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psnet.ahrq.gov/node/37627/psn-pdf
March 19, 2008 - Patient Safety in Obstetrics and Gynecology: Improving
Outcomes, Reducing Risks.
March 19, 2008
Gluck PA, ed. Obstet Gynecol Clin. 2008;35(1):1-168.
https://psnet.ahrq.gov/issue/patient-safety-obstetrics-and-gynecology-improving-outcomes-reducing-risks
This special issue comprehensively addresses the topics of med…
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psnet.ahrq.gov/node/40298/psn-pdf
May 13, 2019 - Improving patient safety in radiation oncology.
May 13, 2019
Hendee WR, Herman MG. Improving patient safety in radiation oncology.
https://psnet.ahrq.gov/issue/improving-patient-safety-radiation-oncology
This commentary discusses radiation safety issues and describes recommendations developed at a
conference to re…
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psnet.ahrq.gov/node/36802/psn-pdf
April 11, 2007 - Beth Israel cited for improving obstetrics care.
April 11, 2007
Kowalczyk L.
https://psnet.ahrq.gov/issue/beth-israel-cited-improving-obstetrics-care
This article reports on an award recognizing Beth Israel Deaconess Hospital for its approach to improving
patient safety in response to the death of an infant in 200…
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psnet.ahrq.gov/node/35107/psn-pdf
April 06, 2011 - Fewer but better auditory alarms will improve patient
safety.
April 6, 2011
Edworthy J. Fewer but better auditory alarms will improve patient safety. Qual Saf Health Care.
2005;14(3):212-215. doi:10.1136/qshc.2004.013052.
https://psnet.ahrq.gov/issue/fewer-better-auditory-alarms-will-improve-patient-safety
The au…
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psnet.ahrq.gov/node/39557/psn-pdf
May 26, 2010 - "Managing up" can improve teamwork in the OR.
May 26, 2010
Smith SL. "Managing up" can improve teamwork in the OR. AORN J. 2010;91(5):576-82.
doi:10.1016/j.aorn.2009.08.014.
https://psnet.ahrq.gov/issue/managing-can-improve-teamwork-or
This commentary explains that all members of a perioperative unit are responsib…
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psnet.ahrq.gov/node/37916/psn-pdf
May 11, 2014 - Improving heparin safety: a multidisciplinary invited
conference.
May 11, 2014
Peterson C, Ham CW, Vanderveen T. Improving Heparin Safety: A Multidisciplinary Invited Conference.
doi:10.1310/hpj4306-491.
https://psnet.ahrq.gov/issue/improving-heparin-safety-multidisciplinary-invited-conference
This article summar…
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psnet.ahrq.gov/node/37711/psn-pdf
October 29, 2009 - Researching Implementation and Change while Improving
Quality (R18).
October 29, 2009
Agency for Healthcare Research and Quality; AHRQ.
https://psnet.ahrq.gov/issue/researching-implementation-and-change-while-improving-quality-r18
This Agency for Healthcare Research and Quality (AHRQ) funding opportunity seeks to …
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psnet.ahrq.gov/node/38872/psn-pdf
August 19, 2009 - Improving measurement in clinical handover.
August 19, 2009
Jeffcott SA, Evans SM, Cameron PA, et al. Improving measurement in clinical handover. Qual Saf Health
Care. 2009;18(4):272-7. doi:10.1136/qshc.2007.024570.
https://psnet.ahrq.gov/issue/improving-measurement-clinical-handover
This article describes a frame…
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psnet.ahrq.gov/node/39630/psn-pdf
June 23, 2010 - Using Workforce Practices to Drive Quality Improvement:
A Guide for Hospitals.
June 23, 2010
McHugh M, Garman A, McAlearney A, Song P, Harrison M. Chicago, IL: Health Research & Educational
Trust; June 2010.
https://psnet.ahrq.gov/issue/using-workforce-practices-drive-quality-improvement-guide-hospitals
This publ…
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psnet.ahrq.gov/node/42167/psn-pdf
April 03, 2013 - Engaging Patients in Improving Ambulatory Care.
April 3, 2013
Aligning Forces for Quality. Princeton, NJ: Robert Wood Johnson Foundation; 2013.
https://psnet.ahrq.gov/issue/engaging-patients-improving-ambulatory-care
This compendium includes strategies and tools to engage patients in health care improvement that ha…
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digital.ahrq.gov/sites/default/files/docs/publication/eaap_trainpresentfinalimplementation_080211comp.pdf
January 01, 2007 - Slides from eAAP Training Presentations for Final Implementation Reoprt
Slides from eAAP Training
Presentations for Final
Implementation Report
Presentation #1
Basic eAAP Presentation for
Providers and Clinic Staff
Basic information on how the application will
improve asthma care
Includes the importan…
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psnet.ahrq.gov/issue/dod-should-improve-its-process-clinical-adverse-actions-against-providers
May 16, 2018 - Book/Report
DOD Should Improve Its Process for Clinical Adverse Actions against Providers.
Citation Text:
DOD Should Improve Its Process for Clinical Adverse Actions against Providers. Washington, DC: United States Government Accounting Office; April 11, 2024. Publication GAO-24-106107.
…
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psnet.ahrq.gov/issue/acog-committee-opinion-590-preparing-clinical-emergencies-obstetrics-and-gynecology
May 22, 2019 - Commentary
ACOG Committee Opinion #590: preparing for clinical emergencies in obstetrics and gynecology.
Citation Text:
Improvement AC of O and GC on PS and Q. Committee opinion no. 590: preparing for clinical emergencies in obstetrics and gynecology. Obstet Gynecol. 2014;123(3):722-5. d…
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psnet.ahrq.gov/issue/patient-safety-and-quality-evidence-based-handbook-nurses
May 29, 2024 - Book/Report
Patient Safety and Quality: An Evidence-Based Handbook for Nurses.
Citation Text:
Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Hughes RG, ed. Rockville, MD: Agency for Healthcare Research and Quality; 2008. AHRQ Publication No. 08-0043.
Copy Ci…
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psnet.ahrq.gov/issue/supplemental-item-set-nursing-home-sops-call-pilot-participants
December 24, 2008 - Measurement Tool/Indicator
Supplemental Item Set for Nursing Home SOPS: Call for Pilot Participants.
Citation Text:
Supplemental Item Set for Nursing Home SOPS: Call for Pilot Participants. Rockville, MD: Agency for Health Quality and Research; June 2022.
Copy Citation
…
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psnet.ahrq.gov/issue/inpatient-notes-diagnostic-excellence-starts-incessant-watch
August 31, 2022 - Commentary
Inpatient notes: diagnostic excellence starts with an incessant watch.
Citation Text:
Dhaliwal G. Annals for Hospitalists Inpatient Notes - Diagnostic Excellence Starts With an Incessant Watch. Ann Intern Med. 2017;167(8):HO2-HO3. doi:10.7326/m17-2447.
Copy Citation
Form…
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psnet.ahrq.gov/issue/health-information-technology-engaging-patients-diagnostic-decision-making-emergency
April 22, 2020 - Book/Report
Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments.
Citation Text:
Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments. Mangus CW, Singh H, Mahajan P. Rockville, MD:…
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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/situativity-family-social-cognitive-theories-clinical-reasoning-and-error
June 08, 2022 - Special or Theme Issue
Situativity: A Family of Social Cognitive Theories for Clinical Reasoning and Error.
Citation Text:
Situativity: A Family of Social Cognitive Theories for Clinical Reasoning and Error. Durning S, Holmboe E, Graber ML, eds. Diagnosis(Berl). 2020;7(3):151-344.
Co…
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psnet.ahrq.gov/issue/health-it-enabled-quality-measurement-perspectives-pathways-and-practical-guidance
September 16, 2015 - Book/Report
Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance.
Citation Text:
Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance. Roper RA, Anderson KM, Marsh CA, Flemming AC. Rockville, MD: Agency for Healthcare Re…