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psnet.ahrq.gov/node/38954/psn-pdf
September 16, 2009 - For all the right reasons.
September 16, 2009
Hagland M.
https://psnet.ahrq.gov/issue/all-right-reasons
This article discusses approaching computerized provider order entry (CPOE) implementation from a
patient safety perspective and shares success stories from numerous US hospitals.
https://psnet.ahrq.gov/issue/a…
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psnet.ahrq.gov/node/35566/psn-pdf
December 14, 2005 - Hospitals try to break a deadly 'code.'
December 14, 2005
Kowalczyk L.
https://psnet.ahrq.gov/issue/hospitals-try-break-deadly-code
This article reports on the implementation of rapid response teams in Boston hospitals and the potential for
reducing patient mortality.
https://psnet.ahrq.gov/issue/hospitals-try-br…
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psnet.ahrq.gov/node/36170/psn-pdf
December 30, 2012 - Standardizing safety.
December 30, 2012
Meyers S. Standardizing safety. Trustee. 2006;59(7):12-4, 21, 1.
https://psnet.ahrq.gov/issue/standardizing-safety
The author describes how several hospitals implemented crew resource management programs to improve
communication.
https://psnet.ahrq.gov/issue/standardizing-s…
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psnet.ahrq.gov/node/36887/psn-pdf
May 16, 2007 - Hospitals tie CEO bonuses to safety.
May 16, 2007
Rowland C.
https://psnet.ahrq.gov/issue/hospitals-tie-ceo-bonuses-safety
This article reports on Massachusetts hospitals that are basing hospital executive bonuses on the extent to
which their hospitals implement and comply with safety measures.
https://psnet.ahrq…
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psnet.ahrq.gov/print/pdf/node/854855
January 01, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Patient as a Team Member in Clinical Care
Curated Library
Foundations
Patient Engagement for Patient Safety: The Why, What, and How of Patient Engagement for Improving
Patient Safety.
Kendir C, Fujisawa R, Brito Fernandes O, et al. Paris, F…
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psnet.ahrq.gov/perspective/conversation-david-urbach-md-msc
June 12, 2019 - In Conversation With… David Urbach, MD, MSc
April 1, 2015
Citation Text:
In Conversation With… David Urbach, MD, MSc. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/node/42044/psn-pdf
February 13, 2013 - Patient Safety.
February 13, 2013
Minnesota Hospital Association; MHA.
https://psnet.ahrq.gov/issue/patient-safety-10
This Web site provides access to materials for patient safety improvement efforts in Minnesota, including
initiatives to reduce adverse drug events and hospital collaboratives to implement best pra…
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psnet.ahrq.gov/node/39346/psn-pdf
March 10, 2010 - How-to Guide: Multidisciplinary Rounds.
March 10, 2010
Cambridge, MA: Institute for Healthcare Improvement; February 2010.
https://psnet.ahrq.gov/issue/how-guide-multidisciplinary-rounds
This manual offers practical advice on how to plan for and implement care team rounds that involve a
variety of health care prov…
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psnet.ahrq.gov/issue/spectrum-medical-errors-when-patients-sue
October 28, 2020 - Review
The spectrum of medical errors: when patients sue.
Citation Text:
Grant-Kels J, Kels B. The spectrum of medical errors: when patients sue. Int J Gen Med. 2012. doi:10.2147/ijgm.s24257.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…
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psnet.ahrq.gov/issue/economics-patient-safety-part-iii-long-term-care-valuing-safety-long-haul
September 28, 2022 - Book/Report
The Economics of Patient Safety Part III: Long-term Care: Valuing Safety for the Long Haul.
Citation Text:
The Economics of Patient Safety Part III: Long-term Care: Valuing Safety for the Long Haul. de Bienassis K, Llena-Nozal A, Klazinga N for the Organisation for Econo…
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psnet.ahrq.gov/issue/perinatal-high-reliability
September 29, 2010 - Review
Perinatal high reliability.
Citation Text:
Knox E, Simpson KR. Perinatal high reliability. Am J Obstet Gynecol. 2011;204(5):373-377. doi:10.1016/j.ajog.2010.10.900.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…
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psnet.ahrq.gov/issue/blind-obedience-and-unnecessary-workup-hypoglycemia-teachable-moment
March 14, 2022 - Commentary
Blind obedience and an unnecessary workup for hypoglycemia: a teachable moment.
Citation Text:
Wang EY, Patrick L, Connor DM. Blind Obedience and an Unnecessary Workup for Hypoglycemia: A Teachable Moment. JAMA Intern Med. 2018;178(2):279-280. doi:10.1001/jamainternmed.2017.71…
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psnet.ahrq.gov/issue/hidden-danger-obvious-opportunity-error-and-risk-management-cancer
June 07, 2018 - Commentary
Hidden danger, obvious opportunity: error and risk in the management of cancer.
Citation Text:
Munro AJ. Hidden danger, obvious opportunity: error and risk in the management of cancer. Br J Radiol. 2007;80(960):955-66.
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Format:
Google Scholar PubMe…
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psnet.ahrq.gov/issue/concept-analysis-systems-thinking
August 20, 2018 - Review
A concept analysis of systems thinking.
Citation Text:
Stalter AM, Phillips JM, Ruggiero JS, et al. A Concept Analysis of Systems Thinking. Nurs Forum. 2017;52(4):323-330. doi:10.1111/nuf.12196.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML En…
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psnet.ahrq.gov/issue/pridx-framework-engage-payers-reducing-diagnostic-errors-healthcare
January 22, 2025 - Commentary
The PRIDx framework to engage payers in reducing diagnostic errors in healthcare.
Citation Text:
Ali KJ, Goeschel CA, DeLia DM, et al. The PRIDx framework to engage payers in reducing diagnostic errors in healthcare. Diagnosis (Berl). 2024;11(1):17-24. doi:10.1515/dx-2023-0042…
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psnet.ahrq.gov/issue/cognitive-health-system
September 04, 2024 - Commentary
The cognitive health system.
Citation Text:
Coiera E. The cognitive health system. Lancet. 2020;395(10222):463-466. doi:10.1016/s0140-6736(19)32987-3.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/ai-ecosystem-ensuring-generative-ai-safe-and-effective
January 16, 2019 - Commentary
AI as an ecosystem — ensuring generative AI is safe and effective.
Citation Text:
Coiera E, Fraile-Navarro D. AI as an ecosystem — ensuring generative AI is safe and effective. NEJM AI. 2024;1(9):AIp2400611. doi:10.1056/aip2400611.
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DOI Googl…
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psnet.ahrq.gov/issue/diagnostic-centers-excellence-partnerships-improve-diagnostic-safety-and-quality-r18
March 08, 2023 - Grant Announcement
Diagnostic Centers of Excellence: Partnerships to Improve Diagnostic Safety and Quality (R18).
Citation Text:
Diagnostic Centers of Excellence: Partnerships to Improve Diagnostic Safety and Quality (R18). Rockville, MD: Agency for Healthcare Research and Quality; April…
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psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients-tackling-three-tough-cases
December 19, 2018 - Commentary
Disclosing harmful medical errors to patients: tackling three tough cases.
Citation Text:
Gallagher TH, Bell SK, Smith KM, et al. Disclosing harmful medical errors to patients: tackling three tough cases. Chest. 2009;136(3):897-903. doi:10.1378/chest.09-0030.
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psnet.ahrq.gov/issue/using-medical-malpractice-closed-claims-data-reduce-surgical-risk-and-improve-patient-safety
December 01, 2010 - Commentary
Using medical malpractice closed claims data to reduce surgical risk and improve patient safety.
Citation Text:
Manuel BM, Greenwald LM. Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. Bull Am Coll Surg. 2007;92(3):27-30.
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