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psnet.ahrq.gov/node/45451/psn-pdf
October 05, 2016 - Healthcare professional and patient codesign and
validation of a mechanism for service users to feedback
patient safety experiences following a care transfer: a
qualitative study.
October 5, 2016
Scott J, Heavey E, Waring J, et al. Healthcare professional and patient codesign and validation of a
mechanism for ser…
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psnet.ahrq.gov/node/45214/psn-pdf
July 13, 2016 - Recognizing quality improvement and patient safety
activities in academic promotion in departments of
medicine: innovative language in promotion criteria.
July 13, 2016
Staiger TO, Mills LM, Wong BM, et al. Recognizing Quality Improvement and Patient Safety Activities in
Academic Promotion in Departments of Medici…
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psnet.ahrq.gov/node/44773/psn-pdf
January 13, 2016 - A tool for the concise analysis of patient safety incidents.
January 13, 2016
Pham JC, Hoffman C, Popescu I, et al. A Tool for the Concise Analysis of Patient Safety Incidents. Jt
Comm J Qual Patient Saf. 2016;42(1):26-33.
https://psnet.ahrq.gov/issue/tool-concise-analysis-patient-safety-incidents
Once identified,…
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psnet.ahrq.gov/node/837599/psn-pdf
June 29, 2022 - Differences in medication reconciliation interventions
between six hospitals: a mixed method study.
June 29, 2022
Stuijt CCM, van den Bemt BJF, Boerlage VE, et al. Differences in medication reconciliation interventions
between six hospitals: a mixed method study. BMC Health Serv Res. 2022;22(1):722. doi:10.1186/s12…
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psnet.ahrq.gov/node/44444/psn-pdf
September 02, 2015 - Clinical communities at Johns Hopkins Medicine: an
emerging approach to quality improvement.
September 2, 2015
Gould LJ, Wachter PA, Aboumatar HJ, et al. Clinical Communities at Johns Hopkins Medicine: An
Emerging Approach to Quality Improvement. Jt Comm J Qual Patient Saf. 2015;41(9):387-395.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/851057/psn-pdf
June 28, 2023 - The burden of peri-operative work at night as perceived
by anaesthesiologists: an international survey.
June 28, 2023
Cortegiani A, Ippolito M, Lakbar I, et al. The burden of peri-operative work at night as perceived by
anaesthesiologists: an international survey. Eur J Anaesthesiol. 2023;40(5):326-333.
doi:10.109…
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psnet.ahrq.gov/node/44322/psn-pdf
June 21, 2016 - Emotional harm from disrespect: the neglected
preventable harm.
June 21, 2016
Sokol-Hessner L, Folcarelli P, Sands KEF. Emotional harm from disrespect: the neglected preventable
harm. BMJ Qual Saf. 2015;24(9):550-3. doi:10.1136/bmjqs-2015-004034.
https://psnet.ahrq.gov/issue/emotional-harm-disrespect-neglected-pre…
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psnet.ahrq.gov/node/46739/psn-pdf
January 24, 2019 - Symptom–Disease Pair Analysis of Diagnostic Error
(SPADE): a conceptual framework and methodological
approach for unearthing misdiagnosis-related harms
using big data.
January 24, 2019
Liberman AL, Newman-Toker DE. Symptom-Disease Pair Analysis of Diagnostic Error (SPADE): a
conceptual framework and methodologica…
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psnet.ahrq.gov/node/42686/psn-pdf
April 16, 2019 - Improving the quality of health care: what's taking so
long?
April 16, 2019
Chassin MR. Improving The Quality Of Health Care: What’s Taking So Long? Health Aff.
2013;32(10):1761-1765. doi:10.1377/hlthaff.2013.0809.
https://psnet.ahrq.gov/issue/improving-quality-health-care-whats-taking-so-long
Almost a decade-and…
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psnet.ahrq.gov/node/40191/psn-pdf
May 28, 2014 - The Value of Close Calls in Improving Patient Safety.
May 28, 2014
Wu AW, ed. Oakbrook Terrace, IL: Joint Commission Resources; 2011. ISBN: 9781599404158.
https://psnet.ahrq.gov/issue/value-close-calls-improving-patient-safety
Close calls (sometimes called near misses) pose unique challenges and opportunities when …
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psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
February 01, 2013 - Patient Engagement and Patient Safety
Saul N. Weingart, MD, PhD | February 1, 2013
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Citation Text:
Weingart SN. Patient Engagement and Patient Safety. PSNet [internet]. Rockville (MD): Agency fo…
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psnet.ahrq.gov/perspective/conversation-withrichard-ricciardi-about-office-based-patient-safety
January 31, 2024 - In Conversation with...Richard Ricciardi about Office-Based Patient Safety
Richard Ricciardi, Ph.D., CRNP, FAANP, FAAN | January 31, 2024
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Citation Text:
Ricciardi R, Lee M, Mossburg S. In Conversatio…
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January 31, 2024 - Patient Safety in Office-Based Care Settings
Richard Ricciardi, Ph.D., CRNP, FAANP, FAAN; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD
| January 31, 2024
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Ricciardi R, L…
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psnet.ahrq.gov/perspective/conversation-alison-holmes-md-mph
March 01, 2014 - In Conversation With… Alison Holmes, MD, MPH
March 1, 2014
Also Read an Essay
Citation Text:
In Conversation With… Alison Holmes, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…
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psnet.ahrq.gov/perspective/playing-well-others-translocational-research-patient-safety
September 01, 2005 - Playing Well with Others: "Translocational Research" in Patient Safety
Robert M. Wachter, MD | September 1, 2005
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Citation Text:
Wachter R. Playing Well with Others: "Translocational Research" in…
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psnet.ahrq.gov/web-mm/right-patient-wrong-sample
June 01, 2004 - Right Patient, Wrong Sample
Citation Text:
Astion ML. Right Patient, Wrong Sample. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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August 01, 2012 - In Conversation With… Nicholas G. Castle, MHA, PhD
August 1, 2012
In Conversation With… Nicholas G. Castle, MHA, PhD. PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/conversation-nicholas-g-castle-mha-phd
Editor's note: The topic of patient safety in long-term care facilities has not received the attent…
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psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant
August 21, 2016 - Radiology Missed an Intracranial Bleed in a Lethargic Infant.
Citation Text:
Yuk J, Magana J. Radiology Missed an Intracranial Bleed in a Lethargic Infant.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
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August 30, 2023 - Breadcrumb
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psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
June 01, 2007 - Advancing Patient Safety Through State Reporting Systems
Jill Rosenthal, MPH | June 1, 2007
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Citation Text:
Rosenthal J. Advancing Patient Safety Through State Reporting Systems. PSNet [internet]. Rockville (MD): Agency for…