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psnet.ahrq.gov/issue/safety-i-and-safety-ii-past-and-future-safety-management
July 22, 2019 - Book/Report
Classic
Safety-I and Safety-II: The Past and Future of Safety Management.
Citation Text:
Safety-I and Safety-II: The Past and Future of Safety Management. Hollnagel E. Aldershot, Hampshire, England: Ashgate; 2014. ISBN: 9781472423085.
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psnet.ahrq.gov/issue/report-morecambe-bay-investigation
November 16, 2005 - Book/Report
The Report of the Morecambe Bay Investigation.
Citation Text:
The Report of the Morecambe Bay Investigation. Kirkup B. London, UK: The Stationery Office; 2015. ISBN: 9780108561306.
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psnet.ahrq.gov/issue/patient-safety-essentials-toolkit
January 08, 2020 - Toolkit
Patient Safety Essentials Toolkit.
Citation Text:
Patient Safety Essentials Toolkit. Boston, MA: Institute for Healthcare Improvement; 2019.
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psnet.ahrq.gov/issue/speaking-safety-its-not-simple
April 04, 2018 - Newspaper/Magazine Article
Speaking up for safety—it’s not simple.
Citation Text:
Speaking up for safety—it’s not simple. Liberatore K. PA-PSRS Patient Saf Advis. 2018;15(3).
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psnet.ahrq.gov/issue/medical-errors-and-medical-narcissism
August 03, 2005 - Book/Report
Medical Errors and Medical Narcissism.
Citation Text:
Medical Errors and Medical Narcissism. Banja JD. Sudbury MA: Jones and Bartlett, 2005. ISBN: 0763783617.
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effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/letter-of-appreciation-2022.pdf
January 01, 2022 - Letter of Appreciation 2022
Letter of Appreciation
We sincerely thank the 92 Peer Reviewers who completed reviews for the Agency for Healthcare
Research and Quality (AHRQ) Effective Health Care (EHC) Program in 2022. Peer reviewers
donate substantial time and effort to complete insightful and rigorous critiques of…
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psnet.ahrq.gov/issue/q-what-scares-doctors-being-patient
February 06, 2019 - Newspaper/Magazine Article
Q: What scares doctors? A: Being the patient.
Citation Text:
Q: What scares doctors? A: Being the patient. Gibbs N, Bower A. Time Magazine. April 23, 2006.
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digital.ahrq.gov/icd
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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digital.ahrq.gov/events/national-web-conference-using-health-it-chronic-disease-management
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/gantt-chart
January 01, 2023 - Gantt Chart
Also Known As
Activity Chart
Milestones Chart
Project Bar Chart
Description
A Gantt chart is used to outline the plan for and show the progress of a project. It has the format of a bar chart and depicts the various subdivided phases or tasks that must be completed for a pro…
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psnet.ahrq.gov/issue/national-training-survey-2013-concerns-about-patient-safety
July 15, 2015 - Book/Report
National Training Survey 2013: Concerns about Patient Safety.
Citation Text:
National Training Survey 2013: Concerns about Patient Safety. London, UK: General Medical Council; November 2013.
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psnet.ahrq.gov/issue/ismp-list-high-alert-medications-communityambulatory-healthcare
December 15, 2021 - Fact Sheet/FAQs
ISMP List of High-Alert Medications in Community/Ambulatory Healthcare.
Citation Text:
ISMP List of High-Alert Medications in Community/Ambulatory Healthcare. Horsham, PA: Institute for Safe Medication Practices; 2021.
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psnet.ahrq.gov/issue/solving-puzzle-improving-safety-outcomes
September 07, 2022 - Commentary
Solving the puzzle: improving safety outcomes.
Citation Text:
Solving the puzzle: improving safety outcomes. Whitehouse D. Br J Healthc Manage. 2013;19(9):446-448.
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psnet.ahrq.gov/issue/alarm-fatigue-hazards-sirens-are-calling
November 16, 2022 - Newspaper/Magazine Article
Alarm fatigue hazards: the sirens are calling.
Citation Text:
Alarm fatigue hazards: the sirens are calling. Welch J.
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psnet.ahrq.gov/issue/journal-quality-improvement-healthcare-second-edition
July 22, 2015 - Special or Theme Issue
Resident Projects for Improvement.
Citation Text:
Resident Projects for Improvement. Heilman J, ed. UNM CIR Journal of Quality Improvement in Healthcare. Albuquerque, NM: University of New Mexico; May 2013.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/event-tree-analysis
January 01, 2023 - Event Tree Analysis
Acronym
ETA
Description
An event tree analysis (ETA) examines the different paths that can be taken in a given scenario. Each step consists of a node and corresponding exit lines for each possible outcome at that step. The tool was originally developed for use in system rel…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/kepner-tregoe-matrix
January 01, 2023 - Kepner-Tregoe Matrix
Also Known As
Is-Is Not Matrix
Kepner and Tregoe Method
Description
A Kepner-Tregoe matrix is used to find causes of a problem. It isolates the who, what, when, where, and how aspects of an event, keeping the focus on the elements that have an impact on the event and…
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psnet.ahrq.gov/issue/engaging-patients-improving-ambulatory-care
January 17, 2024 - Book/Report
Engaging Patients in Improving Ambulatory Care.
Citation Text:
Engaging Patients in Improving Ambulatory Care. Aligning Forces for Quality. Princeton, NJ: Robert Wood Johnson Foundation; 2013.
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psnet.ahrq.gov/issue/genome-detectives-solve-hospitals-deadly-outbreak
August 22, 2012 - Newspaper/Magazine Article
Genome detectives solve a hospital's deadly outbreak.
Citation Text:
Genome detectives solve a hospital's deadly outbreak. Kolata G. New York Times. August 22, 2012.
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psnet.ahrq.gov/issue/national-diabetes-inpatient-audit-2017
January 27, 2016 - Book/Report
National Diabetes Inpatient Audit -- Harms.
Citation Text:
National Diabetes Inpatient Audit -- Harms. Leeds, UK: Health and Social Care Information Centre.
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