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psnet.ahrq.gov/issue/errors-thyroid-gland-fine-needle-aspiration
March 28, 2012 - Study
Errors in thyroid gland fine-needle aspiration.
Citation Text:
Raab SS, Vrbin CM, Grzybicki DM, et al. Errors in Thyroid Gland Fine-Needle Aspiration. Am J Clin Pathol. 2007;125(6). doi:10.1309/7rqe37k6439t4pb4.
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psnet.ahrq.gov/issue/promoting-collaboration-and-transparency-patient-safety
June 21, 2016 - Commentary
Promoting collaboration and transparency in patient safety.
Citation Text:
Apold J, Daniels T, Sonneborn M. Promoting collaboration and transparency in patient safety. Jt Comm J Qual Patient Saf. 2006;32(12):672-675.
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psnet.ahrq.gov/issue/organisational-learning-hospitals-concept-analysis
August 21, 2019 - Review
Organisational learning in hospitals: a concept analysis.
Citation Text:
Lyman B, Hammond EL, Cox JR. Organisational learning in hospitals: A concept analysis. J Nurs Manag. 2019;27(3):633-646. doi:10.1111/jonm.12722.
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psnet.ahrq.gov/issue/covid-19-nursing-homes-cms-needs-continue-strengthen-oversight-infection-prevention-and
October 26, 2022 - Book/Report
COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention and Control.
Citation Text:
COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention and Control. Washington, DC: United States Government …
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psnet.ahrq.gov/issue/quality-safety-time-coronavirus-design-better-learn-faster
March 29, 2017 - Commentary
Quality & safety in the time of coronavirus--design better, learn faster.
Citation Text:
Fitzsimons J. Quality and safety in the time of Coronavirus: design better, learn faster. Int J Qual Health Care. 2021;33(1):mzaa051. doi:10.1093/intqhc/mzaa051.
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psnet.ahrq.gov/issue/root-cause-analysis-project-medication-safety-course
October 07, 2020 - Commentary
A root cause analysis project in a medication safety course.
Citation Text:
Schafer JJ. A root cause analysis project in a medication safety course. Am J Pharm Educ. 2012;76(6):116. doi:10.5688/ajpe766116.
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psnet.ahrq.gov/issue/pursuit-perfection-hospitals-take-heightened-actions-reduce-adverse-events
November 18, 2020 - Newspaper/Magazine Article
The pursuit of perfection: hospitals take heightened actions to reduce adverse events.
Citation Text:
May EL. The pursuit of perfection: hospitals take heightened actions to reduce adverse events. Healthcare executive. 2012;27(2):26-8, 30-3.
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psnet.ahrq.gov/issue/understanding-swiss-cheese-model-and-its-application-patient-safety
May 25, 2022 - Commentary
Classic
Understanding the "Swiss cheese model" and its application to patient safety.
Citation Text:
Wiegmann DA, J. Wood L, N. Cohen T, et al. Understanding the "Swiss cheese model" and its application to patient safety. J Patient Saf. 2022;18(2):119…
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psnet.ahrq.gov/issue/learning-accidents-what-more-do-we-need-know
May 29, 2014 - Commentary
Learning from accidents—what more do we need to know?
Citation Text:
Lindberg A-K, Hansson SO, Rollenhagen C. Learning from accidents – What more do we need to know? Saf Sci. 2010;48(6). doi:10.1016/j.ssci.2010.02.004.
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psnet.ahrq.gov/issue/human-factors-recognising-and-minimising-errors-our-day-day-practice
October 09, 2016 - Review
Human factors—recognising and minimising errors in our day to day practice.
Citation Text:
Green B, Tsiroyannis C, Brennan PA. Human factors--recognising and minimising errors in our day to day practice. Oral Dis. 2016;22(1):19-22. doi:10.1111/odi.12384.
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psnet.ahrq.gov/issue/ahrq-health-information-technology-research-2018-year-review
May 07, 2014 - Government Resource
AHRQ Health Information Technology Research: 2018 Year in Review.
Citation Text:
AHRQ Health Information Technology Research: 2018 Year in Review. AHRQ Health Information Technology Research: 2018 Year in Review. (Prepared by John Snow, Inc. Under Contract No. HHSN316…
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psnet.ahrq.gov/issue/measuring-safety-healthcare-exercise-futility
May 20, 2020 - Commentary
Measuring safety of healthcare: an exercise in futility?
Citation Text:
Sauro K, Ghali WA, Stelfox HT. Measuring safety of healthcare: an exercise in futility? BMJ Qual Saf. 2019;29(4):341-344. doi:10.1136/bmjqs-2019-009824.
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psnet.ahrq.gov/issue/invited-article-managing-disruptive-physician-behavior-impact-staff-relationships-and-patient
February 03, 2010 - Study
Invited article: Managing disruptive physician behavior: impact on staff relationships and patient care.
Citation Text:
Rosenstein AH, O'Daniel M. Invited article: Managing disruptive physician behavior: impact on staff relationships and patient care. Neurology. 2008;70(17):1564-…
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psnet.ahrq.gov/issue/recommendations-using-revised-safer-dx-instrument-help-measure-and-improve-diagnostic-safety
August 07, 2019 - Commentary
Recommendations for using the Revised Safer Dx instrument to help measure and improve diagnostic safety.
Citation Text:
Singh H, Khanna A, Spitzmueller C, et al. Recommendations for using the Revised Safer Dx Instrument to help measure and improve diagnostic safety. Diagnosis …
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psnet.ahrq.gov/issue/implementing-strategies-prevent-home-medication-administration-errors-children-medical
March 14, 2022 - Commentary
Implementing strategies to prevent home medication administration errors in children with medical complexity.
Citation Text:
Shaikh U, Kim JM, Yin SH. Implementing strategies to prevent home medication administration errors in children with medical complexity. Clin Pediatr (Ph…
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psnet.ahrq.gov/issue/system-wide-initiative-prevent-retained-vaginal-sponges
November 07, 2012 - Commentary
A system-wide initiative to prevent retained vaginal sponges.
Citation Text:
Chagolla BA, Gibbs VC, Keats JP, et al. A system-wide initiative to prevent retained vaginal sponges. MCN Am J Matern Child Nurs. 2011;36(5):312-317. doi:10.1097/NMC.0b013e31822ab204.
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psnet.ahrq.gov/issue/impact-short-notice-accreditation-assessments-hospitals-patient-safety-and-quality-culture
January 10, 2024 - Review
Impact of short-notice accreditation assessments on hospitals' patient safety and quality culture--a scoping review.
Citation Text:
Scanlan R, Flenady T, Judd J. Impact of short‐notice accreditation assessments on hospitals' patient safety and quality culture- a scoping review. J …
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psnet.ahrq.gov/issue/how-deliver-safer-and-effective-patient-care-tips-team-leaders-and-educators
April 24, 2018 - Commentary
How to deliver safer and effective patient care: tips for team leaders and educators.
Citation Text:
Shah BJ. How to Deliver Safer and Effective Patient Care: Tips for Team Leaders and Educators. Gastroenterology. 2019;156(4):852-855. doi:10.1053/j.gastro.2019.02.017.
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psnet.ahrq.gov/issue/elusive-and-illusive-quest-diagnostic-safety-metrics
October 10, 2018 - Commentary
The elusive and illusive quest for diagnostic safety metrics.
Citation Text:
Schiff G, Ruan EL. The Elusive and Illusive Quest for Diagnostic Safety Metrics. J Gen Intern Med. 2018;33(7):983-985. doi:10.1007/s11606-018-4454-2.
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psnet.ahrq.gov/issue/how-discrimination-health-care-affects-older-americans-and-what-health-systems-and-providers
February 28, 2024 - Book/Report
How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do.
Citation Text:
How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do. Doty MM, Horstman C, Shah A et al. Issue Brief. New…