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psnet.ahrq.gov/issue/black-patients-are-more-likely-white-patients-be-hospitals-worse-patient-safety-conditions
August 18, 2021 - Book/Report
Black Patients are More Likely Than White Patients to be in Hospitals with Worse Patient Safety Conditions.
Citation Text:
Black Patients are More Likely Than White Patients to be in Hospitals with Worse Patient Safety Conditions. Gangopadhyaya A. Washington DC: Urban Institu…
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psnet.ahrq.gov/issue/scandal-sentinel-event-recognizing-hidden-cost-quality-trade-offs
November 04, 2020 - Commentary
Scandal as a sentinel event—recognizing hidden cost–quality trade-offs.
Citation Text:
Bloche G. Scandal as a Sentinel Event--Recognizing Hidden Cost-Quality Trade-offs. N Engl J Med. 2016;374(11):1001-3. doi:10.1056/NEJMp1502629.
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psnet.ahrq.gov/issue/patient-safety-climate-92-us-hospitals-differences-work-area-and-discipline
September 02, 2009 - Study
Patient safety climate in 92 US hospitals: differences by work area and discipline.
Citation Text:
Singer SJ, Gaba DM, Falwell A, et al. Patient safety climate in 92 US hospitals: differences by work area and discipline. Med Care. 2009;47(1):23-31. doi:10.1097/MLR.0b013e31817e189…
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psnet.ahrq.gov/issue/ethics-oversight-and-quality-improvement-initiatives
August 04, 2021 - Study
Ethics, oversight and quality improvement initiatives.
Citation Text:
Taylor HA, Pronovost PJ, Sugarman J. Ethics, oversight and quality improvement initiatives. Quality and Safety in Health Care. 2010;19(4). doi:10.1136/qshc.2009.038034.
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psnet.ahrq.gov/issue/risk-care-plans-way-reduce-readmissions-and-adverse-events
October 27, 2010 - Commentary
At risk care plans: a way to reduce readmissions and adverse events.
Citation Text:
Bahle J, Majercik C, Ludwick R, et al. At Risk Care Plans: a way to reduce readmissions and adverse events. J Nurs Care Qual. 2015;30(3):200-4. doi:10.1097/NCQ.0000000000000106.
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psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-improving-safety-iv-drug-administration
March 23, 2012 - Study
Use of failure mode and effects analysis in improving the safety of i.v. drug administration.
Citation Text:
Adachi W, Lodolce AE. Use of failure mode and effects analysis in improving the safety of i.v. drug administration. Am J Health Syst Pharm. 2005;62(9):917-20.
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psnet.ahrq.gov/issue/inpatient-notes-reducing-diagnostic-error-new-horizon-opportunities-hospital-medicine
February 24, 2021 - Commentary
Inpatient notes: reducing diagnostic error—a new horizon of opportunities for hospital medicine.
Citation Text:
Singh H, Zwaan L. Web Exclusives. Annals for Hospitalists Inpatient Notes - Reducing Diagnostic Error-A New Horizon of Opportunities for Hospital Medicine. Ann Inter…
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psnet.ahrq.gov/issue/drug-shortages-complex-health-care-crisis
September 12, 2016 - Review
Drug shortages: a complex health care crisis.
Citation Text:
Fox ER, Sweet B, Jensen V. Drug shortages: a complex health care crisis. Mayo Clin Proc. 2014;89(3):361-73. doi:10.1016/j.mayocp.2013.11.014.
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psnet.ahrq.gov/issue/continuous-improvement-ideal-health-care
August 04, 2021 - Commentary
Classic
Continuous improvement as an ideal in health care.
Citation Text:
Berwick D. Continuous improvement as an ideal in health care. New Engl J Med. 1989;320(1):53-56.
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psnet.ahrq.gov/issue/delivering-high-reliability-maternity-care-situ-simulation-source-organisational-resilience
April 05, 2023 - Commentary
Emerging Classic
Delivering high reliability in maternity care: in situ simulation as a source of organisational resilience.
Citation Text:
Macrae C, Draycott T. Delivering high reliability in maternity care: In situ simulation as a source of organisa…
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psnet.ahrq.gov/issue/generative-artificial-intelligence-patient-safety-and-healthcare-quality-review
November 16, 2022 - Review
Generative artificial intelligence, patient safety and healthcare quality: a review.
Citation Text:
Howell MD. Generative artificial intelligence, patient safety and healthcare quality: a review. BMJ Qual Saf. 2024;33(11):748-754. doi:10.1136/bmjqs-2023-016690.
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psnet.ahrq.gov/issue/coaching-program-improve-employee-engagement-culture-safety-and-patient-experience
April 05, 2013 - Study
A coaching program to improve employee engagement, culture of safety, and patient experience.
Citation Text:
Scheurer D, Coulter A, Harper K, et al. A coaching program to improve employee engagement, culture of safety, and patient experience. NEJM Catalyst. 2024;6(1):CAT.24.0225. d…
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psnet.ahrq.gov/issue/problem-incident-reporting
February 28, 2024 - Commentary
The problem with incident reporting.
Citation Text:
Macrae C. The problem with incident reporting. BMJ Qual Saf. 2016;25(2):71-75. doi:10.1136/bmjqs-2015-004732.
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psnet.ahrq.gov/issue/quality-and-safety-between-ward-and-board-biography-artefacts-study
April 19, 2017 - Government Resource
Quality and Safety Between Ward and Board: a Biography of Artefacts Study.
Citation Text:
Quality and Safety Between Ward and Board: a Biography of Artefacts Study. Keen J, Nicklin E, Long A, et al. Health Services and Delivery Research. Southampton, UK: NIHR Journals…
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psnet.ahrq.gov/issue/underappreciated-role-habit-highly-reliable-healthcare
April 25, 2016 - Commentary
The underappreciated role of habit in highly reliable healthcare.
Citation Text:
Vogus TJ, Hilligoss B. The underappreciated role of habit in highly reliable healthcare. BMJ Qual Saf. 2016;25(3):141-6. doi:10.1136/bmjqs-2015-004512.
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psnet.ahrq.gov/issue/implementing-hospital-based-communication-and-resolution-programs-lessons-learned-new-york
September 01, 2018 - Study
Implementing hospital-based communication-and-resolution programs: lessons learned in New York City.
Citation Text:
Mello MM, Senecal SK, Kuznetsov Y, et al. Implementing hospital-based communication-and-resolution programs: lessons learned in New York City. Health Aff (Millwood).…
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psnet.ahrq.gov/issue/state-science-human-factors-and-ergonomics-healthcare
April 01, 2015 - Commentary
State of science: human factors and ergonomics in healthcare.
Citation Text:
Hignett S, Carayon P, Buckle P, et al. State of science: human factors and ergonomics in healthcare. Ergonomics. 2013;56(10):1491-503. doi:10.1080/00140139.2013.822932.
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psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
May 30, 2012 - Multi-use Website
Classic
Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery.
Citation Text:
Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. The Joint Commission.
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psnet.ahrq.gov/issue/free-harm-accelerating-patient-safety-improvement-fifteen-years-after-err-human
November 15, 2016 - Book/Report
Free From Harm: Accelerating Patient Safety Improvement Fifteen Years After To Err Is Human.
Citation Text:
Free From Harm: Accelerating Patient Safety Improvement Fifteen Years After To Err Is Human. Boston, MA: National Patient Safety Foundation; 2015.
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psnet.ahrq.gov/issue/evidence-brief-implementation-high-reliability-organization-principles
November 11, 2020 - Book/Report
Evidence Brief: Implementation of High Reliability Organization Principles.
Citation Text:
Evidence Brief: Implementation of High Reliability Organization Principles. Veazie S, Peterson K, Bourne D. Washington DC: United States Department of Veterans Affairs; May 2019.
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