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psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-medical-office-survey-2022-user-database-report
June 01, 2022 - Book/Report
Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2022 User Database Report.
Citation Text:
Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2022 User Database Report. Famolaro T, Hare R, Tapia A, et al. Rockville, MD: Agency for Healthcare R…
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psnet.ahrq.gov/issue/fixing-patient-safety-are-we-nearly-there-yet
April 14, 2021 - Commentary
Fixing patient safety: are we nearly there yet?
Citation Text:
McCulloch P. Fixing patient safety: are we nearly there yet? BMJ Qual Saf. 2024;33(8):539-542. doi:10.1136/bmjqs-2023-016589.
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psnet.ahrq.gov/issue/why-sociotechnical-framework-necessary-address-diagnostic-error
September 14, 2022 - Commentary
Why a sociotechnical framework is necessary to address diagnostic error.
Citation Text:
Ladell MM, Yale S, Bordini BJ, et al. Why a sociotechnical framework is necessary to address diagnostic error. BMJ Qual Saf. 2024;33(12):823-828. doi:10.1136/bmjqs-2024-017231.
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psnet.ahrq.gov/issue/obstetric-practice-guidelines-labors-love-lost
April 30, 2014 - Commentary
Obstetric practice guidelines: labor's love lost?
Citation Text:
Cohen WR, Friedman EA. Obstetric practice guidelines: labor's love lost? J Matern Fetal Neonatal Med. 2019;32(9):1567-1570. doi:10.1080/14767058.2017.1406474.
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psnet.ahrq.gov/issue/ethical-duty-health-care-systems-address-interfacility-medical-error-discovery
September 11, 2019 - Commentary
Ethical duty of health care systems to address interfacility medical error discovery.
Citation Text:
Antunez AG, Shuman AG, Jagsi R, et al. Ethical Duty of Health Care Systems to Address Interfacility Medical Error Discovery. J Am Coll Surg. 2018;227(5):543-547. doi:10.1016/j.…
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psnet.ahrq.gov/issue/fighting-against-covid-19-innovative-strategies-clinical-pharmacists
March 24, 2019 - Commentary
Fighting against COVID-19: innovative strategies for clinical pharmacists.
Citation Text:
Li H, Zheng S, Liu F, et al. Fighting against COVID-19: innovative strategies for clinical pharmacists. Res Social Adm Pharm. 2020. doi:10.1016/j.sapharm.2020.04.003.
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psnet.ahrq.gov/issue/tech-check-tech-review-evidence-its-safety-and-benefits
September 23, 2020 - Review
"Tech-check-tech": a review of the evidence on its safety and benefits.
Citation Text:
Adams AJ, Martin SJ, Stolpe SF. "Tech-check-tech": a review of the evidence on its safety and benefits. Am J Health Syst Pharm. 2011;68(19):1824-33. doi:10.2146/ajhp110022.
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psnet.ahrq.gov/issue/american-geriatrics-society-2023-updated-ags-beers-criteria-potentially-inappropriate
June 12, 2019 - Organizational Policy/Guidelines
American Geriatrics Society 2023 updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults.
Citation Text:
American Geriatrics Society 2023 updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adul…
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psnet.ahrq.gov/issue/how-discrimination-health-care-affects-older-americans-and-what-health-systems-and-providers
February 28, 2024 - Book/Report
How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do.
Citation Text:
How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do. Doty MM, Horstman C, Shah A et al. Issue Brief. New…
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psnet.ahrq.gov/issue/action-planning-tool-ahrq-surveys-patient-safety-culture
February 12, 2019 - Toolkit
Action Planning Tool for the AHRQ Surveys on Patient Safety Culture.
Citation Text:
Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. Yount N, Edelman S, Sorra J, et al. Rockville, MD: Agency for Healthcare Research and Quality; November 2022. AHRQ Publication …
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psnet.ahrq.gov/issue/adverse-events-hospitals-patients-point-view
December 29, 2014 - Review
Adverse events in hospitals: the patient's point of view.
Citation Text:
Guijarro M, Andrés JMA, Mira JJ, et al. Adverse events in hospitals: the patient's point of view. Qual Saf Health Care. 2010;19(2):144-7. doi:10.1136/qshc.2007.025585.
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psnet.ahrq.gov/issue/limits-checklists-handoff-and-narrative-thinking
July 01, 2017 - Commentary
The limits of checklists: handoff and narrative thinking.
Citation Text:
Hilligoss B, Moffatt-Bruce SD. The limits of checklists: handoff and narrative thinking. BMJ Qual Saf. 2014;23(7):528-33. doi:10.1136/bmjqs-2013-002705.
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psnet.ahrq.gov/issue/patient-expectations-fair-complaint-handling-hospitals-empirical-data
September 25, 2024 - Study
Patient expectations of fair complaint handling in hospitals: empirical data.
Citation Text:
Friele RD, Sluijs EM. Patient expectations of fair complaint handling in hospitals: empirical data. BMC Health Serv Res. 2006;6:106.
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psnet.ahrq.gov/issue/case-study-preventing-surgical-complications-baystate-medical-center
May 27, 2011 - Commentary
Case study: preventing surgical complications at Baystate Medical Center.
Citation Text:
Fitzgerald J, Kanter G, Benjamin EM. Case Study: Preventing Surgical Complications at Baystate Medical Center. The Joint Commission Journal on Quality and Patient Safety. 2016;33(11). doi:…
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psnet.ahrq.gov/issue/patient-safety-and-leadership-do-you-walk-walk
November 04, 2020 - Commentary
Patient safety and leadership: do you walk the walk?
Citation Text:
Jarrett MP. Patient Safety and Leadership: Do You Walk the Walk? J Healthc Manag. 2017;62(2):88-92. doi:10.1097/JHM-D-17-00005.
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psnet.ahrq.gov/issue/miles-go-introduction-5-million-lives-campaign
April 04, 2011 - Commentary
Miles to go: an introduction to the 5 Million Lives Campaign.
Citation Text:
McCannon J, Hackbarth AD, Griffin F. Miles to go: an introduction to the 5 Million Lives Campaign. Jt Comm J Qual Patient Saf. 2007;33(8):477-84.
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psnet.ahrq.gov/issue/prevention-wrong-site-tooth-extraction-clinical-guidelines
August 04, 2021 - Commentary
Prevention of wrong-site tooth extraction: clinical guidelines.
Citation Text:
Lee JS, Curley AW, Smith RA, et al. Prevention of wrong-site tooth extraction: clinical guidelines. J Oral Maxillofac Surg. 2007;65(9):1793-9.
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-terminology
August 18, 2021 - Review
Patient safety and quality improvement: terminology.
Citation Text:
Pereira-Argenziano L, Levy FH. Patient Safety and Quality Improvement: Terminology. Pediatr Rev. 2015;36(9):403-11; quiz 412-3. doi:10.1542/pir.36-9-403.
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psnet.ahrq.gov/issue/systems-approaches-surgical-quality-and-safety-concept-measurement
January 19, 2016 - Review
Systems approaches to surgical quality and safety: from concept to measurement.
Citation Text:
Vincent CA, Moorthy K, Sarker SK, et al. Systems approaches to surgical quality and safety: from concept to measurement. Ann Surg. 2004;239(4):475-82.
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psnet.ahrq.gov/issue/cleaning-discharge-process-number-components-and-personnel-are-crucial-success
October 20, 2021 - Commentary
Cleaning up the discharge process: a number of components—and personnel—are crucial to success.
Citation Text:
Huber C, Blanco M. Cleaning up the discharge process: a number of components--and personnel--are crucial to success. Am J Nurs. 2010;110(9):66-69. doi:10.1097/01.NA…