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psnet.ahrq.gov/issue/evolving-hospital-quality-star-rating-system-cms-aligning-stars
December 13, 2017 - Commentary
An evolving hospital quality star rating system from CMS: aligning the stars.
Citation Text:
Bilimoria KY, Barnard C. An evolving hospital quality star rating system from CMS: aligning the stars. JAMA. 2021;325(21):2151-2152. doi:10.1001/jama.2021.6946.
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psnet.ahrq.gov/issue/when-medical-error-becomes-personal-activism-becomes-painful
August 21, 2019 - Newspaper/Magazine Article
When medical error becomes personal, activism becomes painful.
Citation Text:
When medical error becomes personal, activism becomes painful. Millenson M. Forbes. September 16, 2022.
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psnet.ahrq.gov/issue/preventing-communication-errors-telephone-medicine
December 01, 2004 - Commentary
Preventing communication errors in telephone medicine.
Citation Text:
Reisman AB, Brown KE. Preventing communication errors in telephone medicine. J Gen Intern Med. 2005;20(10):959-63.
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psnet.ahrq.gov/issue/perfusion-safety-new-initiatives-and-enduring-principles
July 19, 2023 - Commentary
Perfusion safety: new initiatives and enduring principles.
Citation Text:
Kurusz M. Perfusion safety: new initiatives and enduring principles. Perfusion. 2011;26 Suppl 1:6-14. doi:10.1177/0267659110393389.
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psnet.ahrq.gov/issue/integration-formalized-handoff-system-surgical-curriculum-resident-perspectives-and-early
May 25, 2016 - Study
Integration of a formalized handoff system into the surgical curriculum: resident perspectives and early results.
Citation Text:
Telem DA. Integration of a Formalized Handoff System Into the Surgical Curriculum. Archives of Surgery. 2011;146(1). doi:10.1001/archsurg.2010.294.
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psnet.ahrq.gov/issue/ahrq-health-information-technology-divisions-2017-annual-report
May 02, 2018 - Book/Report
AHRQ Health Information Technology Division's 2017 Annual Report.
Citation Text:
AHRQ Health Information Technology Division's 2017 Annual Report. Rockville, MD: Agency for Healthcare Research and Quality; April 2018. AHRQ Publication No. 18-0028-EF.
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psnet.ahrq.gov/issue/taking-action-against-clinician-burnout-systems-approach-professional-well-being
September 12, 2018 - Book/Report
Classic
Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being.
Citation Text:
Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being. National Academies of Sciences, Engineering, and Me…
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psnet.ahrq.gov/issue/nurse-driven-system-improving-patient-quality-outcomes
October 12, 2011 - Commentary
A nurse-driven system for improving patient quality outcomes.
Citation Text:
Johnson K, Hallsey D, Meredith RL, et al. A nurse-driven system for improving patient quality outcomes. J Nurs Care Qual. 2006;21(2):168-175.
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psnet.ahrq.gov/issue/heparin-improving-treatment-and-reducing-risk-harm
July 28, 2021 - Newspaper/Magazine Article
Heparin: improving treatment and reducing risk of harm.
Citation Text:
Heparin: improving treatment and reducing risk of harm. Daner WE, Gosselin RC, Raschke R, et al. Patient Saf Qual Healthcare. January/February 2009;6:20-25.
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psnet.ahrq.gov/issue/electronic-health-record-ehr-safety-and-usability-see-what-we-mean
June 08, 2011 - Audiovisual
Electronic Health Record (EHR) Safety and Usability: See What We Mean.
Citation Text:
Electronic Health Record (EHR) Safety and Usability: See What We Mean. MedStar Health National Center for Human Factors in Healthcare.
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psnet.ahrq.gov/issue/assessing-patient-safety-practices-and-outcomes-us-health-care-system
May 21, 2014 - Book/Report
Assessing Patient Safety Practices and Outcomes in the U.S. Health Care System.
Citation Text:
Assessing Patient Safety Practices and Outcomes in the U.S. Health Care System. Farley DO, Ridgely MS, Mendel P, et al. Santa Monica, CA: RAND Corporation; 2009. ISBN: 9780833047748…
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psnet.ahrq.gov/issue/standardizing-medication-labels-confusing-patients-less-workshop-summary
August 15, 2012 - Meeting/Conference Proceedings
Standardizing Medication Labels: Confusing Patients Less, Workshop Summary.
Citation Text:
Standardizing Medication Labels: Confusing Patients Less, Workshop Summary. Hernandez LM; for Roundtable on Health Literacy, Board on Population Health and Public…
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psnet.ahrq.gov/issue/err-human-apologize-hard
September 28, 2022 - Commentary
To err is human, to apologize is hard.
Citation Text:
Krakower TM. To err Is human, to apologize is hard. JAMA. 2021;326(3):223-224. doi:10.1001/jama.2021.10840.
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psnet.ahrq.gov/issue/leadership-survey-immunization-against-burnout-insights-report
November 15, 2016 - Book/Report
Leadership Survey: Immunization Against Burnout: Insights Report.
Citation Text:
Leadership Survey: Immunization Against Burnout: Insights Report. Swensen S, Strongwater S, Mohta NS. NEJM Catalyst: Insights Report. April 12, 2018.
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psnet.ahrq.gov/issue/getting-it-right-when-things-go-wrong
October 20, 2014 - Commentary
Getting it right when things go wrong.
Citation Text:
Pettker CM, Funai EF. Getting it right when things go wrong. JAMA. 2010;303(10):977-8. doi:10.1001/jama.2010.256.
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psnet.ahrq.gov/issue/new-perspectives-error-critical-care
March 10, 2011 - Review
New perspectives on error in critical care.
Citation Text:
Patel VL, Cohen T. New perspectives on error in critical care. Curr Opin Crit Care. 2008;14(4):456-9. doi:10.1097/MCC.0b013e32830634ae.
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psnet.ahrq.gov/issue/optimizing-crisis-resource-management-improve-patient-safety-and-team-performance-handbook
August 16, 2016 - Book/Report
Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance--A Handbook for Acute Care Health Professionals.
Citation Text:
Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance--A Handbook for Acute Care Health Professi…
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psnet.ahrq.gov/issue/wide-heart-monitor-use-tied-missed-alarms
July 19, 2023 - Newspaper/Magazine Article
Wide heart monitor use tied to missed alarms.
Citation Text:
Funk M, Winkler CG, May JL, et al. Unnecessary arrhythmia monitoring and underutilization of ischemia and QT interval monitoring in current clinical practice: baseline results of the Practical Use o…
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psnet.ahrq.gov/issue/achieving-strong-teamwork-practices-hospital-labor-and-delivery-units
May 21, 2014 - Book/Report
Achieving Strong Teamwork Practices in Hospital Labor and Delivery Units.
Citation Text:
Achieving Strong Teamwork Practices in Hospital Labor and Delivery Units. Farley DO, Sorbero ME, Lovejoy SL, Salisbury M. Santa Monica, CA: Rand Corporation; 2010. ISBN: 9780833050557…
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psnet.ahrq.gov/issue/charlie-bourg-was-lookout-veterans-harmed-new-va-computer-system-he-didnt-expect-be-one-them
March 29, 2023 - Newspaper/Magazine Article
Charlie Bourg was on the lookout for veterans harmed by a new VA computer system. He didn’t expect to be one of them.
Citation Text:
Charlie Bourg was on the lookout for veterans harmed by a new VA computer system. He didn’t expect to be one of them. Donovan-Sm…