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psnet.ahrq.gov/issue/sued-misdiagnosis-it-could-happen-you
February 07, 2024 - Commentary
Sued for misdiagnosis? It could happen to you.
Citation Text:
Lippman H, Davenport J. Sued for misdiagnosis? It could happen to you. J Fam Pract. 2010;59(9):498-508.
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psnet.ahrq.gov/issue/improving-ambulatory-patient-safety-learning-last-decade-moving-ahead-next
November 15, 2018 - Commentary
Improving ambulatory patient safety: learning from the last decade, moving ahead in the next.
Citation Text:
Wynia MK, Classen DC. Improving Ambulatory Patient Safety. JAMA. 2011;306(22):2504-2505. doi:10.1001/jama.2011.1820.
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psnet.ahrq.gov/issue/covid-19-and-patient-safety-lessons-2-efforts-keep-people-safe
March 02, 2011 - Commentary
COVID-19 and patient safety- lessons from 2 efforts to keep people safe.
Citation Text:
Wachter RM. COVID-19 and patient safety- lessons from 2 efforts to keep people safe. JAMA Intern Med. 2024;184(2):127-128. doi:10.1001/jamainternmed.2023.7527.
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psnet.ahrq.gov/issue/effective-healthcare-teams-require-effective-team-members-defining-teamwork-competencies
September 27, 2016 - Study
Effective healthcare teams require effective team members: defining teamwork competencies.
Citation Text:
Leggat SG. Effective healthcare teams require effective team members: defining teamwork competencies. BMC Health Serv Res. 2007;7:17.
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psnet.ahrq.gov/issue/incidence-and-cost-adverse-events-victorian-hospitals-2003-04
July 13, 2010 - Study
The incidence and cost of adverse events in Victorian hospitals 2003-04.
Citation Text:
Ehsani JP, Jackson T, Duckett SJ. The incidence and cost of adverse events in Victorian hospitals 2003-04. Med J Aust. 2006;184(11):551-5.
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psnet.ahrq.gov/issue/culture-trauma-team-relation-human-factors
February 22, 2023 - Study
The culture of a trauma team in relation to human factors.
Citation Text:
Cole E, Crichton N. The culture of a trauma team in relation to human factors. J Clin Nurs. 2006;15(10). doi:10.1111/j.1365-2702.2006.01566.x.
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psnet.ahrq.gov/issue/misdiagnosis-and-missed-diagnoses-foster-and-adopted-children-prenatal-alcohol-exposure
June 27, 2018 - Study
Misdiagnosis and missed diagnoses in foster and adopted children with prenatal alcohol exposure.
Citation Text:
Chasnoff IJ, Wells AM, King L. Misdiagnosis and missed diagnoses in foster and adopted children with prenatal alcohol exposure. Pediatrics. 2015;135(2):264-70. doi:10.154…
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psnet.ahrq.gov/issue/tips-reduce-dangerous-interruptions-healthcare-staff
September 23, 2020 - Commentary
Tips to reduce dangerous interruptions by healthcare staff.
Citation Text:
Lewis TP, Smith CB, Williams-Jones P. Tips to reduce dangerous interruptions by healthcare staff. Nursing (Brux). 2012;42(11):65-7. doi:10.1097/01.NURSE.0000421387.36112.e0.
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psnet.ahrq.gov/issue/citation-classics-patient-safety-research-invitation-contribute-online-bibliography
January 19, 2011 - Study
Citation classics in patient safety research: an invitation to contribute to an online bibliography.
Citation Text:
Lilford R, Stirling S, Maillard N. Citation classics in patient safety research: an invitation to contribute to an online bibliography. Qual Saf Health Care. 2006;1…
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psnet.ahrq.gov/issue/geometric-probability-distribution-modeling-error-risk-during-prescription-dispensing
December 24, 2008 - Study
Geometric probability distribution for modeling of error risk during prescription dispensing.
Citation Text:
Carnahan BJ, Maghsoodloo S, Flynn EA, et al. Geometric probability distribution for modeling of error risk during prescription dispensing. Am J Health Syst Pharm. 2006;63(…
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psnet.ahrq.gov/issue/objective-medical-emergency-team-activation-criteria-case-control-study
June 22, 2009 - Study
The objective medical emergency team activation criteria: a case-control study.
Citation Text:
Cretikos M, Chen J, Hillman K, et al. The objective medical emergency team activation criteria: a case-control study. Resuscitation. 2007;73(1):62-72.
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psnet.ahrq.gov/issue/adverse-events-anaesthetic-practice-qualitative-study-definition-discussion-and-reporting
April 18, 2011 - Study
Adverse events in anaesthetic practice: qualitative study of definition, discussion and reporting.
Citation Text:
Smith AF, Goodwin D, Mort M, et al. Adverse events in anaesthetic practice: qualitative study of definition, discussion and reporting. Br J Anaesth. 2006;96(6):715-21…
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psnet.ahrq.gov/issue/implementing-bedside-handoff-emergency-department-practice-improvement-project
November 14, 2018 - Commentary
Implementing bedside handoff in the emergency department: a practice improvement project.
Citation Text:
Campbell D, Dontje K. Implementing Bedside Handoff in the Emergency Department: A Practice Improvement Project. J Emerg Nurs. 2019;45(2):149-154. doi:10.1016/j.jen.2018.09.…
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psnet.ahrq.gov/issue/outcomes-classroom-based-team-training-interventions-multiprofessional-hospital-staff
April 24, 2018 - Review
Outcomes of classroom-based team training interventions for multiprofessional hospital staff. A systematic review.
Citation Text:
Rabol LI, Ostergaard D, Mogensen T. Outcomes of classroom-based team training interventions for multiprofessional hospital staff. A systematic review…
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psnet.ahrq.gov/issue/effect-workload-reduction-quality-residents-discharge-summaries
February 17, 2011 - Study
The effect of workload reduction on the quality of residents' discharge summaries.
Citation Text:
Coit MH, Katz JT, McMahon GT. The effect of workload reduction on the quality of residents' discharge summaries. J Gen Intern Med. 2011;26(1):28-32. doi:10.1007/s11606-010-1465-z.
Co…
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psnet.ahrq.gov/issue/cost-nurse-sensitive-adverse-events
June 16, 2021 - Study
The cost of nurse-sensitive adverse events.
Citation Text:
Pappas SH. The cost of nurse-sensitive adverse events. J Nurs Adm. 2008;38(5):230-236. doi:10.1097/01.NNA.0000312770.19481.ce.
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psnet.ahrq.gov/issue/automated-dispensing-cabinets-and-their-impact-rate-omitted-and-delayed-doses-systematic
October 12, 2022 - Review
Automated dispensing cabinets and their impact on the rate of omitted and delayed doses: a systematic review.
Citation Text:
Jeffrey E, Dalby M, Walsh Á, et al. Automated dispensing cabinets and their impact on the rate of omitted and delayed doses: a systematic review. Explor Res…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medication-mgmt-common-barriers-card-4x6.pdf
June 02, 2025 - Medication Management: Common Barriers to Medication Adherence
Common Barriers to
Medication Adherence
What Patients Might Say Possible Solutions
My medicine makes me
feel sick.
Prescribe a substitute
medication; change the dose.
I feel fine. Explain how the patient’s
disease affects the body.
I forget.
F…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/assessment.html
March 01, 2017 - Appendix J. Long-Term Care CAUTI Surveillance Worksheet
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
The purpose of the Long-Term Care CAUTI Surveillance Worksheet is to use it to streamline the surveillance process with reviewing a resident's chart for a suspected catheter-associated urinar…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20110511/patrick-mccabe.pdf
June 02, 2025 - Consumer Decision Points: Using Online Reports to Gauge Quality of Physician Performance
1
Consumer Decision Points
Using Online Reports to Gauge Quality
of Physician Performance
Patrick McCabe, GYMR Public Relations
pmccabe@gymr.com
mailto:pmccabe@gymr.com
Aligning Forces for Quality
• Robert Wood Johnson Fou…