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www.ahrq.gov/news/newsroom/case-studies/cquips1301.html
November 01, 2012 - Newman Memorial Hospital Implements AHRQ's Patient Safety Culture Survey
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November 2012
Newman Memorial Hospital, a 79-bed acute hospital in Oklahoma, first implemented AHRQ's "Hospital Survey on Patient Safety Culture" in 2006, when concern about the hospital's patient safety …
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psnet.ahrq.gov/issue/patient-safety-and-quality-care
April 01, 2020 - Commentary
Patient safety and quality care.
Citation Text:
Nelson K. Patient safety and quality care. Clin Dermatol. 2014;32(4):542-4. doi:10.1016/j.clindermatol.2013.12.001.
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psnet.ahrq.gov/issue/barriers-and-facilitators-chemotherapy-patients-engagement-medical-error-prevention
November 02, 2010 - Study
Barriers and facilitators to chemotherapy patients' engagement in medical error prevention.
Citation Text:
Schwappach DLB, Wernli M. Barriers and facilitators to chemotherapy patients' engagement in medical error prevention. Ann Oncol. 2011;22(2):424-30. doi:10.1093/annonc/mdq346…
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psnet.ahrq.gov/issue/achieving-climate-patient-safety-focusing-relationships
December 19, 2017 - Study
Achieving a climate for patient safety by focusing on relationships.
Citation Text:
Manojlovich M, Kerr M, Davies B, et al. Achieving a climate for patient safety by focusing on relationships. Int J Qual Health Care. 2014;26(6):579-84. doi:10.1093/intqhc/mzu068.
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psnet.ahrq.gov/node/33620/psn-pdf
September 01, 2005 - In response to “Getting to the Root of the Matter” (June
2005)
September 1, 2005
Grondin L, Saint S, Flanders S, et al. In response to “Getting to the Root of the Matter” (June 2005). PSNet
[internet]. 2005.
https://psnet.ahrq.gov/perspective/response-getting-root-matter-june-2005
In response to "Getting to the R…
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psnet.ahrq.gov/issue/depth-analysis-medication-errors-hospitalized-patients-hiv
July 15, 2010 - Study
An in-depth analysis of medication errors in hospitalized patients with HIV.
Citation Text:
Snyder AM, Klinker K, Orrick JJ, et al. An in-depth analysis of medication errors in hospitalized patients with HIV. Ann Pharmacother. 2011;45(4):459-68. doi:10.1345/aph.1P599.
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psnet.ahrq.gov/issue/disclosure-harmful-medical-errors-out-hospital-care
June 18, 2014 - Review
Disclosure of harmful medical errors in out-of-hospital care.
Citation Text:
Lu DW, Guenther E, Wesley AK, et al. Disclosure of harmful medical errors in out-of-hospital care. Ann Emerg Med. 2013;61(2):215-21. doi:10.1016/j.annemergmed.2012.07.004.
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psnet.ahrq.gov/issue/computer-based-medication-error-reporting-insights-and-implications
August 02, 2010 - Study
Computer based medication error reporting: insights and implications.
Citation Text:
Miller MR, Clark JS, Lehmann CU. Computer based medication error reporting: insights and implications. Qual Saf Health Care. 2006;15(3):208-13.
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psnet.ahrq.gov/issue/misdiagnosis-analysis-based-case-record-review-proposals-aimed-improve-diagnostic-processes
November 12, 2014 - Study
Misdiagnosis: analysis based on case record review with proposals aimed to improve diagnostic processes.
Citation Text:
Neale G, Hogan H, Sevdalis N. Misdiagnosis: analysis based on case record review with proposals aimed to improve diagnostic processes. Clin Med (Lond). 2011;11(…
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psnet.ahrq.gov/issue/nuclear-power-industry-alternative-analogy-safety-anaesthesia-and-novel-approach
February 13, 2019 - Commentary
The nuclear power industry as an alternative analogy for safety in anaesthesia and a novel approach for the conceptualisation of safety goals.
Citation Text:
Webster CS. The nuclear power industry as an alternative analogy for safety in anaesthesia and a novel approach for t…
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psnet.ahrq.gov/issue/national-survey-safe-practice-epidural-analgesia-obstetric-units
July 28, 2021 - Study
A national survey of safe practice with epidural analgesia in obstetric units.
Citation Text:
Jones R, Swales HA, Lyons GR. A national survey of safe practice with epidural analgesia in obstetric units. Anaesthesia. 2008;63(5):516-9. doi:10.1111/j.1365-2044.2007.05398.x.
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psnet.ahrq.gov/issue/medication-safety-infrastructure-critical-access-hospitals-florida
December 06, 2017 - Study
Medication safety infrastructure in critical-access hospitals in Florida.
Citation Text:
Winterstein AG, Hartzema AG, Johns TE, et al. Medication safety infrastructure in critical-access hospitals in Florida. American Journal of Health-System Pharmacy. 2006;63(5). doi:10.2146/ajh…
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psnet.ahrq.gov/issue/long-term-effects-perioperative-safety-checklist-viewpoint-personnel
March 02, 2012 - Study
Long-term effects of a perioperative safety checklist from the viewpoint of personnel.
Citation Text:
Böhmer AB, Kindermann P, Schwanke U, et al. Long-term effects of a perioperative safety checklist from the viewpoint of personnel. Acta Anaesthesiol Scand. 2013;57(2):150-7. doi:…
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psnet.ahrq.gov/issue/unmeasured-quality-metric-burn-out-and-second-victim-syndrome-healthcare
September 25, 2024 - Commentary
The unmeasured quality metric: burn out and the second victim syndrome in healthcare.
Citation Text:
Heiss K, Clifton M. The unmeasured quality metric: Burn out and the second victim syndrome in healthcare. Semin Pediatr Surg. 2019;28(3):189-194. doi:10.1053/j.sempedsurg.2019.…
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psnet.ahrq.gov/issue/safe-handover
December 21, 2017 - Commentary
Safe handover.
Citation Text:
Merten H, van Galen LS, Wagner C. Safe handover. BMJ. 2017;359:j4328. doi:10.1136/bmj.j4328.
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psnet.ahrq.gov/issue/effects-implementation-preventive-interventions-program-reduction-medication-errors
March 09, 2022 - Study
Effects of the implementation of a preventive interventions program on the reduction of medication errors in critically ill adult patients.
Citation Text:
Romero CM, Salazar N, Rojas L, et al. Effects of the implementation of a preventive interventions program on the reduction o…
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psnet.ahrq.gov/issue/evaluation-interprofessional-team-training-program-improve-use-patient-safety-strategies
May 18, 2022 - Study
Evaluation of an interprofessional team training program to improve the use of patient safety strategies among healthcare professions students.
Citation Text:
Evaluation of an interprofessional team training program to improve the use of patient safety strategies among healthcare p…
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psnet.ahrq.gov/issue/how-stay-right-side-infection-control-code
November 02, 2016 - Newspaper/Magazine Article
How to stay on the right side of the infection control code.
Citation Text:
Harrison S. How to stay on the right side of the infection control code. Nurs Stand. 2016;19(38):14-16. doi:10.7748/ns.19.38.14.s15.
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psnet.ahrq.gov/issue/results-survey-medical-error-reporting-systems-korean-hospitals
May 08, 2017 - Study
Results of a survey on medical error reporting systems in Korean hospitals.
Citation Text:
KIM J, Bates DW. Results of a survey on medical error reporting systems in Korean hospitals. Int J Med Inform. 2005;75(2). doi:10.1016/j.ijmedinf.2005.06.005.
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psnet.ahrq.gov/issue/interprofessional-conflict-and-medical-errors-results-national-multi-specialty-survey
July 10, 2017 - Study
Interprofessional conflict and medical errors: results of a national multi-specialty survey of hospital residents in the US.
Citation Text:
Baldwin DC, Daugherty SR. Interprofessional conflict and medical errors: results of a national multi-specialty survey of hospital residents …