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psnet.ahrq.gov/issue/improving-patient-safety-taking-systems-seriously
April 17, 2013 - Commentary
Improving patient safety by taking systems seriously.
Citation Text:
Shortell SM, Singer SJ. Improving patient safety by taking systems seriously. JAMA. 2008;299(4):445-447. doi:10.1001/jama.299.4.445.
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psnet.ahrq.gov/issue/impact-successful-speaking-program-health-care-worker-hand-hygiene-behavior
February 11, 2015 - Commentary
Impact of a successful speaking up program on health-care worker hand hygiene behavior.
Citation Text:
Impact of a successful speaking up program on health-care worker hand hygiene behavior. Linam MW; Honeycutt MD; Gilliam CH; Wisdom CM; Deshpande JK.
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psnet.ahrq.gov/issue/malpractice-reform-opportunities-leadership-health-care-institutions-and-liability-insurers
December 19, 2018 - Commentary
Malpractice reform—opportunities for leadership by health care institutions and liability insurers.
Citation Text:
Mello MM, Gallagher TH. Malpractice reform--opportunities for leadership by health care institutions and liability insurers. N Engl J Med. 2010;362(15):1353-6. …
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psnet.ahrq.gov/issue/root-cause-analysis-core-problem-solving-and-corrective-action-second-edition
June 09, 2011 - Book/Report
Classic
Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition.
Citation Text:
Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition. Oakes D. Milwaukee, WI: ASQ Quality Press; 2019. IS…
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psnet.ahrq.gov/issue/improving-patient-safety-through-transparency
September 04, 2024 - Commentary
Improving patient safety through transparency.
Citation Text:
Kachalia A. Improving patient safety through transparency. N Engl J Med. 2013;369(18):1677-9. doi:10.1056/NEJMp1303960.
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psnet.ahrq.gov/issue/toward-modelling-safety-violations-healthcare-systems
May 01, 2024 - Commentary
Toward the modelling of safety violations in healthcare systems.
Citation Text:
Catchpole K. Toward the modelling of safety violations in healthcare systems. BMJ Qual Saf. 2013;22(9):705-9. doi:10.1136/bmjqs-2012-001604.
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psnet.ahrq.gov/issue/teamwork-and-team-training-icu-where-do-similarities-aviation-end
March 28, 2012 - Commentary
Teamwork and team training in the ICU: where do the similarities with aviation end?
Citation Text:
Reader TW, Cuthbertson BH. Teamwork and team training in the ICU: Where do the similarities with aviation end? Crit Care. 2011;15(6). doi:10.1186/cc10353.
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psnet.ahrq.gov/issue/safe-use-opioids-hospitals
February 28, 2018 - Sentinel Event Alerts
Safe use of opioids in hospitals.
Citation Text:
Sentinel Event Alert. 2012;49:1-5.
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psnet.ahrq.gov/issue/managing-risks-concurrent-surgeries
September 24, 2017 - Commentary
Managing the risks of concurrent surgeries.
Citation Text:
Mello MM, Livingston EH. Managing the Risks of Concurrent Surgeries. JAMA. 2016;315(15):1563-4. doi:10.1001/jama.2016.2305.
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psnet.ahrq.gov/issue/safer-electronic-health-records-safety-assurance-factors-ehr-resilience
December 20, 2017 - Book/Report
SAFER Electronic Health Records: Safety Assurance Factors for EHR Resilience.
Citation Text:
SAFER Electronic Health Records: Safety Assurance Factors for EHR Resilience. Sittig DF, Singh H, eds. Waretown, NJ: Apple Academic Press; 2015. ISBN: 9781771881173.
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psnet.ahrq.gov/issue/hearing-broken-promises-assessing-vas-systems-protecting-veterans-clinical-harm
December 23, 2012 - Congressional Testimony
Hearing: Broken Promises: Assessing VA’s Systems for Protecting Veterans from Clinical Harm.
Citation Text:
Hearing: Broken Promises: Assessing VA’s Systems for Protecting Veterans from Clinical Harm. US House of Representatives Committee on Veterans Affairs Subco…
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psnet.ahrq.gov/issue/confronting-medical-errors-oncology-and-disclosing-them-cancer-patients
September 01, 2018 - Commentary
Confronting medical errors in oncology and disclosing them to cancer patients.
Citation Text:
Surbone A, Rowe M, Gallagher TH. Confronting medical errors in oncology and disclosing them to cancer patients. J Clin Oncol. 2007;25(12):1463-7.
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psnet.ahrq.gov/issue/when-good-doctors-go-bad-systems-problem
November 02, 2014 - Commentary
When good doctors go bad: a systems problem.
Citation Text:
Leape L. When good doctors go bad: a systems problem. Ann Surg. 2006;244(5):649-652.
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psnet.ahrq.gov/issue/reliability-uncertainty-and-management-error-new-perspectives-covid-19-era
January 12, 2022 - Commentary
Reliability, uncertainty and the management of error: new perspectives in the COVID-19 era.
Citation Text:
Schulman PR. Reliability, uncertainty and the management of error: new perspectives in the COVID‐19 era. J Contingencies Crisis Manage. 2022;30(1):92-101. doi:10.1111/146…
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psnet.ahrq.gov/issue/making-checklists-work-south-carolinas-statewide-experiment
April 01, 2015 - Newspaper/Magazine Article
Making checklists work: South Carolina's statewide experiment.
Citation Text:
Rice S. MAKING CHECKLISTS WORK. Modern healthcare. 2016;46(4):14-6.
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psnet.ahrq.gov/issue/leapfrog-and-critical-care-evidence-and-reality-based-intensive-care-21st-century
September 30, 2009 - Commentary
Leapfrog and critical care: evidence- and reality-based intensive care for the 21st century.
Citation Text:
Manthous CA. Leapfrog and critical care: evidence- and reality-based intensive care for the 21st century. Am J Med. 2004;116(3):188-93.
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psnet.ahrq.gov/issue/strategies-improving-family-engagement-during-family-centered-rounds
December 22, 2018 - November 21, 2016
Achieving an Exceptional Patient and Family Experience of Inpatient
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psnet.ahrq.gov/issue/safety-care-caregivers-cancer-patients
March 02, 2012 - January 15, 2014
Achieving rapid door-to-balloon times: how top hospitals improve complex
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psnet.ahrq.gov/issue/safety-culture-nursing-homes-opinions-top-managers
June 02, 2010 - June 29, 2011
Achieving quality improvement in the nursing home: influence of nursing
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psnet.ahrq.gov/issue/identifying-and-understanding-ways-address-impact-racism-patient-safety-health-care-settings
May 21, 2014 - May 21, 2014
Achieving Strong Teamwork Practices in Hospital Labor and Delivery Units