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psnet.ahrq.gov/issue/multifaceted-approach-improve-patient-safety-prevent-medical-errors-and-resolve-professional
June 12, 2008 - Commentary
A multifaceted approach to improve patient safety, prevent medical errors and resolve the professional liability crisis.
Citation Text:
Weinstein L. A multifacited approach to improve patient safety, prevent medical errors and resolve the professional liability crisis. Am J …
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psnet.ahrq.gov/issue/teamstepps-assuring-optimal-teamwork-clinical-settings
January 12, 2011 - Commentary
TeamSTEPPS: assuring optimal teamwork in clinical settings.
Citation Text:
Clancy CM, Tornberg DN. TeamSTEPPS: assuring optimal teamwork in clinical settings. Am J Med Qual. 2007;22(3):214-7.
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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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psnet.ahrq.gov/issue/health-care-leader-action-guide-reduce-avoidable-readmissions
March 14, 2018 - Book/Report
Health Care Leader Action Guide to Reduce Avoidable Readmissions.
Citation Text:
Health Care Leader Action Guide to Reduce Avoidable Readmissions. Osei-Anto A, Joshi M, Audet AJ, Berman A, Jencks SF. New York, NY: The Commonwealth Fund, The John Hartford Foundation, Healt…
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psnet.ahrq.gov/issue/health-care-opinion-leaders-views-quality-and-safety-health-care-united-states
April 12, 2006 - Book/Report
Health Care Opinion Leaders' Views on the Quality and Safety of Health Care in the United States.
Citation Text:
Health Care Opinion Leaders' Views on the Quality and Safety of Health Care in the United States. Shea KK, Shih A, Davis K. New York, NY: The Commonwealth Fund…
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psnet.ahrq.gov/issue/eliminating-cauti-interim-data-report-national-patient-safety-imperative
August 01, 2012 - Government Resource
Eliminating CAUTI: Interim Data Report: A National Patient Safety Imperative.
Citation Text:
Eliminating CAUTI: Interim Data Report: A National Patient Safety Imperative. Rockville, MD: Agency for Healthcare Research and Quality; July 2013. AHRQ Publication No. 13…
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psnet.ahrq.gov/issue/critical-incident-stress-debriefing-after-adverse-patient-safety-events
April 03, 2019 - Review
Critical incident stress debriefing after adverse patient safety events.
Citation Text:
Harrison R, Wu AW. Critical incident stress debriefing after adverse patient safety events. Am J Med Qual. 2017;23(5):310-312.
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psnet.ahrq.gov/issue/examining-relationship-between-health-it-and-ambulatory-care-workflow-redesign
December 24, 2008 - Book/Report
Examining the Relationship Between Health IT and Ambulatory Care Workflow Redesign.
Citation Text:
Examining the Relationship Between Health IT and Ambulatory Care Workflow Redesign. Zheng K, Ciemins EL, Lanham HJ, et al. Rockville, MD: Agency for Healthcare Research and Qual…
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psnet.ahrq.gov/issue/workarounds-are-routinely-used-nurses-are-they-ethical
October 27, 2016 - Commentary
Workarounds are routinely used by nurses—but are they ethical?
Citation Text:
Berlinger N. Workarounds Are Routinely Used by Nurses-But Are They Ethical? Am J Nurs. 2017;117(10):53-55. doi:10.1097/01.NAJ.0000525875.82101.b7.
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psnet.ahrq.gov/issue/could-it-happen-here-learning-other-organizations-safety-errors
February 17, 2017 - Newspaper/Magazine Article
Could it happen here? Learning from other organizations' safety errors.
Citation Text:
Conway JB. Could it happen here? Learning from other organizations' safety errors. Healthcare Executive. 2008;23(6):64, 66-67.
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psnet.ahrq.gov/issue/piece-my-mind-mentorship-malpractice
September 16, 2020 - Commentary
A piece of my mind. Mentorship malpractice.
Citation Text:
Chopra V, Edelson DP, Saint S. A PIECE OF MY MIND. Mentorship Malpractice. JAMA. 2016;315(14):1453-4. doi:10.1001/jama.2015.18884.
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psnet.ahrq.gov/issue/overconfidence-cause-diagnostic-error-medicine
July 30, 2014 - Review
Overconfidence as a cause of diagnostic error in medicine.
Citation Text:
Berner ES, Graber ML. Overconfidence as a cause of diagnostic error in medicine. Am J Med. 2008;121(5 Suppl):S2-S23. doi:10.1016/j.amjmed.2008.01.001.
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psnet.ahrq.gov/issue/value-pharmacist-medication-reconciliation-process
March 27, 2024 - Commentary
Value of the pharmacist in the medication reconciliation process.
Citation Text:
Splawski J, Minger H. Value of the Pharmacist in the Medication Reconciliation Process. P T. 2016;41(3):176-8.
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psnet.ahrq.gov/issue/guide-patient-and-family-engagement-environmental-scan-report
August 01, 2012 - Book/Report
Guide to Patient and Family Engagement: Environmental Scan Report.
Citation Text:
Guide to Patient and Family Engagement: Environmental Scan Report. Maurer M, Dardess P, Carman KL, Frazier K, Smeeding L. Rockville, MD: Agency for Healthcare Research and Quality; May 2012. AHR…
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psnet.ahrq.gov/issue/health-information-technology-united-states-information-base-progress
April 04, 2018 - Book/Report
Health Information Technology in the United States: The Information Base for Progress.
Citation Text:
Health Information Technology in the United States: The Information Base for Progress. Blumenthal D, DesRoches C, Donelan K, et al. Princeton, NJ: Robert Wood Johnson F…
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psnet.ahrq.gov/issue/opportunities-and-recommendations-state-federal-coordination-improve-health-system
November 29, 2009 - Book/Report
Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety.
Citation Text:
Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety.…
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psnet.ahrq.gov/issue/understanding-root-cause-analysis-process-increase-safety-event-reporting
August 08, 2018 - Commentary
Understanding the root cause analysis process to increase safety event reporting.
Citation Text:
Dudley KA. Understanding the root cause analysis process to increase safety event reporting. AORN J. 2023;117(6):399-402. doi:10.1002/aorn.13935.
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psnet.ahrq.gov/issue/examining-increase-drug-shortages
March 01, 2017 - Government Resource
Examining the Increase in Drug Shortages.
Citation Text:
Examining the Increase in Drug Shortages. Hearings before the Subcommittee on Health of the Committee on Energy and Commerce Committee, 112th Cong, 1st Sess (September 23, 2011).
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psnet.ahrq.gov/issue/one-systems-journey-creating-disclosure-and-apology-program
May 27, 2011 - Commentary
One system's journey in creating a disclosure and apology program.
Citation Text:
Peto RR, Tenerowicz LM, Benjamin EM, et al. One system's journey in creating a disclosure and apology program. Jt Comm J Qual Patient Saf. 2009;35(10):487-96.
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psnet.ahrq.gov/issue/10-rights-framework-patient-care-quality-and-safety
July 23, 2010 - Commentary
A 10-Rights framework for patient care quality and safety.
Citation Text:
Wakefield DS, Ward MM, Wakefield BJ. A 10-Rights framework for patient care quality and safety. Am J Med Qual. 2007;22(2):103-11.
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