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psnet.ahrq.gov/issue/patient-and-carer-identified-factors-which-contribute-safety-incidents-primary-care
March 18, 2016 - Study
Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study.
Citation Text:
Hernan AL, Giles SJ, Fuller J, et al. Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. BMJ Q…
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psnet.ahrq.gov/issue/exploring-leadership-within-systems-approach-reduce-health-care-associated-infections-scoping
October 29, 2017 - Review
Exploring leadership within a systems approach to reduce health care–associated infections: a scoping review of one work system model.
Citation Text:
Knobloch MJ, Thomas K, Musuuza J, et al. Exploring leadership within a systems approach to reduce health care-associated infections…
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psnet.ahrq.gov/issue/qualitative-content-analysis-coworkers-safety-reports-unprofessional-behavior-physicians-and
February 14, 2017 - Study
Qualitative content analysis of coworkers' safety reports of unprofessional behavior by physicians and advanced practice professionals.
Citation Text:
Martinez W, Pichert JW, Hickson GB, et al. Qualitative Content Analysis of Coworkers' Safety Reports of Unprofessional Behavior by …
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psnet.ahrq.gov/issue/causes-their-death-appear-unto-our-shame-perpetual-why-root-cause-analysis-not-best-model
September 27, 2016 - Study
The causes of their death appear (unto our shame perpetual): why root cause analysis is not the best model for error investigation in mental health services.
Citation Text:
Vrklevski LP, McKechnie L, OʼConnor N. The Causes of Their Death Appear (Unto Our Shame Perpetual): Why Root …
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psnet.ahrq.gov/issue/dual-health-care-system-use-and-high-risk-prescribing-patients-dementia-national-cohort-study
July 02, 2019 - Study
Dual health care system use and high-risk prescribing in patients with dementia: a national cohort study.
Citation Text:
Thorpe JM, Thorpe CT, Gellad WF, et al. Dual Health Care System Use and High-Risk Prescribing in Patients With Dementia: A National Cohort Study. Ann Intern Med.…
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psnet.ahrq.gov/issue/water-cooler-learning-knowledge-sharing-clinical-backstage-and-its-contribution-patient
January 29, 2014 - Study
"Water cooler" learning: knowledge sharing at the clinical "backstage" and its contribution to patient safety.
Citation Text:
Waring J, Bishop S. "Water cooler" learning: knowledge sharing at the clinical "backstage" and its contribution to patient safety. J Health Organ Manag. 2…
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psnet.ahrq.gov/issue/using-patient-experience-surveys-identify-potential-diagnostic-safety-breakdowns-mixed
October 30, 2024 - Study
Using patient experience surveys to identify potential diagnostic safety breakdowns: a mixed methods study.
Citation Text:
Baker KM, Brahier M, Penne M, et al. Using patient experience surveys to identify potential diagnostic safety breakdowns: a mixed methods study. J Patient Saf.…
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psnet.ahrq.gov/issue/epistemology-patient-safety-research-framework-study-design-and-interpretation
February 23, 2011 - Study
Classic
An epistemology of patient safety research: a framework for study design and interpretation.
Citation Text:
Brown C, Hofer T, Johal A, et al. An epistemology of patient safety research: a framework for study design and interpretation. Part 4. One s…
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psnet.ahrq.gov/issue/analysis-results-event-investigations-industrial-and-patient-safety-contexts
July 06, 2022 - Commentary
Analysis of results from event investigations in industrial and patient safety contexts.
Citation Text:
Harms-Ringdahl L. Analysis of results from event investigations in industrial and patient safety contexts. Safety. 2021;7(1):19. doi:10.3390/safety7010019.
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www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncil2.html
April 01, 2018 - Guide for Developing a Community-Based Patient Safety Advisory Council
Chapter 2. Patient Safety Advisory Councils
The success of any team requires active participation from every member. The approach health care systems traditionally take neglects the most critical member of the team—the patient. Programs an…
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psnet.ahrq.gov/issue/we-will-not-compete-safety-how-childrens-hospitals-have-come-together-hasten-harm-reduction
August 10, 2022 - Study
We will not compete on safety: how children's hospitals have come together to hasten harm reduction.
Citation Text:
Lyren A, Coffey M, Shepherd M, et al. We Will Not Compete on Safety: How Children's Hospitals Have Come Together to Hasten Harm Reduction. Jt Comm J Qual Patient Saf.…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/overview-slides.html
June 01, 2017 - Management Practices for Sustainability - Module 1: Overview
Slide 1: Management Practices for Sustainability Module 1: Overview
Slide 2: Ensuring Safety in Ambulatory Surgery
Surgery volume in ambulatory surgery centers (ASCs) has increased rapidly 1
The complexity of procedures continues to increa…
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psnet.ahrq.gov/issue/reducing-serious-safety-events-and-priority-hospital-acquired-conditions-pediatric-hospital
July 19, 2023 - Study
Reducing serious safety events and priority hospital-acquired conditions in a pediatric hospital with the implementation of a patient safety program.
Citation Text:
Phipps AR, Paradis M, Peterson KA, et al. Reducing Serious Safety Events and Priority Hospital-Acquired Conditions in…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-cellulitis.docx
June 01, 2021 - DiagnosisCellulitis
· Relatively sudden onset of redness, warmth, tenderness, and swelling of the skin1-3
· Nonpurulent: no evidence of abscess/phlegmon; most cases caused by beta-hemolytic streptococci (usually group A strep but also B, C, G) that are sucepti…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata1tab1-1.html
May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Table 1-1. Categories and Definitions Promulgated by the Office of Management and Budget (OMB) and the U.S. Bureau of the Census
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Table of Contents
Race, Ethnicity, and Language Data: Stand…
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psnet.ahrq.gov/issue/there-link-between-nursing-home-reported-quality-and-covid-19-cases-evidence-california
June 30, 2021 - Study
Is there a link between nursing home reported quality and COVID-19 cases? Evidence from California skilled nursing facilities.
Citation Text:
He M, Li Y, Fang F. Is There a link between nursing home reported quality and COVID-19 cases? Evidence from California skilled nursing facil…
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psnet.ahrq.gov/issue/coping-and-recovery-surgical-residents-after-adverse-events-second-victim-phenomenon
July 11, 2012 - Study
Coping and recovery in surgical residents after adverse events: the second victim phenomenon.
Citation Text:
Khansa I, Pearson GD. Coping and recovery in surgical residents after adverse events: the second victim phenomenon. Plast Reconstr Surg Glob Open. 2022;10(3):e4203. doi:10.1…
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psnet.ahrq.gov/issue/patients-who-die-suicide-study-treatment-patterns-and-patient-safety-incidents-norway
April 20, 2022 - Study
Patients who die by suicide: a study of treatment patterns and patient safety incidents in Norway.
Citation Text:
Krvavac S, Jansson B, Bukholm IRK, et al. Patients who die by suicide: a study of treatment patterns and patient safety incidents in Norway. Int J Environ Res Public He…
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psnet.ahrq.gov/issue/co-worker-unprofessional-behaviour-and-patient-safety-risks-analysis-co-worker-reports-across
January 31, 2024 - Study
Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports across eight Australian hospitals.
Citation Text:
McMullan RD, Churruca K, Hibbert P, et al. Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports a…
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psnet.ahrq.gov/issue/posttraumatic-growth-and-second-victim-distress-resulting-medical-mishaps-among-physicians
January 12, 2022 - Study
Posttraumatic growth and second victim distress resulting from medical mishaps among physicians and nurses.
Citation Text:
Pado K, Fraus K, Mulhem E, et al. Posttraumatic growth and second victim distress resulting from medical mishaps among physicians and nurses. J Clin Psychol Me…