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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/making-hospitals-safe-people-diabetes
November 14, 2018 - Book/Report
Making Hospitals Safe for People With Diabetes.
Citation Text:
Making Hospitals Safe for People With Diabetes. Watts E, Rayman G. Diabetes UK. London, UK; 2018.
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digital.ahrq.gov/ahrq-funded-projects/patient-safety-metadata
January 01, 2023 - Patient Safety Metadata
Project Description
Annual Summaries
Publications
Project Details -
Completed
Contract Number
290-08-10005
Funding Mechanism(s)
United States Health Information Knowledgebase: A Metadata Registry
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psnet.ahrq.gov/issue/preventing-wrong-site-surgery-minnesota-5-year-journey
December 19, 2007 - Newspaper/Magazine Article
Preventing wrong-site surgery in Minnesota: a 5-year journey.
Citation Text:
Preventing wrong-site surgery in Minnesota: a 5-year journey. Rydrych D, Apold J, Harder K. Patient Saf Qual Healthc. November/December 2012;9:24-27,30-32,34.
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psnet.ahrq.gov/issue/five-simple-steps-avoid-becoming-medical-mystery
December 20, 2017 - Newspaper/Magazine Article
Five simple steps to avoid becoming a medical mystery.
Citation Text:
Five simple steps to avoid becoming a medical mystery. Boodman SG. Washington Post. December 4, 2016.
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psnet.ahrq.gov/issue/cognitive-autopsy-root-cause-analysis-medical-decision-making
December 18, 2019 - Book/Report
The Cognitive Autopsy: A Root Cause Analysis of Medical Decision Making.
Citation Text:
The Cognitive Autopsy: A Root Cause Analysis of Medical Decision Making. Croskerry P. New York, NY: Oxford University Press; 2020. ISBN: 9780190088743.
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psnet.ahrq.gov/issue/manchester-patient-safety-framework-mapsaf
October 27, 2021 - Toolkit
Manchester Patient Safety Framework (MaPSaF).
Citation Text:
Manchester Patient Safety Framework (MaPSaF). Manchester, UK: University of Manchester; 2006.
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psnet.ahrq.gov/issue/explicit-and-standardized-prescription-medicine-instructions
May 01, 2015 - Fact Sheet/FAQs
Explicit and Standardized Prescription Medicine Instructions.
Citation Text:
Explicit and Standardized Prescription Medicine Instructions. Rockville, MD: Agency for Healthcare Research and Quality; December 2014.
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psnet.ahrq.gov/issue/capturing-more-emergency-department-errors-anonymous-web-based-reporting-system
July 22, 2019 - Commentary
Capturing more emergency department errors via an anonymous web-based reporting system.
Citation Text:
Capturing more emergency department errors via an anonymous web-based reporting system. Khare RK; Uren B; Wears RL.
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psnet.ahrq.gov/issue/not-just-depression-she-seemed-trapped-downward-mental-health-spiral-real-cause-was-profound
March 03, 2021 - Newspaper/Magazine Article
Not ‘just depression.’ She seemed trapped in a downward mental health spiral. The real cause was a profound shock.
Citation Text:
Not ‘just depression.’ She seemed trapped in a downward mental health spiral. The real cause was a profound shock. Boodman SG. Wash…
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psnet.ahrq.gov/issue/health-information-technology-and-patient-safety-dynamic-discussion
November 07, 2012 - Book/Report
Health Information Technology and Patient Safety: A Dynamic Discussion.
Citation Text:
Health Information Technology and Patient Safety: A Dynamic Discussion. Boston, MA: Lucian Leape Institute at the National Patient Safety Foundation; May 2011.
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psnet.ahrq.gov/issue/safer-hospital-care-strategies-continuous-innovation
October 05, 2022 - Book/Report
Safer Hospital Care: Strategies for Continuous Innovation, Second Edition.
Citation Text:
Safer Hospital Care: Strategies for Continuous Innovation, Second Edition. Raheja D. New York, NY: Productivity Press; 2019. ISBN: 9780367178482
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psnet.ahrq.gov/issue/make-hospitals-less-deadly-dose-data
August 13, 2014 - Newspaper/Magazine Article
To make hospitals less deadly, a dose of data.
Citation Text:
To make hospitals less deadly, a dose of data. Rosenberg T.
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psnet.ahrq.gov/issue/inside-canadas-secret-world-medical-error-there-lot-lying-theres-lot-cover
September 23, 2009 - Newspaper/Magazine Article
Inside Canada's secret world of medical error: 'There is a lot of lying, there's a lot of cover-up.'
Citation Text:
Inside Canada's secret world of medical error: 'There is a lot of lying, there's a lot of cover-up.' Blackwell T.
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psnet.ahrq.gov/issue/care-transitions-know-how-not-just-clinicians
May 09, 2018 - Newspaper/Magazine Article
Care transitions know-how not just for clinicians.
Citation Text:
Care transitions know-how not just for clinicians. Ready T. HealthLeaders Media. September 26, 2017.
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psnet.ahrq.gov/issue/medication-safety-technologies-what-and-not-working
January 02, 2017 - Newspaper/Magazine Article
Medication safety technologies: what is and is not working.
Citation Text:
Medication safety technologies: what is and is not working. Bates DW, Wachter RM, Vanderveen T. Patient Saf Qual Healthc. July/August 2009;6:22-27.
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psnet.ahrq.gov/issue/double-key-bounce-and-double-keying-errors
February 01, 2023 - Newspaper/Magazine Article
Double key bounce and double keying errors.
Citation Text:
Double key bounce and double keying errors. ISMP Medication Safety Alert! Acute care edition. January 12, 2006.
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digital.ahrq.gov/sites/default/files/docs/survey/health-information-technology-value-project-chief-information-officer-interview-guide.pdf
June 16, 2021 - Health Information Technology Value Project: Chief Information Officer Interview Guide
Health Information Technology Value Project: Chief Information Officer
Interview Guide
University of Iowa, Iowa City IA
This is a questionnaire designed to be completed by clinical staff in an ambulatory setting. The
tool …
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/process
January 01, 2023 - Process Improvement
Lean
Description
Lean is a systematic method for streamlining a process by identifying and eliminating unnecessary elements of a process that do not contribute value to the desired outcome or the product being created (also known as waste). The seven types …
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/project
January 01, 2023 - Project Planning and Management
Allocation of Function Analysis
Description
An allocation of function analysis is used during design to determine how to allocate jobs, tasks, functions, and responsibilities for the system under analysis. During the analysis, each task must be …