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  1. psnet.ahrq.gov/issue/communicating-patients-about-medical-errors-review-literature
    December 23, 2008 - Review Classic Communicating with patients about medical errors: a review of the literature. Citation Text: Mazor KM, Simon SR, Gurwitz JH. Communicating with patients about medical errors: a review of the literature. Arch Intern Med. 2004;164(15):1690-7. Co…
  2. psnet.ahrq.gov/issue/organizational-costs-preventable-medical-errors
    April 01, 2010 - Study Organizational costs of preventable medical errors. Citation Text: Weeks WB, Waldron J, Foster T, et al. The organizational costs of preventable medical errors. Jt Comm J Qual Improv. 2001;27(10):533-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…
  3. psnet.ahrq.gov/issue/clinical-decision-support-25-year-retrospective-and-25-year-vision
    May 20, 2019 - Review Clinical decision support: a 25 year retrospective and a 25 year vision. Citation Text: Middleton B, Sittig DF, Wright A. Clinical Decision Support: a 25 Year Retrospective and a 25 Year Vision. Yearb Med Inform. 2016;Suppl 1:S103-16. doi:10.15265/IYS-2016-s034. Copy Citation …
  4. psnet.ahrq.gov/issue/vaccination-errors-general-practice-creation-preventive-checklist-based-multimodal-analysis
    July 08, 2020 - Study Vaccination errors in general practice: creation of a preventive checklist based on a multimodal analysis of declared errors. Citation Text: Charles R, Vallée J, Tissot C, et al. Vaccination errors in general practice: creation of a preventive checklist based on a multimodal analys…
  5. psnet.ahrq.gov/issue/role-checklists-and-human-factors-improved-patient-safety-plastic-surgery
    November 02, 2016 - Commentary The role of checklists and human factors for improved patient safety in plastic surgery. Citation Text: Oppikofer C, Schwappach DLB. The Role of Checklists and Human Factors for Improved Patient Safety in Plastic Surgery. Plast Reconstr Surg. 2017;140(6):812e-817e. doi:10.1097…
  6. psnet.ahrq.gov/issue/perceptions-effective-and-ineffective-nurse-physician-communication-hospitals
    June 28, 2017 - Study Perceptions of effective and ineffective nurse–physician communication in hospitals. Citation Text: Robinson P, Gorman G, Slimmer LW, et al. Perceptions of effective and ineffective nurse-physician communication in hospitals. Nurs Forum. 2010;45(3):206-16. doi:10.1111/j.1744-6198…
  7. psnet.ahrq.gov/issue/armstrong-institute-residentfellow-scholars-multispecialty-curriculum-train-future-leaders
    October 19, 2022 - Commentary The Armstrong Institute Resident/Fellow Scholars: a multispecialty curriculum to train future leaders in patient safety and quality improvement. Citation Text: Rinke ML, Mock CK, Persing NM, et al. The Armstrong Institute Resident/Fellow Scholars: A Multispecialty Curriculum t…
  8. psnet.ahrq.gov/issue/maximizing-use-state-adverse-event-data-improve-patient-safety
    November 29, 2009 - Book/Report Maximizing the Use of State Adverse Event Data to Improve Patient Safety. Citation Text: Maximizing the Use of State Adverse Event Data to Improve Patient Safety. Rosenthal J, Booth M. National Academy for State Health Policy; 2005. Copy Citation Sav…
  9. psnet.ahrq.gov/issue/review-alternatives-root-cause-analysis-developing-robust-system-incident-report-analysis
    November 14, 2018 - Review Review of alternatives to root cause analysis: developing a robust system for incident report analysis. Citation Text: Hagley G, Mills PD, Watts B, et al. Review of alternatives to root cause analysis: developing a robust system for incident report analysis. BMJ Open Qual. 2019;8(…
  10. psnet.ahrq.gov/issue/workforce-planning-and-safe-workload-sterile-compounding-hospital-pharmacy-services
    October 19, 2022 - Study Workforce planning and safe workload in sterile compounding hospital pharmacy services. Citation Text: Chaker A, Omair I, Mohamed WH, et al. Workforce planning and safe workload in sterile compounding hospital pharmacy services. Am J Health Syst Pharm. 2022;79(3):187–192. doi:10.10…
  11. psnet.ahrq.gov/issue/impact-and-implications-disruptive-behavior-perioperative-arena
    February 03, 2010 - Study Impact and implications of disruptive behavior in the perioperative arena. Citation Text: Rosenstein AH, O'Daniel M. Impact and implications of disruptive behavior in the perioperative arena. J Am Coll Surg. 2006;203(1):96-105. Copy Citation Format: Google Scholar P…
  12. psnet.ahrq.gov/issue/consensus-bundle-prevention-surgical-site-infections-after-major-gynecologic-surgery
    January 15, 2014 - Commentary Consensus bundle on prevention of surgical site infections after major gynecologic surgery. Citation Text: Pellegrini JE, Toledo P, Soper DE, et al. Consensus Bundle on Prevention of Surgical Site Infections After Major Gynecologic Surgery. Obstet Gynecol. 2017;129(1):50-61. d…
  13. digital.ahrq.gov/sites/default/files/docs/page/2006Ralston_052411comp.pdf
    May 01, 2006 - MyGroupHealth Web Portal and Shared Medical Records with Patients James D Ralston, MD MPH MyGroupHealth Web Portal and Shared Medical Records with Patients James D Ralston, MD MPH Group Health Center for Health Studies Seattle, Washington James D Ralston, MD MPH Patient Web Portals • Walled online gardens –…
  14. psnet.ahrq.gov/issue/physician-motivation-listening-what-pay-performance-programs-and-quality-improvement
    January 02, 2017 - Commentary Physician motivation: listening to what pay-for-performance programs and quality improvement collaboratives are telling us. Citation Text: Herzer KR, Pronovost P. Physician Motivation: Listening to What Pay-for-Performance Programs and Quality Improvement Collaboratives Are Te…
  15. psnet.ahrq.gov/issue/role-safety-culture-influencing-provider-perceptions-patient-safety
    November 09, 2016 - Study The role of safety culture in influencing provider perceptions of patient safety. Citation Text: Bishop A, Boyle TA. The Role of Safety Culture in Influencing Provider Perceptions of Patient Safety. J Patient Saf. 2016;12(4):204-209. Copy Citation Format: Google Schol…
  16. psnet.ahrq.gov/issue/implications-case-managers-perceptions-and-attitude-safety-home-delivered-care
    September 18, 2016 - Study Implications of case managers' perceptions and attitude on safety of home-delivered care. Citation Text: Jones S. Implications of case managers' perceptions and attitude on safety of home-delivered care. Br J Community Nurs. 2015;20(12):602-7. doi:10.12968/bjcn.2015.20.12.602. Co…
  17. psnet.ahrq.gov/issue/error-and-patient-safety-ethical-analysis-cases-occupational-and-physical-therapy-practice
    July 14, 2010 - Commentary Error and patient safety: ethical analysis of cases in occupational and physical therapy practice. Citation Text: Scheirton LS, Mu K, Lohman H, et al. Error and patient safety: ethical analysis of cases in occupational and physical therapy practice. Med Health Care Philos. 2…
  18. www.ahrq.gov/news/newsroom/case-studies/ktcquips92.html
    October 01, 2014 - Maryland Hospitals Revise Medication Reconciliation Process With AHRQ Toolkit Search All Impact Case Studies April 2012 After participating in AHRQ-sponsored learning sessions and provider support calls, Delmarva Foundation for Medical Care, the Maryland Quality Improvement Organization (QIO), worked with h…
  19. psnet.ahrq.gov/issue/err-human-improving-diagnosis-health-care-risk-management-perspective
    April 24, 2018 - Commentary From To Err Is Human to Improving Diagnosis in Health Care: the risk management perspective. Citation Text: Bunting RF, Groszkruger DP. From To Err Is Human to Improving Diagnosis in Health Care: The risk management perspective. J Healthc Risk Manag. 2016;35(3):10-23. doi:10.1…
  20. psnet.ahrq.gov/issue/team-based-care-changing-face-cardiothoracic-surgery
    October 07, 2013 - Review Team-based care: the changing face of cardiothoracic surgery. Citation Text: Crawford TC, Conte J, Sanchez JA. Team-Based Care: The Changing Face of Cardiothoracic Surgery. Surg Clin North Am. 2017;97(4):801-810. doi:10.1016/j.suc.2017.03.003. Copy Citation Format: D…