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psnet.ahrq.gov/issue/theorizing-about-systems-ecological-task-patient-safety-research
August 20, 2008 - Commentary
Theorizing about systems: an ecological task for patient safety research.
Citation Text:
Marck PB. Theorizing About Systems. Clin Nurs Res. 2005;14(2). doi:10.1177/1054773804274255.
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psnet.ahrq.gov/issue/patient-safety-dermatologic-surgery-part-1-patient-safety-procedural-dermatology-part-2
October 04, 2023 - Review
Patient safety in dermatologic surgery: parts 1 and 2.
Citation Text:
Patient safety in dermatologic surgery: parts 1 and 2. Lolis M, Dunbar SW, Goldberg DJ, et al. J Am Acad Dermatol. 2015;73(1):1-26.
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psnet.ahrq.gov/issue/new-frontier-healthcare-risk-management-working-reduce-avoidable-patient-suffering
September 26, 2012 - Commentary
A new frontier in healthcare risk management: working to reduce avoidable patient suffering.
Citation Text:
Card AJ, Klein VR. A new frontier in healthcare risk management: Working to reduce avoidable patient suffering. J Healthc Risk Manag. 2016;35(3):31-7. doi:10.1002/jhrm.2…
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psnet.ahrq.gov/issue/establishing-culture-patient-safety-role-education
August 23, 2017 - Commentary
Establishing a culture for patient safety - the role of education.
Citation Text:
Milligan FJ. Establishing a culture for patient safety - the role of education. Nurse Educ Today. 2007;27(2):95-102.
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psnet.ahrq.gov/issue/cognitive-load-theory-and-its-impact-diagnostic-accuracy
August 07, 2024 - Book/Report
Cognitive Load Theory and its Impact on Diagnostic Accuracy.
Citation Text:
Cognitive Load Theory and its Impact on Diagnostic Accuracy. Knees M, Raffel KE, Kissler M, et al. Rockville, MD: Agency for Healthcare Research and Quality; May 2024. Publication No. 24-0010-2-EF.
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psnet.ahrq.gov/issue/optimizing-patient-safety-during-hemodialysis
October 28, 2020 - Commentary
Optimizing patient safety during hemodialysis.
Citation Text:
Himmelfarb J. Optimizing patient safety during hemodialysis. JAMA. 2011;306(15):1707-8. doi:10.1001/jama.2011.1507.
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psnet.ahrq.gov/issue/wrong-site-surgery-otolaryngology-head-and-neck-surgery
March 03, 2021 - Review
Wrong site surgery in otolaryngology–head and neck surgery.
Citation Text:
Liou T-N, Nussenbaum B. Wrong site surgery in otolaryngology-head and neck surgery. Laryngoscope. 2014;124(1):104-109. doi:10.1002/lary.24140.
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psnet.ahrq.gov/issue/measuring-safety-culture-healthcare-case-accurate-diagnosis
May 29, 2014 - Commentary
Measuring safety culture in healthcare: a case for accurate diagnosis.
Citation Text:
Flin R. Measuring safety culture in healthcare: A case for accurate diagnosis. Saf Sci. 2007;45(6). doi:10.1016/j.ssci.2007.04.003.
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psnet.ahrq.gov/issue/engineering-system-communication-safer-surgery
January 18, 2013 - Commentary
Engineering the system of communication for safer surgery.
Citation Text:
Healey AN, Nagpal K, Moorthy K, et al. Engineering the system of communication for safer surgery. Cognition, Technology & Work. 2010;13(1). doi:10.1007/s10111-010-0152-5.
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psnet.ahrq.gov/issue/mortality-measure-quality-implications-palliative-and-end-life-care
June 30, 2011 - Commentary
Mortality as a measure of quality: implications for palliative and end-of-life care.
Citation Text:
Holloway RG, Quill TE. Mortality as a measure of quality: implications for palliative and end-of-life care. JAMA. 2007;298(7):802-804.
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psnet.ahrq.gov/issue/there-real-cost-covid-shows-barring-bedside-visitors-icu-deprives-patients-best-care
July 19, 2023 - Newspaper/Magazine Article
'There is a real cost’: as Covid shows, barring bedside visitors from ICU deprives patients of the best care.
Citation Text:
'There is a real cost’: as Covid shows, barring bedside visitors from ICU deprives patients of the best care. Renault M. STAT. July 28, …
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psnet.ahrq.gov/issue/health-it-safe-practices-closing-loop
March 10, 2021 - Toolkit
Health IT Safe Practices for Closing the Loop.
Citation Text:
Health IT Safe Practices for Closing the Loop. Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; August 2018.
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psnet.ahrq.gov/issue/skilful-anticipation-maternity-nurses-perspectives-maintaining-safety
February 15, 2023 - Study
Skilful anticipation: maternity nurses' perspectives on maintaining safety.
Citation Text:
Lyndon A. Skillful anticipation: maternity nurses' perspectives on maintaining safety. Qual Saf Health Care. 2010;19(5):e8. doi:10.1136/qshc.2007.024547.
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psnet.ahrq.gov/issue/prescribing-safely-children
September 03, 2014 - Review
Prescribing safely for children.
Citation Text:
Sinha Y, Cranswick NE. Prescribing safely for children. J Paediatr Child Health. 2007;43(3):112-6.
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psnet.ahrq.gov/issue/critical-care-delivery-united-states-distribution-services-and-compliance-leapfrog
November 18, 2020 - Study
Critical care delivery in the United States: distribution of services and compliance with Leapfrog recommendations.
Citation Text:
Critical care delivery in the United States: distribution of services and compliance with Leapfrog recommendations. Angus DC; Shorr AF; White A; Dr…
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psnet.ahrq.gov/issue/getting-it-right-when-things-go-wrong
October 20, 2014 - Commentary
Getting it right when things go wrong.
Citation Text:
Pettker CM, Funai EF. Getting it right when things go wrong. JAMA. 2010;303(10):977-8. doi:10.1001/jama.2010.256.
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www.ahrq.gov/news/newsroom/case-studies/202104.html
October 01, 2021 - CommonSpirit Health Expands CANDOR Toolkit Across Entire Health System
Search All Impact Case Studies
October 2021
CommonSpirit Health, one of the Nation's largest health systems, serving 21 States, is expanding its use of AHRQ's Communication and Optimal Resolution (CANDOR) toolkit across its entire netw…
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psnet.ahrq.gov/issue/who-patient-safety-curriculum-guide-medical-schools
March 23, 2011 - Commentary
The WHO patient safety curriculum guide for medical schools.
Citation Text:
Walton M, Woodward H, Van Staalduinen S, et al. The WHO patient safety curriculum guide for medical schools. Qual Saf Health Care. 2010;19(6):542-6. doi:10.1136/qshc.2009.036970.
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www.ahrq.gov/sites/default/files/wysiwyg/easy-to-understand-telehealth-consent-form.docx
June 02, 2025 - Permission for Telehealth Visits
What is telehealth?
Telehealth is a way to visit with healthcare providers, such as your doctor or nurse practitioner.
You can talk to your provider from any place, including your home. You don’t go to a clinic or hospital.
How do I use telehealth?
· You talk to your provider by ph…
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psnet.ahrq.gov/issue/optimizing-health-it-safe-integration-behavioral-health-and-primary-care
March 10, 2021 - Book/Report
Optimizing Health IT for Safe Integration of Behavioral Health and Primary Care.
Citation Text:
Optimizing Health IT for Safe Integration of Behavioral Health and Primary Care. Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2021.
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