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psnet.ahrq.gov/node/33809/psn-pdf
June 01, 2016 - He was previously the
Director of the Center for Quality Improvement and Patient Safety at the Agency … When I first came back to the provider organization side as a medical director in a large hospital, about
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psnet.ahrq.gov/node/33664/psn-pdf
March 01, 2008 - Rosen is Medical Director of the Inpatient Specialty Program (ISP) Hospitalist service at
Cedars-Sinai … The driving force behind it was Mark Ault, MD, our division director in general internal
medicine. … Philip Ng, MD, medical director of the Procedure Center, was recruited in 1994 to
accommodate the growing
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psnet.ahrq.gov/node/33707/psn-pdf
February 01, 2011 - The University of Texas System Clinical Safety and
Effectiveness Course
February 1, 2011
Thomas EJ, Patterson JE, Martin S, et al. The University of Texas System Clinical Safety and
Effectiveness Course. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/university-texas-system-clinical-safety-and-effectiv…
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psnet.ahrq.gov/perspective/conversation-nicholas-g-castle-mha-phd
August 01, 2012 - Many facilities have a Nursing Home Administrator and a Director of Nursing, and that's it. … So even when something is instituted, the next administrator or director might come along and might have … and Community Health, and Quantitative Health SciencesChief, Division of Geriatric MedicineExecutive Director
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psnet.ahrq.gov/perspective/becoming-patient-safety-organization
July 01, 2011 - Rory Jaffe, MD, MBA Executive Director, California Hospital Patient Safety Organization
References … Munier, MD, MBA, is the Director of the Center for Quality Improvement and Patient Safety (CQuIPS) at … president of a health care information technology software company, a partner at Ernst & Whinney, the director … Among his many responsibilities as Director of CQuIPS is to implement the 2005 U.S. law that authorized
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psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
August 01, 2012 - and Community Health, and Quantitative Health SciencesChief, Division of Geriatric MedicineExecutive Director … Many facilities have a Nursing Home Administrator and a Director of Nursing, and that's it. … So even when something is instituted, the next administrator or director might come along and might have
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psnet.ahrq.gov/issue/cms-changes-reimbursement-hais-setting-research-agenda
May 03, 2018 - Commentary
CMS changes in reimbursement for HAIs: setting a research agenda.
Citation Text:
Stone PW, Glied SA, McNair PD, et al. CMS changes in reimbursement for HAIs: setting a research agenda. Med Care. 2010;48(5):433-9. doi:10.1097/MLR.0b013e3181d5fb3f.
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psnet.ahrq.gov/issue/handoff-communication-between-hospital-and-outpatient-dialysis-units-patient-discharge
August 20, 2018 - Study
Handoff communication between hospital and outpatient dialysis units at patient discharge: a qualitative study.
Citation Text:
Reilly JB, Marcotte LM, Berns JS, et al. Handoff communication between hospital and outpatient dialysis units at patient discharge: a qualitative study. …
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psnet.ahrq.gov/issue/improving-papanicolaou-test-quality-and-reducing-medical-errors-using-toyota-production
April 08, 2008 - Study
Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods.
Citation Text:
Raab SS, Andrew-JaJa C, Condel JL, et al. Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods. Am J Obst…
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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/adverse-events-hospitals-medicares-responses-alleged-serious-events
February 18, 2009 - Government Resource
Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events.
Citation Text:
Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events. Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspecto…
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psnet.ahrq.gov/issue/accident-prevention-day-day-clinical-radiation-therapy-practice
February 07, 2018 - Commentary
Accident prevention in day-to-day clinical radiation therapy practice.
Citation Text:
Baeza M. Accident prevention in day-to-day clinical radiation therapy practice. Ann ICRP. 2012;41(3-4):179-87. doi:10.1016/j.icrp.2012.06.001.
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psnet.ahrq.gov/issue/strategic-work-arounds-accommodate-new-technology-case-smart-pumps-hospital-care
July 14, 2010 - Study
Strategic work-arounds to accommodate new technology: the case of smart pumps in hospital care.
Citation Text:
McAlearney AS, Vrontos J, Schneider PJ, et al. Strategic Work-Arounds to Accommodate New Technology. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000242987.93789.63.
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psnet.ahrq.gov/issue/story-behind-story-physician-skepticism-about-relying-clinical-information-technologies
July 14, 2010 - Study
The story behind the story: physician skepticism about relying on clinical information technologies to reduce medical errors.
Citation Text:
McAlearney AS, Chisolm DJ, Schweikhart S, et al. The story behind the story: physician skepticism about relying on clinical information tec…
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psnet.ahrq.gov/issue/big-dog-effect-variability-assessing-causes-error-diagnoses-patients-lung-cancer
March 28, 2012 - Study
The "Big Dog" effect: variability assessing the causes of error in diagnoses of patients with lung cancer.
Citation Text:
Raab SS, Meier FA, Zarbo RJ, et al. The "Big Dog" effect: variability assessing the causes of error in diagnoses of patients with lung cancer. J Clin Oncol. 2…
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psnet.ahrq.gov/issue/navigating-care-transitions-process-model-how-doctors-overcome-organizational-barriers-and
February 20, 2016 - Study
Navigating care transitions: a process model of how doctors overcome organizational barriers and create awareness.
Citation Text:
Hilligoss B, Vogus TJ. Navigating Care Transitions. Medical Care Research and Review. 2014;72(1). doi:10.1177/1077558714563170.
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psnet.ahrq.gov/issue/using-quantitative-risk-register-promote-learning-patient-safety-reporting-system
September 24, 2010 - Study
Using a quantitative risk register to promote learning from a patient safety reporting system.
Citation Text:
Mansfield JG, Caplan RA, Campos JS, et al. Using a quantitative risk register to promote learning from a patient safety reporting system. Jt Comm J Qual Patient Saf. 2015;4…
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psnet.ahrq.gov/issue/medical-error-reduction-and-tort-reform-through-private-contractually-based-quality-medicine
October 13, 2010 - Commentary
Medical error reduction and tort reform through private contractually-based quality medicine societies.
Citation Text:
MacCourt D, Bernstein J. Medical error reduction and tort reform through private, contractually-based quality medicine societies. Am J Law Med. 2009;35(4):5…
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psnet.ahrq.gov/issue/database-construction-improving-patient-safety-examining-pathology-errors
December 22, 2008 - Commentary
Database construction for improving patient safety by examining pathology errors.
Citation Text:
Grzybicki DM, Turcsany B, Becich MJ, et al. Database Construction for Improving Patient Safety by Examining Pathology Errors. Am J Clin Pathol. 2008;124(4). doi:10.1309/xn25jg7…
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psnet.ahrq.gov/issue/medication-errors-pharmacy-based-bar-code-repackaging-center
June 28, 2010 - Study
Medication errors in a pharmacy-based bar-code-repackaging center.
Citation Text:
Cina J, Fanikos J, Mitton P, et al. Medication errors in a pharmacy-based bar-code-repackaging center. Am J Health Syst Pharm. 2006;63(2):165-8.
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