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psnet.ahrq.gov/issue/better-understanding-downsides-low-value-healthcare-could-reduce-harm
August 11, 2021 - Commentary
Better understanding the downsides of low value healthcare could reduce harm.
Citation Text:
Brownlee SM, Korenstein D. Better understanding the downsides of low value healthcare could reduce harm. BMJ. 2021;372:n117. doi:10.1136/bmj.n117.
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psnet.ahrq.gov/issue/improving-patient-safety-through-informed-consent-patients-limited-health-literacy
April 28, 2021 - Book/Report
Classic
Improving Patient Safety Through Informed Consent for Patients with Limited Health Literacy.
Citation Text:
Improving Patient Safety Through Informed Consent for Patients with Limited Health Literacy. Wu HW, Nishimi RY, Page-Lopez CM, et …
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psnet.ahrq.gov/issue/patient-safety-implications-electronic-alerts-and-alarms-maternal-fetal-status-during-labor
January 19, 2022 - Review
Patient safety implications of electronic alerts and alarms of maternal–fetal status during labor.
Citation Text:
Simpson KR, Lyndon A, Davidson LA. Patient Safety Implications of Electronic Alerts and Alarms of Maternal - Fetal Status During Labor. Nurs Womens Health. 2016;20(4):…
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psnet.ahrq.gov/issue/medication-errors-nursing-part-1-and-part-2
March 23, 2016 - Commentary
Medication errors in nursing—part 1 and part 2.
Citation Text:
Leufer T, Cleary-Holdforth J. Let's do no harm: medication errors in nursing: part 1. Nurse Educ Pract. 2013;13(3):213-216. doi:10.1016/j.nepr.2013.01.013.
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psnet.ahrq.gov/issue/spreading-human-factors-expertise-healthcare-untangling-knots-people-and-systems
May 01, 2024 - Commentary
Spreading human factors expertise in healthcare: untangling the knots in people and systems.
Citation Text:
Catchpole K. Spreading human factors expertise in healthcare: untangling the knots in people and systems. BMJ Qual Saf. 2013;22(10):793-7. doi:10.1136/bmjqs-2013-002036…
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psnet.ahrq.gov/issue/improving-patient-safety-identifying-latent-failures-successful-operations
September 15, 2010 - Study
Improving patient safety by identifying latent failures in successful operations.
Citation Text:
Catchpole K, Giddings AEB, Wilkinson M, et al. Improving patient safety by identifying latent failures in successful operations. Surgery. 2007;142(1):102-10.
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psnet.ahrq.gov/issue/critical-phase-distractions-anaesthesia-and-sterile-cockpit-concept
April 24, 2018 - Study
Critical phase distractions in anaesthesia and the sterile cockpit concept.
Citation Text:
Broom MA, Capek AL, Carachi P, et al. Critical phase distractions in anaesthesia and the sterile cockpit concept. Anaesthesia. 2011;66(3):175-179. doi:10.1111/j.1365-2044.2011.06623.x.
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psnet.ahrq.gov/issue/accountability-sought-patients-following-adverse-events-medical-care-new-zealand-experience
June 25, 2010 - Study
Accountability sought by patients following adverse events from medical care: the New Zealand experience.
Citation Text:
Bismark M, Dauer E, Paterson R, et al. Accountability sought by patients following adverse events from medical care: the New Zealand experience. CMAJ. 2006;175…
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psnet.ahrq.gov/issue/evaluation-critical-incidents-general-surgery
April 29, 2009 - Study
Evaluation of critical incidents in general surgery.
Citation Text:
Zingg U, Zala-Mezoe E, Kuenzle B, et al. Evaluation of critical incidents in general surgery. Br J Surg. 2008;95(11):1420-5. doi:10.1002/bjs.6296.
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psnet.ahrq.gov/issue/introducing-new-technology-operating-room-measuring-impact-job-performance-and-satisfaction
May 18, 2022 - Study
Introducing new technology into the operating room: measuring the impact on job performance and satisfaction.
Citation Text:
Stahl JE, Egan MT, Goldman JM, et al. Introducing new technology into the operating room: measuring the impact on job performance and satisfaction. Surgery…
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psnet.ahrq.gov/issue/aging-surgeon
February 22, 2019 - Review
The aging surgeon.
Citation Text:
Katlic MR, Coleman JA. The Aging Surgeon. Adv Surg. 2016;50(1):93-103. doi:10.1016/j.yasu.2016.03.008.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-report-2014
November 23, 2016 - Book/Report
America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2014.
Citation Text:
America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2014. Oakbrook Terrace, IL: The Joint Commission; November 2014.
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psnet.ahrq.gov/issue/improving-diagnostic-decision-support-through-deliberate-reflection-proposal
September 23, 2020 - Commentary
Improving diagnostic decision support through deliberate reflection: a proposal.
Citation Text:
Schmidt HG, Mamede S. Improving diagnostic decision support through deliberate reflection: a proposal. Diagnosis (Berl). 2023;10(1):38-42. doi:10.1515/dx-2022-0062.
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psnet.ahrq.gov/issue/anesthesia-workspaces-safe-medication-practices-design-guidelines
November 29, 2017 - Study
Anesthesia workspaces for safe medication practices: design guidelines.
Citation Text:
MohammadiGorji S, Joseph A, Mihandoust S, et al. Anesthesia workspaces for safe medication practices: design guidelines. HERD. 2024;17(1):64-83. doi:10.1177/19375867231190646.
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psnet.ahrq.gov/issue/notes-healing-after-missed-diagnosis
May 18, 2022 - Commentary
Notes on healing after a missed diagnosis.
Citation Text:
Fleming EA. Notes on healing after a missed diagnosis. JAMA. 2022;328(13):1297-1298. doi:10.1001/jama.2022.15724.
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psnet.ahrq.gov/issue/patient-safety-culture-factors-influence-clinician-involvement-patient-safety-behaviours
April 16, 2014 - Study
Patient safety culture: factors that influence clinician involvement in patient safety behaviours.
Citation Text:
Wakefield JG, McLaws M-L, Whitby M, et al. Patient safety culture: factors that influence clinician involvement in patient safety behaviours. Qual Saf Health Care. 20…
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psnet.ahrq.gov/issue/attitudes-health-sciences-faculty-members-towards-interprofessional-teamwork-and-education
March 02, 2011 - Study
Attitudes of health sciences faculty members towards interprofessional teamwork and education.
Citation Text:
Curran VR, Sharpe D, Forristall J. Attitudes of health sciences faculty members towards interprofessional teamwork and education. Med Educ. 2007;41(9):892-896.
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psnet.ahrq.gov/issue/towards-safer-better-healthcare-harnessing-natural-properties-complex-sociotechnical-systems
April 08, 2011 - Commentary
Towards safer, better healthcare: harnessing the natural properties of complex sociotechnical systems.
Citation Text:
Braithwaite J, Runciman WB, Merry AF. Towards safer, better healthcare: harnessing the natural properties of complex sociotechnical systems. Qual Saf Health …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/d2-projectcharter.pdf
December 23, 2009 - INSTRUCTIONS: Project Charter
AHRQ Quality Indicators Toolkit
INSTRUCTIONS
Project Charter
What is this tool? The purpose of the project charter is to describe the performance improvement
rationale, goals, barriers, and anticipated resources to which the team will commit.
Who are the target audiences? St…
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psnet.ahrq.gov/issue/mandatory-pharmacy-residencies-one-way-reduce-medication-errors
July 23, 2008 - Commentary
Mandatory pharmacy residencies: one way to reduce medication errors.
Citation Text:
Ibrahim RB, Bahgat-Ibrahim L, Reeves D. Mandatory pharmacy residencies: One way to reduce medication errors. Am J Health Syst Pharm. 2010;67(6):477-81. doi:10.2146/ajhp090138.
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