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psnet.ahrq.gov/issue/escape-fire-lessons-future-health-care
July 05, 2008 - This report represents an edited version of Donald Berwick’s Plenary Address presented at the Institute … In his address to more than 3000 attendees, Berwick uses the story of the Mann Gulch Fire tragedy to
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psnet.ahrq.gov/issue/patient-preferences-cases-inter-system-medical-error-discovery-imed
November 02, 2018 - Clinicians sometimes need to address errors committed by other providers, who may or may not be part … Related Resources From the Same Author(s)
Ethical duty of health care systems to address
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psnet.ahrq.gov/issue/designing-highly-reliable-adverse-event-detection-systems-predict-subsequent-claims
September 01, 2018 - This suggests that actions to address adverse events, such as disclosure programs , could be deployed … December 4, 2016
Physician and nurse well-being and preferred interventions to address
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psnet.ahrq.gov/issue/health-care-worker-fatigue-and-patient-safety
December 23, 2016 - event alerts to emphasize pressing safety issues and provide guidelines for organizations on how to address … 3, 2014
Handoffs in the era of duty hours reform: a focused review and strategy to address
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psnet.ahrq.gov/node/850916/psn-pdf
June 21, 2023 - Awareness of racial and ethnic bias and potential
solutions to address bias with use of health care … Awareness of racial and ethnic bias and potential solutions to address
bias with use of health care … https://psnet.ahrq.gov/issue/awareness-racial-and-ethnic-bias-and-potential-solutions-address-bias-use … https://psnet.ahrq.gov/issue/awareness-racial-and-ethnic-bias-and-potential-solutions-address-bias-use-health-care … https://psnet.ahrq.gov/issue/awareness-racial-and-ethnic-bias-and-potential-solutions-address-bias-use-health-care
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psnet.ahrq.gov/issue/non-intercepted-dose-errors-prescribing-antineoplastic-treatment-prospective-comparative
June 18, 2013 - This study affirms that CPOE alone cannot address medication safety . … April 24, 2018
Physician and nurse well-being and preferred interventions to address
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psnet.ahrq.gov/issue/addressing-medical-gaslighting-improve-maternal-health-together
August 17, 2022 - Toolkit
Addressing Medical Gaslighting to Improve Maternal Health—Together.
Citation Text:
Addressing Medical Gaslighting to Improve Maternal Health—Together. Oregon Patient Safety Commission: 2023.
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psnet.ahrq.gov/issue/addressing-medicines-bias-against-patients-who-are-overweight
May 15, 2019 - Commentary
Addressing medicine's bias against patients who are overweight.
Citation Text:
Rubin R. Addressing Medicine's Bias Against Patients Who Are Overweight. JAMA. 2019;321(10):925-927. doi:10.1001/jama.2019.0048.
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psnet.ahrq.gov/issue/next-organizational-challenge-finding-and-addressing-diagnostic-error
November 16, 2022 - Commentary
The next organizational challenge: finding and addressing diagnostic error.
Citation Text:
Graber ML, Trowbridge RL, Myers JS, et al. The next organizational challenge: finding and addressing diagnostic error. Jt Comm J Qual Patient Saf. 2014;40(3):102-10.
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psnet.ahrq.gov/issue/addressing-health-care-disparities-improving-quality-and-safety
January 27, 2021 - Sentinel Event Alerts
Addressing health care disparities by improving quality and safety.
Citation Text:
Addressing health care disparities by improving quality and safety. Sentinel Event Alert. Nov 10 2021;(64):1-7.
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psnet.ahrq.gov/issue/promising-roles-pharmacists-addressing-us-opioid-crisis
May 19, 2021 - Commentary
Promising roles for pharmacists in addressing the U.S. opioid crisis.
Citation Text:
Compton WM, Jones CM, Stein JB, et al. Promising roles for pharmacists in addressing the U.S. opioid crisis. Res Social Adm Pharm. 2019;15(8):910-916. doi:10.1016/j.sapharm.2017.12.009.
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psnet.ahrq.gov/issue/addressing-intimate-partner-violence-and-helping-protect-patients
February 15, 2023 - Newspaper/Magazine Article
Addressing intimate partner violence and helping to protect patients.
Citation Text:
Addressing intimate partner violence and helping to protect patients. Quick Safety. January 18, 2022(63):1-3.
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psnet.ahrq.gov/issue/addressing-systemic-racism-nursing-homes-time-action
November 18, 2020 - National drug shortages worsen during COVID-19 crisis: proposal for a comprehensive model to monitor and address
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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/burnout-primary-care-assessing-and-addressing-it-your-practice
August 16, 2023 - Book/Report
Burnout in Primary Care: Assessing and Addressing It in Your Practice.
Citation Text:
Burnout in Primary Care: Assessing and Addressing It in Your Practice. Gerteis J, Booker C, Brach C, et al. Rockville, MD: Agency for Healthcare Research and Quality; February 2023. AH…
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psnet.ahrq.gov/node/60339/psn-pdf
May 20, 2020 - We Want to Know-a mixed methods evaluation of a
comprehensive program designed to detect and address … We Want to Know-a mixed methods evaluation of a
comprehensive program designed to detect and address … psnet.ahrq.gov/issue/we-want-know-mixed-methods-evaluation-comprehensive-program-designed-
detect-and-address … psnet.ahrq.gov/issue/we-want-know-mixed-methods-evaluation-comprehensive-program-designed-detect-and-address … psnet.ahrq.gov/issue/we-want-know-mixed-methods-evaluation-comprehensive-program-designed-detect-and-address
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psnet.ahrq.gov/node/60691/psn-pdf
July 15, 2020 - A mixed-methods systematic review of interventions to
address incivility in nursing. … A mixed-methods systematic review of interventions to
address incivility in nursing. … https://psnet.ahrq.gov/issue/mixed-methods-systematic-review-interventions-address-incivility-nursing … https://psnet.ahrq.gov/issue/mixed-methods-systematic-review-interventions-address-incivility-nursing
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psnet.ahrq.gov/node/866636/psn-pdf
January 01, 2025 - Hospital commitments to address diagnostic errors: an
assessment of 95 US hospitals. … Hospital commitments to address diagnostic errors: an
assessment of 95 US hospitals. … https://psnet.ahrq.gov/issue/hospital-commitments-address-diagnostic-errors-assessment-95-us-hospitals … https://psnet.ahrq.gov/issue/hospital-commitments-address-diagnostic-errors-assessment-95-us-hospitals
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psnet.ahrq.gov/node/72550/psn-pdf
January 01, 2022 - A systems approach to address the impact of second
victim phenomenon. … A systems approach to address the impact of second victim phenomenon. … https://psnet.ahrq.gov/issue/systems-approach-address-impact-second-victim-phenomenon
Medical errors … https://psnet.ahrq.gov/issue/systems-approach-address-impact-second-victim-phenomenon
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/national-survey-effect-oncology-drug-shortages-cancer-care
April 22, 2015 - A previous article discussed how hospitals and health care leaders might address this "patient safety … April 22, 2015
Physician and nurse well-being and preferred interventions to address