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psnet.ahrq.gov/node/34679/psn-pdf
February 09, 2011 - Patient complaints and malpractice risk.
February 9, 2011
Hickson GB, Federspiel CF, Pichert JW, et al. Patient complaints and malpractice risk. JAMA.
2002;287(22):2951-7.
https://psnet.ahrq.gov/issue/patient-complaints-and-malpractice-risk
This study examines the association between physicians’ patient complaint …
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psnet.ahrq.gov/node/37039/psn-pdf
September 14, 2007 - Corporate Responsibility and Health Care Quality: A
Resource for Health Care Boards of Directors.
September 14, 2007
Callender AN, Hastings DA, Hemsley MC, et al. Washington DC: Office of the Inspector General of the US
Department of Health and Human Services, American Health Lawyers Association; September 2007.
h…
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psnet.ahrq.gov/node/37739/psn-pdf
June 07, 2008 - Health-Care-Associated Infections in Hospitals:
Leadership Needed from HHS to Prioritize Prevention
Practices and Improve Data on these Infections.
June 7, 2008
Washington, DC: United States Government Accountability Office; March 31, 2008. Publication GAO-08-
283.
https://psnet.ahrq.gov/issue/health-care-associa…
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psnet.ahrq.gov/node/37432/psn-pdf
November 29, 2009 - The Pennsylvania Learning Exchange: Helping States
Improve and Integrate Patient Safety
Initiatives—Summary Report.
November 29, 2009
Hanlon C; Rosenthal J. Portland, ME: National Academy for State Health Policy; 2007.
https://psnet.ahrq.gov/issue/pennsylvania-learning-exchange-helping-states-improve-and-integrate…
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psnet.ahrq.gov/node/35828/psn-pdf
July 21, 2010 - Structural empowerment, Magnet hospital characteristics,
and patient safety culture: making the link.
July 21, 2010
Armstrong KJ, Laschinger H. Structural empowerment, Magnet hospital characteristics, and patient safety
culture: making the link. J Nurs Care Qual. 2006;21(2):124-134.
https://psnet.ahrq.gov/issue/st…
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psnet.ahrq.gov/node/38478/psn-pdf
March 11, 2009 - Medication administration process assessment: applying
lessons learned from commercial aviation.
March 11, 2009
Donahue M, Brown JP, Fitzpatrick JJ. Medication administration process assessment: applying lessons
learned from commercial aviation. J Nurs Admin. 2009;39(2):77-83. doi:10.1097/NNA.0b013e318195a5e6.
htt…
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psnet.ahrq.gov/node/35946/psn-pdf
July 26, 2010 - A review of educational philosophies as applied to
radiation safety training at medical institutions.
July 26, 2010
Dauer LT, St Germain J. A review of educational philosophies as applied to radiation safety training at
medical institutions. Health Phys. 2006;90(5 Suppl):S67-72.
https://psnet.ahrq.gov/issue/review…
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psnet.ahrq.gov/node/41261/psn-pdf
May 04, 2012 - Case-based learning for patient safety: the Lessons
Learnt program for UK junior doctors.
May 4, 2012
Ahmed M, Arora S, Baker P, et al. Case-based learning for patient safety: the Lessons Learnt program for
UK junior doctors. World J Surg. 2012;36(5):956-8. doi:10.1007/s00268-012-1499-y.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/853443/psn-pdf
September 13, 2023 - Complications and Errors in Periodontal and Implant
Therapy.
September 13, 2023
Zucchelli G, Stefanini M, eds. Periodontol 2000. 2023;92(1):1-398.
https://psnet.ahrq.gov/issue/complications-and-errors-periodontal-and-implant-therapy
Patient safety in dentistry shares common challenges with medicine and t…
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psnet.ahrq.gov/node/837644/psn-pdf
July 06, 2022 - Reducing administrative harm in medicine - clinicians and
administrators together.
July 6, 2022
O’Donnell WJ. Reducing administrative harm in medicine - clinicians and administrators together. N Engl J
Med. 2022;386(25):2429-2432. doi:10.1056/nejmms2202174.
https://psnet.ahrq.gov/issue/reducing-administrative-harm…
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psnet.ahrq.gov/node/861779/psn-pdf
January 31, 2024 - Health Care Equity
January 31, 2024
Jt Comm J Qual Patient Saf. 2024;50(1);1-92.
https://psnet.ahrq.gov/issue/health-care-equity
Health care inequities are the result of both clinical and community system failures. This special issue
highlights activities in the field that examine investigative methods to better u…
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psnet.ahrq.gov/node/40516/psn-pdf
July 15, 2013 - Characteristics of unsafe undergraduate nursing students
in clinical practice: an integrative literature review.
July 15, 2013
Killam LA, Luhanga F, Bakker D. Characteristics of unsafe undergraduate nursing students in clinical
practice: an integrative literature review. J Nurs Educ. 2011;50(8):437-46. doi:10.3928/…
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psnet.ahrq.gov/node/853626/psn-pdf
September 20, 2023 - Uncovering the shocking dangers of misdiagnosis.
September 20, 2023
Graedon T. People’s Pharmacy. Show 1355. September 8, 2023.
https://psnet.ahrq.gov/issue/uncovering-shocking-dangers-misdiagnosis
Misdiagnosis continues to impact the safety of health care. This podcast with David Newman-Toker
discusses foun…
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psnet.ahrq.gov/node/39144/psn-pdf
June 09, 2011 - Medication safety in community pharmacy: a qualitative
study of the sociotechnical context.
June 9, 2011
Phipps D, Noyce PR, Parker D, et al. Medication safety in community pharmacy: a qualitative study of the
sociotechnical context. BMC Health Serv Res. 2009;9:158. doi:10.1186/1472-6963-9-158.
https://psnet.ahrq.…
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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_hindsight_is_2020_slides_final_revised_05.03.2024.pdf
January 01, 2024 - Spotlight
Hindsight is 20/20: Thrombolytics for Alcohol
Intoxication
Source and Credits
• This presentation is based on the April 2024 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Eric Signoff, MD, Noelle Boctor, MD, and David K.
B…
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psnet.ahrq.gov/web-mm/adolescent-diabetes-routine-visit
November 18, 2016 - SPOTLIGHT CASE
Adolescent Diabetes: A Routine Visit?
Citation Text:
Slap GB. Adolescent Diabetes: A Routine Visit?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
Copy Citation
Format:
Google Scholar Bi…
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psnet.ahrq.gov/issue/impact-electronic-alert-notification-system-embedded-radiologists-workflow-closed-loop
November 26, 2014 - Study
Impact of an electronic alert notification system embedded in radiologists' workflow on closed-loop communication of critical results: a time series analysis.
Citation Text:
Lacson R, O'Connor SD, Sahni A, et al. Impact of an electronic alert notification system embedded in radiolo…
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psnet.ahrq.gov/issue/improving-healthcare-systems-disclosures-large-scale-adverse-events-department-veterans
August 18, 2021 - Study
Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs leadership, policymaker, research and stakeholder partnership.
Citation Text:
Elwy R, Bokhour BG, Maguire EM, et al. Improving healthcare systems' disclosures of large-scale ad…
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psnet.ahrq.gov/issue/relationship-between-state-malpractice-environment-and-quality-health-care-united-states
June 21, 2017 - Study
Relationship between state malpractice environment and quality of health care in the United States.
Citation Text:
Bilimoria KY, Chung JW, Minami CA, et al. Relationship Between State Malpractice Environment and Quality of Health Care in the United States. Jt Comm J Qual Patient Sa…
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psnet.ahrq.gov/issue/deny-dismiss-dehumanise-what-happened-when-i-went-hospital
September 09, 2015 - March 18, 2020
Examining causes and prevention strategies of adverse events in deceased