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  1. Variability in pharmacy interpretations of physician prescriptions. | PSNet

    psnet.ahrq.gov/issue/variability-pharmacy-interpretations-physician-prescriptions
    September 25, 2008 - Study Variability in pharmacy interpretations of physician prescriptions. Citation Text: Wolf MS, Shekelle PG, Choudhry NK, et al. Variability in pharmacy interpretations of physician prescriptions. Med Care. 2009;47(3):370-373. doi:10.1097/MLR.0b013e31818af91a. Copy Citation For…

  2. Safety climate in health care organizations: a multidimensional approach. | PSNet

    psnet.ahrq.gov/issue/safety-climate-health-care-organizations-multidimensional-approach
    October 14, 2009 - Study Safety climate in health care organizations: a multidimensional approach. Citation Text: Safety climate in health care organizations: a multidimensional approach. Katz-Navon T; Naveh E; Stern Z. Academy of Management Journal. 2005;48(6):1075-1089. Copy Citation …

  3. A systems approach to patient-centered care. | PSNet

    psnet.ahrq.gov/issue/systems-approach-patient-centered-care
    November 21, 2021 - Commentary A systems approach to patient-centered care. Citation Text: Bergeson SC, Dean JD. A systems approach to patient-centered care. JAMA. 2006;296(23):2848-51. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

  4. When errors occur. | PSNet

    psnet.ahrq.gov/issue/when-errors-occur
    March 12, 2011 - Newspaper/Magazine Article When errors occur. Citation Text: Wetzel TG. When errors occur, 'I'm sorry' is a big step, but just the first. Hospitals & health networks. 2010;84(10):41-2, 44, 2. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

  5. Patient safety: planting the seed. | PSNet

    psnet.ahrq.gov/issue/patient-safety-planting-seed
    February 09, 2011 - Commentary Patient safety: planting the seed. Citation Text: Poe SS. Patient safety: planting the seed. J Nurs Care Qual. 2005;20(3):198-202. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Cit…

  6. Patient safety rounds: description of an inexpensive but important strategy to improve the safety culture. | PSNet

    psnet.ahrq.gov/issue/patient-safety-rounds-description-inexpensive-important-strategy-improve-safety-culture
    December 15, 2008 - Commentary Patient safety rounds: description of an inexpensive but important strategy to improve the safety culture. Citation Text: Campbell D, Thompson M. Patient safety rounds: description of an inexpensive but important strategy to improve the safety culture. Am J Med Qual. 2007;22…

  7. Physician autonomy and informed decision making: finding the balance for patient safety and quality. | PSNet

    psnet.ahrq.gov/issue/physician-autonomy-and-informed-decision-making-finding-balance-patient-safety-and-quality
    July 01, 2017 - Commentary Physician autonomy and informed decision making: finding the balance for patient safety and quality. Citation Text: Mathews SC, Pronovost P. Physician autonomy and informed decision making: finding the balance for patient safety and quality. JAMA. 2008;300(24):2913-5. doi:10…

  8. Introduction to Diagnostic Errors | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load1.html
    May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy Introduction to Diagnostic Errors Previous Page Next Page Table of Contents Cognitive Load Theory and Its Impact on Diagnostic Accuracy Introduction to Diagnostic Errors Fundamental Concepts for Understanding Cognitive Load Interplay …

  9. The need for systems integration in health care. | PSNet

    psnet.ahrq.gov/issue/need-systems-integration-health-care
    July 01, 2017 - Commentary The need for systems integration in health care. Citation Text: Mathews SC, Pronovost P. The need for systems integration in health care. JAMA. 2011;305(9):934-5. doi:10.1001/jama.2011.237. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML E…

  10. Do some surgical implants do more harm than good? | PSNet

    psnet.ahrq.gov/issue/do-some-surgical-implants-do-more-harm-good
    January 14, 2011 - Newspaper/Magazine Article Do some surgical implants do more harm than good? Citation Text: Do some surgical implants do more harm than good? Groopman J. New Yorker Online. April 13, 2020.  Copy Citation Save Save to your library Print Download PD…

  11. Addiction is ‘A disease of isolation’ — so pandemic puts recovery at risk. | PSNet

    psnet.ahrq.gov/issue/addiction-disease-isolation-so-pandemic-puts-recovery-risk
    May 05, 2021 - Newspaper/Magazine Article Addiction is ‘A disease of isolation’ — so pandemic puts recovery at risk. Citation Text: Addiction is ‘A disease of isolation’ — so pandemic puts recovery at risk. Bebinger M. Kaiser Health News. March 30, 2020. Copy Citation Save Sav…

  12. Exhibit 1.2. Lakeview Healthcare | Agency for Healthcare Research and Quality

    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 Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital …

  13. Deconstructing intraoperative communication failures. | PSNet

    psnet.ahrq.gov/issue/deconstructing-intraoperative-communication-failures
    July 25, 2012 - Study Deconstructing intraoperative communication failures. Citation Text: Hu Y-Y, Arriaga AF, Peyre S, et al. Deconstructing intraoperative communication failures. J Surg Res. 2012;177(1):37-42. doi:10.1016/j.jss.2012.04.029. Copy Citation Format: DOI Google Scholar PubM…

  14. Can we use incident reports to detect hospital adverse events? | PSNet

    psnet.ahrq.gov/issue/can-we-use-incident-reports-detect-hospital-adverse-events
    March 06, 2005 - Study Can we use incident reports to detect hospital adverse events? Citation Text: Can we use incident reports to detect hospital adverse events? Blais R; Bruno D; Bartlett G; Tamblyn R. Copy Citation Save Save to your library Print Download PDF …

  15. Measuring hospital-wide activity volume for patient safety and infection control: a multi-centre study in Japan. | PSNet

    psnet.ahrq.gov/issue/measuring-hospital-wide-activity-volume-patient-safety-and-infection-control-multi-centre
    January 15, 2009 - Study Measuring hospital-wide activity volume for patient safety and infection control: a multi-centre study in Japan. Citation Text: Hayashida K, Imanaka Y, Fukuda H. Measuring hospital-wide activity volume for patient safety and infection control: a multi-centre study in Japan. BMC H…

  16. Exhibit 6.2. Horizon Hospital—Lakeview Healthcare | Agency for Healthcare Research and Quality

    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 Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. C…

  17. National Prescription Drug Take Back Day. | PSNet

    psnet.ahrq.gov/issue/national-prescription-drug-take-back-day
    May 20, 2020 - Press Release/Announcement National Prescription Drug Take Back Day. Citation Text: National Prescription Drug Take Back Day. Drug Enforcement Administration. April 22, 2023. Copy Citation Save Save to your library Print Download PDF Share Fa…

  18. Section 7A (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-section-7-a.pdf
    June 02, 2025 - Section 7A …

  19. Simulation for ward processes of surgical care. | PSNet

    psnet.ahrq.gov/issue/simulation-ward-processes-surgical-care
    June 17, 2015 - Commentary Simulation for ward processes of surgical care. Citation Text: Pucher PH, Darzi A, Aggarwal R. Simulation for ward processes of surgical care. Am J Surg. 2013;206(1):96-102. doi:10.1016/j.amjsurg.2012.08.013. Copy Citation Format: DOI Google Scholar PubMed BibT…

  20. Like night and day — shedding light on off-hours care. | PSNet

    psnet.ahrq.gov/issue/night-and-day-shedding-light-hours-care
    September 28, 2010 - Commentary Like night and day — shedding light on off-hours care. Citation Text: Shulkin DJ. Like night and day--shedding light on off-hours care. N Engl J Med. 2008;358(20):2091-3. doi:10.1056/NEJMp0707144. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…
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