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psnet.ahrq.gov/issue/safety-culture-healthcare-review-concepts-dimensions-measures-and-progress
November 21, 2014 - Review
Safety culture in healthcare: a review of concepts, dimensions, measures and progress.
Citation Text:
Halligan M, Zecevic A. Safety culture in healthcare: a review of concepts, dimensions, measures and progress. BMJ Qual Saf. 2011;20(4):338-43. doi:10.1136/bmjqs.2010.040964.
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psnet.ahrq.gov/issue/insights-climate-safety-towards-prevention-falls-among-hospital-staff
February 14, 2017 - Study
Insights into the climate of safety towards the prevention of falls among hospital staff.
Citation Text:
Black AA, Brauer SG, Bell RAR, et al. Insights into the climate of safety towards the prevention of falls among hospital staff. J Clin Nurs. 2011;20(19-20):2924-30. doi:10.111…
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psnet.ahrq.gov/issue/health-care-quality-and-disparities-lessons-first-national-reports
April 03, 2005 - Special or Theme Issue
Health Care Quality and Disparities: Lessons from the First National Reports.
Citation Text:
Health Care Quality and Disparities: Lessons from the First National Reports. Kelley E, Moy E, Dayton E, et al. Med Care. 2005:43(3):I1-I88.
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psnet.ahrq.gov/issue/handovers-or-icu
January 03, 2017 - Commentary
Handovers from the OR to the ICU.
Citation Text:
Bonifacio AS, Segall N, Barbeito A, et al. Handovers from the OR to the ICU. Int Anesthesiol Clin. 2013;51(1):43-61. doi:10.1097/AIA.0b013e31826f2b0e.
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psnet.ahrq.gov/issue/accountability-organisational-learning-and-risks-patient-safety-england-conflict-or
December 29, 2014 - Commentary
Accountability, organisational learning and risks to patient safety in England: conflict or compromise?
Citation Text:
Dodds A, Kodate N. Accountability, organisational learning and risks to patient safety in England: Conflict or compromise? Health Risk Soc. 2011;13(4):327-3…
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psnet.ahrq.gov/issue/maintaining-safety-dialysis-facility
May 25, 2011 - Commentary
Maintaining safety in the dialysis facility.
Citation Text:
Kliger AS. Maintaining safety in the dialysis facility. Clin J Am Soc Nephrol. 2015;10(4):688-95. doi:10.2215/CJN.08960914.
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-model-pdsa.pdf
June 02, 2025 - Job Aid: Model for Improvement and PDSA Cycles
Primary Care Practice Facilitator
Training Series
1
Job Aid: Model for Improvement and PDSA Cycles
Using the Model for Improvement
The Model for Improvement (MFI) is a simple framework that many primary care practices use
to help them organize their i…
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psnet.ahrq.gov/issue/getting-boards-board-engaging-governing-boards-quality-and-safety
February 17, 2017 - Commentary
Getting boards on board: engaging governing boards in quality and safety.
Citation Text:
Conway JB. Getting boards on board: engaging governing boards in quality and safety. Jt Comm J Qual Saf. 2008;34(4):214-220.
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psnet.ahrq.gov/issue/influence-language-barriers-outcomes-hospital-care-general-medicine-inpatients
May 16, 2012 - Study
Influence of language barriers on outcomes of hospital care for general medicine inpatients.
Citation Text:
Karliner LS, Kim SE, Meltzer DO, et al. Influence of language barriers on outcomes of hospital care for general medicine inpatients. J Hosp Med. 2010;5(5):276-82. doi:10.10…
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psnet.ahrq.gov/issue/approaching-evidence-basis-aviation-derived-teamwork-training-medicine
August 09, 2023 - Review
Approaching the evidence basis for aviation-derived teamwork training in medicine.
Citation Text:
Zeltser M, Nash DB. Approaching the evidence basis for aviation-derived teamwork training in medicine. Am J Med Qual. 2010;25(1):13-23. doi:10.1177/1062860609345664.
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psnet.ahrq.gov/issue/characteristics-patients-misdiagnosed-alzheimers-disease-and-their-medication-use-analysis
June 16, 2011 - Study
Characteristics of patients misdiagnosed with Alzheimer's disease and their medication use: an analysis of the NACC-UDS database.
Citation Text:
Gaugler JE, Ascher-Svanum H, Roth DL, et al. Characteristics of patients misdiagnosed with Alzheimer's disease and their medication use:…
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psnet.ahrq.gov/issue/paediatric-nurses-understanding-process-and-procedure-double-checking-medications
May 03, 2023 - Study
Paediatric nurses' understanding of the process and procedure of double-checking medications.
Citation Text:
Dickinson A, McCall E, Twomey B, et al. Paediatric nurses' understanding of the process and procedure of double-checking medications. J Clin Nurs. 2010;19(5-6). doi:10.111…
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psnet.ahrq.gov/issue/approach-assessing-patient-safety-hospitals-low-income-countries
July 22, 2020 - Study
An approach to assessing patient safety in hospitals in low-income countries.
Citation Text:
Lindfield R, Knight A, Bwonya D. An approach to assessing patient safety in hospitals in low-income countries. PLoS One. 2015;10(3):e0121628. doi:10.1371/journal.pone.0121628.
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psnet.ahrq.gov/issue/crossing-safety-transforming-healthcare-organizations-patient-safety
January 05, 2012 - Commentary
Crossing to safety: transforming healthcare organizations for patient safety.
Citation Text:
Ralston JD, Larson EB. Crossing to safety: transforming healthcare organizations for patient safety. J Postgrad Med. 2005;51(1):61-67.
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psnet.ahrq.gov/issue/association-between-license-status-and-medication-errors
June 18, 2014 - Study
Association between license status and medication errors.
Citation Text:
Conroy S. Association between licence status and medication errors. Arch Dis Child. 2011;96(3):305-6. doi:10.1136/adc.2010.191940.
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psnet.ahrq.gov/issue/creating-effective-quality-improvement-collaboratives-multiple-case-study
December 19, 2012 - Study
Creating effective quality-improvement collaboratives: a multiple case study.
Citation Text:
Strating MMH, Nieboer AP, Zuiderent-Jerak T, et al. Creating effective quality-improvement collaboratives: a multiple case study. BMJ Qual Saf. 2011;20(4). doi:10.1136/bmjqs.2010.047159. …
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psnet.ahrq.gov/issue/ethical-and-legal-issues-use-health-information-technology-improve-patient-safety
July 30, 2014 - Review
Ethical and legal issues in the use of health information technology to improve patient safety.
Citation Text:
Berner ES. Ethical and legal issues in the use of health information technology to improve patient safety. HEC Forum. 2008;20(3):243-58. doi:10.1007/s10730-008-9074-5. …
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psnet.ahrq.gov/issue/supervision-autonomy-and-medical-error-teaching-clinic
November 26, 2014 - Commentary
Supervision, autonomy, and medical error in the teaching clinic.
Citation Text:
Cossman JP, Wang M, Fischer AA. Supervision, autonomy, and medical error in the teaching clinic. J Am Acad Dermatol. 2018;79(5):981-983. doi:10.1016/j.jaad.2017.12.033.
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psnet.ahrq.gov/issue/surgical-ward-round-quality-and-impact-variable-patient-outcomes
June 17, 2015 - Study
Surgical ward round quality and impact on variable patient outcomes.
Citation Text:
Pucher PH, Aggarwal R, Darzi A. Surgical ward round quality and impact on variable patient outcomes. Ann Surg. 2014;259(2):222-6. doi:10.1097/SLA.0000000000000376.
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psnet.ahrq.gov/issue/qualitative-study-examining-influences-situation-awareness-and-identification-mitigation-and
July 16, 2014 - Study
A qualitative study examining the influences on situation awareness and the identification, mitigation and escalation of recognised patient risk.
Citation Text:
Brady PW, Goldenhar LM. A qualitative study examining the influences on situation awareness and the identification, miti…