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psnet.ahrq.gov/issue/understanding-human-over-reliance-technology
February 24, 2016 - Newspaper/Magazine Article
Understanding human over-reliance on technology.
Citation Text:
Understanding human over-reliance on technology. ISMP Medication Safety Alert! Acute Care Edition. September 8, 2016;21:1-4.
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psnet.ahrq.gov/issue/maryland-hospital-patient-safety-program-annual-report
December 24, 2008 - Book/Report
Maryland Hospital Patient Safety Program Annual Report.
Citation Text:
Maryland Hospital Patient Safety Program Annual Report. Office of Health Care Quality. Baltimore, MD: Maryland Department of Health and Mental Hygiene.
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psnet.ahrq.gov/issue/underdiagnosis-hypertension-children-and-adolescents
January 04, 2012 - Study
Underdiagnosis of hypertension in children and adolescents.
Citation Text:
Hansen M, Gunn PW, Kaelber DC. Underdiagnosis of hypertension in children and adolescents. JAMA. 2007;298(8):874-9.
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psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-report-2017
November 27, 2018 - Book/Report
America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2017.
Citation Text:
America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2017. Oakbrook Terrace; IL: Joint Commission; 2017.
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psnet.ahrq.gov/issue/support-methods-healthcare-professionals-who-are-second-victims-integrative-review
April 27, 2022 - Review
Support methods for healthcare professionals who are second victims: an integrative review.
Citation Text:
Support methods for healthcare professionals who are second victims: an integrative review. Neft MW, Sekula K, Zoucha R, et al. AANA J. 2022;90(3):189-196.
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psnet.ahrq.gov/issue/how-talk-about-patient-safety
June 24, 2019 - Book/Report
How to Talk About Patient Safety.
Citation Text:
How to Talk About Patient Safety. Hendricks R, O'Neil M, Volmert A. Boston, MA: Betsy Lehman Center for Patient Safety; March 2019.
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psnet.ahrq.gov/issue/ensuring-medication-safety-consumers-ethnic-minority-backgrounds-need-address-unconscious
July 29, 2020 - Commentary
Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscious bias within health systems.
Citation Text:
Chauhan A, Walpola RL. Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscio…
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psnet.ahrq.gov/web-mm/after-visit-confusion
August 21, 2007 - physician spoke with the patient's mother, confirmed that his diagnosis of a herpetic viral infection was correct
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psnet.ahrq.gov/issue/unequal-treatment-confronting-racial-and-ethnic-disparities-health-care
June 15, 2011 - Book/Report
Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care.
Citation Text:
Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Smedley BD, Stith AY, Nelson AR, eds and Institute of Medicine. Washington, DC; The National Academies Pres…
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psnet.ahrq.gov/issue/teaming-how-organizations-learn-innovate-and-compete-knowledge-economy
May 06, 2016 - Book/Report
Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy.
Citation Text:
Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy. Edmondson AC, Schein EH. San Franscisco, CA: Jossey-Bass; 2012. ISBN: 9780787970932.
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psnet.ahrq.gov/issue/disruptive-clinician-behavior-persistent-threat-patient-safety
August 23, 2007 - Commentary
Disruptive clinician behavior: a persistent threat to patient safety.
Citation Text:
Disruptive clinician behavior: a persistent threat to patient safety. Porto G; Lauve R. Patient Safety Quality Healthcare. July / August 2006.
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psnet.ahrq.gov/issue/improving-hand-communication
April 24, 2007 - Book/Report
Classic
Improving Hand-Off Communication.
Citation Text:
Improving Hand-Off Communication. Oakbrook Terrace lL: Joint Commission Resources; 2007. ISBN 9781599400907.
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psnet.ahrq.gov/issue/preventing-central-line-associated-bloodstream-infections-global-challenge-global-perspective
May 28, 2014 - Book/Report
Preventing Central Line–Associated Bloodstream Infections: a Global Challenge, a Global Perspective.
Citation Text:
Preventing Central Line–Associated Bloodstream Infections: a Global Challenge, a Global Perspective. The Joint Commission. Oakbrook Terrace, IL: Joint Commiss…
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psnet.ahrq.gov/issue/2020-eisenberg-award-recipients-announced-joint-commission-national-quality-forum
July 18, 2012 - Award Recipient
2020 Eisenberg Award recipients announced by The Joint Commission, National Quality Forum.
Citation Text:
2020 Eisenberg Award recipients announced by The Joint Commission, National Quality Forum. Oakbrook Terrace, IL: Joint Commission: June 8, 2021.
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psnet.ahrq.gov/issue/preventing-patient-falls-systematic-approach-joint-commission-center-transforming-healthcare
October 19, 2016 - Book/Report
Preventing Patient Falls: A Systematic Approach From the Joint Commission Center for Transforming Healthcare Project.
Citation Text:
Preventing Patient Falls: A Systematic Approach From the Joint Commission Center for Transforming Healthcare Project. Chicago, IL: Health Resea…
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psnet.ahrq.gov/primer/systems-approach
June 15, 2024 - Systems Approach
Citation Text:
Systems Approach. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/primer/electronic-health-records
March 15, 2025 - Electronic Health Records
Citation Text:
Electronic Health Records. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/issue/improving-safety-operating-room-medication-icon-labels-increase-visibility-and-discrimination
April 03, 2019 - Study
Improving safety in the operating room: medication icon labels increase visibility and discrimination.
Citation Text:
Lusk C, Catchpole K, Neyens DM, et al. Improving safety in the operating room: medication icon labels increase visibility and discrimination. Appl Ergon. 2022;104:1…
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psnet.ahrq.gov/issue/does-time-pressure-have-negative-effect-diagnostic-accuracy
January 16, 2019 - Study
Does time pressure have a negative effect on diagnostic accuracy?
Citation Text:
ALQahtani DA, Rotgans JI, Mamede S, et al. Does Time Pressure Have a Negative Effect on Diagnostic Accuracy? Acad Med. 2016;91(5):710-716. doi:10.1097/ACM.0000000000001098.
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psnet.ahrq.gov/issue/mind-gap-between-recommendation-and-implementation-principles-and-lessons-aftermath-incident
March 11, 2020 - Study
Mind the gap between recommendation and implementation—principles and lessons in the aftermath of incident investigations: a semi-quantitative and qualitative study of factors leading to the successful implementation of recommendations.
Citation Text:
Wrigstad J, Bergström J, Gusta…