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psnet.ahrq.gov/issue/business-case-quality-case-studies-and-analysis
February 23, 2019 - Study
Classic
The business case for quality: case studies and an analysis.
Citation Text:
Leatherman S, Berwick DM, Iles D, et al. The business case for quality: case studies and an analysis. Health Aff (Millwood). 2003;22(2):17-30.
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…
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psnet.ahrq.gov/issue/disparities-patient-safety-voluntary-event-reporting-scoping-review
November 16, 2022 - Review
Disparities in patient safety voluntary event reporting: a scoping review.
Citation Text:
Hoops K, Pittman E, Stockwell DC. Disparities in patient safety voluntary event reporting: a scoping review. Jt Comm J Qual Patient Saf. 2024;50(1):41-48. doi:10.1016/j.jcjq.2023.10.009.
Co…
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psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-medication-errors-intensive-care-units-prospective
March 29, 2012 - Study
Incidence of adverse drug events and medication errors in intensive care units: a prospective multicenter study.
Citation Text:
Benkirane RR, Abouqal R, R-Abouqal R, et al. Incidence of adverse drug events and medication errors in intensive care units: a prospective multicenter s…
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psnet.ahrq.gov/issue/medical-error-using-storytelling-and-reflection-impact-error-response-factors-family-medicine
June 05, 2019 - Study
Medical error: using storytelling and reflection to impact error response factors in family medicine residents.
Citation Text:
Adkins S, Alta’any R, Brar K, et al. Medical error: using storytelling and reflection to impact error response factors in family medicine residents. J Med …
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psnet.ahrq.gov/issue/cpoe-iran-viable-prospect-physicians-opinions-using-cpoe-iranian-teaching-hospital
June 30, 2011 - Study
CPOE in Iran—a viable prospect? Physicians' opinions on using CPOE in an Iranian teaching hospital.
Citation Text:
Kazemi A, Ellenius J, Tofighi S, et al. CPOE in Iran--a viable prospect? Physicians' opinions on using CPOE in an Iranian teaching hospital. Int J Med Inform. 2009;7…
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psnet.ahrq.gov/issue/medical-error-reporting-patient-safety-and-physician
February 04, 2009 - Study
Medical error reporting, patient safety, and the physician.
Citation Text:
Anderson B, Stumpf PG, Schulkin J. Medical Error Reporting, Patient Safety, and the Physician. J Patient Saf. 2009;5(3):176-179. doi:10.1097/pts.0b013e3181b320b0.
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DOI Go…
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psnet.ahrq.gov/issue/predictors-and-triggers-incivility-within-healthcare-teams-systematic-review-literature
July 21, 2011 - Review
Predictors and triggers of incivility within healthcare teams: a systematic review of the literature.
Citation Text:
Keller S, Yule S, Zagarese V, et al. Predictors and triggers of incivility within healthcare teams: a systematic review of the literature. BMJ Open. 2020;10(6):e035…
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psnet.ahrq.gov/issue/awareness-racial-and-ethnic-bias-and-potential-solutions-address-bias-use-health-care
November 16, 2022 - Study
Awareness of racial and ethnic bias and potential solutions to address bias with use of health care algorithms.
Citation Text:
Jain A, Brooks JR, Alford CC, et al. Awareness of racial and ethnic bias and potential solutions to address bias with use of health care algorithms. JAMA H…
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psnet.ahrq.gov/issue/drivers-unprofessional-behaviour-between-staff-acute-care-hospitals-realist-review
July 24, 2024 - Review
Drivers of unprofessional behaviour between staff in acute care hospitals: a realist review.
Citation Text:
Aunger JA, Maben J, Abrams R, et al. Drivers of unprofessional behaviour between staff in acute care hospitals: a realist review. BMC Health Serv Res. 2023;23(1):1326. doi:1…
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psnet.ahrq.gov/node/867497/psn-pdf
February 26, 2025 - in
http://www.fda.gov/Safety/MedWatch/
processes of care requires attention to inter-professional culture … determine whether the devices under consideration are
likely to be helpful at that site, given that site’s culture
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psnet.ahrq.gov/perspective/conversation-ann-gaffey-rn-msn-cphrm-and-bruce-spurlock-md
March 30, 2020 - The new cross-cutting topics, such as Safety Culture, Teamwork and Communication, etc. also help to highlight … The included cross-cutting topics/practices are: improving safety culture; teamwork and team training
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psnet.ahrq.gov/print/pdf/node/848754
January 01, 2025 - The first, called quality
by inspection, is a system based on the belief that quality is best achieved … Safety (PIPS) project report presents an
implementation structure for medication safety and safety culture … Safety (PIPS) project report presents an
implementation structure for medication safety and safety culture … The first, called quality
by inspection, is a system based on the belief that quality is best achieved
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psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cybersecurity
March 27, 2024 - The last part and perhaps the most important is to have a basic foundation, a culture, of teamwork and … A healthcare organization will definitely find out exactly what kind of culture exists when a cyberattack … A good, strong culture of partnership and working together during stressful times will be important. … If something doesn't look right and a patient may be harmed, creating that culture of raising your hand
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psnet.ahrq.gov/node/49579/psn-pdf
March 21, 2009 - All in the History
March 21, 2009
Fee C. All in the History. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/all-history
Case Objectives
Describe the Emergency Medical Treatment and Active Labor Act (EMTALA) and understand that it
does not apply to transfers to emergency departments from non-acute care faci…
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psnet.ahrq.gov/node/49807/psn-pdf
October 01, 2017 - Translating From Normal to Abnormal
October 1, 2017
Turner AM. Translating From Normal to Abnormal. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/translating-normal-abnormal
Case Objectives
Define limited English proficiency.
Understand the principal approaches to machine translation.
Review the way mach…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.461_slideshow.ppt
November 01, 2018 - Spotlight
Spotlight
Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees
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Source and Credits
This presentation is based on the November 2018 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Olle ten C…
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psnet.ahrq.gov/node/841566/psn-pdf
December 14, 2022 - not only understand what has to be done for patient safety, but are
given the time to do it within a culture … There are many lessons here, including communication strategies,
culture, leadership, teamwork training … I have a personal belief that if we unleash
the voice of the patient in quality reporting, we are going
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psnet.ahrq.gov/webmm-case-studies
March 25, 2025 - Health Literacy Improvement
(11)
Informed Consent
(15)
Culture … of Safety
(39)
Just Culture
(1)
Learning Organization
(2)
Red … commentary discusses appropriate management of ongoing intraoperative and postoperative bleeding and how a culture
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psnet.ahrq.gov/node/33717/psn-pdf
September 01, 2011 - electronic reporting interfaces, excluding reported
information from performance reviews, improving safety culture … The senior
leadership defines what the safety culture should look like, seeks out new safety technologies
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psnet.ahrq.gov/clinical-areas
March 24, 2025 - Nursing leadership plays an important role in establishing a culture of safety. … importance of formal support programs, including peer support, education, error analysis, and just culture