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psnet.ahrq.gov/issue/guide-patient-and-family-engagement-hospital-quality-and-safety
December 24, 2008 - Multi-use Website
Guide to Patient and Family Engagement in Hospital Quality and Safety.
Citation Text:
Guide to Patient and Family Engagement in Hospital Quality and Safety. Rockville, MD: Agency for Healthcare Research and Quality; June 2013.
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psnet.ahrq.gov/issue/patients-role-patient-safety
May 01, 2024 - Review
The patient's role in patient safety.
Citation Text:
Corina I, Abram M, Halperin D. The patient's role in patient safety. Obstet Gynecol Clin North Am. 2019;46(2):215-225. doi:10.1016/j.ogc.2019.01.004.
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psnet.ahrq.gov/issue/definition-quality-and-approaches-its-assessment-vol-1-explorations-quality-assessment-and
May 24, 2015 - Book/Report
Classic
The Definition of Quality and Approaches to Its Assessment. Vol 1. Explorations in Quality Assessment and Monitoring.
Citation Text:
The Definition of Quality and Approaches to Its Assessment. Vol 1. Explorations in Quality Assessment and Mon…
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psnet.ahrq.gov/issue/identification-and-prioritization-health-it-patient-safety-measures
September 29, 2017 - Book/Report
Classic
Identification and Prioritization of Health IT Patient Safety Measures.
Citation Text:
Identification and Prioritization of Health IT Patient Safety Measures. Washington, DC: National Quality Forum; February 2016.
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psnet.ahrq.gov/issue/applying-human-centered-design-thinking-enhance-safety-or
May 25, 2016 - Commentary
Applying human-centered design thinking to enhance safety in the OR.
Citation Text:
Criscitelli T, Goodwin W. Applying Human-Centered Design Thinking to Enhance Safety in the OR. AORN J. 2017;105(4):408-412. doi:10.1016/j.aorn.2017.02.004.
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psnet.ahrq.gov/issue/modern-palliative-radiation-treatment-do-complexity-and-workload-contribute-medical-errors
April 07, 2021 - Study
Modern palliative radiation treatment: do complexity and workload contribute to medical errors?
Citation Text:
D'Souza N, Holden L, Robson S, et al. Modern palliative radiation treatment: do complexity and workload contribute to medical errors? Int J Radiat Oncol Biol Phys. 2012;84…
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psnet.ahrq.gov/issue/doing-right-our-patients-when-things-go-wrong-ambulatory-setting
August 14, 2017 - Commentary
Doing right by our patients when things go wrong in the ambulatory setting.
Citation Text:
Schiff G, Griswold P, Ellis BR, et al. Doing right by our patients when things go wrong in the ambulatory setting. Jt Comm J Qual Patient Saf. 2014;40(2):91-96.
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psnet.ahrq.gov/issue/measurement-ambulatory-medication-errors-children-scoping-review
February 07, 2024 - Review
Measurement of ambulatory medication errors in children: a scoping review.
Citation Text:
Rickey L, Auger K, Britto MT, et al. Measurement of ambulatory medication errors in children: a scoping review. Pediatrics. 2023;152(6):e2023061281. doi:10.1542/peds.2023-061281.
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psnet.ahrq.gov/issue/costs-and-consequences-associated-misdiagnosed-lower-extremity-cellulitis
November 12, 2014 - Study
Costs and consequences associated with misdiagnosed lower extremity cellulitis.
Citation Text:
Weng QY, Raff AB, Cohen JM, et al. Costs and Consequences Associated With Misdiagnosed Lower Extremity Cellulitis. JAMA Dermatol. 2016;153(2). doi:10.1001/jamadermatol.2016.3816.
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psnet.ahrq.gov/issue/considering-safety-and-quality-artificial-intelligence-health-care
August 12, 2020 - Commentary
Considering the safety and quality of artificial intelligence in health care.
Citation Text:
Ross P, Spates K. Considering the Safety and Quality of Artificial Intelligence in Health Care. Jt Comm J Qual Patient Saf. 2020;46(10):596-599. doi:10.1016/j.jcjq.2020.08.002.
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psnet.ahrq.gov/issue/teaching-not-learning-how-medical-residency-programs-handle-errors
December 18, 2008 - Study
Teaching but not learning: how medical residency programs handle errors.
Citation Text:
Hoff T, Pohl H, Bartfield J. Teaching but not learning: how medical residency programs handle errors. J Organ Behav. 2006;27(7). doi:10.1002/job.395.
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psnet.ahrq.gov/issue/strategies-developing-and-recognizing-faculty-working-quality-improvement-and-patient-safety
June 28, 2023 - Commentary
Strategies for developing and recognizing faculty working in quality improvement and patient safety.
Citation Text:
Coleman DL, Wardrop RM, Levinson WS, et al. Strategies for Developing and Recognizing Faculty Working in Quality Improvement and Patient Safety. Acad Med. 2017;9…
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psnet.ahrq.gov/issue/distributed-cognition-and-role-nurses-diagnostic-safety-emergency-department
April 13, 2011 - Book/Report
Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department.
Citation Text:
Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department. Manojlovich M, Krein SL, Kronick SL, et al. Rockville, MD: Agency for H…
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psnet.ahrq.gov/issue/saying-sorry-some-strategies-effective-apology-within-workplace
August 11, 2021 - Commentary
"Saying sorry": some strategies for effective apology within the workplace.
Citation Text:
Cleary M, Lees D, Lopez V. "Saying sorry": some strategies for effective apology within the workplace. Issues Ment Health Nurs. 2018;39(11):980-982. doi:10.1080/01612840.2018.1507571.
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psnet.ahrq.gov/issue/impact-declining-clinical-autopsy-need-revised-healthcare-policy
February 14, 2018 - Review
The impact of declining clinical autopsy: need for revised healthcare policy.
Citation Text:
Xiao J, Krueger GRF, Buja M, et al. The impact of declining clinical autopsy: need for revised healthcare policy. Am J Med Sci. 2009;337(1):41-6. doi:10.1097/MAJ.0b013e318184ce2b.
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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/indian-health-service-actions-needed-improve-use-data-adverse-events
September 07, 2016 - Book/Report
Indian Health Service: Actions Needed to Improve Use of Data on Adverse Events.
Citation Text:
Indian Health Service: Actions Needed to Improve Use of Data on Adverse Events. Washington, DC: United States Government Accounting Office; July 10, 2023. Publication GAO-23-1…
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psnet.ahrq.gov/issue/role-teamwork-professional-education-physicians-current-status-and-assessment-recommendations
March 09, 2009 - Commentary
The role of teamwork in the professional education of physicians: current status and assessment recommendations.
Citation Text:
Baker DP, Salas E, King HB, et al. The Role of Teamwork in the Professional Education of Physicians: Current Status and Assessment Recommendations.…
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psnet.ahrq.gov/issue/measurement-and-monitoring-safety-framework-mmsf-learning-its-implementation-canada
September 24, 2018 - Commentary
Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada.
Citation Text:
Carthey J. Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. BMJ Qual Saf. 2023;32(8):441-443. doi:10.1136/bmjqs-2…
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psnet.ahrq.gov/issue/effect-hospital-command-centre-patient-safety-interrupted-time-series-study
July 20, 2022 - Study
Effect of a hospital command centre on patient safety: an interrupted time series study.
Citation Text:
Effect of a hospital command centre on patient safety: an interrupted time series study. Mebrahtu TF, McInerney CD, Benn J, et al. BMJ Health Care Inform. 2023;30(1):e100653…