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psnet.ahrq.gov/issue/review-alternatives-root-cause-analysis-developing-robust-system-incident-report-analysis
November 14, 2018 - Review
Review of alternatives to root cause analysis: developing a robust system for incident report analysis.
Citation Text:
Hagley G, Mills PD, Watts B, et al. Review of alternatives to root cause analysis: developing a robust system for incident report analysis. BMJ Open Qual. 2019;8(…
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psnet.ahrq.gov/issue/therapeutic-errors-among-children-community-setting-nature-causes-and-outcomes
September 09, 2009 - Study
Therapeutic errors among children in the community setting: nature, causes and outcomes.
Citation Text:
Taylor D, Robinson J, MacLeod D, et al. Therapeutic errors among children in the community setting: nature, causes and outcomes. J Paediatr Child Health. 2009;45(5):304-9. doi:…
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psnet.ahrq.gov/issue/involuntary-automaticity-work-system-induced-risk-safe-health-care
June 08, 2005 - Commentary
Involuntary automaticity: a work-system induced risk to safe health care.
Citation Text:
Toft B, Mascie-Taylor H. Involuntary automaticity: a work-system induced risk to safe health care. Health Serv Manage Res. 2005;18(4):211-6.
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psnet.ahrq.gov/issue/diagnostic-errors-pediatric-radiology
November 16, 2022 - Study
Diagnostic errors in pediatric radiology.
Citation Text:
Taylor GA, Voss SD, Melvin PR, et al. Diagnostic errors in pediatric radiology. Pediatr Radiol. 2011;41(3):327-34. doi:10.1007/s00247-010-1812-6.
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psnet.ahrq.gov/issue/inpatient-notes-reducing-diagnostic-error-new-horizon-opportunities-hospital-medicine
April 05, 2023 - Commentary
Inpatient notes: reducing diagnostic error—a new horizon of opportunities for hospital medicine.
Citation Text:
Singh H, Zwaan L. Web Exclusives. Annals for Hospitalists Inpatient Notes - Reducing Diagnostic Error-A New Horizon of Opportunities for Hospital Medicine. Ann Inter…
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psnet.ahrq.gov/issue/technology-governance-and-patient-safety-systems-issues-technology-and-patient-safety
September 14, 2016 - Review
Technology, governance and patient safety: systems issues in technology and patient safety.
Citation Text:
Balka E, Doyle-Waters M, Lecznarowicz D, et al. Technology, governance and patient safety: systems issues in technology and patient safety. Int J Med Inform. 2007;76 Suppl …
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psnet.ahrq.gov/issue/guidance-patient-safety-ophthalmology-royal-college-ophthalmologists
November 12, 2014 - Review
Guidance on patient safety in ophthalmology from the Royal College of Ophthalmologists.
Citation Text:
Kelly SP, Ophthalmologists RC of. Guidance on patient safety in ophthalmology from the Royal College of Ophthalmologists. Eye (Lond). 2009;23(12):2143-51. doi:10.1038/eye.2009.…
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psnet.ahrq.gov/issue/intralipid-medication-errors-neonatal-intensive-care-unit
May 06, 2009 - Study
Intralipid medication errors in the neonatal intensive care unit.
Citation Text:
Chuo J, Lambert G, Hicks RW. Intralipid medication errors in the neonatal intensive care unit. Jt Comm J Qual Patient Saf. 2007;33(2):104-11.
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qualityindicators.ahrq.gov/FAQs_Support/FAQ_QI.aspx
February 01, 2016 - Using AHRQ Quality Indicators
Why do the draft ICD-10 specifications for the PSIs seem to classify cases as surgical that were previously classified as medical in ICD-9-CM PSI specifications, thereby increasing the denominator for “perioperative” and “postoperative” PSIs? — New!
AHRQ u…
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qualityindicators.ahrq.gov/FAQS_Support/FAQ_QI.aspx
February 01, 2016 - Using AHRQ Quality Indicators
Why do the draft ICD-10 specifications for the PSIs seem to classify cases as surgical that were previously classified as medical in ICD-9-CM PSI specifications, thereby increasing the denominator for “perioperative” and “postoperative” PSIs? — New!
AHRQ u…
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psnet.ahrq.gov/web-mm/solution-iv-or-irrigation-fluid-administration-errors-operating-room
March 29, 2023 - Is that solution for IV or irrigation?: Fluid administration errors in the operating room.
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Christian Bohringer, MD | March 25, 2020
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule6.pptx
February 09, 2006 - TeamSTEPPS 2.0 Module 6: Mutual Support
Module 6: Mutual Support
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Welcome to module six of the TeamSTEPPS 2.0 Online Master Trainer Course, Mutual Support. This is Dr. Brigetta Craft, and I'll be guiding you through this module.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule6.pptx
February 09, 2006 - TeamSTEPPS 2.0 Module 6: Mutual Support
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Welcome to module six of the TeamSTEPPS 2.0 Online Master Trainer Course, Mutual Support. This is Dr. Brigetta Craft, and I'll be guiding you through this module.
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule6.pptx
February 09, 2006 - TeamSTEPPS 2.0 Module 6: Mutual Support
Module 6: Mutual Support
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule6.pptx
February 09, 2006 - TeamSTEPPS 2.0 Module 6: Mutual Support
Module 6: Mutual Support
Online Master Trainer Course
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Welcome to module six of the TeamSTEPPS 2.0 Online Master Trainer Course, Mutual Support. This is Dr. Brigetta Craft, and I'll be guiding you through this module.
What comes to mind when you hear the…
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule6.pptx
February 09, 2006 - TeamSTEPPS 2.0 Module 6: Mutual Support
Module 6: Mutual Support
Online Master Trainer Course
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Welcome to module six of the TeamSTEPPS 2.0 Online Master Trainer Course, Mutual Support. This is Dr. Brigetta Craft, and I'll be guiding you through this module.
What comes to mind when you hear the…
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pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule6.pptx
February 09, 2006 - TeamSTEPPS 2.0 Module 6: Mutual Support
Module 6: Mutual Support
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monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule6.pptx
February 09, 2006 - TeamSTEPPS 2.0 Module 6: Mutual Support
Module 6: Mutual Support
Online Master Trainer Course
Welcome to the
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What comes to mind when you hear the…
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule6.pptx
February 09, 2006 - TeamSTEPPS 2.0 Module 6: Mutual Support
Module 6: Mutual Support
Online Master Trainer Course
Welcome to the
Welcome to module six of the TeamSTEPPS 2.0 Online Master Trainer Course, Mutual Support. This is Dr. Brigetta Craft, and I'll be guiding you through this module.
What comes to mind when you hear the…
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cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule6.pptx
February 09, 2006 - TeamSTEPPS 2.0 Module 6: Mutual Support
Module 6: Mutual Support
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Welcome to module six of the TeamSTEPPS 2.0 Online Master Trainer Course, Mutual Support. This is Dr. Brigetta Craft, and I'll be guiding you through this module.
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