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  1. 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(…
  2. 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:…
  3. 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. Copy Citation Format: Google Sc…
  4. 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. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…
  5. 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…
  6. 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 …
  7. 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.…
  8. 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. Copy Citation Format: Google Scholar PubMed B…
  9. 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…
  10. 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…
  11. 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. Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Christian Bohringer, MD | March 25, 2020 View more articles from the same authors. …
  12. 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 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…
  13. pcmh.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…
  14. 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 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…
  15. 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 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…
  16. 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 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…
  17. 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 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…
  18. 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 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…
  19. 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…
  20. 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 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…