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psnet.ahrq.gov/issue/doctors-are-more-dangerous-gun-owners-rejoinder-error-counting
June 24, 2020 - Commentary
Doctors are more dangerous than gun owners: a rejoinder to error counting.
Citation Text:
Dekker SWA. Doctors are more dangerous than gun owners: a rejoinder to error counting. Hum Factors. 2007;49(2):177-84.
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psnet.ahrq.gov/issue/patient-safety-some-progress-and-many-challenges
June 22, 2009 - Commentary
Patient safety: some progress and many challenges.
Citation Text:
Gluck PA. Patient safety: some progress and many challenges. Obstet Gynecol. 2012;120(5):1149-1159.
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psnet.ahrq.gov/issue/assessing-patient-safety-practices-and-outcomes-us-health-care-system
May 21, 2014 - Book/Report
Assessing Patient Safety Practices and Outcomes in the U.S. Health Care System.
Citation Text:
Assessing Patient Safety Practices and Outcomes in the U.S. Health Care System. Farley DO, Ridgely MS, Mendel P, et al. Santa Monica, CA: RAND Corporation; 2009. ISBN: 9780833047748…
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psnet.ahrq.gov/issue/wish-patient-safety-forum
June 24, 2015 - Audiovisual Presentation
WISH Patient Safety Forum
Citation Text:
WISH Patient Safety Forum World Innovation Summit for Health 2015. Doha, Qatar: Qatar Foundation; February 2015.
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psnet.ahrq.gov/issue/health-it-enabled-quality-measurement-perspectives-pathways-and-practical-guidance
September 16, 2015 - Book/Report
Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance.
Citation Text:
Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance. Roper RA, Anderson KM, Marsh CA, Flemming AC. Rockville, MD: Agency for Healthcare Re…
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psnet.ahrq.gov/issue/actions-needed-help-ensure-appropriate-medication-continuation-and-prescribing-practices
September 07, 2016 - Book/Report
Actions Needed to Help Ensure Appropriate Medication Continuation and Prescribing Practices.
Citation Text:
Actions Needed to Help Ensure Appropriate Medication Continuation and Prescribing Practices. Washington, DC: United States Government Accountability Office; January 5, …
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psnet.ahrq.gov/issue/acog-committee-opinion-680-use-and-development-checklists-obstetrics-and-gynecology
December 14, 2016 - Commentary
ACOG Committee opinion #680: the use and development of checklists in obstetrics and gynecology.
Citation Text:
ACOG Committee opinion #680: the use and development of checklists in obstetrics and gynecology. American College of Obstetricians and Gynecologists’ Committee on Pa…
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psnet.ahrq.gov/issue/improving-hospital-performance-culture-change-not-answer
September 27, 2016 - Commentary
Improving hospital performance: culture change is not the answer.
Citation Text:
Leggat SG, Dwyer J. Improving hospital performance: culture change is not the answer. Healthc Q. 2005;8(2):60-6.
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psnet.ahrq.gov/issue/speaking-about-patient-safety-requires-observant-questioner-and-high-index-suspicion
June 10, 2018 - Newspaper/Magazine Article
Speaking up about patient safety requires an observant questioner and a high index of suspicion.
Citation Text:
Speaking up about patient safety requires an observant questioner and a high index of suspicion. ISMP Medication Safety Alert! Acute Care Edition. Oc…
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psnet.ahrq.gov/issue/achieving-strong-teamwork-practices-hospital-labor-and-delivery-units
May 21, 2014 - Book/Report
Achieving Strong Teamwork Practices in Hospital Labor and Delivery Units.
Citation Text:
Achieving Strong Teamwork Practices in Hospital Labor and Delivery Units. Farley DO, Sorbero ME, Lovejoy SL, Salisbury M. Santa Monica, CA: Rand Corporation; 2010. ISBN: 9780833050557…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overviewhandouts3.html
December 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Handouts: Overview of On-Time (continued)
Menu of Implementation Strategies
Pressure Ulcer Prevention Menu of Implementation Strategies
Existing
New
On-Time Nutrition Risk Reports
1. Care Plan…
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psnet.ahrq.gov/issue/organizational-evidence-based-and-promising-practices-improving-clinician-well-being
July 19, 2017 - Book/Report
Organizational Evidence-Based and Promising Practices for Improving Clinician Well-Being.
Citation Text:
Organizational Evidence-Based and Promising Practices for Improving Clinician Well-Being. Sinsky CA, Biddison LD, Mallick A, et al. NAM Perspectives. Washington DC: N…
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psnet.ahrq.gov/issue/who-global-report-patient-safety
May 01, 2024 - Book/Report
WHO Global Report on Patient Safety.
Citation Text:
WHO Global Report on Patient Safety. Geneva, Switzerland: World Health Organization; 2024. ISBN 9789240095458.
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psnet.ahrq.gov/issue/piece-my-mind-mentorship-malpractice
September 16, 2020 - Commentary
A piece of my mind. Mentorship malpractice.
Citation Text:
Chopra V, Edelson DP, Saint S. A PIECE OF MY MIND. Mentorship Malpractice. JAMA. 2016;315(14):1453-4. doi:10.1001/jama.2015.18884.
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psnet.ahrq.gov/issue/adherence-medication-safety-protocol-current-practice-labeling-medications-and-solutions
July 19, 2023 - Study
Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile field.
Citation Text:
Brown-Brumfield D, DeLeon A. Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile f…
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psnet.ahrq.gov/issue/understanding-root-cause-analysis-process-increase-safety-event-reporting
August 08, 2018 - Commentary
Understanding the root cause analysis process to increase safety event reporting.
Citation Text:
Dudley KA. Understanding the root cause analysis process to increase safety event reporting. AORN J. 2023;117(6):399-402. doi:10.1002/aorn.13935.
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psnet.ahrq.gov/issue/cognitive-systems-engineering-health-care
October 11, 2016 - Book/Report
Cognitive Systems Engineering in Health Care.
Citation Text:
Cognitive Systems Engineering in Health Care. Bisantz AM, Burns CM, Fairbanks RJ, eds. Boca Raton, FL: CRC Press; 2014. ISBN: 9781466587960.
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psnet.ahrq.gov/issue/mean-girls-er-alarming-nurse-culture-bullying-and-hazing
November 01, 2017 - Newspaper/Magazine Article
Mean girls of the ER: the alarming nurse culture of bullying and hazing.
Citation Text:
Mean girls of the ER: the alarming nurse culture of bullying and hazing. Robbins A. Good Housekeeping. May 20, 2016.
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psnet.ahrq.gov/issue/creating-culture-safety-using-checklists
July 30, 2014 - Commentary
Creating a culture of safety by using checklists.
Citation Text:
Huang LC, Kim R, Berry WR. Creating a culture of safety by using checklists. AORN J. 2013;97(3):365-8. doi:10.1016/j.aorn.2012.12.019.
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psnet.ahrq.gov/issue/ncicle-pathways-excellence-expectations-optimal-clinical-learning-environment-achieve-safe
October 18, 2017 - Book/Report
NCICLE Pathways to Excellence: Expectations for an Optimal Clinical Learning Environment to Achieve Safe and High-Quality Patient Care, 2021.
Citation Text:
NCICLE Pathways to Excellence: Expectations for an Optimal Clinical Learning Environment to Achieve Safe and High-Quali…