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psnet.ahrq.gov/training-catalog/2024-hqi-and-hospital-council-annual-conference
January 01, 2024 - 2024 HQI and Hospital Council Annual Conference
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Hospital Quality Institute
Event Description: …
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psnet.ahrq.gov/issue/passing-yo-mama-test
February 15, 2023 - Commentary
Passing the "Yo' Mama" test.
Citation Text:
Blair R. Passing the "Yo' Mama" test. Atlanta healthcare organization follows the beat of a different drummer in achieving 100 percent CPOE adoption. Health Manag Technol. 2006;27(6):14, 16, 18.
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psnet.ahrq.gov/training-catalog/primary-care-medical-home-certification-live-virtual
November 02, 2021 - Primary Care Medical Home Certification - Live Virtual
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Organization
Joint Commision Resources
Event Description: Thi…
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psnet.ahrq.gov/node/48190/psn-pdf
June 17, 2024 - APSF Stoelting Conference.
June 17, 2024
Anesthesia Patient Safety Foundation. Markell Conference Center, Somerville, MA, September 4–5, 2024.
https://psnet.ahrq.gov/issue/apsf-stoelting-conference
Anesthesia is a high-risk activity that has achieved safety successes. This hybrid conference explored
topics related…
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psnet.ahrq.gov/issue/cognitive-systems-engineering-health-care
October 11, 2016 - Book/Report
Cognitive Systems Engineering in Health Care.
Citation Text:
Cognitive Systems Engineering in Health Care. Bisantz AM, Burns CM, Fairbanks RJ, eds. Boca Raton, FL: CRC Press; 2014. ISBN: 9781466587960.
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psnet.ahrq.gov/issue/nursing-home-error-and-level-staff-credentials
September 24, 2010 - Study
Nursing home error and level of staff credentials.
Citation Text:
Scott-Cawiezell J, Pepper GA, Madsen RW, et al. Nursing home error and level of staff credentials. Clin Nurs Res. 2007;16(1):72-8.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNo…
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psnet.ahrq.gov/issue/keeping-patients-safe-healthcare-organizations-structuration-theory-safety-culture
September 04, 2010 - Review
Keeping patients safe in healthcare organizations: a structuration theory of safety culture.
Citation Text:
Groves PS, Meisenbach RJ, Scott-Cawiezell J. Keeping patients safe in healthcare organizations: a structuration theory of safety culture. J Adv Nurs. 2011;67(8):1846-55. d…
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psnet.ahrq.gov/issue/just-culture-after-mid-staffordshire
February 11, 2009 - Commentary
A just culture after Mid Staffordshire.
Citation Text:
Dekker SWA, Hugh TB. A just culture after Mid Staffordshire. BMJ Qual Saf. 2014;23(5):356-8. doi:10.1136/bmjqs-2013-002483.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML …
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psnet.ahrq.gov/issue/fifth-discipline-art-practice-learning-organization-revised-updated-edition
May 12, 2010 - Book/Report
Classic
The Fifth Discipline: The Art & Practice of The Learning Organization. Revised & Updated Edition.
Citation Text:
The Fifth Discipline: The Art & Practice of The Learning Organization. Revised & Updated Edition. Senge PM. New York, NY: Currenc…
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psnet.ahrq.gov/issue/engineering-learning-healthcare-system-look-future-workshop-summary
June 15, 2011 - Book/Report
Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary.
Citation Text:
Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary. Grossmann C, Goolsby WA, Olsen L, McGinnis JM; Institute of Medicine and National Academy of …
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psnet.ahrq.gov/node/61104/psn-pdf
March 03, 2025 - NAM Scholars in Diagnostic Excellence program.
January 10, 2025
National Academy of Medicine and the Council of Medical Specialty Societies.
https://psnet.ahrq.gov/issue/nam-scholars-diagnostic-excellence-program
Diagnostic error reduction is gaining momentum as a primary focus of patient safety achievement. This
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psnet.ahrq.gov/issue/effects-multifaceted-medication-reconciliation-quality-improvement-intervention-patient
April 12, 2023 - Study
Emerging Classic
Effects of a multifaceted medication reconciliation quality improvement intervention on patient safety: final results of the MARQUIS study.
Citation Text:
Schnipper JL, Mixon A, Stein J, et al. Effects of a multifaceted medication reconcil…
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psnet.ahrq.gov/web-mm/hazards-loading-doses
December 01, 2003 - Hazards of Loading Doses
Citation Text:
Mucksavage JJ, Tesoro EP. Hazards of Loading Doses. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/training-catalog/2022-hqi-annual-conference
January 01, 2022 - 2022 HQI Annual Conference
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Organization:
Organization
Hospital Quality Institute
Event Description: This two day in-pers…
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psnet.ahrq.gov/node/853444/psn-pdf
September 13, 2023 - A Transformational Effort on Patient Safety.
September 13, 2023
Subgroup on Patient Safety. Washington DC: President’s Council of Advisors on Science and Technology;
September 2023.
https://psnet.ahrq.gov/issue/transformational-effort-patient-safety
The President’s Council of Advisors on Science and Technology bri…
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psnet.ahrq.gov/issue/high-reliability-care-orthopedic-surgery-are-we-there-yet
November 23, 2011 - Review
High reliability of care in orthopedic surgery: are we there yet?
Citation Text:
Anoushiravani AA, Sayeed Z, El-Othmani MM, et al. High Reliability of Care in Orthopedic Surgery: Are We There Yet? Orthop Clin North Am. 2016;47(4):689-95. doi:10.1016/j.ocl.2016.05.011.
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psnet.ahrq.gov/issue/re-examining-high-reliability-actively-organising-safety
October 13, 2018 - Commentary
Re-examining high reliability: actively organising for safety.
Citation Text:
Sutcliffe K, Paine LA, Pronovost P. Re-examining high reliability: actively organising for safety. BMJ Qual Saf. 2017;26(3):248-251. doi:10.1136/bmjqs-2015-004698.
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psnet.ahrq.gov/node/866697/psn-pdf
September 11, 2024 - Patient Safety: Emerging Applications of Safety Science.
September 11, 2024
Cox C, Hughes H, Nicholls J. Patient Safety: Emerging Applications Of Safety Science. Somerset, UK:
Class Publishing; 2024. ISBN 9781801610834.
https://psnet.ahrq.gov/issue/patient-safety-emerging-applications-safety-science
Patient safety…
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psnet.ahrq.gov/node/867394/psn-pdf
March 10, 2025 - Request for Information: Diagnostic Excellence
Measurement.
December 18, 2024
Request for Information: Diagnostic Excellence Measurement. Agency for Healthcare Research and
Quality. Fed Register. December 12, 2024;89:100497-100498.
https://psnet.ahrq.gov/issue/request-information-diagnostic-excellence-measurement
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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. …