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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-developing-error-reporting-system-improve
January 14, 2011 - Commentary
The Patient Safety and Quality Improvement Act of 2005: developing an error reporting system to improve patient safety.
Citation Text:
Riley W, Liang BA, Rutherford W, et al. The Patient Safety and Quality Improvement Act of 2005. J Patient Saf. 2008;4(1). doi:10.1097/pts.0b…
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-provisions-and-potential-opportunities
February 15, 2011 - Commentary
The Patient Safety and Quality Improvement Act of 2005: provisions and potential opportunities.
Citation Text:
Liang BA, Riley W, Rutherford W, et al. The Patient Safety and Quality Improvement Act of 2005: Provisions and Potential Opportunities. American Journal of Medical …
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psnet.ahrq.gov/issue/eradicating-medical-student-mistreatment-longitudinal-study-one-institutions-efforts
August 28, 2019 - Study
Eradicating medical student mistreatment: a longitudinal study of one institution's efforts.
Citation Text:
Fried JM, Vermillion M, Parker NH, et al. Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. Acad Med. 2012;87(9):1191-1198.
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psnet.ahrq.gov/issue/medical-professional-liability-insurance-and-its-relation-medical-error-and-healthcare-risk
December 21, 2014 - Review
Medical professional liability insurance and its relation to medical error and healthcare risk management for the practicing physician.
Citation Text:
Abbott RL, Weber P, Kelley B. Medical professional liability insurance and its relation to medical error and healthcare risk man…
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psnet.ahrq.gov/issue/surgical-simulation-curriculum-senior-medical-students-based-teamstepps
December 21, 2014 - Study
A surgical simulation curriculum for senior medical students based on TeamSTEPPS.
Citation Text:
Meier AH, Boehler ML, McDowell CM, et al. A surgical simulation curriculum for senior medical students based on TeamSTEPPS. Arch Surg. 2012;147(8):761-6. doi:10.1001/archsurg.2012.1340.…
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psnet.ahrq.gov/issue/quality-and-safety-track-training-future-physician-leaders
March 28, 2018 - Commentary
The quality and safety track: training future physician leaders.
Citation Text:
Vinci LM, Oyler J, Arora V. The Quality and Safety Track: Training Future Physician Leaders. Am J Med Qual. 2014;29(4):277-83. doi:10.1177/1062860613498264.
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psnet.ahrq.gov/issue/evaluation-parenteral-nutrition-errors-era-drug-shortages
October 02, 2013 - Study
Evaluation of parenteral nutrition errors in an era of drug shortages.
Citation Text:
Storey MA, Weber RJ, Besco K, et al. Evaluation of Parenteral Nutrition Errors in an Era of Drug Shortages. Nutr Clin Pract. 2016;31(2):211-7. doi:10.1177/0884533615608820.
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www.ahrq.gov/sites/default/files/wysiwyg/sdm/share-approach/05-SHARE-Cultural-Competence.pdf
October 25, 2024 - They can tell you how to better address the patients you serve
regarding cultural appropriateness, beliefs
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-model-pdsa.pdf
June 02, 2025 - These address the question: "What are the
results of the improved process?"
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psnet.ahrq.gov/issue/preventable-errors-organ-transplantation-emerging-patient-safety-issue
September 09, 2015 - Commentary
Preventable errors in organ transplantation: an emerging patient safety issue?
Citation Text:
Ison MG, Holl JL, Ladner D. Preventable errors in organ transplantation: an emerging patient safety issue? Am J Transplant. 2012;12(9):2307-12. doi:10.1111/j.1600-6143.2012.04139.x.…
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psnet.ahrq.gov/issue/medication-reconciliation-and-hypertension-control
December 19, 2017 - Study
Medication reconciliation and hypertension control.
Citation Text:
Persell SD, Bailey SC, Tang J, et al. Medication reconciliation and hypertension control. Am J Med. 2010;123(2):182.e9-182.e15. doi:10.1016/j.amjmed.2009.06.027.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-1.html
June 01, 2020 - Forum [NQF] currently endorses hundreds of measures), 4,5 none is being used routinely to assess and address
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psnet.ahrq.gov/issue/nursing-student-medication-errors-involving-tubing-and-catheters-descriptive-study
July 14, 2010 - Study
Nursing student medication errors involving tubing and catheters: a descriptive study.
Citation Text:
Wolf ZR, Hicks RW, Altmiller G, et al. Nursing student medication errors involving tubing and catheters: A descriptive study. Nurse Educ Today. 2009;29(6). doi:10.1016/j.nedt.200…
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psnet.ahrq.gov/issue/surgical-ward-round-quality-and-impact-variable-patient-outcomes
June 17, 2015 - Study
Surgical ward round quality and impact on variable patient outcomes.
Citation Text:
Pucher PH, Aggarwal R, Darzi A. Surgical ward round quality and impact on variable patient outcomes. Ann Surg. 2014;259(2):222-6. doi:10.1097/SLA.0000000000000376.
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psnet.ahrq.gov/issue/impact-electronic-health-records-diagnosis
May 19, 2019 - Review
The impact of electronic health records on diagnosis.
Citation Text:
Graber ML, Byrne C, Johnston D. The impact of electronic health records on diagnosis. Diagnosis (Berl). 2017;4(4):211-223. doi:10.1515/dx-2017-0012.
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psnet.ahrq.gov/issue/linking-nurse-characteristics-team-member-effectiveness-practice-environment-and-medication
May 14, 2008 - Study
Linking nurse characteristics, team member effectiveness, practice environment, and medication error incidence.
Citation Text:
Fasolino T, Snyder R. Linking nurse characteristics, team member effectiveness, practice environment, and medication error incidence. J Nurs Care Qual. 2…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool10_dc_checklist.docx
November 01, 2015 - Specifically address comorbid behavioral health conditions
Include plan for followup care for behavioral
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www.ahrq.gov/news/newsroom/case-studies/cquips0609.html
October 01, 2014 - With the data gathered from the survey, the patient safety team targeted its initiatives to address three
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psnet.ahrq.gov/issue/twelve-tips-implementing-patient-safety-curriculum-undergraduate-programme-medicine
June 19, 2018 - Commentary
Twelve tips for implementing a patient safety curriculum in an undergraduate programme in medicine.
Citation Text:
Armitage G, Cracknell A, Forrest K, et al. Twelve tips for implementing a patient safety curriculum in an undergraduate programme in medicine. Med Teach. 2011;3…
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psnet.ahrq.gov/issue/management-adverse-surgical-events-structured-education-module-residents
August 26, 2011 - Study
Management of adverse surgical events: a structured education module for residents.
Citation Text:
Brewster LP, Risucci DA, Joehl RJ, et al. Management of adverse surgical events: a structured education module for residents. Am J Surg. 2005;190(5):687-90.
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