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psnet.ahrq.gov/node/43881/psn-pdf
February 11, 2015 - Cognitive Systems Engineering in Health Care.
February 11, 2015
Bisantz AM, Burns CM, Fairbanks RJ, eds. Boca Raton, FL: CRC Press; 2014. ISBN: 9781466587960.
https://psnet.ahrq.gov/issue/cognitive-systems-engineering-health-care
This publication provides information about the role of cognition in medical error. Th…
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psnet.ahrq.gov/node/838016/psn-pdf
January 02, 2021 - Racism as a Root Cause approach: a new framework.
January 2, 2021
Malawa Z, Gaarde J, Spellen S. Racism as a Root Cause approach: a new framework. Pediatrics.
2021;147(1):e2020015602. doi:10.1542/peds.2020-015602.
https://psnet.ahrq.gov/issue/racism-root-cause-approach-new-framework
Structural racism, which manife…
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psnet.ahrq.gov/node/45679/psn-pdf
January 03, 2018 - Global Guidelines on the Prevention of Surgical Site
Infection.
January 3, 2018
Global Guidelines on the Prevention of Surgical Site Infection.
https://psnet.ahrq.gov/issue/global-guidelines-prevention-surgical-site-infection
Efforts to reduce surgical site infections have achieved some success. The World Health O…
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psnet.ahrq.gov/node/45124/psn-pdf
June 22, 2016 - The impact of surgical safety checklists on theatre
departments: a critical review of the literature.
June 22, 2016
Cadman V. The impact of surgical safety checklists on theatre departments: a critical review of the
literature. J Perioper Pract. 2016;26(4):62-71.
https://psnet.ahrq.gov/issue/impact-surgical-safety…
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psnet.ahrq.gov/node/866324/psn-pdf
July 17, 2024 - Total systems safety supports practitioners in partnering
with families to protect patients.
July 17, 2024
ISMP Medication Safety Alert! Acute Care. 2024;29(13):1-4.
https://psnet.ahrq.gov/issue/total-systems-safety-supports-practitioners-partnering-families-protect-patients
Patient and family concerns can provide…
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psnet.ahrq.gov/node/47898/psn-pdf
January 01, 2020 - Capturing patients' perspectives on medication safety:
the development of a patient-centered medication safety
framework.
May 8, 2019
Giles SJ, Lewis PJ, Phipps D, et al. Capturing Patients' Perspectives on Medication Safety: The
Development of a Patient-Centered Medication Safety Framework. J Patient Saf. 2020;16…
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psnet.ahrq.gov/node/50656/psn-pdf
November 13, 2019 - Whistleblowing over patient safety and care quality: a
review of the literature.
November 13, 2019
Blenkinsopp J, Snowden N, Mannion R, et al. Whistleblowing over patient safety and care quality: a review
of the literature. J Health Org Manag. 2019;33(6):737-756. doi:10.1108/JHOM-12-2018-0363.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/46522/psn-pdf
October 29, 2017 - Public reporting of surgical outcomes: surgeons,
hospitals, or both?
October 29, 2017
Jha AK. Public Reporting of Surgical Outcomes: Surgeons, Hospitals, or Both? JAMA. 2017;318(15):1429-
1430. doi:10.1001/jama.2017.13815.
https://psnet.ahrq.gov/issue/public-reporting-surgical-outcomes-surgeons-hospitals-or-both
…
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psnet.ahrq.gov/node/861291/psn-pdf
January 24, 2024 - COVID-19 and patient safety- lessons from 2 efforts to
keep people safe.
January 24, 2024
Wachter RM. COVID-19 and patient safety- lessons from 2 efforts to keep people safe. JAMA Intern Med.
2024;184(2):127-128. doi:10.1001/jamainternmed.2023.7527.
https://psnet.ahrq.gov/issue/covid-19-and-patient-safety-lessons-…
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psnet.ahrq.gov/node/61063/psn-pdf
October 28, 2020 - The radiology impact of healthcare errors during shift
work.
October 28, 2020
Elliott J, Williamson K. The radiology impact of healthcare errors during shift work. Radiography.
2020;26(3):248-253. doi:10.1016/j.radi.2019.12.007.
https://psnet.ahrq.gov/issue/radiology-impact-healthcare-errors-during-shift-work
Ext…
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psnet.ahrq.gov/node/60622/psn-pdf
January 01, 2021 - Managing teamwork in the face of pandemic: evidence-
based tips.
June 24, 2020
Tannenbaum SI, Traylor AM, Thomas EJ, et al. Managing teamwork in the face of pandemic: evidence-
based tips. BMJ Qual Saf. 2021;30(1):59-63. doi:10.1136/bmjqs-2020-011447.
https://psnet.ahrq.gov/issue/managing-teamwork-face-pandemic-ev…
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psnet.ahrq.gov/node/44872/psn-pdf
February 12, 2016 - Reducing preventable harm in hospitals.
February 12, 2016
Bornstein D. New York Times. January 26, and February 2, 2016.
https://psnet.ahrq.gov/issue/reducing-preventable-harm-hospitals
Discussing the importance of designing safeguards to prevent system failures that can result in patient
harm, this two-part newsp…
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psnet.ahrq.gov/node/74065/psn-pdf
November 10, 2021 - AHRQ announces interest in research on digital
healthcare safety.
November 10, 2021
Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. October 28, 2021
Publication No. NOT-HS-22-004.
https://psnet.ahrq.gov/issue/ahrq-announces-interest-research-digital-healthcare-safety
Digital in…
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www.ahrq.gov/ncepcr/communities/pbrn/registry/southern-illinois-practice-research-organization.html
January 01, 2012 - Southern Illinois Practice Research Organization
Status:
Inactive
Registered Date:
January 1, 2012
PBRN Acronym:
SIPRO
PBRN Type:
Mixed Network (a combination of family medicine, internal medicine, pediatrics, nursing and/or other specialties)
Other
PBRN Type Other:
Non-a…
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psnet.ahrq.gov/node/44853/psn-pdf
February 03, 2016 - Aviation and healthcare: a comparative review with
implications for patient safety.
February 3, 2016
Kapur N, Parand A, Soukup T, et al. Aviation and healthcare: a comparative review with implications for
patient safety. JRSM Open. 2016;7(1):2054270415616548. doi:10.1177/2054270415616548.
https://psnet.ahrq.gov/is…
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digital.ahrq.gov/ahrq-funded-projects/implementation-and-evaluation-pspro-person-specific-patient-reported-outcome/citation/capturing
January 01, 2023 - Capturing relevant patient data in clinical encounters through integration of an electronic patient-reported outcome system into routine primary care in a Boston community health center: Development and implementation study.
Citation
Loo S, Grasso C, Glushkina J, McReynolds J, Lober W, Crane H, Mayer …
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digital.ahrq.gov/ahrq-funded-projects/expansion-implementation-evaluation-electronic-health-record-integrated-patient/citation/protocol
January 01, 2023 - Protocol for a type 2 hybrid effectiveness-implementation study expanding, implementing and evaluating electronic health record-integrated patient-reported symptom monitoring in a multisite cancer centre.
Citation
Garcia SF, Smith JD, Kallen M, Webster KA, Lyleroehr M, Kircher S, Bass M, Cella D, Pene…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults4.html
September 01, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults
Conclusion
Previous Page Next Page
Table of Contents
State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults
Introduction
Unique Challenges in Approaching Diagnostic Safety in …
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www.ahrq.gov/research/findings/evidence-based-reports/er208-series.html
July 01, 2016 - Closing the Quality Gap Series
Revisiting the State of the Science
Overview of a new series of reports on quality improvement strategies.
Overview
Between 2004 and 2007, the Agency for Healthcare Research and Quality (AHRQ) published a series of evidence reports— Closing the Quality Gap: A Critical Analys…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-1.html
September 01, 2020 - Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction
Introduction
Previous Page Next Page
Table of Contents
Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction
Introduction
Rationale for Use
Content-Specific Versus Process-Focused Checklis…