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psnet.ahrq.gov/node/841143/psn-pdf
January 01, 2023 - Conceptual and practical challenges associated with
understanding patient safety within community-based
mental health services.
December 7, 2022
Averill P, Vincent CA, Reen G, et al. Conceptual and practical challenges associated with understanding
patient safety within community?based mental health services. Heal…
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psnet.ahrq.gov/node/44844/psn-pdf
March 02, 2016 - From To Err Is Human to Improving Diagnosis in Health
Care: the risk management perspective.
March 2, 2016
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:10.1002/jhrm.21205.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/48089/psn-pdf
June 19, 2019 - Physician impairment and rehabilitation: reintegration
into medical practice while ensuring patient safety: a
position paper from the American College of Physicians.
June 19, 2019
Candilis PJ, Kim DT, Sulmasy LS, et al. Physician Impairment and Rehabilitation: Reintegration Into
Medical Practice While Ensuring Pat…
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www.ahrq.gov/talkingquality/translate/compare/choose/compare-providers.html
January 01, 2023 - Comparing Health Plan and Provider Quality Scores to Each Other
The simplest and most common strategy is to compare each entity’s performance to the average performance of all the entities you are rating.
Advantages of Comparing to the Community Average
You have all the information you need to make the co…
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www.ahrq.gov/research/findings/final-reports/stpra/stpraexh3.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Exhibit 3. Inclusion and exclusion criteria for literature review
Previous Page Next Page
Table of Contents
Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Executive Summary
Chap…
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psnet.ahrq.gov/node/838075/psn-pdf
September 14, 2022 - Crisis recovery in surgery: error management and
problem solving in safety-critical situations.
September 14, 2022
Gogalniceanu P, Kunduzi B, Ruckley C, et al. Crisis recovery in surgery: error management and problem
solving in safety-critical situations. Surgery. 2022;172(2):537-545. doi:10.1016/j.surg.2022.03.007…
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psnet.ahrq.gov/node/35328/psn-pdf
May 19, 2015 - Applicability of Healthcare Failure Mode and Effects
Analysis to healthcare epidemiology: evaluation of the
sterilization and use of surgical instruments.
May 19, 2015
Weinstein RA, Linkin DR, Sausman C, et al. Applicability of Healthcare Failure Mode and Effects Analysis
to Healthcare Epidemiology: Evaluation of …
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psnet.ahrq.gov/node/36424/psn-pdf
January 07, 2008 - Teamwork in the operating room: frontline perspectives
among hospitals and operating room personnel.
January 7, 2008
Sexton JB; Makary MA; Tersigni AR; Pryor D; Hendrich A; Thomas EJ; Holzmueller CG; Knight AP; Wu Y;
Pronovost PJ.
https://psnet.ahrq.gov/issue/teamwork-operating-room-frontline-perspectives-among-ho…
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psnet.ahrq.gov/node/47654/psn-pdf
February 27, 2019 - The Swiss Cheese Conference: integrating and aligning
quality improvement education with hospital patient
safety initiatives.
February 27, 2019
Durstenfeld MS, Statman S, Dikman A, et al. The Swiss Cheese Conference: integrating and aligning
quality improvement education with hospital patient safety initiatives. A…
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psnet.ahrq.gov/node/36227/psn-pdf
August 30, 2006 - Does crew resource management training work? An
update, an extension, and some critical needs.
August 30, 2006
Salas E, Wilson KA, Burke CS, et al. Does Crew Resource Management Training Work? An Update, an
Extension, and Some Critical Needs. Hum Factors. 2006;48(2):392-412.
doi:10.1518/001872006777724444.
https:…
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psnet.ahrq.gov/node/60301/psn-pdf
January 01, 2021 - Association of surgical resident wellness with medical
errors and patient outcomes.
May 6, 2020
Hewitt DB, Ellis RJ, Chung JW, et al. Association of surgical resident wellness with medical errors and
patient outcomes. Ann Surg. 2021;274(2):396-402. doi:10.1097/sla.0000000000003909.
https://psnet.ahrq.gov/issue/ass…
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psnet.ahrq.gov/node/40702/psn-pdf
October 16, 2012 - Accountability for medical error: moving beyond blame to
advocacy.
October 16, 2012
Bell SK, Delbanco T, Anderson-Shaw L, et al. Accountability for medical error: moving beyond blame to
advocacy. Chest. 2011;140(2):519-526. doi:10.1378/chest.10-2533.
https://psnet.ahrq.gov/issue/accountability-medical-error-moving…
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psnet.ahrq.gov/node/865873/psn-pdf
May 15, 2024 - A review of medication errors and the second victim in
pediatric pharmacy.
May 15, 2024
Bredenkamp K, Raschka MJ, Holmes A. A review of medication errors and the second victim in pediatric
pharmacy. J Pediatr Pharmacol Ther. 2024;29(2):100-106. doi:10.5863/1551-6776-29.2.100.
https://psnet.ahrq.gov/issue/review-me…
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psnet.ahrq.gov/node/36853/psn-pdf
June 07, 2016 - Potential drug interactions and duplicate prescriptions
among cancer patients.
June 7, 2016
Riechelmann RP, Tannock IF, Wang L, et al. Potential drug interactions and duplicate prescriptions among
cancer patients. J Natl Cancer Inst. 2007;99(8):592-600.
https://psnet.ahrq.gov/issue/potential-drug-interactions-and-…
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psnet.ahrq.gov/node/47612/psn-pdf
February 27, 2019 - The impact of computerised physician order entry and
clinical decision support on pharmacist–physician
communication in the hospital setting: a qualitative study.
February 27, 2019
Pontefract SK, Coleman JJ, Vallance HK, et al. The impact of computerised physician order entry and
clinical decision support on pharm…
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psnet.ahrq.gov/node/46087/psn-pdf
September 24, 2017 - Who is responsible for the safe introduction of new
surgical technology? An important legal precedent from
the da Vinci Surgical System Trials.
September 24, 2017
Pradarelli J, Thornton JP, Dimick JB. Who Is Responsible for the Safe Introduction of New Surgical
Technology?: An Important Legal Precedent From the da…
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psnet.ahrq.gov/node/50650/psn-pdf
November 13, 2019 - Identifying 'avoidable harm' in family practice: a
RAND/UCLA Appropriateness Method consensus study.
November 13, 2019
Carson-Stevens A, Campbell S, Bell BG, et al. Identifying 'avoidable harm' in family practice: a
RAND/UCLA Appropriateness Method consensus study. BMC Fam Pract. 2019;20(1):134.
doi:10.1186/s12875…
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psnet.ahrq.gov/node/35934/psn-pdf
February 24, 2011 - Learning from mistakes: factors that influence how
students and residents learn from medical errors.
February 24, 2011
Fischer M, Mazor KM, Baril JL, et al. Learning from mistakes. Factors that influence how students and
residents learn from medical errors. J Gen Intern Med. 2006;21(5):419-23.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/853619/psn-pdf
September 20, 2023 - Defining speaking up in the healthcare system: a
systematic review.
September 20, 2023
Kane J, Munn L, Kane SF, et al. Defining speaking up in the healthcare system: a systematic review. J Gen
Intern Med. 2023;38(15):3406-3413. doi:10.1007/s11606-023-08322-0.
https://psnet.ahrq.gov/issue/defining-speaking-healthca…
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psnet.ahrq.gov/node/73954/psn-pdf
October 13, 2021 - It's like sending a message in a bottle: a qualitative study
of the consequences of one-way communication
technologies in hospitals.
October 13, 2021
Lafferty M, Harrod M, Krein SL, et al. It’s like sending a message in a bottle: a qualitative study of the
consequences of one-way communication technologies in hosp…