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pbrn.ahrq.gov/sites/default/files/docs/AHRQ_PBRN_Webinar_Rapid_Cycle_Research_9.9.15.pdf
September 09, 2015 - Using Rapid-Cycle Research to Reach Goals: Awareness, Assessment, Adaptation, Acceleration-A Guidance Document
Using Rapid-Cycle Research to Reach Goals: Awareness,
Assessment, Adaptation, Acceleration-A Guidance
Document
Presented By:
David Gustafson, PhD
Kim Johnson, PhD
Center for Health Enhancement …
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psnet.ahrq.gov/node/33625/psn-pdf
January 01, 2006 - Aviation Safety Methods: Quickly Adopted but Questions
Remain
January 1, 2006
Thomas EJ. Aviation Safety Methods: Quickly Adopted but Questions Remain. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/aviation-safety-methods-quickly-adopted-questions-remain
Perspective
On August 2, 2005, Air France flig…
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psnet.ahrq.gov/issue/2020-road-high-reliability-webinar-series
October 11, 2006 - Upcoming Meeting/Conference
February 1, 2021
2020-2021 Road to High Reliability Webinar Series.
Citation Text:
Chesterfield, MO; Center for Patient Safety: 2020-2021.
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psnet.ahrq.gov/issue/international-forum-quality-safety-healthcare-australasia
March 13, 2022 - Upcoming Meeting/Conference
May 6, 2021
International Forum on Quality & Safety in Healthcare- Australasia
Citation Text:
Institute for Healthcare Improvement, British Medical Journal. September 8-10, 2021.
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psnet.ahrq.gov/issue/getting-root-problem-conducting-rca
September 07, 2021 - Upcoming Meeting/Conference
Getting to the "Root” of the Problem: Conducting an RCA.
Citation Text:
The Patient Safety Authority. October 20, 2021. 9:00 AM – 2:00 PM (eastern).
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psnet.ahrq.gov/issue/2009-utah-sentinel-events-data-report
October 29, 2008 - Book/Report
2009 Utah Sentinel Events Data Report.
Citation Text:
Salt Lake City, UT: Utah Department of Health, Utah Hospitals & Health Systems Association, and HealthInsight; March 10, 2010.
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psnet.ahrq.gov/node/866744/psn-pdf
September 18, 2024 - Care Concerns and Deficiencies in Facility Leaders’ and
Staff’s Responses Following a Medical Emergency at the
Carl T. Hayden VA Medical Center in Phoenix, Arizona.
September 18, 2024
Care Concerns And Deficiencies In Facility Leaders’ And Staff’s Responses Following A Medical
Emergency At The Carl T. Hayden Va Me…
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psnet.ahrq.gov/node/60195/psn-pdf
April 01, 2020 - What every health lawyer should know about the Patient
Safety and Quality Improvement Act of 2005.
April 1, 2020
Hanzal M. What every health lawyer should know about the Patient Safety and Quality Improvement Act of
2005. J Health Life Sci Law. 2020;13(2):71-88.
https://psnet.ahrq.gov/issue/what-every-health-lawye…
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psnet.ahrq.gov/node/867338/psn-pdf
December 11, 2024 - Using patient experience surveys to identify potential
diagnostic safety breakdowns: a mixed methods study.
December 11, 2024
Baker KM, Brahier M, Penne M, et al. Using patient experience surveys to identify potential diagnostic
safety breakdowns: a mixed methods study. J Patient Saf. 2024;20(8):556-563.
doi:10.10…
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psnet.ahrq.gov/node/841148/psn-pdf
December 07, 2022 - How does workplace violence-reporting culture affect
workplace violence, nurse burnout, and patient safety?
December 7, 2022
Kim S, Lynn MR, Baernholdt MB, et al. How does workplace violence-reporting culture affect Workplace
violence, nurse burnout, and patient safety? J Nurs Care Qual. 2022;38(1):11-18.
doi:10.1…
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psnet.ahrq.gov/node/74757/psn-pdf
February 09, 2022 - Characteristics of disease-specific and generic diagnostic
pitfalls: a qualitative study.
February 9, 2022
Schiff GD, Volodarskaya M, Ruan E, et al. Characteristics of disease-specific and generic diagnostic
pitfalls: a qualitative study. JAMA Netw Open. 2022;5(1):e2144531.
doi:10.1001/jamanetworkopen.2021.44531.
…
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psnet.ahrq.gov/node/866810/psn-pdf
September 25, 2024 - Factors influencing the reporting of medication errors and
near misses among nurses: a systematic mixed methods
review.
September 25, 2024
Braiki R, Douville F, Gagnon M?P. Factors influencing the reporting of medication errors and near misses
among nurses: a systematic mixed methods review. Int J Nurs Pract. 2024…
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psnet.ahrq.gov/node/866249/psn-pdf
July 10, 2024 - Implementation of a health information technology safety
classification system in the Veterans Health
Administration's Informatics Patient Safety Office.
July 10, 2024
Kato D, Lucas J, Sittig DF. Implementation of a health information technology safety classification system
in the Veterans Health Administration’s …
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-135-graphics-section-5.pdf
November 26, 2013 - initiation of penicillin prophylaxis
for children with SCD under age 5 years
significantly reduced the incidence … daily administration of oral penicillin reduced Prophylaxis with oral
the incidence of life-threatening … The study was ended early
because of an 84% reduction in incidence of
Engl J Med
1986;314(25):1593
-
www.monahrq.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-135-graphics-section-5.pdf
November 26, 2013 - initiation of penicillin prophylaxis
for children with SCD under age 5 years
significantly reduced the incidence … daily administration of oral penicillin reduced Prophylaxis with oral
the incidence of life-threatening … The study was ended early
because of an 84% reduction in incidence of
Engl J Med
1986;314(25):1593
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-135-graphics-section-5.pdf
November 26, 2013 - initiation of penicillin prophylaxis
for children with SCD under age 5 years
significantly reduced the incidence … daily administration of oral penicillin reduced Prophylaxis with oral
the incidence of life-threatening … The study was ended early
because of an 84% reduction in incidence of
Engl J Med
1986;314(25):1593
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-135-graphics-section-5.pdf
November 26, 2013 - initiation of penicillin prophylaxis
for children with SCD under age 5 years
significantly reduced the incidence … daily administration of oral penicillin reduced Prophylaxis with oral
the incidence of life-threatening … The study was ended early
because of an 84% reduction in incidence of
Engl J Med
1986;314(25):1593
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-135-graphics-section-5.pdf
November 26, 2013 - initiation of penicillin prophylaxis
for children with SCD under age 5 years
significantly reduced the incidence … daily administration of oral penicillin reduced Prophylaxis with oral
the incidence of life-threatening … The study was ended early
because of an 84% reduction in incidence of
Engl J Med
1986;314(25):1593
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-135-graphics-section-5.pdf
November 26, 2013 - initiation of penicillin prophylaxis
for children with SCD under age 5 years
significantly reduced the incidence … daily administration of oral penicillin reduced Prophylaxis with oral
the incidence of life-threatening … The study was ended early
because of an 84% reduction in incidence of
Engl J Med
1986;314(25):1593
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-135-graphics-section-5.pdf
November 26, 2013 - initiation of penicillin prophylaxis
for children with SCD under age 5 years
significantly reduced the incidence … daily administration of oral penicillin reduced Prophylaxis with oral
the incidence of life-threatening … The study was ended early
because of an 84% reduction in incidence of
Engl J Med
1986;314(25):1593