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psnet.ahrq.gov/issue/improving-patient-care-through-safe-health-it
August 12, 2020 - Book/Report
Classic
Improving Patient Care Through Safe Health IT.
Citation Text:
Improving Patient Care Through Safe Health IT. Philadelphia, PA: Pew Charitable Trusts; December 2017.
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psnet.ahrq.gov/issue/handoff-communication
October 16, 2019 - Special or Theme Issue
Handoff Communication.
Citation Text:
Handoff Communication. APSF Newsletter. October 2017;32:29-56.
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psnet.ahrq.gov/issue/quality-special-issue
April 13, 2022 - Special or Theme Issue
Quality Special Issue.
Citation Text:
Quality Special Issue. J Med Imaging Radiat Oncol. 2022;66(2):165-309.
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psnet.ahrq.gov/issue/doctor-uses-pre-flight-checklist
May 22, 2019 - Newspaper/Magazine Article
Doctor uses 'pre-flight' checklist.
Citation Text:
Doctor uses 'pre-flight' checklist. Bernard B. Orange County Register. April 19, 2006.
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psnet.ahrq.gov/issue/regulating-patient-safety-patient-protection-and-affordable-care-act
June 17, 2020 - Commentary
Regulating patient safety: The Patient Protection and Affordable Care Act.
Citation Text:
Regulating patient safety: The Patient Protection and Affordable Care Act. Furrow BR. Univ PA Law Rev. 2011;159:1727-1775.
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psnet.ahrq.gov/issue/quality-institute-toolkits
November 09, 2022 - Toolkit
Quality Institute Toolkits.
Citation Text:
Quality Institute Toolkits. AAAHC Quality Institute. Deerfield, IL: Accreditation Association for Ambulatory Health Care.
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psnet.ahrq.gov/issue/high-alert-medication-learning-guides-consumers
April 30, 2019 - Fact Sheet/FAQs
High-Alert Medication Learning Guides for Consumers.
Citation Text:
High-Alert Medication Learning Guides for Consumers. Horsham, PA: Institute for Safe Medication Practices; 2018.
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psnet.ahrq.gov/web-mm/failure-latch
November 27, 2012 - November 25, 2009
WebM&M Cases
Language Barrier
April
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psnet.ahrq.gov/issue/diagnosing-overdiagnosis-conceptual-challenges-and-suggested-solutions
September 20, 2023 - Commentary
Diagnosing overdiagnosis: conceptual challenges and suggested solutions.
Citation Text:
Hofmann B. Diagnosing overdiagnosis: conceptual challenges and suggested solutions. Eur J Epidemiol. 2014;29(9):599-604. doi:10.1007/s10654-014-9920-5.
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psnet.ahrq.gov/issue/imagining-future-diagnostic-performance-feedback
September 01, 2021 - Commentary
Imagining the future of diagnostic performance feedback.
Citation Text:
Rosner BI, Zwaan L, Olson APJ. Imagining the future of diagnostic performance feedback. Diagnosis (Berl). 2023;10(1):31-37. doi:10.1515/dx-2022-0055.
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psnet.ahrq.gov/issue/think-health-care-workers-are-tested-often-coronavirus-think-again
July 29, 2020 - Audiovisual
Think health care workers are tested often for the Coronavirus? Think again.
Citation Text:
Think health care workers are tested often for the Coronavirus? Think again. Wamsley L. National Public Radio and WBUR. December 7, 2020.
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psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
August 21, 2015 - however, note a significant increase in interruptions and disruption of workflow because of the lowered barrier
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psnet.ahrq.gov/web-mm/miscommunication-during-interhospital-transport-critically-ill-child
March 27, 2024 - Miscommunication During the Interhospital Transport of a Critically Ill Child
Citation Text:
Rosenthal J, Hamline M. Miscommunication During the Interhospital Transport of a Critically Ill Child. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human …
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psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-implements-methods
June 19, 2024 - The Johns Hopkins Venous Thromboembolism (VTE) Collaborative Studies and Implements Methods to Prevent Avoidable Cases of Hospital Associated VTE
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psnet.ahrq.gov/issue/cognitive-health-system
September 04, 2024 - Commentary
The cognitive health system.
Citation Text:
Coiera E. The cognitive health system. Lancet. 2020;395(10222):463-466. doi:10.1016/s0140-6736(19)32987-3.
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psnet.ahrq.gov/issue/remembering-learn-overlooked-role-remembrance-safety-improvement
February 28, 2024 - Commentary
Remembering to learn: the overlooked role of remembrance in safety improvement.
Citation Text:
Macrae C. Remembering to learn: the overlooked role of remembrance in safety improvement. BMJ Qual Saf. 2017;26(8):678-682. doi:10.1136/bmjqs-2016-005547.
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psnet.ahrq.gov/issue/swiss-cheese-model
March 27, 2005 - Image/Poster
Swiss Cheese Model.
Citation Text:
Swiss Cheese Model. Adapted from: Reason JT. Managing the Risks of Organizational Accidents. Aldershot, Hants, England: Ashgate: 1997.
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psnet.ahrq.gov/issue/cedars-sinai-doctors-cling-pen-and-paper-transition-electronic-medical-records-proves
June 15, 2005 - Newspaper/Magazine Article
Cedars-Sinai doctors cling to pen and paper: transition to electronic medical records proves difficult.
Citation Text:
Cedars-Sinai doctors cling to pen and paper: transition to electronic medical records proves difficult. Connolly C. Washington Post. March…
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psnet.ahrq.gov/issue/disclosure-medical-errors
September 17, 2018 - Organizational Policy/Guidelines
Disclosure of Medical Errors.
Citation Text:
Disclosure of Medical Errors. Irving, TX: American College of Emergency Physicians; 2023.
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psnet.ahrq.gov/issue/iowans-views-medical-errors-iowa-patient-safety-study
October 23, 2019 - Book/Report
Iowans' Views on Medical Errors: Iowa Patient Safety Study.
Citation Text:
Iowans' Views on Medical Errors: Iowa Patient Safety Study. Clive, IA: Heartland Health Research Institute; January 7, 2018.
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