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psnet.ahrq.gov/issue/wisdom-patients-and-families-ignore-it-our-peril
March 13, 2013 - Commentary
The wisdom of patients and families: ignore it at our peril.
Citation Text:
Donaldson LJ. The wisdom of patients and families: ignore it at our peril. BMJ Qual Saf. 2015;24(10):603-604. doi:10.1136/bmjqs-2015-004573.
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psnet.ahrq.gov/issue/second-victims-and-mindfulness-systematic-review
July 22, 2020 - Review
Second victims and mindfulness: a systematic review.
Citation Text:
S Miller C, Scott SD, Beck M. Second victims and mindfulness: a systematic review. J Patient Saf Risk Manag. 2019;24(3):108-117. doi:10.1177/2516043519838176.
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psnet.ahrq.gov/issue/improving-patient-safety-developing-countries-moving-towards-integrated-approach
December 02, 2020 - Review
Improving patient safety in developing countries—moving towards an integrated approach.
Citation Text:
Elmontsri M, Banarsee R, Majeed A. Improving patient safety in developing countries - moving towards an integrated approach. JRSM Open. 2018;9(11):2054270418786112. doi:10.1177/2…
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psnet.ahrq.gov/issue/surgical-adverse-outcome-reporting-part-routine-clinical-care
March 23, 2011 - Study
Surgical adverse outcome reporting as part of routine clinical care.
Citation Text:
Kievit J, Krukerink M, van de Mheen PJM-. Surgical adverse outcome reporting as part of routine clinical care. Qual Saf Health Care. 2010;19(6):e20. doi:10.1136/qshc.2008.027458.
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psnet.ahrq.gov/issue/overextended-fighting-fatigue-long-shifts
January 29, 2018 - Commentary
Overextended: fighting the fatigue of long shifts.
Citation Text:
Douglass JA. Overextended: Fighting the fatigue of long shifts. Nursing (Brux). 2014;44(3):67-8. doi:10.1097/01.NURSE.0000441895.42899.0c.
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psnet.ahrq.gov/issue/assessing-impact-educational-program-decreasing-prescribing-errors-university-hospital
October 19, 2011 - Study
Assessing the impact of an educational program on decreasing prescribing errors at a university hospital.
Citation Text:
Peeters MJ, Pinto SL. Assessing the impact of an educational program on decreasing prescribing errors at a university hospital. J Hosp Med. 2009;4(2):97-101. d…
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psnet.ahrq.gov/issue/rapid-response-systems-implementation-evidence-base
September 24, 2010 - Commentary
Rapid response systems: from implementation to evidence base.
Citation Text:
Sarani B, Scott SD. Rapid response systems: from implementation to evidence base. Jt Comm J Qual Patient Saf. 2010;36(11):514-7, 481.
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psnet.ahrq.gov/issue/building-nursing-intellectual-capital-safe-use-information-technology-systematic-review
June 23, 2009 - Review
Building nursing intellectual capital for safe use of information technology: a systematic review.
Citation Text:
Poe SS. Building nursing intellectual capital for safe use of information technology: a systematic review. J Nurs Care Qual. 2011;26(1):4-12. doi:10.1097/NCQ.0b013e31…
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psnet.ahrq.gov/issue/characteristics-medical-professional-liability-claims-patients-cardiovascular-diseases
August 02, 2015 - Study
Characteristics of medical professional liability claims in patients with cardiovascular diseases.
Citation Text:
Oetgen WJ, Parikh D, Cacchione JG, et al. Characteristics of medical professional liability claims in patients with cardiovascular diseases. Am J Cardiol. 2010;105(5):…
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psnet.ahrq.gov/issue/introduction-computerized-physician-order-entry-and-change-management-tertiary-pediatric
January 22, 2016 - Review
The introduction of computerized physician order entry and change management in a tertiary pediatric hospital.
Citation Text:
Upperman JS, Staley P, Friend K, et al. The introduction of computerized physician order entry and change management in a tertiary pediatric hospital. Pe…
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psnet.ahrq.gov/issue/eradicating-medical-student-mistreatment-longitudinal-study-one-institutions-efforts
August 28, 2019 - Study
Eradicating medical student mistreatment: a longitudinal study of one institution's efforts.
Citation Text:
Fried JM, Vermillion M, Parker NH, et al. Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. Acad Med. 2012;87(9):1191-1198.
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psnet.ahrq.gov/issue/facing-our-mistakes
September 23, 2020 - Commentary
Classic
Facing our mistakes.
Citation Text:
Hilfiker D. Facing our mistakes. N Engl J Med. 1984;310(2):118-22.
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psnet.ahrq.gov/issue/using-survey-incident-reporting-and-learning-practices-improve-organisational-learning-cancer
June 30, 2011 - Study
Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care centre.
Citation Text:
Cooke DL, Dunscombe PB, Lee R. Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care ce…
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psnet.ahrq.gov/issue/munson-medical-center-embedding-culture-safety-and-qi-organization
March 20, 2024 - Commentary
Munson Medical Center: embedding a culture of safety and QI into the organization.
Citation Text:
Haslinger T. Munson Medical Center: embedding a culture of safety and QI into the organization. Jt Comm J Qual Patient Saf. 2008;34(11):665-70.
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www.ahrq.gov/gam/summaries/domain-framework/index.html
July 01, 2018 - NQMC Measure Domain Framework
The National Quality Measures Clearinghouse (NQMC) was a database of measures meeting specific criteria for inclusion. Measures in NQMC were classified into domains according to the domain framework below.
There are many dimensions of performance related to clinical health care d…
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psnet.ahrq.gov/issue/system-based-approach-managing-patient-safety-ambulatory-care-and-beyond
December 09, 2020 - Newspaper/Magazine Article
A system-based approach to managing patient safety in ambulatory care (and beyond).
Citation Text:
A system-based approach to managing patient safety in ambulatory care (and beyond). Burger C, Eaton P, Hess K, et al. Patient Saf Qual Healthc. December 12, 2017.…
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psnet.ahrq.gov/issue/overuse-medical-imaging-and-its-radiation-exposure-whos-minding-our-children
August 04, 2021 - Commentary
Overuse of medical imaging and its radiation exposure: who’s minding our children?
Citation Text:
Schroeder AR, Duncan JR. Overuse of Medical Imaging and Its Radiation Exposure: Who's Minding Our Children? JAMA Pediatr. 2016;170(11):1037-1038. doi:10.1001/jamapediatrics.2016.2…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/motzslides.pdf
June 02, 2025 - Using the AHRQ Pharmacy Survey on Patient Safety Culture
© Aurora Health Care, Inc. © Aurora Health Care, Inc.
Pharmacy Survey on Patient Safety Culture
Jim Motz, R.Ph.
Specialty Pharmacy Program Manager
Aurora Pharmacy, Inc.
© Aurora Health Care, Inc.
Aurora Pharmacies Overview
• Integrated health sys…
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psnet.ahrq.gov/issue/fostering-ethical-conduct-through-psychological-safety
March 30, 2022 - Newspaper/Magazine Article
Fostering ethical conduct through psychological safety.
Citation Text:
Fostering ethical conduct through psychological safety. Ferrere A, Rider C, Renerte B et al. Sloan Manag Rev. Summer 2022;39-43.
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psnet.ahrq.gov/issue/integrating-knowledge-based-resources-electronic-health-record-history-current-status-and
July 19, 2023 - Commentary
Integrating knowledge-based resources into the electronic health record: history, current status, and role of librarians.
Citation Text:
Albert KM. Integrating knowledge-based resources into the electronic health record: history, current status, and role of librarians. Med R…