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psnet.ahrq.gov/issue/health-care-industry-needs-be-more-honest-about-medical-errors
February 06, 2019 - Newspaper/Magazine Article
The health care industry needs to be more honest about medical errors.
Citation Text:
The health care industry needs to be more honest about medical errors. Sutcliffe K. Time Magazine. November 5, 2019.
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psnet.ahrq.gov/issue/indiana-medical-error-reporting-system-final-report-2015
July 15, 2009 - Multi-use Website
Indiana Medical Error Reporting System.
Citation Text:
Indiana Medical Error Reporting System. Indianapolis, IN: Indiana State Department of Health.
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psnet.ahrq.gov/issue/cleveland-clinic-health-system-comprehensive-framework-health-system-patient-safety
January 04, 2017 - Commentary
Cleveland Clinic Health System: a comprehensive framework for a health system patient safety initiative.
Citation Text:
Cleveland Clinic Health System: a comprehensive framework for a health system patient safety initiative. Nadzam DM; Atkins PM; Waggoner DM; Shonk R.
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psnet.ahrq.gov/issue/how-psos-help-health-care-organizations-improve-patient-safety-culture
May 25, 2016 - Book/Report
How PSOs Help Health Care Organizations Improve Patient Safety Culture.
Citation Text:
How PSOs Help Health Care Organizations Improve Patient Safety Culture. Rockville, MD: Agency for Healthcare Research and Quality; April 2016. AHRQ Pub. No. 16-0026-EF.
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psnet.ahrq.gov/issue/addressing-opioid-crisis-united-states
November 18, 2011 - Book/Report
Addressing the Opioid Crisis in the United States.
Citation Text:
Addressing the Opioid Crisis in the United States. Martin L, Laderman M, Hyatt J, Krueger J. Cambridge, MA: Institute for Healthcare Improvement; April 2016.
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psnet.ahrq.gov/issue/understanding-role-facility-design-acquisition-and-prevention-healthcare-associated
March 28, 2018 - Special or Theme Issue
Understanding the Role of Facility Design in the Acquisition and Prevention of Healthcare-Associated Infections.
Citation Text:
Understanding the Role of Facility Design in the Acquisition and Prevention of Healthcare-Associated Infections. Hamilton DK, Stichle…
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psnet.ahrq.gov/issue/national-patient-safety-alerting-system
April 15, 2020 - Government Resource
National Patient Safety Alerting System.
Citation Text:
National Patient Safety Alerting System. National Health Service England
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psnet.ahrq.gov/issue/infection-control-intensive-care-unit
May 27, 2011 - Special or Theme Issue
Infection Control in the Intensive Care Unit.
Citation Text:
Infection Control in the Intensive Care Unit. Crit Care Med. 2010;38:S265-S404.
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psnet.ahrq.gov/issue/ahrq-safety-program-mrsa-prevention
December 24, 2008 - Multi-use Website
AHRQ Safety Program for MRSA Prevention.
Citation Text:
AHRQ Safety Program for MRSA Prevention. Rockville, MD: Agency for Healthcare Research and Quality. April 2022 – October 2023.
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psnet.ahrq.gov/issue/leading-high-reliability-organizations-healthcare
May 06, 2015 - Book/Report
Leading High-Reliability Organizations in Healthcare.
Citation Text:
Leading High-Reliability Organizations in Healthcare. Morrow R. Boca Raton, FL: Productivity Press; 2016. ISBN: 9781466594883.
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psnet.ahrq.gov/issue/opening-door-change-nhs-safety-culture-and-need-transformation
February 08, 2017 - Book/Report
Opening the Door to Change. NHS Safety Culture and the Need for Transformation.
Citation Text:
Opening the Door to Change. NHS Safety Culture and the Need for Transformation. Newcastle upon Tyne, UK: Care Quality Commission; December 2018.
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psnet.ahrq.gov/issue/framework-effective-board-governance-health-system-quality
January 20, 2016 - Book/Report
Framework for Effective Board Governance of Health System Quality.
Citation Text:
Framework for Effective Board Governance of Health System Quality. Daley Ullem E, Gandhi TK, Mate K, et al. IHI White Paper. Boston, MA: Institute for Healthcare Improvement; 2018.
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psnet.ahrq.gov/issue/moving-measurement-action-global-principles-measuring-patient-safety
January 09, 2019 - Book/Report
Moving Measurement into Action: Global Principles for Measuring Patient Safety.
Citation Text:
Moving Measurement into Action: Global Principles for Measuring Patient Safety. IHI Lucian Leape Institute. Boston, MA: Institute for Healthcare Improvement, Salzburg Global Seminar…
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psnet.ahrq.gov/issue/adverse-drug-event-detection-pediatric-oncology-and-hematology-patients-using-medication
November 16, 2022 - Study
Adverse drug event detection in pediatric oncology and hematology patients: using medication triggers to identify patient harm in a specialized pediatric patient population.
Citation Text:
Call RJ, Burlison JD, Robertson JJ, et al. Adverse drug event detection in pediatric oncology…
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psnet.ahrq.gov/issue/understanding-preventable-deaths-geriatric-trauma-population-analysis-3452339-patients-center
February 16, 2022 - Study
Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients from the Center of Medicare and Medicaid Services Database.
Citation Text:
Ang D, Nieto K, Sutherland M, et al. Understanding preventable deaths in the geriatric trauma population: a…
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psnet.ahrq.gov/issue/ohio-maternal-safety-quality-improvement-project-initial-results-statewide-perinatal
September 23, 2020 - Study
The Ohio Maternal Safety Quality Improvement Project: initial results of a statewide perinatal hypertension quality improvement initiative implemented during the COVID-19 pandemic.
Citation Text:
Schneider P, Lorenz A, Menegay MC, et al. The Ohio Maternal Safety Quality Improvemen…
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psnet.ahrq.gov/issue/situ-simulation-essential-tool-safe-preparedness-covid-19-pandemic
June 02, 2021 - Study
In situ simulation: an essential tool for safe preparedness for the COVID-19 pandemic.
Citation Text:
Sharara-Chami R, Sabouneh R, Zeineddine R, et al. In situ simulation: an essential tool for safe preparedness for the COVID-19 pandemic. Simul Healthc. 2020;15(5):303-309. doi:10.1…
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psnet.ahrq.gov/issue/covid-19-pandemic-preparation-using-simulation-systems-based-learning-prepare-largest
August 19, 2020 - Commentary
Emerging Classic
COVID-19 pandemic preparation: using simulation for systems-based learning to prepare the largest healthcare workforce and system in Canada.
Citation Text:
Dubé MM, Kaba A, Cronin T, et al. COVID-19 pandemic preparation: using simulat…
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psnet.ahrq.gov/issue/scoping-review-real-time-automated-clinical-deterioration-alerts-and-evidence-impacts
February 16, 2022 - Review
A scoping review of real-time automated clinical deterioration alerts and evidence of impacts on hospitalised patient outcomes.
Citation Text:
Blythe R, Parsons R, White NM, et al. A scoping review of real-time automated clinical deterioration alerts and evidence of impacts on hos…
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psnet.ahrq.gov/issue/predictors-response-rates-safety-culture-questionnaires-healthcare-systematic-review-and
September 01, 2021 - Review
Predictors of response rates of safety culture questionnaires in healthcare: a systematic review and analysis.
Citation Text:
Ellis LA, Pomare C, Churruca K, et al. Predictors of response rates of safety culture questionnaires in healthcare: a systematic review and analysis. BMJ …