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psnet.ahrq.gov/node/44938/psn-pdf
September 28, 2017 - Walking the tightrope: communicating overdiagnosis in
modern healthcare.
September 28, 2017
McCaffery KJ, Jansen J, Scherer LD, et al. Walking the tightrope: communicating overdiagnosis in modern
healthcare. BMJ. 2016;352:i348. doi:10.1136/bmj.i348.
https://psnet.ahrq.gov/issue/walking-tightrope-communicating-over…
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psnet.ahrq.gov/node/34129/psn-pdf
January 16, 2019 - WHO Patient Safety.
January 16, 2019
World Health Organization.
https://psnet.ahrq.gov/issue/who-patient-safety
Reducing accidents and the risk of error requires a significant and sustained response at national and
global levels. With this in mind, the World Health Organization and its partners launched the World …
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psnet.ahrq.gov/node/50387/psn-pdf
September 25, 2019 - Special Issue on Prescription Drug Misuse.
September 25, 2019
Rickles NM, Fleming ML, Björnsdottir I, eds. Res Social Adm Pharm. 2019;15:907-1056.
https://psnet.ahrq.gov/issue/special-issue-prescription-drug-misuse
This special issue reviews research initiatives exploring persistent challenges associated with the
…
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psnet.ahrq.gov/node/34602/psn-pdf
February 17, 2009 - Disclosure of unanticipated events: the next step in better
communication with patients (part 1 of 3).
February 17, 2009
Chicago, IL; American Society of Healthcare Risk Management: 2003.
https://psnet.ahrq.gov/issue/disclosure-unanticipated-events-next-step-better-communication-patients-part-
1-3
The change in t…
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psnet.ahrq.gov/node/837979/psn-pdf
August 31, 2022 - Maternal Health Research Centers of Excellence (U54
Clinical Trial Optional).
August 31, 2022
National Institutes of Health. August 11, 2022. RFA-HD-23-035.
https://psnet.ahrq.gov/issue/maternal-health-research-centers-excellence-u54-clinical-trial-optional
Maternity care is increasingly being recognized as …
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psnet.ahrq.gov/node/40058/psn-pdf
January 22, 2017 - Infection preventionist checklist to improve culture and
reduce central line–associated bloodstream infections.
January 22, 2017
Goeschel CA, Holzmueller CG, Cosgrove SE, et al. Infection preventionist checklist to improve culture and
reduce central line-associated bloodstream infections. Jt Comm J Qual Patient Saf…
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psnet.ahrq.gov/node/73970/psn-pdf
October 21, 2021 - The Good, The Bad, and The Ugly: Patient Experiences
with CRPs.
October 13, 2021
Collaborative for Accountability and Improvement. October 21, 2021.
https://psnet.ahrq.gov/issue/good-bad-and-ugly-patient-experiences-crps
Communication-and-resolution program (CRP) initiatives are a valuable strategy for impro…
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psnet.ahrq.gov/node/45386/psn-pdf
November 23, 2016 - Balancing doctor egos and errors.
November 23, 2016
Sweeney JF. Medical Economics. November 10, 2016.
https://psnet.ahrq.gov/issue/balancing-doctor-egos-and-errors
Disclosure and candor with patients after a medical error has gained support from organizations, clinicians,
and patients. This magazine article discus…
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psnet.ahrq.gov/node/38459/psn-pdf
October 03, 2012 - Identifying opportunities for quality improvement in
surgical site infection prevention.
October 3, 2012
Gagliardi AR, Eskicioglu C, McKenzie M, et al. Identifying opportunities for quality improvement in surgical
site infection prevention. Am J Infect Control. 2009;37(5):398-402. doi:10.1016/j.ajic.2008.10.027.
h…
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psnet.ahrq.gov/node/46367/psn-pdf
August 30, 2017 - Why are so many women being misdiagnosed?
August 30, 2017
Mickle K. Glamour. August 11, 2017.
https://psnet.ahrq.gov/issue/why-are-so-many-women-being-misdiagnosed
Implicit bias and differences in communication style can affect patient care. This magazine article reports
on factors that contribute to misdiagnosis …
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psnet.ahrq.gov/node/44359/psn-pdf
January 06, 2016 - What happens when healthcare innovations collide?
January 6, 2016
Pendharkar SR, Woiceshyn J, da Silveira GJC, et al. What happens when healthcare innovations collide?
BMJ Qual Saf. 2016;25(1):9-13. doi:10.1136/bmjqs-2015-004441.
https://psnet.ahrq.gov/issue/what-happens-when-healthcare-innovations-collide
Innovat…
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psnet.ahrq.gov/node/43316/psn-pdf
July 02, 2014 - Optimizing transitions of care to reduce
rehospitalizations.
July 2, 2014
Li J, Young R, Williams M. Optimizing transitions of care to reduce rehospitalizations. Cleve Clin J Med.
2014;81(5):312-20. doi:10.3949/ccjm.81a.13106.
https://psnet.ahrq.gov/issue/optimizing-transitions-care-reduce-rehospitalizations
Care…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-3.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 1.3. Characteristics of LHC (All Hospitals)
Previous Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central…
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psnet.ahrq.gov/node/73359/psn-pdf
June 02, 2020 - Patient Safety Movement Foundation.
June 2, 2020
15642 Sand Canyon Ave. #51268, Irvine, CA 92619. 877-236-0279, info@psmf.org.
https://psnet.ahrq.gov/issue/patient-safety-movement-foundation
This organization shares best practices to align and optimize efforts toward eliminating patient harm by the
…
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psnet.ahrq.gov/node/43572/psn-pdf
October 08, 2014 - Awareness of patient safety grows with increased
outpatient surgeries.
October 8, 2014
Aston G. Hosp Health Netw. September 9, 2014.
https://psnet.ahrq.gov/issue/awareness-patient-safety-grows-increased-outpatient-surgeries
As outpatient surgery becomes more prevalent, attention around related safety concerns grow…
-
psnet.ahrq.gov/node/35339/psn-pdf
April 23, 2014 - Disclosing harmful medical errors to patients: a time for
professional action.
April 23, 2014
Gallagher TH, Levinson W. Disclosing Harmful Medical Errors to Patients. Arch Intern Med. 2005;165(16).
doi:10.1001/archinte.165.16.1819.
https://psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients-time-profes…
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psnet.ahrq.gov/node/46329/psn-pdf
September 06, 2017 - Risk factors of missed colorectal lesions after
colonoscopy.
September 6, 2017
Lee J, Park SW, Kim YS, et al. Risk factors of missed colorectal lesions after colonoscopy. Medicine
(Baltimore). 2017;96(27):e7468. doi:10.1097/MD.0000000000007468.
https://psnet.ahrq.gov/issue/risk-factors-missed-colorectal-lesions-af…
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psnet.ahrq.gov/node/40242/psn-pdf
February 23, 2011 - An anesthesiology department leads culture change at a
hospital system level to improve quality and patient
safety.
February 23, 2011
Fleischut PM, Evans AS, Faggiani SL, et al. An anesthesiology department leads culture change at a
hospital system level to improve quality and patient safety. Anesthesiol Clin. 201…
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psnet.ahrq.gov/node/43234/psn-pdf
June 04, 2014 - Independent double-checks for high-alert medications:
essential practice.
June 4, 2014
Baldwin K, Walsh V. Independent double-checks for high-alert medications: essential practice. Nursing
(Brux). 2014;44(4):65-7. doi:10.1097/01.NURSE.0000444547.64972.dc.
https://psnet.ahrq.gov/issue/independent-double-checks-high…
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psnet.ahrq.gov/node/38600/psn-pdf
October 03, 2017 - Assessment of transparency of cost estimates in
economic evaluations of patient safety programmes.
October 3, 2017
Fukuda H, Imanaka Y. Assessment of transparency of cost estimates in economic evaluations of patient
safety programmes. J Eval Clin Pract. 2009;15(3):451-9. doi:10.1111/j.1365-2753.2008.01033.x.
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