
Baker DP, King HB, Battles J. New Insights About Team Training From a Decade of TeamSTEPPS. PSNet
[internet]. 2017.
https://psnet.ahrq.gov/perspective/new-insights-about-team-training-decade-teamstepps
Perspective
Ten years ago, the Ag…
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psnet.ahrq.gov/node/72737/psn-pdf
February 09, 2021 - Geisinger’s Outpatient Addiction Medicine Specialty
Program Uses Data-Driven Decision Making and MAT to
Reduce Mortality Rates
February 9, 2021
https://psnet.ahrq.gov/innovation/geisingers-outpatient-addiction-medicine-specialty-program-uses-data-
driven-decision
Summary
The team at Geisinger sought to develop a…