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psnet.ahrq.gov/issue/toward-improving-patient-safety-through-voluntary-peer-peer-assessment
August 25, 2015 - Commentary
Toward improving patient safety through voluntary peer-to-peer assessment.
Citation Text:
Hudson DW, Holzmueller CG, Pronovost P, et al. Toward improving patient safety through voluntary peer-to-peer assessment. Am J Med Qual. 2012;27(3):201-9. doi:10.1177/1062860611421981. …
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psnet.ahrq.gov/issue/new-approach-assessing-patient-safety-aspects-routine-practice-using-example-doctors
April 24, 2019 - Study
A new approach of assessing patient safety aspects in routine practice using the example of "doctors handwritten prescriptions."
Citation Text:
Sendlhofer G, Pregartner G, Gombotz V, et al. A new approach of assessing patient safety aspects in routine practice using the example of …
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psnet.ahrq.gov/issue/use-standard-risk-screening-and-assessment-forms-prevent-harm-older-people-australian
May 11, 2022 - Study
Use of standard risk screening and assessment forms to prevent harm to older people in Australian hospitals: a mixed methods study.
Citation Text:
Redley B, Raggatt M. Use of standard risk screening and assessment forms to prevent harm to older people in Australian hospitals: a mix…
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psnet.ahrq.gov/node/49742/psn-pdf
September 01, 2015 - A Fumbled Handoff to Inpatient Rehab
September 1, 2015
Ashcraft LE, Kahn JM. A Fumbled Handoff to Inpatient Rehab. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/fumbled-handoff-inpatient-rehab
The Case
An 18-year-old man with no significant past medical history sustained a traumatic brain injury after a mo…
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psnet.ahrq.gov/node/41003/psn-pdf
April 16, 2018 - Gap assessment of hospitals' adoption of the just culture
principles.
April 16, 2018
Barger DM; Marella W; Charney FJ.
https://psnet.ahrq.gov/issue/gap-assessment-hospitals-adoption-just-culture-principles
This article reports that Pennsylvania health care organizations overestimated their adoption of just culture…
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psnet.ahrq.gov/node/47921/psn-pdf
June 18, 2019 - Using incident reports to assess communication failures
and patient outcomes.
June 18, 2019
Umberfield E, Ghaferi AA, Krein SL, et al. Using Incident Reports to Assess Communication Failures and
Patient Outcomes. Jt Comm J Qual Patient Saf. 2019;45(6):406-413. doi:10.1016/j.jcjq.2019.02.006.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/41315/psn-pdf
October 10, 2012 - 2012 ISMP International Medication Safety Self
Assessment for Oncology.
October 10, 2012
Institute for Safe Medication Practices and Institute for Safe Medication Practices Canada.
https://psnet.ahrq.gov/issue/2012-ismp-international-medication-safety-self-assessment-oncology
This tool evaluates the safety of canc…
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psnet.ahrq.gov/perspective/conversation-john-d-birkmeyer-md
January 31, 2024 - In Conversation With… John D. Birkmeyer, MD
May 1, 2015
Citation Text:
In Conversation With… John D. Birkmeyer, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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Fo…
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psnet.ahrq.gov/issue/reducing-latent-errors-drift-errors-and-stakeholder-dissonance
December 14, 2010 - Commentary
Reducing latent errors, drift errors, and stakeholder dissonance.
Citation Text:
Reducing latent errors, drift errors, and stakeholder dissonance. Samaras GM. Work: J Prev Assess Rehabil. 2012;41:1948-1955.
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psnet.ahrq.gov/issue/secondary-traumatic-stress-ob-gyn-mixed-methods-analysis-assessing-physician-impact-and-needs
July 07, 2021 - Study
Secondary traumatic stress in ob-gyn: a mixed methods analysis assessing physician impact and needs.
Citation Text:
Kruper A, Domeyer-Klenske A, Treat R, et al. Secondary traumatic stress in ob-gyn: a mixed methods analysis assessing physician impact and needs. J Surg Educ. 2021;78…
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psnet.ahrq.gov/issue/assessing-content-validity-and-user-perspectives-team-check-tool-expert-survey-and-user-focus
January 02, 2017 - Study
Assessing content validity and user perspectives on the Team Check-up Tool: expert survey and user focus groups.
Citation Text:
Marsteller JA, Hsu Y-J, Chan KS, et al. Assessing content validity and user perspectives on the Team Check-up Tool: expert survey and user focus groups. B…
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psnet.ahrq.gov/issue/when-order-sets-do-not-align-clinician-workflow-assessing-practice-patterns-electronic-health
March 24, 2019 - Study
When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record.
Citation Text:
Li RC, Wang JK, Sharp C, et al. When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. BMJ Q…
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psnet.ahrq.gov/issue/do-we-know-what-foundation-year-doctors-think-about-patient-safety-incident-reporting
April 12, 2017 - Study
Do we know what foundation year doctors think about patient safety incident reporting? Development of a web based tool to assess attitude and knowledge.
Citation Text:
Robson J, de Wet C, McKay J, et al. Do we know what foundation year doctors think about patient safety incident …
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psnet.ahrq.gov/issue/simulation-debriefing-enhanced-needs-assessment-address-quality-markers-health-care
June 22, 2022 - Study
Simulation-debriefing enhanced needs assessment to address quality markers in health care: an innovation for prospective hazard analysis.
Citation Text:
Barker LT, Bond WF, Willemsen-Dunlap AM, et al. Simulation-debriefing enhanced needs assessment to address quality markers in hea…
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psnet.ahrq.gov/node/853774/psn-pdf
September 27, 2023 - Early in their development, triage assessments were limited in scope and intended to be completed within
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psnet.ahrq.gov/node/33722/psn-pdf
December 01, 2011 - In Conversation With… Ann L. Hendrich, RN, PhD
December 1, 2011
In Conversation With… Ann L. Hendrich, RN, PhD. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/conversation-ann-l-hendrich-rn-phd
Editor's note: Ann L. Hendrich, RN, PhD, is Vice President of Clinical Excellence Operations and
Executive Di…
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psnet.ahrq.gov/node/38296/psn-pdf
May 21, 2014 - Assessment of the AHRQ Patient Safety Initiative: Final
Report Evaluation Report IV.
May 21, 2014
Farley DO, Damberg CL, Ridgely MS, et al. Santa Monica, CA: RAND Corporation; 2008. ISBN:
9780833044808
https://psnet.ahrq.gov/issue/assessment-ahrq-patient-safety-initiative-final-report-evaluation-report-iv
This re…
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psnet.ahrq.gov/node/867805/psn-pdf
February 26, 2025 - incident-reporting-system-does-not-detect-adverse-drug-events-problem-quality-improvement
Pressure injuries are better assessed, although those assessments
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psnet.ahrq.gov/issue/simple-strategies-avoid-medication-errors
April 22, 2017 - Commentary
Simple strategies to avoid medication errors.
Citation Text:
Jenkins RH, Vaida AJ. Simple strategies to avoid medication errors. Fam Pract Manag. 2007;14(2):41-47.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…
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psnet.ahrq.gov/issue/identity-crisis-examination-costs-and-benefits-unique-patient-identifier-us-health-care
May 21, 2014 - Book/Report
Identity Crisis: An Examination of the Costs and Benefits of a Unique Patient Identifier for the US Health Care System.
Citation Text:
Identity Crisis: An Examination of the Costs and Benefits of a Unique Patient Identifier for the US Health Care System. Hillestad R, Bigelow …