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  1. Improving patient safety by taking systems seriously. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-taking-systems-seriously
    April 17, 2013 - Commentary Improving patient safety by taking systems seriously. Citation Text: Shortell SM, Singer SJ. Improving patient safety by taking systems seriously. JAMA. 2008;299(4):445-447. doi:10.1001/jama.299.4.445. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndN…

  2. Cybersecurity is Patient Safety: Policy Options in the Health Care Sector. | PSNet

    psnet.ahrq.gov/issue/cybersecurity-patient-safety-policy-options-health-care-sector
    December 16, 2020 - Book/Report Cybersecurity is Patient Safety: Policy Options in the Health Care Sector. Citation Text: Cybersecurity is Patient Safety: Policy Options in the Health Care Sector. Washington DC; Office of Senator Mark Warner: November 25, 2022. Copy Citation Save S…

  3. Communication factors in the follow-up of abnormal mammograms. | PSNet

    psnet.ahrq.gov/issue/communication-factors-follow-abnormal-mammograms
    March 02, 2011 - Study Communication factors in the follow-up of abnormal mammograms. Citation Text: Poon EG, Haas JS, Puopolo AL, et al. Communication factors in the follow-up of abnormal mammograms. J Gen Intern Care. 2004;19(4):316-323. doi:10.1111/j.1525-1497.2004.30357.x. Copy Citation Forma…

  4. Pump up the volume: how to prioritize events and analyze error data. | PSNet

    psnet.ahrq.gov/issue/pump-volume-how-prioritize-events-and-analyze-error-data
    March 14, 2023 - Newspaper/Magazine Article Pump up the volume: how to prioritize events and analyze error data. Citation Text: Pump up the volume: how to prioritize events and analyze error data. ISMP Medication Safety Alert! Acute care edition. February 9, 2023;28(3):1-4. Copy Citation …

  5. Disclosing medical errors: views from the United States and the United Kingdom. | PSNet

    psnet.ahrq.gov/issue/disclosing-medical-errors-views-united-states-and-united-kingdom
    September 23, 2020 - Commentary Disclosing medical errors: views from the United States and the United Kingdom. Citation Text: Thornton JA, Harrison MJ. Letter: Duration of action of AH8165. Br J Anaesth. 1975;47(9):1033. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote…

  6. Statistical Process Control | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/statistical-process-control
    January 01, 2023 - Statistical Process Control Acronym SPC Also Known As Control Chart Run Chart Examples Taveras M. Increasing charge capture using scheduling techniques for a hospital-based ancillary service. 17th Annual Society for Health Systems Management Engineering Forum; 2005; Dallas, TX;…

  7. Parents' perceptions of medical errors. | PSNet

    psnet.ahrq.gov/issue/parents-perceptions-medical-errors
    April 27, 2010 - Study Parents' perceptions of medical errors. Citation Text: Mazor KM, Goff SL, Dodd KS, et al. Parents' Perceptions of Medical Errors. J Patient Saf. 2010;6(2). doi:10.1097/pts.0b013e3181ddfcd0. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML …

  8. Saving without compromising: teaching trainees to safely provide high value care. | PSNet

    psnet.ahrq.gov/issue/saving-without-compromising-teaching-trainees-safely-provide-high-value-care
    August 02, 2015 - Commentary Saving without compromising: teaching trainees to safely provide high value care. Citation Text: Judson TJ, Press MJ, Detsky AS. Saving without compromising: Teaching trainees to safely provide high value care. Healthc (Amst). 2019;7(1):4-6. doi:10.1016/j.hjdsi.2018.05.003. …

  9. SNOMED CT | Digital Healthcare Research

    digital.ahrq.gov/snomed-ct
    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…

  10. Error traps in acute pain management in children. | PSNet

    psnet.ahrq.gov/issue/error-traps-acute-pain-management-children
    August 24, 2022 - Commentary Error traps in acute pain management in children. Citation Text: Vecchione TM, Agarwal R, Monitto CL. Error traps in acute pain management in children. Paediatr Anaesth. 2022;32(9):982-992. doi:10.1111/pan.14514. Copy Citation Format: DOI Google Scholar BibTeX En…

  11. Patient safety, systems design and ergonomics. | PSNet

    psnet.ahrq.gov/issue/patient-safety-systems-design-and-ergonomics
    February 03, 2021 - Study Patient safety, systems design and ergonomics. Citation Text: Buckle P, Clarkson PJ, Coleman R, et al. Patient safety, systems design and ergonomics. Appl Ergon. 2006;37(4):491-500. doi:10.1016/j.apergo.2006.04.016. Copy Citation Format: DOI Google Scholar BibTeX E…

  12. Functional Assessment Screening Patient Reported Information: FAST-PRI - 2012 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/functional-assessment-screening-patient-reported-information-fast-pri/annual-summary/2012
    January 01, 2012 - Functional Assessment Screening Patient Reported Information: FAST-PRI - 2012 Project Name Functional Assessment Screening Patient Reported Information: FAST-PRI Principal Investigator Hess, Rachel Organization University of Pittsburgh Funding Mechanism PAR: HS08-27…

  13. Reducing Hospital Length of Stay Supplemental Info (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/topic-nom-length-stay-supplement.pdf
    June 27, 2019 - Reducing Hospital Length of Stay Supplemental Info Reducing Hospital Length of Stay: Topic Nomination from the LHS Panel Project June 27, 2019 1. What is the decision or change (e.g. clinical topic, practice guideline, system design, delivery of care) you are facing or struggling with where a summary of the evid…

  14. Patient safety at the crossroads. | PSNet

    psnet.ahrq.gov/issue/patient-safety-crossroads
    March 18, 2019 - Commentary Patient safety at the crossroads. Citation Text: Gandhi TK, Berwick DM, Shojania KG. Patient Safety at the Crossroads. JAMA. 2016;315(17):1829-30. doi:10.1001/jama.2016.1759. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endn…

  15. Effective Health Care (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0012_03-21-2008.pdf
    January 01, 2008 - Effective Health Care Topic Number(s): 0064 Document Completion Date: 11-18-09 1 Results of Topic Selection Process & Next Steps  Subclinical hypothyroidism will go forward for refinement as a comparative effectiveness or effectiveness review. Although the topic was initially thought to be cove…

  16. Stepping out further from the shadows: disclosure of harmful radiologic errors to patients. | PSNet

    psnet.ahrq.gov/issue/stepping-out-further-shadows-disclosure-harmful-radiologic-errors-patients
    April 21, 2011 - Commentary Stepping out further from the shadows: disclosure of harmful radiologic errors to patients. Citation Text: Brown SD, Lehman CD, Truog RD, et al. Stepping Out Further from the Shadows: Disclosure of Harmful Radiologic Errors to Patients. Radiology. 2012;262(2):381-386. doi:10…

  17. Miro's dots and lines. | PSNet

    psnet.ahrq.gov/issue/miros-dots-and-lines
    September 21, 2016 - Commentary Miro's dots and lines. Citation Text: Taran S, Detsky AS. Miro’s Dots and Lines. JAMA Intern Med. 2019;179(8):1019–1020. doi:10.1001/jamainternmed.2019.1922. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  18. Confronting a colleague who covers up a medical error. | PSNet

    psnet.ahrq.gov/issue/confronting-colleague-who-covers-medical-error
    September 16, 2020 - Commentary Confronting a colleague who covers up a medical error. Citation Text: Brody H. Confronting a colleague who covers up a medical error. Am Fam Physician. 2006;73(7):1272, 1274. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnot…

  19. Detecting drug interactions using personal digital assistants in an out-patient clinic. | PSNet

    psnet.ahrq.gov/issue/detecting-drug-interactions-using-personal-digital-assistants-out-patient-clinic
    March 28, 2011 - Study Detecting drug interactions using personal digital assistants in an out-patient clinic. Citation Text: Dallenbach F, Bovier PA, Desmeules J. Detecting drug interactions using personal digital assistants in an out-patient clinic. QJM. 2007;100(11):691-7. Copy Citation Format…

  20. Digital Clinical Safety Strategy | PSNet

    psnet.ahrq.gov/issue/digital-clinical-safety-strategy
    March 01, 2023 - Book/Report Digital Clinical Safety Strategy Citation Text: Digital Clinical Safety Strategy NHSX, NHS Digital, NHS England, et al. London, England: Crown Copyright; September 2021. Copy Citation Save Save to your library Print Download PDF Sha…
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