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psnet.ahrq.gov/issue/pact-collaborative-pathway-accountability-compassion-and-transparency
February 05, 2014 - Multi-use Website
PACT Collaborative: Pathway to Accountability, Compassion and Transparency.
Citation Text:
PACT Collaborative: Pathway to Accountability, Compassion and Transparency. Ariadne Labs, Brigham and Women’s Hospital, Harvard TH Chan School of Public Health.
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psnet.ahrq.gov/issue/systems-approach-quality-improvement-long-term-care-safe-medication-practices-workbook
December 27, 2014 - Toolkit
A Systems Approach to Quality Improvement in Long-Term Care: Safe Medication Practices Workbook.
Citation Text:
A Systems Approach to Quality Improvement in Long-Term Care: Safe Medication Practices Workbook. Massachusetts Coalition for the Prevention of Medical Errors, MassPRO, …
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psnet.ahrq.gov/issue/high-cost-retained-surgical-items
February 22, 2023 - Newspaper/Magazine Article
The high cost of retained surgical items.
Citation Text:
The high cost of retained surgical items. Moorehead LD. Outpatient Surgery. April 5, 2023.
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psnet.ahrq.gov/issue/improving-measurement-surgical-site-infection-risk-stratificationoutcome-detection-final
August 01, 2012 - Book/Report
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection: Final Contract Report.
Citation Text:
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection: Final Contract Report. Price CS, Savitz LA. Rockville,…
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psnet.ahrq.gov/issue/her-child-was-stillborn-39-weeks-she-blames-system-doesnt-always-listen-mothers
May 19, 2021 - Newspaper/Magazine Article
Her child was stillborn at 39 weeks. She blames a system that doesn’t always listen to mothers.
Citation Text:
Her child was stillborn at 39 weeks. She blames a system that doesn’t always listen to mothers. Eldeib D. ProPublica. November 13, 2022.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/simulation-modeling
January 01, 2023 - Simulation Modeling
Examples
Lin L, Paul J. Simulation and lean six-sigma integration for improvement of hospital operations. 2007 Society for Health Systems Conference; 2007; New Orleans, LA; 2007.
Jurishica C. Simulation medication: studies show patient flow improvement. 2007 Society for Health …
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psnet.ahrq.gov/issue/piece-my-mind-snakes-dock
March 15, 2016 - Commentary
A piece of my mind. Snakes on a dock.
Citation Text:
Detsky AS. Snakes on a Dock. JAMA. 2016;316(10):1043-4. doi:10.1001/jama.2016.5179.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/nurses-perceptions-and-experiences-communication-operating-theatre-focus-group-interview
June 22, 2009 - Study
Nurses' perceptions and experiences of communication in the operating theatre: a focus group interview.
Citation Text:
Nestel D, Kidd J. Nurses' perceptions and experiences of communication in the operating theatre: a focus group interview. BMC Nurs. 2006;5:1.
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psnet.ahrq.gov/issue/error-reporting-preventive-force
June 11, 2014 - Commentary
Error reporting as a preventive force.
Citation Text:
Simpson RL. Error reporting as a preventive force. Nurs Manage. 2005;36(6):21-24, 56.
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psnet.ahrq.gov/issue/science-and-patient-safety
July 19, 2019 - Commentary
Science and patient safety.
Citation Text:
Vincent CA. Science and patient safety. CMAJ. 2013;185(2):110-1. doi:10.1503/cmaj.120792.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/patient-safety-outcomes-importance-understanding-organizational-culture-and-safety-climate
June 19, 2024 - Commentary
Patient safety outcomes: the importance of understanding the organizational culture and safety climate.
Citation Text:
Ross J. Patient safety outcomes: the importance of understanding the organizational culture and safety climate. J Perianesth Nurs. 2011;26(5):347-8. doi:10.…
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psnet.ahrq.gov/issue/learning-mistakes
March 28, 2018 - Book/Report
Learning From Mistakes.
Citation Text:
Learning From Mistakes. London, UK: Parliamentary and Health Service Ombudsman; July 18, 2016. ISBN: 9781474135764.
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psnet.ahrq.gov/issue/be-active-member-your-health-care-team
April 08, 2020 - Government Resource
Be an Active Member of Your Health Care Team.
Citation Text:
Be an Active Member of Your Health Care Team. US Food and Drug Administration; FDA.
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psnet.ahrq.gov/issue/my-medicines
January 13, 2016 - Tools/Toolkit
My Medicines.
Citation Text:
My Medicines. Silver Spring, MD: US Food and Drug Administration. Office of Women's Health and National Association of Chain Drug Stores.
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psnet.ahrq.gov/issue/wrong-drug-and-wrong-dose-dispensing-errors-identified-pharmacist-professional-liability
August 31, 2016 - Study
Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims.
Citation Text:
Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims. Reiner G, Pierce SL, Flynn J. J Am Pharm Assoc (2003). 2020;60(5):e…
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psnet.ahrq.gov/issue/unintended-exposure-patient-lisa-norris-during-radiotherapy-treatment-beatson-oncology-centre
March 06, 2005 - Book/Report
Unintended Exposure of Patient Lisa Norris During Radiotherapy Treatment at the Beatson Oncology Centre, Glasgow in January 2006.
Citation Text:
Unintended Exposure of Patient Lisa Norris During Radiotherapy Treatment at the Beatson Oncology Centre, Glasgow in January 2006.…
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psnet.ahrq.gov/issue/physician-assistants-and-disclosure-medical-error
May 11, 2016 - Commentary
Physician assistants and the disclosure of medical error.
Citation Text:
Brock DM, Quella A, Lipira L, et al. Physician assistants and the disclosure of medical error. Acad Med. 2014;89(6):858-62. doi:10.1097/ACM.0000000000000261.
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psnet.ahrq.gov/issue/health-it-safety-center-roadmap
June 29, 2016 - Government Resource
Health IT Safety Center Roadmap.
Citation Text:
Health IT Safety Center Roadmap. RTI International. Washington, DC: Office of the National Coordinator for Health Information Technology; July 2015.
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psnet.ahrq.gov/issue/textbook-patient-safety-and-clinical-risk-management
September 11, 2019 - Book/Report
Textbook of Patient Safety and Clinical Risk Management.
Citation Text:
Textbook of Patient Safety and Clinical Risk Management. Donaldson L, Ricciardi W, Sheridan S, Tartaglia R, eds. Springer Nature: Cham Switzerland; 2021. ISBN 9783030594022.
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psnet.ahrq.gov/issue/freedom-speak-review-whistleblowing-nhs
April 24, 2013 - Book/Report
Freedom to Speak Up: A Review of Whistleblowing in the NHS.
Citation Text:
Freedom to Speak Up: A Review of Whistleblowing in the NHS. Francis R. London, UK: Department of Health; February 2015.
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