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psnet.ahrq.gov/issue/health-care-associated-infections-0
October 04, 2017 - Special or Theme Issue
Health Care-Associated Infections
Citation Text:
Health Care-Associated Infections APSF Newsletter. October 2019;34:29-56.
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psnet.ahrq.gov/issue/professional-conduct-toolkit
January 04, 2009 - Toolkit
Professional Conduct Toolkit.
Citation Text:
Professional Conduct Toolkit. Washington, DC: US Department of Defense, Patient Safety Program.
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psnet.ahrq.gov/issue/josie-king-act-2004
May 22, 2009 - Legislation/Case Law
Josie King Act of 2004.
Citation Text:
Josie King Act of 2004. Kennedy P. 108 Congress (2003-2004): H.R.4880.
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psnet.ahrq.gov/issue/patient-safety-anesthetic-practice
June 15, 2011 - Book/Report
Classic
Patient Safety in Anesthetic Practice.
Citation Text:
Patient Safety in Anesthetic Practice. Morell RC; Eichhorn JH, eds. New York: Churchill Livingstone, 1997. ISBN: 9780443076824.
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psnet.ahrq.gov/issue/challenges-and-opportunities-patient-safety-event-reporting
June 23, 2021 - Commentary
Challenges and opportunities of patient safety event reporting.
Citation Text:
Gong Y. Challenges and opportunities of patient safety event reporting. Stud Health Technol Inform. 2022;291:133-150. doi:10.3233/shti220014.
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psnet.ahrq.gov/issue/canadian-quality-and-patient-safety-framework-health-and-social-services
December 09, 2020 - Multi-use Website
The Canadian Quality and Patient Safety Framework for Health and Social Services.
Citation Text:
The Canadian Quality and Patient Safety Framework for Health and Social Services. Canadian Patient Safety Institute and Health Standards Organization.
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psnet.ahrq.gov/issue/national-imperative-improve-nursing-home-quality-honoring-our-commitment-residents-families
November 15, 2022 - Book/Report
The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment to Residents, Families, and Staff.
Citation Text:
The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment to Residents, Families, and Staff. National Academies of Science…
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psnet.ahrq.gov/issue/typology-solutions-addressing-diagnostic-disparities-gaps-and-opportunities
November 02, 2022 - Study
Typology of solutions addressing diagnostic disparities: gaps and opportunities.
Citation Text:
Dukhanin V, Wiegand AA, Sheikh T, et al. Typology of solutions addressing diagnostic disparities: gaps and opportunities. Diagnosis (Berl). 2024;11(4):389-399. doi:10.1515/dx-2024-0026. …
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psnet.ahrq.gov/issue/patient-safety-and-ageing-physician-qualitative-study-key-stakeholder-attitudes-and
November 20, 2024 - Study
Patient safety and the ageing physician: a qualitative study of key stakeholder attitudes and experiences.
Citation Text:
White AA, Sage WM, Osinska PH, et al. Patient safety and the ageing physician: a qualitative study of key stakeholder attitudes and experiences. BMJ Qual Saf. 2…
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psnet.ahrq.gov/node/33589/psn-pdf
September 15, 2024 - High Reliability
September 15, 2024
High Reliability. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/high-reliability
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in …
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psnet.ahrq.gov/issue/invisible-gorilla-and-other-ways-our-intuitions-deceive-us
June 10, 2015 - Book/Report
The Invisible Gorilla: and Other Ways Our Intuitions Deceive Us.
Citation Text:
The Invisible Gorilla: and Other Ways Our Intuitions Deceive Us. Chabris C, Simons D. New York, NY: Crown Publishing Group; 2010. ISBN: 0307459659.
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psnet.ahrq.gov/issue/patient-safety-and-managing-risk-nursing
March 27, 2017 - Book/Report
Patient Safety and Managing Risk in Nursing.
Citation Text:
Patient Safety and Managing Risk in Nursing. Fisher MA, Scott M. London, UK: Sage Publishing; 2013. ISBN: 9781446266878.
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psnet.ahrq.gov/issue/high-reliability-excellent-care-every-time
July 19, 2018 - Newspaper/Magazine Article
High reliability: excellent care every time.
Citation Text:
Saver C. High reliability: Excellent care every time. OR manager. 2016;32(3):22-6.
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psnet.ahrq.gov/issue/partnership-patients
October 30, 2019 - Government Resource
Partnership for Patients.
Citation Text:
Partnership for Patients. Washington, DC: US Department of Health and Human Services.
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psnet.ahrq.gov/issue/how-physicians-think-case-based-diagnostic-simulation-exercise
August 14, 2019 - Study
How physicians think: a case-based diagnostic simulation exercise.
Citation Text:
Gupta A, Quinn M, Saint S, et al. The variability in how physicians think: a casebased diagnostic simulation exercise. Diagnosis (Berl). 2021;8(2):167-175. doi:10.1515/dx-2020-0010.
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psnet.ahrq.gov/issue/assessment-attitudes-toward-deprescribing-older-medicare-beneficiaries-united-states
June 30, 2021 - Study
Classic
Assessment of attitudes toward deprescribing in older Medicare beneficiaries in the United States.
Citation Text:
Reeve E, Wolff JL, Skehan M, et al. Assessment of Attitudes Toward Deprescribing in Older Medicare Beneficiaries in the United States.…
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psnet.ahrq.gov/issue/can-sbar-be-implemented-high-fidelity-and-does-it-improve-communication-between-healthcare
June 22, 2022 - Review
Can SBAR be implemented with high fidelity and does it improve communication between healthcare workers? A systematic review.
Citation Text:
Lo L, Rotteau L, Shojania KG. Can SBAR be implemented with high fidelity and does it improve communication between healthcare workers? A sys…
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psnet.ahrq.gov/perspective/conversation-paul-g-shekelle-md-mph-phd
February 26, 2025 - In Conversation With… Paul G. Shekelle, MD, MPH, PhD
October 1, 2011
Citation Text:
In Conversation With… Paul G. Shekelle, MD, MPH, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. …
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psnet.ahrq.gov/issue/unequal-treatment-revisited-workshop-series
September 12, 2018 - Audiovisual Presentation
Unequal Treatment Revisited: A Workshop Series.
Citation Text:
Unequal Treatment Revisited: A Workshop Series. Committee on Unequal Treatment. Washington DC: National Academies of Sciences, Engineering and Medicine; 2023-2024.
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psnet.ahrq.gov/issue/nurses-role-medication-safety-second-edition
February 25, 2013 - Book/Report
The Nurse's Role in Medication Safety, Second Edition.
Citation Text:
The Nurse's Role in Medication Safety, Second Edition. Cima L, Clarke S, eds. Oakbrook Terrace, IL: Joint Commission; 2012. ISBN: 9781599406183
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