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psnet.ahrq.gov/issue/checklist-tool-error-management-and-performance-improvement
June 29, 2011 - Review
The checklist--a tool for error management and performance improvement.
Citation Text:
Hales BM, Pronovost P. The checklist--a tool for error management and performance improvement. J Crit Care. 2006;21(3):231-5.
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psnet.ahrq.gov/issue/failure-mode-and-effect-analysis-reliable
August 15, 2012 - Study
Is failure mode and effect analysis reliable?
Citation Text:
Shebl NA, Franklin BD, Barber N. Is failure mode and effect analysis reliable? J Patient Saf. 2009;5(2):86-94. doi:10.1097/PTS.0b013e3181a6f040.
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psnet.ahrq.gov/issue/data-collection-adverse-events-reporting-us-dental-schools
December 22, 2021 - Study
Data collection for adverse events reporting by US dental schools.
Citation Text:
Rooney D, Barrett K, Bufford B, et al. Data collection for adverse events reporting by US dental schools. J Patient Saf. 2020;16(3):e126-e130. doi:10.1097/pts.0000000000000281.
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psnet.ahrq.gov/issue/what-does-it-take-case-study-radical-change-toward-patient-safety
September 27, 2017 - Study
What does it take? A case study of radical change toward patient safety.
Citation Text:
Vicente KJ. What does it take? A case study of radical change toward patient safety. Jt Comm J Qual Patient Saf. 2003;29(11):598-609.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_12_WkWthAdv_HO_508.docx
June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 12)
Strategy 1: Working With Patients & Families as Advisors (Tool 12)
Strategy 1: Working with Patients & Families as Advisors
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Strategy 1: Working With Patients & Families as Advisors (Tool 12)
Working With Patient an…
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psnet.ahrq.gov/issue/human-factors-recognising-and-minimising-errors-our-day-day-practice
October 09, 2016 - Review
Human factors—recognising and minimising errors in our day to day practice.
Citation Text:
Green B, Tsiroyannis C, Brennan PA. Human factors--recognising and minimising errors in our day to day practice. Oral Dis. 2016;22(1):19-22. doi:10.1111/odi.12384.
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psnet.ahrq.gov/issue/right-and-wrong-way-talk-patients-about-adverse-events
November 01, 2023 - Newspaper/Magazine Article
The right and wrong way to talk to patients about adverse events.
Citation Text:
Beaulieu-Volk D. The right and wrong way to talk to patients about adverse events. Medical economics. 2014;91(11):52-5.
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psnet.ahrq.gov/issue/misdiagnosis-and-missed-diagnoses-foster-and-adopted-children-prenatal-alcohol-exposure
June 27, 2018 - Study
Misdiagnosis and missed diagnoses in foster and adopted children with prenatal alcohol exposure.
Citation Text:
Chasnoff IJ, Wells AM, King L. Misdiagnosis and missed diagnoses in foster and adopted children with prenatal alcohol exposure. Pediatrics. 2015;135(2):264-70. doi:10.154…
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psnet.ahrq.gov/issue/2008-update-consumers-views-patient-safety-and-quality-information
October 02, 2013 - Book/Report
2008 Update on Consumers' Views of Patient Safety and Quality Information.
Citation Text:
2008 Update on Consumers' Views of Patient Safety and Quality Information. Kaiser Family Foundation, Agency for Healthcare Research and Quality. Menlo Park, CA: Henry J. Kaiser Famil…
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psnet.ahrq.gov/issue/negative-impact-nurse-physician-disruptive-behavior-patient-safety-review-literature
August 18, 2021 - Review
The negative impact of nurse-physician disruptive behavior on patient safety: a review of the literature.
Citation Text:
Saxton R, Hines T, Enriquez M. The negative impact of nurse-physician disruptive behavior on patient safety: a review of the literature. J Patient Saf. 2009;5…
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digital.ahrq.gov/funding-mechanism/clinical-decision-support-services
January 01, 2023 - Clinical Decision Support Services
Identifying best practices for clinical decision support and knowledge management in the field.
Citation
Ash JS, Sittig DF, Dykstra R, et al. Identifying best practices for clinical decision support and knowledge management in the field. Stu…
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psnet.ahrq.gov/issue/implementing-strategies-prevent-home-medication-administration-errors-children-medical
March 14, 2022 - Commentary
Implementing strategies to prevent home medication administration errors in children with medical complexity.
Citation Text:
Shaikh U, Kim JM, Yin SH. Implementing strategies to prevent home medication administration errors in children with medical complexity. Clin Pediatr (Ph…
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psnet.ahrq.gov/issue/impact-short-notice-accreditation-assessments-hospitals-patient-safety-and-quality-culture
January 10, 2024 - Review
Impact of short-notice accreditation assessments on hospitals' patient safety and quality culture--a scoping review.
Citation Text:
Scanlan R, Flenady T, Judd J. Impact of short‐notice accreditation assessments on hospitals' patient safety and quality culture- a scoping review. J …
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psnet.ahrq.gov/issue/textbook-rapid-response-systems-concept-and-implementation
September 30, 2010 - Book/Report
Textbook of Rapid Response Systems: Concept and Implementation.
Citation Text:
Textbook Of Rapid Response Systems: Concept And Implementation. (DeVita MA, ed.). Springer; 2025. ISBN 9783031679513.
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psnet.ahrq.gov/issue/fighting-against-covid-19-innovative-strategies-clinical-pharmacists
March 24, 2019 - Commentary
Fighting against COVID-19: innovative strategies for clinical pharmacists.
Citation Text:
Li H, Zheng S, Liu F, et al. Fighting against COVID-19: innovative strategies for clinical pharmacists. Res Social Adm Pharm. 2020. doi:10.1016/j.sapharm.2020.04.003.
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psnet.ahrq.gov/issue/investigation-occupational-subgroups-respect-patient-safety-culture
March 06, 2024 - Study
An investigation of occupational subgroups with respect to patient safety culture.
Citation Text:
Phipps DL, Ashcroft DM. An investigation of occupational subgroups with respect to patient safety culture. Saf Sci. 2012;50(5). doi:10.1016/j.ssci.2011.12.016.
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psnet.ahrq.gov/issue/impact-pharmacists-participation-hospitalists-rounds
March 16, 2022 - Study
The impact of a pharmacist's participation on hospitalists' rounds.
Citation Text:
Patel R, Butler K, Garrett D, et al. The Impact of a Pharmacist's Participation on Hospitalists' Rounds. Hosp Pharm. 2010;45(2). doi:10.1310/hpj4502-129.
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psnet.ahrq.gov/issue/sleep-deprivation-elective-surgical-procedures-and-informed-consent
December 21, 2017 - Commentary
Sleep deprivation, elective surgical procedures, and informed consent.
Citation Text:
Nurok M, Czeisler CA, Lehmann LS. Sleep deprivation, elective surgical procedures, and informed consent. N Engl J Med. 2010;363(27):2577-9. doi:10.1056/NEJMp1007901.
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psnet.ahrq.gov/issue/do-micropauses-prevent-surgeons-fatigue-and-loss-accuracy-associated-prolonged-surgery
November 29, 2023 - Study
Do micropauses prevent surgeon's fatigue and loss of accuracy associated with prolonged surgery? An experimental prospective study.
Citation Text:
Dorion D, Darveau S. Do micropauses prevent surgeon's fatigue and loss of accuracy associated with prolonged surgery? An experimental…
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psnet.ahrq.gov/issue/psychosocial-influences-safety-climate-evidence-community-pharmacies
March 06, 2024 - Study
Psychosocial influences on safety climate: evidence from community pharmacies.
Citation Text:
Phipps D, Ashcroft DM. Psychosocial influences on safety climate: evidence from community pharmacies. BMJ Qual Saf. 2011;20(12):1062-8. doi:10.1136/bmjqs.2011.051912.
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