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psnet.ahrq.gov/issue/wrong-site-surgery
March 13, 2013 - Commentary
Wrong site surgery.
Citation Text:
Fraser SG, Adams W. Wrong site surgery. Br J Ophthalmol. 2006;90(7):814-6.
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psnet.ahrq.gov/issue/exploring-alternatives-malpractice-litigation
September 01, 2018 - Special or Theme Issue
Exploring Alternatives To Malpractice Litigation.
Citation Text:
Improved safety, eliminating errors top policy agenda. Health Aff (Millwood). 2014;33(1):6-66.
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psnet.ahrq.gov/issue/second-victim-error-guilt-trauma-and-resilience
April 13, 2018 - Book/Report
Second Victim: Error, Guilt, Trauma, and Resilience.
Citation Text:
Second Victim: Error, Guilt, Trauma, and Resilience. Dekker S. Boca Raton, FL: CRC Press; 2013. ISBN: 9781466583412.
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psnet.ahrq.gov/issue/ihi-framework-improving-joy-work
September 06, 2017 - Book/Report
Classic
IHI Framework for Improving Joy in Work.
Citation Text:
IHI Framework for Improving Joy in Work. Perlo J, Balik B, Swensen S, et al. Cambridge, MA: Institute for Healthcare Improvement; 2017.
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digital.ahrq.gov/organization/university-california-san-francisco
January 01, 2023 - University of California, San Francisco
Engaging Diverse Patients in Health Information Technology Use
Description
This is a questionnaire designed to be completed by individuals with chronic care needs in patient homes. The tool includes questions to assess the current state …
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psnet.ahrq.gov/issue/windows-safety-and-quality-health-care-2008
January 28, 2015 - Book/Report
Windows into Safety and Quality in Health Care 2008.
Citation Text:
Windows into Safety and Quality in Health Care 2008. Sydney, Australia: Australian Commission on Safety and Quality in Health Care; 2008. ISBN: 9780980346275.
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psnet.ahrq.gov/issue/strategies-hospitals-improve-patient-safety-review-literature
May 20, 2020 - Book/Report
Strategies for Hospitals to Improve Patient Safety: A Review of the Literature.
Citation Text:
Strategies for Hospitals to Improve Patient Safety: A Review of the Literature. Wong J, Beglaryan H. Toronto, ON: The Change Foundation; February 2004.
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digital.ahrq.gov/location/usa-ca-san-francisco
January 01, 2023 - USA, CA, San Francisco
Engaging Diverse Patients in Health Information Technology Use
Description
This is a questionnaire designed to be completed by individuals with chronic care needs in patient homes. The tool includes questions to assess the current state of patient portal…
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psnet.ahrq.gov/issue/gift-failure-new-approaches-analyzing-and-learning-events-and-near-misses
August 07, 2019 - Special or Theme Issue
The Gift of Failure: New Approaches to Analyzing and Learning from Events and Near-Misses.
Citation Text:
The Gift of Failure: New Approaches to Analyzing and Learning from Events and Near-Misses. Fahlbruch B, Carroll JS, eds. Safety Sci. 2011;49(1):1-106  …
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psnet.ahrq.gov/issue/ahrq-safety-program-improving-antibiotic-use
December 24, 2008 - Tools/Toolkit
AHRQ Safety Program for Improving Antibiotic Use.
Citation Text:
AHRQ Safety Program for Improving Antibiotic Use. Agency for Healthcare Research and Quality, Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality, and University of Chicago.
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psnet.ahrq.gov/issue/machine-learning-booming-medicine-its-also-facing-credibility-crisis
May 22, 2019 - Newspaper/Magazine Article
Machine learning is booming in medicine. It’s also facing a credibility crisis.
Citation Text:
Machine learning is booming in medicine. It’s also facing a credibility crisis. Ross C. STAT. June 2, 2021.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/walton-rt-et-al-1997
January 01, 1997 - Walton RT et al. 1997 "Evaluation of computer support for prescribing (CAPSULE) using simulated cases."
Reference
Walton RT, Gierl C, Yudkin P, et al. Evaluation of computer support for prescribing (CAPSULE) using simulated cases. Br Med J 1997;315(7111):791-795.
Abstract
"Objective: To evalua…
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psnet.ahrq.gov/issue/chpso-2019-annual-report
March 20, 2024 - Book/Report
CHPSO Annual Reports.
Citation Text:
CHPSO Annual Reports. California Hospital Patient Safety Organization: Sacramento, CA; 2024.
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psnet.ahrq.gov/issue/clinician-support-five-years-lessons-learned
March 20, 2017 - Newspaper/Magazine Article
Clinician support: five years of lessons learned.
Citation Text:
Clinician support: five years of lessons learned. Hirschinger LE, Scott SD, Hahn-Cover K. Patient Saf Qual Heathc. April 2015;12:26-31.
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psnet.ahrq.gov/issue/lessons-learned-death-outside-hospitals-doorstep
October 30, 2019 - Newspaper/Magazine Article
Lessons learned from a death outside a hospital's doorstep.
Citation Text:
Lessons learned from a death outside a hospital's doorstep. Palmer J. Patient Saf Qual Healthc. May/June 2019.
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digital.ahrq.gov/ahrq-funded-projects/implementation-qol-measure-pediatric-transplant-recipients
July 31, 2025 - Implementation of a QoL Measure in Pediatric Transplant Recipients
Project Description
Integration of an electronic pediatric organ transplant quality-of-life tool into routine care has the potential to improve medication adherence and outcomes in this patient population.
P…
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www.uspreventiveservicestaskforce.org/uspstf/reconsidering-approach-prevention-recommendations-older-adults-figure-2
December 01, 2010 - Reconsidering the Approach to Prevention Recommendations for Older Adults - Figure 2
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Analytic framework for USPSTF review on interventions to reduce falls and fall-related ou…
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psnet.ahrq.gov/issue/what-cannot-be-said-television-about-health-care
January 10, 2018 - Commentary
What cannot be said on television about health care.
Citation Text:
Emanuel EJ. What Cannot Be Said on Television About Health Care. JAMA. 2007;297(19). doi:10.1001/jama.297.19.2131.
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psnet.ahrq.gov/print/pdf/node/840940
March 22, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
PSNet How-to Videos
Curated Library
All Library Content
Optimizing PSNet Search for Patient Safety Resources
February 15, 2024
Optimizing PSNet Search for Patient Safety Resources PSNet has over 17,000 patient safety resources
available - d…
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digital.ahrq.gov/program-overview/research-stories/digital-tools-support-care-coordination-people-depression
January 01, 2023 - Digital Tools to Support Care Coordination for People with Depression
Theme:
Optimizing Care Delivery for Clinicians
Subtheme:
Optimizing Data Visualization to Improve Care
Adaptation of a digital mental health intervention has the potential to improve the coordination of and access to men…