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psnet.ahrq.gov/issue/theoretical-approaches-investigating-patient-safety
September 15, 2009 - Commentary
Theoretical approaches for investigating patient safety.
Citation Text:
Thomas MB, Houston S. Theoretical approaches for investigating patient safety. Clin Nurse Spec. 2005;19(3):129-134.
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digital.ahrq.gov/2020-year-review/research-summary/using-natural-language-processing-improve-autism-spectrum-disorder-research-and-care
January 01, 2020 - Using Natural Language Processing to Improve Autism Spectrum Disorder Research and Care
Applying algorithms on free text in electronic health records can identify criteria for autism spectrum disorder, which improves earlier detection and treatment as well as research with large-scale data.
Prin…
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www.ahrq.gov/research/findings/evidence-based-reports/ptsafetyuptp.html
July 01, 2023 - Making Health Care Safer II
An Updated Critical Analysis of the Evidence for Patient Safety Practices
This evidence report updates the 2001 report, Making Health Care Safer: A Critical Analysis of Patient Safety Practices.
Select for a list of 22 patient safety strategies discussed in the new report that a…
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psnet.ahrq.gov/issue/criminalization-human-error-and-guilty-verdict-travesty-justice-threatens-patient-safety
September 07, 2022 - Newspaper/Magazine Article
Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety.
Citation Text:
Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety. ISMP Medication Safety Alert! Acut…
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psnet.ahrq.gov/issue/peer-support-clinicians-programmatic-approach
July 25, 2018 - Commentary
Peer support for clinicians: a programmatic approach.
Citation Text:
Shapiro J, Galowitz P. Peer Support for Clinicians: A Programmatic Approach. Acad Med. 2016;91(9):1200-4. doi:10.1097/ACM.0000000000001297.
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psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients-tackling-three-tough-cases
December 19, 2018 - Commentary
Disclosing harmful medical errors to patients: tackling three tough cases.
Citation Text:
Gallagher TH, Bell SK, Smith KM, et al. Disclosing harmful medical errors to patients: tackling three tough cases. Chest. 2009;136(3):897-903. doi:10.1378/chest.09-0030.
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www.ahrq.gov/talkingquality/about/index.html
August 01, 2016 - About TalkingQuality
Purpose of TalkingQuality: To Improve Consumer Reports on Health Care Quality
TalkingQuality is a comprehensive resource and guide for organizations that produce and disseminate reports to consumers on the quality of care provided by health care organizations (e.g., hospitals, health plan…
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psnet.ahrq.gov/issue/eight-year-experience-neurosurgical-checklist
September 27, 2023 - Study
Eight-year experience with a neurosurgical checklist.
Citation Text:
Lyons MK. Eight-year experience with a neurosurgical checklist. Am J Med Qual. 2010;25(4):285-8. doi:10.1177/1062860610363305.
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psnet.ahrq.gov/issue/where-should-patient-safety-be-installed
October 05, 2022 - Commentary
Where should patient safety be installed?
Citation Text:
Sine DM, Paull D. Where should patient safety be installed? J Healthc Risk Manag. 2017;37(3):14-17. doi:10.1002/jhrm.21285.
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psnet.ahrq.gov/issue/identifying-medication-errors-surgical-prescription-charts
April 17, 2024 - Study
Identifying medication errors in surgical prescription charts.
Citation Text:
Simons J. Identifying medication errors in surgical prescription charts. Paediatr Nurs. 2010;22(5):20-4.
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psnet.ahrq.gov/issue/patient-handoffs
June 17, 2014 - Newspaper/Magazine Article
Patient handoffs.
Citation Text:
Runy LA. Patient handoffs. Hospitals & health networks. 2008;82(5):7 p following 40, 2.
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psnet.ahrq.gov/issue/science-and-economics-improving-clinical-communication
November 18, 2015 - Commentary
The science and economics of improving clinical communication.
Citation Text:
O'Byrne WT, Weavind L, Selby J. The science and economics of improving clinical communication. Anesthesiol Clin. 2008;26(4):729-44, vii. doi:10.1016/j.anclin.2008.07.010.
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psnet.ahrq.gov/issue/patient-death-after-inadvertent-infusion-prn-medication-hanging-bedside-intravenous-iv-pole
April 17, 2024 - Newspaper/Magazine Article
Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole.
Citation Text:
Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole. ISMP Medication Safety Alert! Acute Care. 20…
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psnet.ahrq.gov/issue/patient-safety-and-medical-liability-current-status-and-agenda-future
January 01, 2015 - Review
Patient safety and medical liability: current status and an agenda for the future.
Citation Text:
Abuhamad A, Grobman WA. Patient safety and medical liability: current status and an agenda for the future. Obstet Gynecol. 2010;116(3):570-7. doi:10.1097/AOG.0b013e3181eeb785.
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psnet.ahrq.gov/issue/simulation-obstetric-anesthesia
January 12, 2011 - Review
Simulation in obstetric anesthesia.
Citation Text:
Pratt SD. Focused review: simulation in obstetric anesthesia. Anesth Analg. 2012;114(1):186-90. doi:10.1213/ANE.0b013e3182377bbc.
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psnet.ahrq.gov/issue/electronic-fetal-heart-rate-monitoring-applying-principles-patient-safety
October 10, 2018 - Commentary
Electronic fetal heart rate monitoring: applying principles of patient safety.
Citation Text:
Miller DA, Miller L. Electronic fetal heart rate monitoring: applying principles of patient safety. Am J Obstet Gynecol. 2012;206(4):278-83. doi:10.1016/j.ajog.2011.08.016.
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www.ahrq.gov/talkingquality/resources/writing/good-writing.html
July 01, 2011 - Why Does the Writing in a Health Care Quality Report Matter?
Information is clear if the audience for that information can understand it. This simple rule poses a real challenge, because there are many possible audiences for a health care quality report and they may differ in background knowledge, literacy …
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter1.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Chapter 1. Background
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Table of Contents
Designing Consumer Reporting Systems for Patient Safety Events
Executive Summary
Chapter 1. Background
Chapter 2. Conceptual Framework and Design
Chapter 3. Descript…
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psnet.ahrq.gov/issue/how-series-errors-led-recurrent-hypoglycemia
April 23, 2014 - Commentary
How a series of errors led to recurrent hypoglycemia.
Citation Text:
Singh R. How a series of errors led to recurrent hypoglycemia. J Fam Pract. 2006;55(6):489-97.
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psnet.ahrq.gov/issue/prevention-medication-errors-pediatric-inpatient-setting
July 03, 2016 - Review
Prevention of medication errors in the pediatric inpatient setting.
Citation Text:
Prevention of medication errors in the pediatric inpatient setting. Stucky ER; American Academy of Pediatrics Committee on Drugs; American Academy of Pediatrics Committee on Hospital Care. …