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psnet.ahrq.gov/issue/quest-six-sigma
January 04, 2010 - Commentary
On the quest for Six Sigma.
Citation Text:
Moorman D. On the quest for Six Sigma. Am J Surg. 2005;189(3):253-8.
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psnet.ahrq.gov/issue/inattentional-blindness-what-captures-your-attention-0
November 24, 2021 - Commentary
'Inattentional blindness': what captures your attention?
Citation Text:
Grissinger M. 'Inattentional blindness': what captures your attention? P.T. 2012;37(10):542-555.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-apc.html
January 01, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy
Appendix C. Interview Guide
Previous Page
Table of Contents
Current State of Diagnostic Safety: Implications for Research, Practice, and Policy
1. Introduction
2. Methods
3. Results
4. Discussion
Referenc…
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psnet.ahrq.gov/issue/2014-john-m-eisenberg-patient-safety-and-quality-awards
November 30, 2016 - Special or Theme Issue
The 2014 John M. Eisenberg Patient Safety and Quality Awards.
Citation Text:
Jt Comm J Qual Patient Saf. 2015;41(5):195-211.
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psnet.ahrq.gov/issue/how-safe-are-compounded-drugs
May 20, 2020 - Newspaper/Magazine Article
How safe are compounded drugs?
Citation Text:
How safe are compounded drugs? Beyzarov E. Drug Topics. September 18, 2006.
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www.ahrq.gov/hai/clabsi-tools/appendix-7.html
March 01, 2018 - Appendix 7. Central Venous Catheter-Associated Laboratory-Confirmed Blood Stream Infection Event Report Template for Defect Analysis
Tools for Reducing Central Line-Associated Blood Stream Infections
These tools will help your unit implement evidence-based practices and eliminate central line-associated blood…
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psnet.ahrq.gov/issue/medical-mistakes-are-more-likely-women-and-minorities
November 01, 2017 - Newspaper/Magazine Article
Medical mistakes are more likely in women and minorities.
Citation Text:
Medical mistakes are more likely in women and minorities. Szabo L. NBC News. January 15, 2024.
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psnet.ahrq.gov/issue/when-incidents-happen
January 14, 2011 - Commentary
When incidents happen.
Citation Text:
Newfield JS. When Incidents Happen. Home Health Care Manag Pract. 2006;18(5). doi:10.1177/1084822306287998.
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psnet.ahrq.gov/issue/dealing-honestly-honest-mistake
March 24, 2019 - Commentary
Dealing honestly with an honest mistake.
Citation Text:
Liang NL, Herring ME, Bush RL. Dealing honestly with an honest mistake. J Vasc Surg. 2010;51(2):494-5. doi:10.1016/j.jvs.2009.11.001.
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psnet.ahrq.gov/issue/keeping-track-aging-patients-medications
December 23, 2020 - Newspaper/Magazine Article
Keeping track of aging patients’ medications.
Citation Text:
Keeping track of aging patients’ medications. Cooney E. Telegram & Gazette. January 27, 2008.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-SOPS_101_Webcast-GRAY-Overview.pdf
June 02, 2025 - Understanding SOPS Surveys: A Primer for New Users (Webcast) - Gray (Overview)
Overview of the SOPS Surveys
Laura Gray, MPH
Senior Study Director
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
12
What is Patient Safety Culture?
13
AHRQ Surveys on Patient Safety Culture
• Surveys …
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psnet.ahrq.gov/issue/patient-safety-nursing-practice-0
June 23, 2009 - Commentary
Patient safety in nursing practice.
Citation Text:
Farquhar M, Sharp BAC, Clancy CM. Patient safety in nursing practice. AORN J. 2007;86(3):455-7.
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psnet.ahrq.gov/issue/tenfold-errors-can-lead-tragedy
February 21, 2007 - Newspaper/Magazine Article
Tenfold errors can lead to tragedy.
Citation Text:
Tenfold errors can lead to tragedy. Sipkoff M. Drug Topics. August 21, 2006.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/case-study-key.docx
March 01, 2017 - BLADDER SCAN – POLICY #2202 12/11/06
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
AHRQ Safety Program for Reducing CAUTI in Hospitals
Antibiotic Stewardship
Case Study Facilitator Key
Instructions:
1. Divide into small groups of two to three people.
2. Ask each group to work through each part of the case scena…
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psnet.ahrq.gov/issue/bias-er-doctors-suffer-same-cognitive-distortions-rest-us
March 01, 2017 - Newspaper/Magazine Article
Bias in the ER. Doctors suffer from the same cognitive distortions as the rest of us.
Citation Text:
Bias in the ER. Doctors suffer from the same cognitive distortions as the rest of us. Lewis M. Nautilus. February 9, 2017.
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyex2.html
July 01, 2018 - Guide to Patient and Family Engagement
Exhibit 2. Categories and Questions in the Environmental Scan
Previous Page Next Page
Table of Contents
Guide to Patient and Family Engagement
Executive Summary
Introduction
Methods
Findings
Implications for the Guide
Summary and Discussion
Next S…
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psnet.ahrq.gov/issue/superbug-scourge-spreads-us-fails-track-rising-human-toll
September 29, 2021 - Newspaper/Magazine Article
'Superbug' scourge spreads as U.S. fails to track rising human toll.
Citation Text:
'Superbug' scourge spreads as U.S. fails to track rising human toll. McNeill R, Nelson DJ, Abutaleb Y. Reuters Investigation. September 7, 2016.
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psnet.ahrq.gov/issue/improving-patient-safety-human-factors-methods
June 12, 2019 - United States Meeting/Conference
Improving Patient Safety with Human Factors Methods.
Citation Text:
Improving Patient Safety with Human Factors Methods. Armstrong Institute for Patient Safety and Quality, Baltimore, MD. April 17-18, 2025.
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psnet.ahrq.gov/issue/non-operating-room-anesthesia-challenges
November 28, 2018 - Newspaper/Magazine Article
Non–operating room anesthesia challenges.
Citation Text:
Non–operating room anesthesia challenges. Smith MJ. Anesthesiology News. June 6, 2023.
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psnet.ahrq.gov/issue/impact-professionalism-safe-surgical-care
January 23, 2017 - Commentary
The impact of professionalism on safe surgical care.
Citation Text:
Whittemore A, Surgery NES for V. The impact of professionalism on safe surgical care. J Vasc Surg. 2007;45(2):415-9.
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