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psnet.ahrq.gov/issue/between-flags-implementing-rapid-response-system-scale
June 08, 2011 - Commentary
'Between the flags': implementing a rapid response system at scale.
Citation Text:
Hughes C, Pain C, Braithwaite J, et al. 'Between the flags': implementing a rapid response system at scale. BMJ Qual Saf. 2014;23(9):714-7. doi:10.1136/bmjqs-2014-002845.
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psnet.ahrq.gov/issue/attitudes-toward-large-scale-implementation-incident-reporting-system
March 23, 2011 - Study
Attitudes toward the large-scale implementation of an incident reporting system.
Citation Text:
Braithwaite J, Westbrook MT, Travaglia J. Attitudes toward the large-scale implementation of an incident reporting system. Int J Qual Health Care. 2008;20(3):184-91. doi:10.1093/intqhc…
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psnet.ahrq.gov/issue/pediatric-medication-safety-emergency-department
October 19, 2022 - Commentary
Pediatric medication safety in the emergency department.
Citation Text:
Cadwell SM. Pediatric medication safety in the emergency department. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 2008;34(4):375-7. doi:10.1016…
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psnet.ahrq.gov/issue/diagnostic-errors-interpretation-pediatric-musculoskeletal-radiographs-common-injury-sites
August 02, 2015 - Study
Diagnostic errors in interpretation of pediatric musculoskeletal radiographs at common injury sites.
Citation Text:
Bisset GS, Crowe J. Diagnostic errors in interpretation of pediatric musculoskeletal radiographs at common injury sites. Pediatr Radiol. 2014;44(5):552-7. doi:10.1007…
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psnet.ahrq.gov/issue/bringing-equity-lens-patient-safety-event-reporting
September 21, 2009 - Commentary
Bringing the equity lens to patient safety event reporting.
Citation Text:
Gandhi TK, Schulson LB, Thomas AD. Bringing the equity lens to patient safety event reporting. Jt Comm J Qual Patient Saf. 2024;50(1):87-89. doi:10.1016/j.jcjq.2023.09.003.
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psnet.ahrq.gov/issue/partnering-patients-and-families-design-patient-and-family-centered-health-care-system
November 29, 2017 - Meeting/Conference Proceedings
Classic
Partnering with Patients and Families to Design a Patient- and Family-Centered Health Care System: Recommendations and Promising Practices.
Citation Text:
Partnering with Patients and Families to Design a Patient- and Famil…
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psnet.ahrq.gov/issue/paediatric-international-patient-safety-and-quality-community
September 30, 2015 - Multi-use Website
Paediatric International Patient Safety and Quality Community.
Citation Text:
Paediatric International Patient Safety and Quality Community. Paediatric International Patient Safety and Quality Community. 525 University Ave, Suite 630, Toronto, Ontario M5G 2L3, Canada.
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psnet.ahrq.gov/issue/utilizing-systems-and-design-thinking-approach-improving-well-being-within-health
March 10, 2021 - Book/Report
Utilizing a Systems and Design Thinking Approach for Improving Well-Being Within Health Professional Education and Health Care.
Citation Text:
Utilizing a Systems and Design Thinking Approach for Improving Well-Being Within Health Professional Education and Health Care. Kreit…
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psnet.ahrq.gov/issue/yours-learning-organization
March 18, 2019 - Newspaper/Magazine Article
Is yours a learning organization?
Citation Text:
Garvin DA, Edmondson A, Gino F. Is yours a learning organization? Harv Bus Rev. 2008;86(3):109-16, 134.
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psnet.ahrq.gov/issue/checklists-reduce-diagnostic-errors
September 18, 2024 - Commentary
Checklists to reduce diagnostic errors.
Citation Text:
Ely JW, Graber ML, Croskerry P. Checklists to reduce diagnostic errors. Acad Med. 2011;86(3):307-313. doi:10.1097/ACM.0b013e31820824cd.
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psnet.ahrq.gov/issue/promoting-patient-safety-results-teamstepps-initiative
October 17, 2012 - Commentary
Promoting patient safety: results of a TeamSTEPPS initiative.
Citation Text:
Gaston T, Short N, Ralyea C, et al. Promoting patient safety: results of a TeamSTEPPS initiative. J Nurs Adm. 2016;46(4):201-207. doi:10.1097/nna.0000000000000333.
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psnet.ahrq.gov/issue/clinical-transformation-ascension-health-eliminating-all-preventable-injuries-and-deaths
January 05, 2017 - Commentary
The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths.
Citation Text:
Pryor DB, Tolchin SF, Hendrich A, et al. The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. Jt Comm J Qual Patient Sa…
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psnet.ahrq.gov/issue/case-simulation-part-comprehensive-patient-safety-program
September 02, 2015 - Review
The case for simulation as part of a comprehensive patient safety program.
Citation Text:
Argani CH, Eichelberger M, Deering S, et al. The case for simulation as part of a comprehensive patient safety program. Am J Obstet Gynecol. 2012;206(6):451-5. doi:10.1016/j.ajog.2011.09.01…
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psnet.ahrq.gov/issue/do-safety-checklists-improve-teamwork-and-communication-operating-room-systematic-review
January 19, 2016 - Review
Do safety checklists improve teamwork and communication in the operating room? A systematic review.
Citation Text:
Russ S, Rout S, Sevdalis N, et al. Do safety checklists improve teamwork and communication in the operating room? A systematic review. Ann Surg. 2013;258(6):856-71. …
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psnet.ahrq.gov/issue/increasing-physician-reporting-diagnostic-learning-opportunities
March 23, 2022 - Study
Increasing physician reporting of diagnostic learning opportunities.
Citation Text:
Marshall TL, Ipsaro AJ, Le M, et al. Increasing physician reporting of diagnostic learning opportunities. Pediatrics. 2021;147(1):e20192400. doi:10.1542/peds.2019-2400.
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psnet.ahrq.gov/issue/care-approach-reducing-diagnostic-errors
November 06, 2013 - Commentary
The CARE approach to reducing diagnostic errors.
Citation Text:
Rush JL, Helms SE, Mostow EN. The CARE approach to reducing diagnostic errors. Int J Dermatol. 2017;56(6):669-673. doi:10.1111/ijd.13532.
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psnet.ahrq.gov/issue/risk-management-or-just-different-risk
April 12, 2011 - Study
Risk management, or just a different risk?
Citation Text:
Freer Y, Lyon A. Risk management, or just a different risk? Arch Dis Child Fetal Neonatal Ed. 2006;91(5):F327-9.
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psnet.ahrq.gov/issue/fall-prevention-hospitals-integrative-review
November 03, 2021 - Review
Fall prevention in hospitals: an integrative review.
Citation Text:
Spoelstra SL, Given BA, Given CW. Fall Prevention in Hospitals. Clin Nurs Res. 2011;21(1). doi:10.1177/1054773811418106.
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psnet.ahrq.gov/issue/quality-patient-safety-and-cardiac-surgical-team
October 07, 2013 - Review
Quality, patient safety, and the cardiac surgical team.
Citation Text:
Martinez EA. Quality, Patient Safety, and the Cardiac Surgical Team. Anesthesiol Clin. 2013;31(2):249-268. doi:10.1016/j.anclin.2013.01.004.
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psnet.ahrq.gov/issue/effects-screen-point-care-computer-reminders-processes-and-outcomes-care
September 20, 2011 - Review
The effects of on-screen, point of care computer reminders on processes and outcomes of care.
Citation Text:
Shojania KG, Jennings A, Mayhew A, et al. The effects of on-screen, point of care computer reminders on processes and outcomes of care. Cochrane Database Syst Rev. 2009;(3…