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psnet.ahrq.gov/issue/2007-john-m-eisenberg-patient-safety-and-quality-awards
January 06, 2017 - Award Recipient
2007 John M. Eisenberg Patient Safety and Quality Awards.
Citation Text:
2007 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2007;33(12):709-757.
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psnet.ahrq.gov/issue/swiss-cheese-model-safety-incidents-are-there-holes-metaphor
February 24, 2011 - Commentary
The Swiss cheese model of safety incidents: are there holes in the metaphor?
Citation Text:
Perneger T. The Swiss cheese model of safety incidents: are there holes in the metaphor? BMC Health Serv Res. 2005;5:71.
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psnet.ahrq.gov/issue/ismp-medication-safety-intensive
February 05, 2025 - International Meeting/Conference
ISMP Medication Safety Intensive.
Citation Text:
ISMP Medication Safety Intensive. Institute for Safe Medication Practices. December 5-6 2024, 7:30 AM - 4:30 PM (eastern).
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psnet.ahrq.gov/issue/misdiagnoses-hidden-risk-genetic-testing
July 10, 2019 - Newspaper/Magazine Article
Misdiagnoses: a hidden risk of genetic testing.
Citation Text:
Misdiagnoses: a hidden risk of genetic testing. Howard J. CNN. October 31, 2016.
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psnet.ahrq.gov/issue/new-ahrq-sopsr-workplace-safety-supplemental-items-hospitals
May 01, 2017 - Webinar
New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals.
Citation Text:
New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals. Rockville, MD: Agency for Healthcare Research and Quality; December 16, 2021.
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psnet.ahrq.gov/issue/bias-er-doctors-suffer-same-cognitive-distortions-rest-us
March 01, 2017 - Newspaper/Magazine Article
Bias in the ER. Doctors suffer from the same cognitive distortions as the rest of us.
Citation Text:
Bias in the ER. Doctors suffer from the same cognitive distortions as the rest of us. Lewis M. Nautilus. February 9, 2017.
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psnet.ahrq.gov/issue/review-organizational-culture-instruments-nurse-executives
January 14, 2011 - Review
A review of organizational culture instruments for nurse executives.
Citation Text:
King T, Byers JF. A review of organizational culture instruments for nurse executives. J Nurs Adm. 2007;37(1):21-31.
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psnet.ahrq.gov/issue/safer-dx-checklist-10-high-priority-practices-diagnostic-excellence
August 04, 2021 - Tools/Toolkit
Safer Dx Checklist: 10 High-Priority Practices for Diagnostic Excellence.
Citation Text:
Safer Dx Checklist: 10 High-Priority Practices for Diagnostic Excellence. Houston TX; Baylor College of Medicine: 2022.
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psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-corrective-action
November 27, 2018 - Book/Report
Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events.
Citation Text:
Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. Oakbroo…
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psnet.ahrq.gov/issue/department-defense-health-care-quality
February 11, 2025 - Book/Report
Department of Defense Health Care Quality.
Citation Text:
Department of Defense Health Care Quality. Washington DC: Office of the Assistant Secretary of Defense; Tricare Management Activity: 2011.
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psnet.ahrq.gov/issue/ismps-list-confused-drug-names
August 21, 2015 - Fact Sheet/FAQs
Classic
ISMP's List of Confused Drug Names.
Citation Text:
ISMP's List of Confused Drug Names. Horsham, PA; Institute for Safe Medication Practices: July 2023.
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psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings
April 17, 2024 - Fact Sheet/FAQs
ISMP's List of High-Alert Medications in Acute Care Settings.
Citation Text:
ISMP's List of High-Alert Medications in Acute Care Settings. Horsham, PA; Institute for Safe Medication Practices: 2024.
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psnet.ahrq.gov/issue/declaration-advance-patient-safety
July 12, 2017 - Book/Report
Declaration to Advance Patient Safety.
Citation Text:
Declaration to Advance Patient Safety. National Steering Committee for Patient Safety. Boston, MA: Institute for Healthcare Improvement; May 2022.
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psnet.ahrq.gov/issue/providing-safe-high-quality-maternity-care-rural-us-hospitals-ihi-innovation-report
November 02, 2016 - Book/Report
Providing Safe, High-Quality Maternity Care in Rural US Hospitals. IHI Innovation Report.
Citation Text:
Providing Safe, High-Quality Maternity Care in Rural US Hospitals. IHI Innovation Report. Laderman M, Renton M. Boston, MA: Institute for Healthcare Improvement; 2020.
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psnet.ahrq.gov/issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition
January 09, 2019 - Measurement Tool/Indicator
Classic
IHI Global Trigger Tool for Measuring Adverse Events. 2nd Edition.
Citation Text:
IHI Global Trigger Tool for Measuring Adverse Events. 2nd Edition. Griffin FA, Resar RK. IHI Innovation Series white paper. Cambridge, MA: Instit…
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psnet.ahrq.gov/issue/national-action-plan-advance-patient-safety
October 16, 2024 - Book/Report
Safer Together: A National Action Plan to Advance Patient Safety.
Citation Text:
Safer Together: A National Action Plan to Advance Patient Safety. Boston, MA: Institute for Healthcare Improvement: September 2020.
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psnet.ahrq.gov/issue/keeping-commitment-progress-report-four-early-leaders-patient-safety-improvement
October 07, 2008 - Book/Report
Keeping the Commitment: A Progress Report on Four Early Leaders in Patient Safety Improvement.
Citation Text:
Keeping the Commitment: A Progress Report on Four Early Leaders in Patient Safety Improvement. McCarthy D, Klein S. New York, NY: The Commonwealth Fund; March 15,…
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psnet.ahrq.gov/issue/improving-diagnostic-quality-safetyreducing-diagnostic-error-measurement-considerations
November 20, 2019 - Book/Report
Improving Diagnostic Quality & Safety/Reducing Diagnostic Error: Measurement Considerations.
Citation Text:
Improving Diagnostic Quality & Safety/Reducing Diagnostic Error: Measurement Considerations. Washington DC; National Quality Forum: October 28, 2019.
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psnet.ahrq.gov/issue/premature-closure-not-so-fast
September 28, 2022 - Commentary
Premature closure? Not so fast.
Citation Text:
Dhaliwal G. Premature closure? Not so fast. BMJ Qual Saf. 2017;26(2):87-89. doi:10.1136/bmjqs-2016-005267.
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psnet.ahrq.gov/issue/using-machine-learning-improve-patient-safety-home-or-remote-setting-adults
May 25, 2022 - Book/Report
Using Machine Learning to Improve Patient Safety in the Home or Remote Setting for Adults.
Citation Text:
Using Machine Learning to Improve Patient Safety in the Home or Remote Setting for Adults. Feske-Kirby K, Whittington J, McGaffigan P. Boston, MA: Institute for Healthcar…