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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/human-factors-patient-safety-innovation
June 09, 2021 - Commentary
Human factors in patient safety as an innovation.
Citation Text:
Carayon P. Human factors in patient safety as an innovation. Appl Ergon. 2010;41(5):657-65. doi:10.1016/j.apergo.2009.12.011.
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psnet.ahrq.gov/issue/relationships-among-teams-culture-safety-and-cost-outcomes
January 30, 2019 - Commentary
Relationships among teams, culture, safety, and cost outcomes.
Citation Text:
Brewer BB. Relationships among teams, culture, safety, and cost outcomes. West J Nurs Res. 2006;28(6):641-53.
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psnet.ahrq.gov/issue/medical-error-and-moral-luck
October 02, 2024 - Commentary
Medical error and moral luck.
Citation Text:
Allhoff F. Medical Error and Moral Luck. Kennedy Inst Ethics J. 2019;29(3):187-203. doi:10.1353/ken.2019.0022.
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psnet.ahrq.gov/issue/peripheral-vision-expertise-real-world-contexts
April 24, 2018 - Commentary
Peripheral vision: expertise in real world contexts.
Citation Text:
Dreyfus HL, Dreyfus SE. Peripheral Vision. Organization Studies. 2005;26(5). doi:10.1177/0170840605053102.
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psnet.ahrq.gov/issue/eliminate-bias-some-seek-out-doctors-their-own-race-or-ethnicity
December 11, 2019 - Newspaper/Magazine Article
To eliminate bias, some seek out doctors of their own race or ethnicity.
Citation Text:
To eliminate bias, some seek out doctors of their own race or ethnicity. Glicksman E. Washington Post. December 11, 2021.
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psnet.ahrq.gov/issue/nebraska-coalition-patient-safety-2018-annual-report
July 13, 2022 - Book/Report
Nebraska Coalition for Patient Safety Annual Report.
Citation Text:
Nebraska Coalition for Patient Safety Annual Report. Omaha, NE: Nebraska Coalition for Patient Safety; 2022.
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psnet.ahrq.gov/issue/no-one-coming-hospice-patients-abandoned-deaths-door
June 29, 2016 - Newspaper/Magazine Article
'No one is coming': hospice patients abandoned at death's door.
Citation Text:
'No one is coming': hospice patients abandoned at death's door. Aleccia J; Bailey M.
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psnet.ahrq.gov/patient-safety-101
March 26, 2025 - Patient Safety 101: The Fundamentals
What is Patient Safety?
The breadth of the field of patient safety is captured in various definitions. It has been defined as avoiding harm to patients from care that is intended to help them. 1 It involves the prevention and mitigation of harm caused by err…
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psnet.ahrq.gov/issue/understanding-patient-safety-third-edition
November 03, 2015 - Book/Report
Classic
Understanding Patient Safety, Third Edition.
Citation Text:
Understanding Patient Safety, Third Edition. Wachter RM, Gupta K. New York, NY: McGraw-Hill Professional; 2017. ISBN: 9781259860249.
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psnet.ahrq.gov/issue/teaming-how-organizations-learn-innovate-and-compete-knowledge-economy
May 06, 2016 - Book/Report
Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy.
Citation Text:
Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy. Edmondson AC, Schein EH. San Franscisco, CA: Jossey-Bass; 2012. ISBN: 9780787970932.
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psnet.ahrq.gov/issue/patient-engagement-patient-safety-barriers-and-facilitators
May 09, 2015 - Newspaper/Magazine Article
Patient engagement in patient safety: barriers and facilitators.
Citation Text:
Patient engagement in patient safety: barriers and facilitators. Scobie AC, Persaud DD. Patient Saf Qual Healthc. March/April 2010;7:42-47.
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psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safetyreducing-diagnostic-error-measurement-considerations
March 25, 2020 - Book/Report
Improving Diagnostic Quality and Safety/Reducing Diagnostic Error: Measurement Considerations. Final Report
Citation Text:
Improving Diagnostic Quality and Safety/Reducing Diagnostic Error: Measurement Considerations. Final Report Washington DC; National Quality Forum: Octobe…
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psnet.ahrq.gov/issue/partnering-patients-drive-shared-decisions-better-value-and-care-improvement-workshop
September 23, 2015 - Meeting/Conference Proceedings
Partnering with Patients to Drive Shared Decisions, Better Value, and Care Improvement—Workshop Proceedings.
Citation Text:
Partnering with Patients to Drive Shared Decisions, Better Value, and Care Improvement—Workshop Proceedings. Roundtable on Value and …
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psnet.ahrq.gov/issue/opioid-stewardship
February 06, 2019 - Special or Theme Issue
Opioid Stewardship.
Citation Text:
Opioid Stewardship. Ochsner J. 2018;18(1):20-45.
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psnet.ahrq.gov/issue/managing-risks-direct-oral-anticoagulants
December 23, 2016 - Sentinel Event Alerts
Managing the risks of direct oral anticoagulants.
Citation Text:
Managing the risks of direct oral anticoagulants. Sentinel Event Alert. July 30, 2019;(61):1-5.
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psnet.ahrq.gov/issue/advancing-safety-acute-pain-management
January 08, 2020 - Book/Report
Advancing the Safety of Acute Pain Management.
Citation Text:
Advancing the Safety of Acute Pain Management. Boston, MA: Institute for Healthcare Improvement; 2019.
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psnet.ahrq.gov/issue/avoid-punitive-approach-your-safety-event-reporting
October 23, 2019 - Newspaper/Magazine Article
Avoid punitive approach to your safety event reporting,
Citation Text:
Avoid punitive approach to your safety event reporting, Cheney C. HealthLeaders. September 4, 2020.
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psnet.ahrq.gov/issue/competitive-imperative-learning
September 25, 2024 - Commentary
The competitive imperative of learning.
Citation Text:
Edmondson A. The competitive imperative of learning. Harv Bus Rev. 2008;86(7-8):60-7, 160.
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psnet.ahrq.gov/issue/unequal-treatment-confronting-racial-and-ethnic-disparities-health-care
June 15, 2011 - Book/Report
Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care.
Citation Text:
Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Smedley BD, Stith AY, Nelson AR, eds and Institute of Medicine. Washington, DC; The National Academies Pres…