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psnet.ahrq.gov/issue/rhios-aim-transform-quality-care-and-patient-safety
August 26, 2020 - Newspaper/Magazine Article
RHIOs aim to transform quality of care and patient safety.
Citation Text:
RHIOs aim to transform quality of care and patient safety. van der Grinten P.
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psnet.ahrq.gov/issue/ahrq-research-summit-improving-diagnosis-health-care
October 23, 2019 - Government Resource
AHRQ Research Summit on Improving Diagnosis in Health Care.
Citation Text:
AHRQ Research Summit on Improving Diagnosis in Health Care. Rockville, MD; Agency for Healthcare Research and Quality: September 28, 2016.
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psnet.ahrq.gov/issue/mitigating-bias-ai-point-care
March 08, 2023 - Newspaper/Magazine Article
Mitigating bias in AI at the point of care.
Citation Text:
Mitigating bias in AI at the point of care. Decamp M, Lindvall C. Science. 2023;381(6654):150-152.
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psnet.ahrq.gov/issue/electronic-prescribing-vulnerabilities-height-and-weight-mix-leads-dosing-error
June 10, 2018 - Newspaper/Magazine Article
Electronic prescribing vulnerabilities: height and weight mix-up leads to dosing error.
Citation Text:
Electronic prescribing vulnerabilities: height and weight mix-up leads to dosing error. ISMP Medication Safety Alert! Acute care edition. August 26, 2010;15:1…
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psnet.ahrq.gov/issue/national-center-patient-safety-ncps
March 27, 2005 - Multi-use Website
National Center for Patient Safety (NCPS).
Citation Text:
National Center for Patient Safety (NCPS). Department of Veterans Affairs. 24 Frank Lloyd Wright Drive, M2100, Post Office Box 486, Ann Arbor, MI 48106-0486. Phone: (734) 930-5890.
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psnet.ahrq.gov/issue/disclosure-errors-surgical-procedures
April 13, 2022 - Review
Disclosure of errors in surgical procedures.
Citation Text:
Disclosure of errors in surgical procedures. Ryan M, Mekel M, Sinha MS. UptoDate. November 20, 2023.
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psnet.ahrq.gov/issue/hospital-discharge-and-readmission
March 27, 2005 - Review
Hospital discharge and readmission.
Citation Text:
Hospital discharge and readmission. Alper E, O'Malley TA, Greenwald J. UpToDate. February 3, 2023.
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psnet.ahrq.gov/issue/national-medical-error-disclosure-and-compensation-medic-act
December 06, 2011 - Legislation/Case Law
The National Medical Error Disclosure and Compensation (MEDiC) Act.
Citation Text:
The National Medical Error Disclosure and Compensation (MEDiC) Act. Rodham-Clinton H; Obama B. 109th Congress. 1st Session. S. 1784. September 28, 2005.
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psnet.ahrq.gov/issue/improving-heparin-safety-multidisciplinary-invited-conference
July 10, 2019 - Meeting/Conference Proceedings
Improving heparin safety: a multidisciplinary invited conference.
Citation Text:
Peterson C, Ham CW, Vanderveen T. Improving Heparin Safety: A Multidisciplinary Invited Conference. doi:10.1310/hpj4306-491.
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psnet.ahrq.gov/issue/patient-and-family-engagement-primary-care-case-studies
November 01, 2016 - Book/Report
Patient and Family Engagement in Primary Care: Case Studies.
Citation Text:
Patient and Family Engagement in Primary Care: Case Studies. Rockville, MD: Agency for Healthcare Research and Quality; September 2016. AHRQ Publication No. 16-0035-2-EF.
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psnet.ahrq.gov/issue/our-long-journey-towards-safety-minded-just-culture-part-ii-where-were-going
June 05, 2018 - Newspaper/Magazine Article
Our long journey towards a safety-minded just culture. Part II: where we're going.
Citation Text:
Our long journey towards a safety-minded just culture. Part II: where we're going. ISMP Medication Safety Alert! Acute Care Edition. September 21, 2006;11:1-2.
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psnet.ahrq.gov/issue/unintended-consequences-new-problems-and-new-solutions
June 27, 2018 - Book/Report
Unintended Consequences: New Problems and New Solutions.
Citation Text:
Unintended Consequences: New Problems and New Solutions. Lehmann CU, Sroussi B, Jaulent MC, eds. Yearb Med Inform. 2016;1:1-271.
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psnet.ahrq.gov/issue/teamwork-and-quality-during-neonatal-care-delivery-room
July 20, 2016 - Study
Teamwork and quality during neonatal care in the delivery room.
Citation Text:
Teamwork and quality during neonatal care in the delivery room. Thomas EJ; Sexton JB; Lasky RE; Helmreich RL; Crandell DS; Tyson J.
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psnet.ahrq.gov/issue/interruptions-and-multitasking-nursing-care
September 28, 2010 - Study
Interruptions and multitasking in nursing care.
Citation Text:
Kalisch BJ, Aebersold M. Interruptions and multitasking in nursing care. Jt Comm J Qual Patient Saf. 2010;36(3):126-132.
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psnet.ahrq.gov/issue/cyberattack-unitedhealth-still-impacting-prescription-access-these-are-threats-life
March 21, 2024 - Newspaper/Magazine Article
Cyberattack on UnitedHealth still impacting prescription access: "These are threats to life".
Citation Text:
Cyberattack on UnitedHealth still impacting prescription access: "These are threats to life". Sganga N, Triay A. CBS Evening News. February 29, 2024.
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psnet.ahrq.gov/issue/managing-can-improve-teamwork-or
September 23, 2020 - Commentary
"Managing up" can improve teamwork in the OR.
Citation Text:
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.
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psnet.ahrq.gov/issue/communication-perioperative-setting
July 22, 2020 - Commentary
Communication in the perioperative setting.
Citation Text:
Cvetic E. Communication in the perioperative setting. AORN J. 2011;94(3):261-70. doi:10.1016/j.aorn.2011.01.017.
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psnet.ahrq.gov/issue/normalization-deviance-what-are-perioperative-risks
July 15, 2020 - Commentary
The normalization of deviance: what are the perioperative risks?
Citation Text:
McNamara SA. The normalization of deviance: what are the perioperative risks? AORN J. 2011;93(6):796-801. doi:10.1016/j.aorn.2011.02.009.
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psnet.ahrq.gov/issue/growing-number-primary-care-doctors-are-burning-out-how-does-affect-patients
May 28, 2014 - Newspaper/Magazine Article
A growing number of primary-care doctors are burning out. How does this affect patients?
Citation Text:
A growing number of primary-care doctors are burning out. How does this affect patients? Rabin RC, Kaiser Health News. Washington Post. March 31, 2014.
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psnet.ahrq.gov/node/49473/psn-pdf
March 01, 2005 - The tendency to take
shortcuts and save time is a very human one, but it also increases the risk of … Lack of predictability greatly
increases the risk of mistakes.