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psnet.ahrq.gov/issue/disclosure-errors-surgical-procedures
April 13, 2022 - Review
Disclosure of errors in surgical procedures.
Citation Text:
Disclosure of errors in surgical procedures. Ryan M, Mekel M, Sinha MS. UptoDate. November 20, 2023.
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psnet.ahrq.gov/issue/nhs-staff-cried-safety-interviews-says-watchdog
August 30, 2023 - Newspaper/Magazine Article
NHS staff cried in safety interviews, says watchdog.
Citation Text:
NHS staff cried in safety interviews, says watchdog. Reed J. BBC. February 27, 2023.
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psnet.ahrq.gov/issue/promise-learn-commitment-act-improving-safety-patients-england
June 17, 2014 - Book/Report
A Promise to Learn—a Commitment to Act: Improving the Safety of Patients in England.
Citation Text:
A Promise to Learn—a Commitment to Act: Improving the Safety of Patients in England. National Advisory Group on the Safety of Patients in England. London, England: Crown …
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psnet.ahrq.gov/issue/hand-hygiene-project-best-practices-hospitals-participating-joint-commission-center
May 06, 2015 - Book/Report
Hand Hygiene Project: Best Practices from Hospitals Participating in the Joint Commission Center for Transforming Healthcare Project.
Citation Text:
Hand Hygiene Project: Best Practices from Hospitals Participating in the Joint Commission Center for Transforming Healthcare…
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psnet.ahrq.gov/issue/unaccountable-what-hospitals-wont-tell-you-and-how-transparency-can-revolutionize-health-care
July 07, 2021 - Book/Report
Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care.
Citation Text:
Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care. Makary M. New York, NY: Bloomsbury Press; 2012. ISBN: 9781608198368…
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psnet.ahrq.gov/issue/safety-numbers-hospital-performance-leapfrogs-surgical-volume-standard-based-results-2019
June 21, 2023 - Book/Report
Safety in Numbers: Hospital Performance on Leapfrog’s Surgical Volume Standard Based on Results of the 2019 Leapfrog Hospital Survey.
Citation Text:
Safety in Numbers: Hospital Performance on Leapfrog’s Surgical Volume Standard Based on Results of the 2019 Leapfrog Hospital S…
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psnet.ahrq.gov/issue/perceived-impact-duty-hours-limits-fragmentation-patient-care-results-academic-health-center
March 06, 2005 - Study
Perceived impact of duty hours limits on the fragmentation of patient care: results from an academic health center.
Citation Text:
Perceived impact of duty hours limits on the fragmentation of patient care: results from an academic health center. Keating RJ; LaRusso NF; Kolars …
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digital.ahrq.gov/sites/default/files/docs/survey/engaging-diverse-patients-in-hit-use.pdf
January 01, 2004 - If you could use email to communicate with your doctor, how often would you do this? … In the past 6 months, how many times have you seen a doctor or other health care
professional at a doctor … little of the
time
Some of
the time
Most of the
time
Always
Sure that my doctor … Most of the
time
Always
Told how my visits with other
types of doctors, like an eye
doctor … 3
4
5
6
7
8
9
10
I can make healthy
choices and see the
doctor
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs021797-gillespie-final-report-2015.pdf
January 01, 2015 - that the eCoach tool, while helpful in general, should not be used as
a substitute for that direct doctor-patient … risks & benefits, fear of
death, getting to clinic
Emotions (fear), lack of
knowledge & info,
doctor … presented,
missing other options;
boring, confusion re: start
general health professional NOT
as a doctor … The Emory patients were clear that the tool, and the doctor-patient conversations, needed to
be more
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psnet.ahrq.gov/node/49675/psn-pdf
February 01, 2013 - case, it does not seem
attempts were made to convey the test result to the patient's primary care doctor … permit patients to view their test results directly, along with a message or instructions
from the doctor
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psnet.ahrq.gov/node/33770/psn-pdf
August 01, 2014 - continuously learning environment where you feel like you're being challenged and you're becoming a
better doctor … colleagues with a sense of mission and that it can be an
academic discipline, which can make you a better doctor
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/module5-response-disclosure-notes.pptx
August 21, 2015 - Was a student doctor involved?
Maybe it’s time for my lawyer to help? … Was a student doctor involved?
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digital.ahrq.gov/ahrq-funded-projects/using-information-technology-it-improve-medication-safety-rural-elders
January 01, 2023 - Using Information Technology (IT) to Improve Medication Safety for Rural Elders
Project Final Report ( PDF , 266.5 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily rep…
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www.ahrq.gov/hai/cusp/modules/patient-family-engagement/alt-text-tab.html
September 01, 2013 - The doctor who makes the mistake needs help, too. BMJ. 2000 Mar 18;320(7237):726-727.
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digital.ahrq.gov/ahrq-funded-projects/critical-access-hospital-partnership-health-information-technology
January 01, 2023 - Critical Access Hospital Partnership Health Information Technology Implementation
Project Final Report ( PDF , 431.98 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily …
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psnet.ahrq.gov/node/33851/psn-pdf
January 01, 2017 - The Weekend Effect
January 1, 2017
Ranji SR. The Weekend Effect. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/weekend-effect
Annual Perspective 2017
Introduction
Anyone who has spent time in a hospital as a patient or staff member may recognize that the availability of
services and personnel can va…
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psnet.ahrq.gov/node/49667/psn-pdf
October 01, 2012 - The ED doctor saw the patient and made plans to discharge her after
she received an intravenous (IV)
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psnet.ahrq.gov/node/49421/psn-pdf
October 01, 2003 - another study, 39% of lab errors involved
misidentification of the requested tests, the requesting doctor
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hcup-us.ahrq.gov/reports/PDMPsAndOpioidHospitalizations.pdf
October 03, 2017 - support the legitimate
use of prescription drugs, to identify and reduce diversion activities and “doctor-shopping … This feature is intended to
assist providers and law enforcement entities in detecting doctor-shopping … changes in behaviors that PDMPs aim to affect (e.g., provider opioid prescribing patterns,
patients’ doctor … Other goals of PDMPs, such as controlling doctor
shopping, are difficult to quantify and have not been … multiple doctors vary across patients, providers, or even states, and thus
no consistent threshold for doctor
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/elicitation/about-patient-narratives-elicitation-protocol-cg30-2315.pdf
April 24, 2018 - But narratives can also reduce consumers’ attention to
standardized measures and lead to suboptimal doctor