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psnet.ahrq.gov/issue/interruptions-healthcare-theoretical-views
September 24, 2016 - Review
Interruptions in healthcare: theoretical views.
Citation Text:
Grundgeiger T, Sanderson P. Interruptions in healthcare: theoretical views. Int J Med Inform. 2009;78(5):293-307. doi:10.1016/j.ijmedinf.2008.10.001.
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psnet.ahrq.gov/issue/crew-resource-management-applications-healthcare-organizations
November 10, 2021 - Commentary
Crew resource management: applications in healthcare organizations.
Citation Text:
Oriol MD. Crew resource management: applications in healthcare organizations. J Nurs Adm. 2006;36(9):402-406.
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psnet.ahrq.gov/issue/whose-responsibility-it-address-bullying-health-care
February 22, 2023 - Commentary
Whose responsibility is it to address bullying in health care?
Citation Text:
Whose responsibility is it to address bullying in health care? AMA J Ethics. 2022;23(12):E931-936. doi:10.1001/amajethics.2021.931.
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psnet.ahrq.gov/issue/improving-patient-safety-practicing-just-culture
June 14, 2017 - Commentary
Improving patient safety by practicing in a just culture.
Citation Text:
Duffy W. Improving Patient Safety by Practicing in a Just Culture. AORN J. 2017;106(1):66-68. doi:10.1016/j.aorn.2017.05.005.
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psnet.ahrq.gov/issue/barriers-adverse-event-and-error-reporting-anesthesia
April 19, 2017 - Study
Barriers to adverse event and error reporting in anesthesia.
Citation Text:
Heard GC, Sanderson PM, Thomas RD. Barriers to Adverse Event and Error Reporting in Anesthesia. Anesthesia & Analgesia. 2011;114(3). doi:10.1213/ane.0b013e31822649e8.
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www.ahrq.gov/news/newsroom/case-studies/202003.html
June 01, 2020 - Vermont Health Clinics Promote AHRQ’s Medication Safety Guide
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June 2020
A Vermont-based based trio of Federally Qualified Health Centers (FQHC) has improved medication use and safety for approximately 8,000 patients by adapting an evidence-based strategy from AHRQ's Guide to …
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www.ahrq.gov/news/newsroom/case-studies/202002.html
May 01, 2020 - New York Occupational Therapy Program Promotes Health Literacy with AHRQ’s Toolkit
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May 2020
An online teaching module based on the AHRQ Health Literacy Universal Precautions Toolkit helped to improve the knowledge and understanding of health literacy concepts among master’s-…
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psnet.ahrq.gov/issue/err-human-apologize-hard
September 28, 2022 - Commentary
To err is human, to apologize is hard.
Citation Text:
Krakower TM. To err Is human, to apologize is hard. JAMA. 2021;326(3):223-224. doi:10.1001/jama.2021.10840.
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psnet.ahrq.gov/issue/safety-lessons-nih-clinical-center
April 10, 2024 - Commentary
Safety lessons from the NIH Clinical Center.
Citation Text:
Gandhi TK. Safety Lessons from the NIH Clinical Center. N Engl J Med. 2016;375(18):1705-1707.
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psnet.ahrq.gov/issue/incident-reporting-surgical-trainees-revisited
February 17, 2017 - Study
Incident reporting in surgical trainees-revisited.
Citation Text:
Sharma A, Jain P, Parmar B, et al. Incident Reporting in Surgical Trainees-Revisited. J Patient Saf. 2008;4(3). doi:10.1097/pts.0b013e318184db30.
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psnet.ahrq.gov/issue/towards-framework-select-techniques-error-prediction-supporting-novice-users-healthcare
March 28, 2011 - Review
Towards a framework to select techniques for error prediction: supporting novice users in the healthcare sector.
Citation Text:
Lyons M. Towards a framework to select techniques for error prediction: supporting novice users in the healthcare sector. Appl Ergon. 2009;40(3):379-95…
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www.ahrq.gov/news/newsroom/case-studies/201528.html
October 01, 2015 - AHRQ Research Reviews, Medical Guidelines Featured in Online Clinical Reference Tool
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October 2015
AHRQ's comparative effectiveness reviews and its online National Guideline ClearinghouseTM (NGC) are among resources used by DynaMed, an online clinical reference tool providi…
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psnet.ahrq.gov/issue/quality-and-safety-pediatric-hematologyoncology
May 03, 2017 - Review
Quality and safety in pediatric hematology/oncology.
Citation Text:
Mueller BU. Quality and safety in pediatric hematology/oncology. Pediatr Blood Cancer. 2014;61(6):966-9. doi:10.1002/pbc.24946.
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psnet.ahrq.gov/issue/time-ordered-comorbidity-correlations-identify-patients-risk-mis-and-overdiagnosis
December 07, 2022 - Study
Time-ordered comorbidity correlations identify patients at risk of mis- and overdiagnosis.
Citation Text:
Time-ordered comorbidity correlations identify patients at risk of mis- and overdiagnosis. Jørgensen IF, Brunak S. NPJ Digital Med. 2021;4(1):12.
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psnet.ahrq.gov/issue/reliability-uncertainty-and-management-error-new-perspectives-covid-19-era
January 12, 2022 - Commentary
Reliability, uncertainty and the management of error: new perspectives in the COVID-19 era.
Citation Text:
Schulman PR. Reliability, uncertainty and the management of error: new perspectives in the COVID‐19 era. J Contingencies Crisis Manage. 2022;30(1):92-101. doi:10.1111/146…
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psnet.ahrq.gov/issue/patient-safety-systems-case-management
December 22, 2008 - Review
Patient safety systems for case management.
Citation Text:
Greenberg L. Patient safety systems for case management. Lippincotts Case Manag. 2004;9(5):223-229. doi:10.1097/00129234-200409000-00004.
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www.ahrq.gov/patient-safety/reports/engage/interventions/medmanage.html
June 01, 2023 - Medication Management Strategy: Intervention
Patient and Family Engagement in Primary Care
Medication management is a strategy for engaging with patients and caregivers to create a complete and accurate medication list using the brown bag method. A complete and accurate medication list is the foundation for a…
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www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp4b.html
January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide
Pediatric Units
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Table of Contents
Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide
Preface
Methods
Participation
Outcomes
Adult Non-ICUs
Pe…
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psnet.ahrq.gov/issue/implementing-met-based-rrs-toronto-general-hospital
January 11, 2017 - Commentary
Implementing an MET-based RRS at Toronto General Hospital.
Citation Text:
Warner MB, Reynolds SF. Implementing an MET-based RRS at Toronto General Hospital. Jt Comm J Qual Patient Saf. 2008;34(1):57-9, 1.
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psnet.ahrq.gov/issue/human-patient-simulation-teaching-students-provide-safe-care
June 24, 2009 - Commentary
Human patient simulation: teaching students to provide safe care.
Citation Text:
Henneman EA, Cunningham H, Roche JP, et al. Human patient simulation: teaching students to provide safe care. Nurse Educ. 2007;32(5):212-7.
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