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psnet.ahrq.gov/issue/improving-patient-safety-radiation-oncology
September 23, 2020 - Meeting/Conference Proceedings
Improving patient safety in radiation oncology.
Citation Text:
Hendee WR, Herman MG. Improving patient safety in radiation oncology.
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psnet.ahrq.gov/issue/randomized-field-study-leadership-walkrounds-based-intervention
May 24, 2016 - Book/Report
A Randomized Field Study of a Leadership WalkRounds-Based Intervention.
Citation Text:
A Randomized Field Study of a Leadership WalkRounds-Based Intervention. Tucker AL, Singer SJ. Cambridge, MA: Harvard Business School; June 25, 2012. HBS Working Paper No. 12-113.
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psnet.ahrq.gov/issue/enhanced-time-out-improved-communication-process
October 19, 2022 - Commentary
Enhanced time out: an improved communication process.
Citation Text:
Nelson PE. Enhanced Time Out: An Improved Communication Process. AORN J. 2017;105(6):564-570. doi:10.1016/j.aorn.2017.03.014.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/pt-recruitment-flyer.pdf
June 02, 2025 - Urinary Incontinence Patient Recruitment and Education Flyer
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Urinary Incontinence
Patient Recruitment
& Education Example
EMPOWER Team – University
Hospitals of Cleveland
This project was funded under grant number 1U18HS028742-01 from the Agency for
Healthcare Research and Quality (AHRQ), U.S. Departme…
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psnet.ahrq.gov/issue/confronting-colleague-who-covers-medical-error
September 16, 2020 - Commentary
Confronting a colleague who covers up a medical error.
Citation Text:
Brody H. Confronting a colleague who covers up a medical error. Am Fam Physician. 2006;73(7):1272, 1274.
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/healthyliving-measures.html
June 01, 2018 - Chartbook on Healthy Living
Healthy Living Measures
Previous Page Next Page
Table of Contents
Chartbook on Healthy Living
Acknowledgments
Healthy Living
Summary
Healthy Living Measures
Maternal and Child Health Care
Maternal and Child Health Care: Effectiveness Measures
Maternal and …
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psnet.ahrq.gov/issue/speaking-constructively-managerial-practices-elicit-solutions-front-line-employees
September 05, 2012 - Book/Report
Speaking Up Constructively: Managerial Practices that Elicit Solutions from Front-Line Employees.
Citation Text:
Speaking Up Constructively: Managerial Practices that Elicit Solutions from Front-Line Employees. Adler-Milstein JR, Singer SJ, Toffel MW. Cambridge, MA: Harva…
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psnet.ahrq.gov/issue/residents-responses-medical-error-coping-learning-and-change
August 03, 2009 - Study
Residents' responses to medical error: coping, learning, and change.
Citation Text:
Engel KG, Rosenthal M, Sutcliffe K. Residents' responses to medical error: coping, learning, and change. Acad Med. 2006;81(1):86-93.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back-tips-jobaid-final508.pdf
June 02, 2025 - Teach-Back Tips
Teach-Back Tips
All patients can benefit from teach-back.
� Ask patients to teach information back to you in their own words,
not just repeat your words.
� Use plain language (blood thinner for anticoagulant, heart doctor
for cardiologist).
� Rephrase your message until the patient understa…
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psnet.ahrq.gov/issue/improving-health-care-quality-and-safety-people-disabilities-interview-lisa-iezzoni
October 26, 2022 - Commentary
Improving health care quality and safety for people with disabilities: an interview with Lisa Iezzoni.
Citation Text:
Iezzoni LI. Improving health care quality and safety for people with disabilities: an interview with Lisa Iezzoni. Interview by Steven Berman. Jt Comm J Qual P…
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psnet.ahrq.gov/issue/when-errors-occur
March 12, 2011 - Newspaper/Magazine Article
When errors occur.
Citation Text:
Wetzel TG. When errors occur, 'I'm sorry' is a big step, but just the first. Hospitals & health networks. 2010;84(10):41-2, 44, 2.
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psnet.ahrq.gov/issue/patient-safety-latent-risk-factors
March 28, 2011 - Review
Patient safety: latent risk factors.
Citation Text:
van Beuzekom M, Boer F, Akerboom S, et al. Patient safety: latent risk factors. Br J Anaesth. 2010;105(1):52-9. doi:10.1093/bja/aeq135.
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psnet.ahrq.gov/issue/organization-and-representation-patient-safety-data-current-status-and-issues-around
January 21, 2011 - Commentary
Organization and representation of patient safety data: current status and issues around generalizability and scalability.
Citation Text:
Boxwala AA, Dierks M, Keenan M, et al. Organization and representation of patient safety data: current status and issues around generalizab…
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psnet.ahrq.gov/issue/audibility-patient-clinical-alarms-hospital-nursing-personnel
November 15, 2023 - Study
Audibility of patient clinical alarms to hospital nursing personnel.
Citation Text:
Sobieraj J, Ortega C, West I, et al. Audibility of patient clinical alarms to hospital nursing personnel. Mil Med. 2006;171(4):306-10.
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psnet.ahrq.gov/issue/toward-eradication-medical-diagnostic-errors
May 13, 2020 - Newspaper/Magazine Article
Toward the eradication of medical diagnostic errors.
Citation Text:
Topol EJ. Toward the eradication of medical diagnostic errors. Science. 2024;383(6681):eadn9602. doi:10.1126/science.adn9602.
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psnet.ahrq.gov/issue/verbal-medication-orders-or
March 06, 2024 - Commentary
Verbal medication orders in the OR.
Citation Text:
Hendrickson T. Verbal medication orders in the OR. AORN J. 2007;86(4):626-9.
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psnet.ahrq.gov/issue/beyond-data-understanding-impact-covid-19-bame-groups
January 13, 2021 - Book/Report
Classic
Beyond the Data: Understanding the Impact of COVID-19 on BAME Groups.
Citation Text:
Beyond the Data: Understanding the Impact of COVID-19 on BAME Groups. Public Health England. London, UK: Crown Copyright; 2020.
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psnet.ahrq.gov/issue/sleep-science-and-policy-change
September 21, 2022 - Commentary
Sleep, science, and policy change.
Citation Text:
Wylie D. Sleep, science, and policy change. N Engl J Med. 2005;352(2):196-7.
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psnet.ahrq.gov/issue/computerized-provider-order-entry-and-prescribing-and-evidence-safe-practice-update-clinical
November 03, 2015 - Review
Computerized provider order entry and prescribing and the evidence for safe practice: update for the clinical nurse specialist.
Citation Text:
O'Malley P. Computerized provider order entry and prescribing and the evidence for safe practice: update for the clinical nurse speciali…
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psnet.ahrq.gov/issue/respectful-trusting-relationships-are-essential-patient-safety-especially-surgeon
December 08, 2024 - Meeting/Conference Proceedings
Respectful, trusting relationships are essential for patient safety, especially the surgeon-anesthesiologist dyad.
Citation Text:
Respectful, trusting relationships are essential for patient safety, especially the surgeon-anesthesiologist dyad. Cooper J. An…