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psnet.ahrq.gov/node/60865/psn-pdf
August 31, 2020 - In Conversation With... Edwin Loftin, DNP, MBA, RN, NEA-
BC-FACHE
August 31, 2020
In Conversation With.. Edwin Loftin, DNP, MBA, RN, NEA-BC-FACHE. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/conversation-edwin-loftin-dnp-mba-rn-nea-bc-fache
Editor’s Note: Edwin Loftin, DNP, MBA, RN, NEA-BC-FACHE is …
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psnet.ahrq.gov/node/74691/psn-pdf
January 01, 2021 - U.S. Department of Veterans Affairs Medical Center,
Houston, TX, and Baylor College of Medicine Revised
Safer Diagnosis (Safer Dx) Instrument
January 26, 2022
https://psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor-
college-medicine
Summary
The Revised Safer Dx Instr…
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psnet.ahrq.gov/node/865411/psn-pdf
March 27, 2024 - Uterine Artery Injury during Cesarean Delivery Leads to
Cardiac Arrests and Emergency Hysterectomy
March 27, 2024
Lopez C, Tache V. Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and
Emergency Hysterectomy. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/uterine-artery-injury-during-…
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psnet.ahrq.gov/node/852700/psn-pdf
August 30, 2023 - In Conversation with... Patricia McGaffigan about Beyond
the Pandemic: Creating Total Systems Safety
August 30, 2023
McGaffigan P, Van CM, Mossburg S. In Conversation with.. Patricia McGaffigan about Beyond the
Pandemic: Creating Total Systems Safety . PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/con…
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psnet.ahrq.gov/node/33829/psn-pdf
March 01, 2017 - Our Maturing Understanding of Safety Culture: How to
Change It and How It Changes Safety
March 1, 2017
Singer SJ. Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety.
PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change…
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psnet.ahrq.gov/node/838645/psn-pdf
January 19, 2022 - LeDeR - Learning from Lives and Deaths.
January 19, 2022
Norah Frye Centre for Disability Studies; Bristol, England.
https://psnet.ahrq.gov/issue/leder-learning-lives-and-deaths
People with a Learning Disability and autistic people (LeDeR) is a National Health Service-sponsored
initiative that seeks to improve the…
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psnet.ahrq.gov/node/866869/psn-pdf
October 02, 2024 - Core Elements of Hospital Diagnostic Excellence (DxEx).
October 2, 2024
Core Elements of Hospital Diagnostic Excellence (DxEx). Centers for Disease Control and Prevention.
https://psnet.ahrq.gov/issue/core-elements-hospital-diagnostic-excellence-dxex
Diagnostic excellence is an expansion of the diagnostic error red…
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psnet.ahrq.gov/node/34977/psn-pdf
April 21, 2010 - Effectiveness of a computerized system for intravenous
heparin administration: using information technology to
improve patient care and patient safety.
April 21, 2010
Oyen LJ, Nishimura RA, Ou NN, et al. Effectiveness of a computerized system for intravenous heparin
administration: using information technology to …
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psnet.ahrq.gov/node/45849/psn-pdf
February 22, 2017 - Monitoring teamwork: a narrative review.
February 22, 2017
Rutherford JS. Monitoring teamwork: a narrative review. Anaesthesia. 2017;72 Suppl 1:84-94.
doi:10.1111/anae.13744.
https://psnet.ahrq.gov/issue/monitoring-teamwork-narrative-review
Anesthesiology was an early adopter of teamwork as a safety improvement st…
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psnet.ahrq.gov/node/46332/psn-pdf
September 24, 2017 - Sharing the process of diagnostic decision making.
September 24, 2017
Brush JE, Brophy JM. Sharing the Process of Diagnostic Decision Making. JAMA Intern Med.
2017;177(9):1245-1246. doi:10.1001/jamainternmed.2017.1929.
https://psnet.ahrq.gov/issue/sharing-process-diagnostic-decision-making
Improving diagnosis has …
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psnet.ahrq.gov/node/73383/psn-pdf
January 01, 2020 - Actionable Patient Safety Solutions (APSS): Creating a
Foundation for Safe and Reliable Care
January 1, 2020
Irvine, CA: The Patient Safety Movement; 2020.
https://psnet.ahrq.gov/issue/actionable-patient-safety-solutions-apss-creating-foundation-safe-and-reliable-
care
Patient safety success requires leadership, …
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psnet.ahrq.gov/node/43009/psn-pdf
January 07, 2015 - Improving the Emergency Department Discharge Process.
January 7, 2015
Boonyasai RT, Ijagbemi OM, Pham JC, et al. Rockville, MD: Agency for Healthcare Research and Quality;
December 2014. AHRQ Publication No. 14(15)-0067-EF.
https://psnet.ahrq.gov/issue/improving-emergency-department-discharge-process
This report a…
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psnet.ahrq.gov/node/33944/psn-pdf
January 29, 2018 - National Patient Safety Foundation.
January 29, 2018
National Patient Safety Foundation.
https://psnet.ahrq.gov/issue/national-patient-safety-foundation
Founded in 1997, the National Patient Safety Foundation supported a variety of initiatives, engaging
multidisciplinary action toward improvement in patient safety…
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psnet.ahrq.gov/node/836832/psn-pdf
March 30, 2022 - Improving Education—A Key to Better Diagnostic
Outcomes.
March 30, 2022
Olson APJ, Danielson J, Stanley J, et al. Rockville, MD: Agency for Healthcare Research and Quality;
March 2022. AHRQ Publication No. 22-0026-1-EF
https://psnet.ahrq.gov/issue/improving-education-key-better-diagnostic-outcomes
Diagnostic skil…
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psnet.ahrq.gov/node/50716/psn-pdf
December 04, 2019 - Organisation for Economic Co-operation and
Development: Health at a Glance 2019.
December 4, 2019
Paris, France: OECD Publishing: 2019.
https://psnet.ahrq.gov/issue/organisation-economic-co-operation-and-development-health-glance-2019
This report documents the overall state of health care, based on an internationa…
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psnet.ahrq.gov/node/854263/psn-pdf
November 03, 2023 - Diagnostic Safety and Quality Webinar Series: Overview
and Implications for Hospitals.
November 3, 2023
Washington DC: The Leapfrog Group; 2023.
https://psnet.ahrq.gov/issue/diagnostic-safety-and-quality-webinar-series-overview-and-implications-
hospitals
Diagnostic errors in hospitals are the focus on continued …
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psnet.ahrq.gov/node/44966/psn-pdf
March 16, 2016 - Confidential Physician Feedback Reports: Designing for
Optimal Impact on Performance.
March 16, 2016
McNamara P, Shaller D, De La Mare J, Ivers N. Rockville, MD: Agency for Healthcare Research and
Quality; March 2016. AHRQ Publication No. 16-0017-EF.
https://psnet.ahrq.gov/issue/confidential-physician-feedback-rep…
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psnet.ahrq.gov/issue/pressing-better-quality-across-healthcare
July 14, 2010 - Newspaper/Magazine Article
Pressing for better quality across healthcare.
Citation Text:
Pressing for better quality across healthcare. Levey NN.
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psnet.ahrq.gov/node/45527/psn-pdf
January 23, 2017 - Do work condition interventions affect quality and errors
in primary care? Results from the Healthy Work Place
Study.
January 23, 2017
Linzer M, Poplau S, Brown RL, et al. Do Work Condition Interventions Affect Quality and Errors in Primary
Care? Results from the Healthy Work Place Study. J Gen Intern Med. 2017;32…
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psnet.ahrq.gov/node/46405/psn-pdf
October 13, 2018 - Children's hospitals' solutions for patient safety
collaborative impact on hospital-acquired harm.
October 13, 2018
Lyren A, Brilli RJ, Zieker K, et al. Children's Hospitals' Solutions for Patient Safety Collaborative Impact on
Hospital-Acquired Harm. Pediatrics. 2017;140(3). doi:10.1542/peds.2016-3494.
https://ps…