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psnet.ahrq.gov/issue/ahrq-challenge-innovative-solutions-update-or-re-create-teamstepps-videos
December 24, 2008 - Press Release/Announcement
AHRQ Challenge on Innovative Solutions To Update or Re-Create TeamSTEPPS Videos.
Citation Text:
AHRQ Challenge on Innovative Solutions To Update or Re-Create TeamSTEPPS Videos. Rockville, MD; Agency for Healthcare Research and Quality: April 2022.
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psnet.ahrq.gov/issue/improving-diagnosis-medicine-change-package
May 06, 2015 - Toolkit
Improving Diagnosis in Medicine Change Package.
Citation Text:
Improving Diagnosis in Medicine Change Package. Chicago, IL: Health Research & Educational Trust; 2018.
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psnet.ahrq.gov/issue/diagnostic-safety-centers-excellence
December 24, 2008 - Grant Recipient
Diagnostic Safety Centers of Excellence.
Citation Text:
Diagnostic Safety Centers of Excellence. Rockville, MD: Agency for Healthcare Research and Quality; October 2022.
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psnet.ahrq.gov/issue/transformation-through-collaboration-2018-2019-mha-keystone-center-annual-report
September 26, 2016 - Book/Report
MHA and MHA Keystone Center Annual Reports.
Citation Text:
MHA and MHA Keystone Center Annual Reports. Okemos, MI: Michigan Health & Hospital Association.
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psnet.ahrq.gov/issue/malpractice-risks-communication-failures-2015-annual-benchmarking-report
July 18, 2018 - Book/Report
Malpractice Risks in Communication Failures: 2015 Annual Benchmarking Report.
Citation Text:
Malpractice Risks in Communication Failures: 2015 Annual Benchmarking Report. Cambridge, MA: CRICO Strategies; 2016.
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psnet.ahrq.gov/issue/engagement-leadership-quality-improvement-initiatives-executive-quality-improvement-survey
October 04, 2006 - Study
Engagement of leadership in quality improvement initiatives: executive quality improvement survey results.
Citation Text:
Engagement of leadership in quality improvement initiatives: executive quality improvement survey results. Vaughn T, Koepke M, Kroch E, et al. J Patient Saf…
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psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
August 01, 2012 - SPOTLIGHT CASE
The Risks of a Malpositioned Gastrostomy Tube and Poor Communication
Citation Text:
Hight RA. The Risks of a Malpositioned Gastrostomy Tube and Poor Communication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Servic…
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-final-rule
December 24, 2008 - Government Resource
Patient Safety and Quality Improvement; Final Rule.
Citation Text:
Patient Safety and Quality Improvement; Final Rule. US Department of Health and Human Services; Agency for Healthcare Research and Quality; Federal Register. November 21, 2008;73:70731-70814.
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psnet.ahrq.gov/issue/clinician-support-five-years-lessons-learned
March 20, 2017 - Newspaper/Magazine Article
Clinician support: five years of lessons learned.
Citation Text:
Clinician support: five years of lessons learned. Hirschinger LE, Scott SD, Hahn-Cover K. Patient Saf Qual Heathc. April 2015;12:26-31.
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psnet.ahrq.gov/issue/teaming-prevent-crashes-some-hospitals-give-patients-power-get-extra-help-stat
August 23, 2007 - Newspaper/Magazine Article
Teaming up to prevent 'crashes': some hospitals give patients the power to get extra help, stat.
Citation Text:
Teaming up to prevent 'crashes': some hospitals give patients the power to get extra help, stat. Wang SS. Washington Post. August 31, 2007.…
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psnet.ahrq.gov/issue/guidelines-practice
March 05, 2010 - Special or Theme Issue
Guidelines in Practice.
Citation Text:
Guidelines in Practice. AORN J. 2020-2024.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/medical-error
August 07, 2018 - Book/Report
Medical Error.
Citation Text:
Medical Error. National Patient Safety Agency, Medical Defence Union, Medical Protection Society. London, UK: National Patient Safety Agency; 2005.
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psnet.ahrq.gov/issue/our-stubborn-quest-diagnostic-certainty
June 21, 2016 - Commentary
Our stubborn quest for diagnostic certainty.
Citation Text:
Kassirer JP. Our stubborn quest for diagnostic certainty. N Engl J Med. 1989;320(22):1489-1491. doi:10.1056/nejm198906013202211.
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psnet.ahrq.gov/issue/human-error
March 06, 2005 - Book/Report
Classic
Human Error.
Citation Text:
Human Error. Reason JT. Cambridge, UK: Cambridge University Press; 1990. ISBN: 9780521306690.
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psnet.ahrq.gov/issue/just-cup-tea-introduction-seips-framework
January 31, 2018 - Audiovisual Presentation
Just a Cup of Tea – an Introduction to the SEIPS Framework.
Citation Text:
Just a Cup of Tea – an Introduction to the SEIPS Framework. Epsom and St Helier University Hospitals. Epsom, UK: National Health Service; March 21, 2023.
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psnet.ahrq.gov/issue/potassium-may-no-longer-be-stocked-patient-care-units-serious-threats-still-exist
May 02, 2018 - Newspaper/Magazine Article
Potassium may no longer be stocked on patient care units, but serious threats still exist!
Citation Text:
Potassium may no longer be stocked on patient care units, but serious threats still exist! ISMP Medication Safety Alert! Acute care edition. October 4, 200…
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psnet.ahrq.gov/issue/human-contribution-unsafe-acts-accidents-and-heroic-recoveries
August 06, 2016 - Book/Report
Classic
The Human Contribution: Unsafe Acts, Accidents and Heroic Recoveries.
Citation Text:
The Human Contribution: Unsafe Acts, Accidents and Heroic Recoveries. Reason J. Farnham Surrey, UK: Ashgate; 2008. ISBN: 9780754674023.
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psnet.ahrq.gov/issue/joshuas-story
February 26, 2014 - Audiovisual
Joshua’s Story.
Citation Text:
Joshua’s Story. Anderson-Wallace M, Denning R. Leeds, UK: Patient Stories; October 18, 2014.
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psnet.ahrq.gov/issue/medication-administration-errors-hospitals-challenges-and-recommendations-their-measurement
December 09, 2015 - Government Resource
Medication administration errors in hospitals—challenges and recommendations for their measurement.
Citation Text:
Medication administration errors in hospitals—challenges and recommendations for their measurement. McLeod M, Barber N, Franklin BD. National Quality Mea…
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psnet.ahrq.gov/issue/health-literacy-prescription-end-confusion
August 15, 2012 - Book/Report
Health Literacy: A Prescription to End Confusion.
Citation Text:
Health Literacy: A Prescription to End Confusion. Nielsen-Bohlman L; Panzer AM; Kindig DA; Board on Neuroscience and Behavioral Health, Institute of Medicine. Washington, DC: The National Academies Press; 2004. …