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psnet.ahrq.gov/issue/social-risk-health-inequity-and-patient-safety
September 28, 2022 - Commentary
Social risk, health inequity, and patient safety.
Citation Text:
Boisvert S. Social risk, health inequity, and patient safety. J Healthc Risk Manag. 2022;42(2):18-25. doi:10.1002/jhrm.21519.
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psnet.ahrq.gov/issue/making-healthcare-safer-understanding-designing-and-buying-better-it
February 20, 2019 - Commentary
Making healthcare safer by understanding, designing and buying better IT.
Citation Text:
Thimbleby H, Lewis A, Williams J. Making healthcare safer by understanding, designing and buying better IT. Clin Med (Lond). 2015;15(3):258-62. doi:10.7861/clinmedicine.15-3-258.
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psnet.ahrq.gov/issue/improving-communication-diagnostic-uncertainty-families-hospitalized-children
December 23, 2020 - Study
Improving communication of diagnostic uncertainty to families of hospitalized children.
Citation Text:
Young EE, Kane J, Timmons K, et al. Improving communication of diagnostic uncertainty to families of hospitalized children. Diagnosis (Berl). 2024;11(2):186-191. doi:10.1515/dx-20…
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psnet.ahrq.gov/issue/comparison-quality-care-patients-veterans-health-administration-and-patients-national-sample
February 24, 2011 - Study
Comparison of quality of care for patients in the Veterans Health Administration and patients in a national sample.
Citation Text:
Asch SM, McGlynn EA, Hogan MM, et al. Comparison of quality of care for patients in the Veterans Health Administration and patients in a national sam…
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psnet.ahrq.gov/issue/claiming-behaviour-no-fault-system-medical-injury-descriptive-analysis-claimants-and-non
March 28, 2011 - Study
Claiming behaviour in a no-fault system of medical injury: a descriptive analysis of claimants and non-claimants.
Citation Text:
Bismark M, Brennan TA, Davis PB, et al. Claiming behaviour in a no-fault system of medical injury: a descriptive analysis of claimants and non-claimant…
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psnet.ahrq.gov/issue/framework-classifying-patient-safety-practices-results-expert-consensus-process
September 20, 2011 - Study
A framework for classifying patient safety practices: results from an expert consensus process.
Citation Text:
Dy SM, Taylor SL, Carr LH, et al. A framework for classifying patient safety practices: results from an expert consensus process. BMJ Qual Saf. 2011;20(7):618-24. doi:10…
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psnet.ahrq.gov/issue/appropriateness-use-medicines-elderly-inpatients-qualitative-study
December 14, 2016 - Study
Appropriateness of use of medicines in elderly inpatients: qualitative study.
Citation Text:
Spinewine A, Swine C, Dhillon S, et al. Appropriateness of use of medicines in elderly inpatients: qualitative study. BMJ. 2005;331(7522). doi:10.1136/bmj.38551.410012.06.
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psnet.ahrq.gov/issue/improved-obstetric-safety-through-programmatic-collaboration
September 23, 2020 - Commentary
Improved obstetric safety through programmatic collaboration.
Citation Text:
Goffman D, Brodman M, Friedman AJ, et al. Improved obstetric safety through programmatic collaboration. J Healthc Risk Manag. 2014;33(3):14-22. doi:10.1002/jhrm.21131.
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psnet.ahrq.gov/issue/hidden-risk-wheelchair-use
March 09, 2022 - Commentary
The hidden risk of wheelchair use.
Citation Text:
Quesenberry M. The hidden risk of wheelchair use. Patient Safety. 2022;4(3):6-9. doi:10.33940/alert/2022.9.1.
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psnet.ahrq.gov/issue/what-diagnostic-safety-review-safety-science-paradigms-and-rethinking-paths-improving
April 12, 2023 - Review
What is diagnostic safety? A review of safety science paradigms and rethinking paths to improving diagnosis.
Citation Text:
Choi JJ. What is diagnostic safety? A review of safety science paradigms and rethinking paths to improving diagnosis. Diagnosis (Berl). 2024;11(4):369-373. d…
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psnet.ahrq.gov/issue/work-systems-analysis-approach-understanding-fatigue-hospital-nurses
July 08, 2020 - Study
A work systems analysis approach to understanding fatigue in hospital nurses.
Citation Text:
Steege LM, Pasupathy KS, Drake DA. A work systems analysis approach to understanding fatigue in hospital nurses. Ergonomics. 2017;61(1):148-161. doi:10.1080/00140139.2017.1280186.
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psnet.ahrq.gov/issue/10-years-why-time-out-still-matters
November 08, 2013 - Commentary
10 years in, why time out still matters.
Citation Text:
Guglielmi CL, Canacari EG, DuPree ES, et al. 10 years in, why time out still matters. AORN J. 2014;99(6):783-794. doi:10.1016/j.aorn.2014.04.009.
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psnet.ahrq.gov/issue/review-australian-incident-monitoring-system
July 23, 2008 - Study
Review of the Australian Incident Monitoring System.
Citation Text:
Spigelman AD, Swan J. Review of the Australian incident monitoring system. ANZ J Surg. 2005;75(8):657-61.
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psnet.ahrq.gov/issue/achieving-climate-patient-safety-focusing-relationships
December 19, 2017 - Study
Achieving a climate for patient safety by focusing on relationships.
Citation Text:
Manojlovich M, Kerr M, Davies B, et al. Achieving a climate for patient safety by focusing on relationships. Int J Qual Health Care. 2014;26(6):579-84. doi:10.1093/intqhc/mzu068.
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/nm4.pdf
June 16, 2014 - Immediate Post-Intervention Survey for Hospital Staff
IMMEDIATE POST TEST
ID NUMBER__________________________
Today’s d…
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psnet.ahrq.gov/issue/diagnostic-errors-inserted-tubes-lines-and-catheters-children
September 11, 2019 - Study
Diagnostic errors with inserted tubes, lines and catheters in children.
Citation Text:
Fuentealba I, Taylor GA. Diagnostic errors with inserted tubes, lines and catheters in children. Pediatr Radiol. 2012;42(11):1305-15. doi:10.1007/s00247-012-2462-7.
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psnet.ahrq.gov/issue/workforce-safety-key-patient-safety
December 09, 2020 - Newspaper/Magazine Article
Workforce safety key to patient safety.
Citation Text:
Workforce safety key to patient safety. McGaffigan P, Gerwig K, Kingston MB. Healthcare Executive. 2020 Nov;35(6):48-50.
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psnet.ahrq.gov/issue/seeking-high-reliability-primary-care-leadership-tools-and-organization
October 13, 2018 - Study
Seeking high reliability in primary care: leadership, tools, and organization.
Citation Text:
Weaver RR. Seeking high reliability in primary care: Leadership, tools, and organization. Health Care Manage Rev. 2015;40(3):183-92. doi:10.1097/HMR.0000000000000022.
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psnet.ahrq.gov/issue/computerized-physician-order-entry-factor-medication-errors-descriptive-analysis-events
July 14, 2010 - Study
Computerized physician order entry, a factor in medication errors: descriptive analysis of events in the intensive care unit safety reporting system.
Citation Text:
Computerized physician order entry, a factor in medication errors: descriptive analysis of events in the intensive …
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0002_03-04-2008.pdf
January 01, 2008 - Effective Health Care
Topic Number(s): 0080
Document Completion Date: 11-24-09
1
Results of Topic Selection Process & Next Steps
Blood glucose control was found to be addressed by several recent systematic reviews and meta-
analyses. However, many questions remain, particularly about patient…