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psnet.ahrq.gov/issue/advancing-diagnostic-excellence-maternal-health-care-proceedings-workshop-brief
September 12, 2018 - Book/Report
Advancing Diagnostic Excellence for Maternal Health Care: Proceedings of a Workshop–in Brief.
Citation Text:
Advancing Diagnostic Excellence for Maternal Health Care: Proceedings of a Workshop–in Brief. National Academies of Sciences, Engineering, and Medicine. Washington, DC…
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psnet.ahrq.gov/issue/judging-whether-patient-actually-improving-more-pitfalls-science-human-perception
September 04, 2019 - Review
Judging whether a patient is actually improving: more pitfalls from the science of human perception.
Citation Text:
Redelmeier DA, Dickinson VM. Judging whether a patient is actually improving: more pitfalls from the science of human perception. J Gen Intern Med. 2012;27(9):1195-9…
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psnet.ahrq.gov/issue/getting-closer-bulls-eye-2014-2015-targeted-medication-safety-best-practices
July 08, 2015 - Newspaper/Magazine Article
Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices.
Citation Text:
Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. ISMP Medication Safety Alert! Acute Care Edition. February 12, 2015;20:1…
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digital.ahrq.gov/funding-mechanism/improving-quality-care-and-patient-outcomes-during-care-transitions-r01
January 01, 2023 - Improving Quality of Care and Patient Outcomes During Care Transitions (R01)
Scalable Digital Communication Intervention to Support Older Adults and Care Partners Transitioning Home After Major Surgery
Description
This research will develop and evaluate the Perioperative Optim…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-2.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 6.2. Horizon Hospital—Lakeview Healthcare
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. C…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-2.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 1.2. Lakeview Healthcare
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospital
…
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psnet.ahrq.gov/issue/patient-handoffs
June 17, 2014 - Newspaper/Magazine Article
Patient handoffs.
Citation Text:
Runy LA. Patient handoffs. Hospitals & health networks. 2008;82(5):7 p following 40, 2.
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psnet.ahrq.gov/issue/human-factors-and-systems-engineering-approach-patient-safety-radiotherapy
August 07, 2013 - Commentary
Human factors and systems engineering approach to patient safety for radiotherapy.
Citation Text:
Human factors and systems engineering approach to patient safety for radiotherapy. Rivera AJ, Karsh B-T. Int J Radiat Oncol Biol Phys. 2008;71:S174-S177.
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psnet.ahrq.gov/issue/implementing-no-interruption-zones-perioperative-environment
June 09, 2021 - Commentary
Implementing No Interruption Zones in the perioperative environment.
Citation Text:
Wright I. Implementing No Interruption Zones in the Perioperative Environment. AORN J. 2016;104(6):536-540. doi:10.1016/j.aorn.2016.09.018.
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psnet.ahrq.gov/issue/perspective-road-map-academic-departments-promote-scholarship-quality-improvement-and-patient
July 02, 2014 - Commentary
Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety.
Citation Text:
Neeman N, Sehgal NL. Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety. Acad Med. …
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psnet.ahrq.gov/issue/workplace-violence-against-anesthesiologists-we-are-not-immune-patient-safety-threat
March 06, 2005 - Study
Workplace violence against anesthesiologists: we are not immune to this patient safety threat.
Citation Text:
Workplace violence against anesthesiologists: we are not immune to this patient safety threat. Udoji MA, Ifeanyi-Pillette IC, Miller TR, Lin DM. Int Anesthesiol Clin. 2019;…
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digital.ahrq.gov/principal-investigator/keenan-gail
January 01, 2023 - Keenan, Gail
Challenges and solutions for using informatics in research.
Citation
Ryan CJ, Choi H, Fritschi C, et al. Challenges and solutions for using informatics in research. West J Nurs Res 2013 Jul;35(6):722-41. PMID: 23475591.
Principal Investigator
Keenan, Ga…
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psnet.ahrq.gov/issue/workplace-bullying-or-results-descriptive-study
December 21, 2017 - Study
Workplace bullying in the OR: results of a descriptive study.
Citation Text:
Chipps E, Stelmaschuk S, Albert NM, et al. Workplace Bullying in the OR: Results of a Descriptive Study. AORN J. 2013;98(5). doi:10.1016/j.aorn.2013.08.015.
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psnet.ahrq.gov/issue/using-simulation-training-improve-perioperative-patient-safety
August 20, 2018 - Study
Using simulation training to improve perioperative patient safety.
Citation Text:
Mullen L, Byrd D. Using simulation training to improve perioperative patient safety. AORN J. 2013;97(4):419-27. doi:10.1016/j.aorn.2013.02.001.
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psnet.ahrq.gov/issue/reinforcing-value-and-roles-nurses-diagnostic-safety-pragmatic-recommendations-nurse-leaders
August 17, 2022 - Book/Report
Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators.
Citation Text:
Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators. Tran AK, Calabr…
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psnet.ahrq.gov/issue/checking-checklist
July 11, 2023 - Book/Report
Checking In on the Checklist.
Citation Text:
Checking In on the Checklist. Buissonniere M. Brooklyn NY: Lifebox and Ariadne Labs; 2020.
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psnet.ahrq.gov/issue/interdisciplinary-communication-uncharted-source-medical-error
September 24, 2016 - Review
Interdisciplinary communication: an uncharted source of medical error?
Citation Text:
Alvarez G, Coiera E. Interdisciplinary communication: an uncharted source of medical error? J Crit Care. 2006;21(3):236-42; discussion 242.
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psnet.ahrq.gov/issue/multilayered-approach-patient-safety-culture
March 14, 2016 - Commentary
Multilayered approach to patient safety culture.
Citation Text:
Reiman T, Pietikäinen E, Oedewald P. Multilayered approach to patient safety culture. Qual Saf Health Care. 2010;19(5):e20. doi:10.1136/qshc.2008.029793.
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psnet.ahrq.gov/issue/human-and-organizational-biases-affecting-management-safety
May 29, 2014 - Commentary
Human and organizational biases affecting the management of safety.
Citation Text:
Reiman T, Rollenhagen C. Human and organizational biases affecting the management of safety. Reliab Eng Syst Saf. 2011;96(10). doi:10.1016/j.ress.2011.05.010.
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psnet.ahrq.gov/issue/defense-health-agency-processes-responding-provider-quality-and-safety-concerns
December 09, 2020 - Book/Report
Defense Health Agency Processes for Responding to Provider Quality and Safety Concerns.
Citation Text:
Defense Health Agency Processes for Responding to Provider Quality and Safety Concerns. Washington DC; Governmental Accountability Office; December 1, 2020. Publication GAO-…