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psnet.ahrq.gov/node/851917/psn-pdf
January 01, 2024 - Incivility in healthcare: the impact of poor
communication.
August 2, 2023
Guppy JH, Widlund H, Munro R, et al. Incivility in healthcare: the impact of poor communication. BMJ Lead.
2024;8(1):83-87. doi:10.1136/leader-2022-000717.
https://psnet.ahrq.gov/issue/incivility-healthcare-impact-poor-communication
Incivi…
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psnet.ahrq.gov/node/865594/psn-pdf
January 01, 2025 - Understanding the informal aspects of medication
processes to maintain patient safety in hospitals: a
sociotechnical ethnographic study in paediatric units.
April 17, 2024
Sutherland AB, Phipps DL, Grant S, et al. Understanding the informal aspects of medication processes to
maintain patient safety in hospitals: a…
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psnet.ahrq.gov/node/840152/psn-pdf
November 16, 2022 - Scientific view of the global literature on medical error
reporting and reporting systems from 1977 to 2021: a
bibliometric analysis.
November 16, 2022
Ünal A, Seren Intepeler ?. Scientific view of the global literature on medical error reporting and reporting
systems from 1977 to 2021: a bibliometric analysis. J …
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psnet.ahrq.gov/node/34670/psn-pdf
January 01, 2006 - Hindsight ? foresight: the effect of outcome knowledge
on judgment under uncertainty.
March 7, 2005
Fischhoff B. Hindsight is not equal to foresight: The effect of outcome knowledge on judgment under
uncertainty. Journal of Experimental Psychology: Human Perception and Performance. 2006;1(3).
doi:10.1037/0096-1523…
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psnet.ahrq.gov/node/35251/psn-pdf
April 06, 2011 - Promoting health care safety through training high
reliability teams.
April 6, 2011
Wilson KA. Promoting health care safety through training high reliability teams. Quality and Safety in Health
Care. 2005;14(4). doi:10.1136/qshc.2004.010090.
https://psnet.ahrq.gov/issue/promoting-health-care-safety-through-trainin…
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www.ahrq.gov/patient-safety/reports/healthaffairs.html
March 01, 2019 - AHRQ-Funded Patient Safety Research Featured in Health Affairs
AHRQ-funded research studies focused on critical aspects of patient safety and health information technology were published in a November 2018 patient safety-themed issue of Health Affairs . As part of its commitment to lead patient-safety efforts …
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www.ahrq.gov/ncepcr/research/care-coordination/index.html
September 01, 2022 - Care Coordination
Care coordination, a key element for delivery of quality primary care, involves deliberately organizing patient care activities and sharing information among all of the participants concerned with a patient's care to achieve safer and more effective care. This means that the patient's needs an…
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psnet.ahrq.gov/node/865340/psn-pdf
March 27, 2024 - Risk management and patient safety in the artificial
intelligence era: a systematic review.
March 27, 2024
Ferrara M, Bertozzi G, Di Fazio N, et al. Risk management and patient safety in the artificial intelligence
era: a systematic review. Healthcare (Basel). 2024;12(5):549. doi:10.3390/healthcare12050549.
https:…
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psnet.ahrq.gov/node/44996/psn-pdf
June 29, 2016 - Residents' numeric inputting error in computerized
physician order entry prescription.
June 29, 2016
Wu X, Wu C, Zhang K, et al. Residents' numeric inputting error in computerized physician order entry
prescription. Int J Med Inform. 2016;88:25-33. doi:10.1016/j.ijmedinf.2016.01.002.
https://psnet.ahrq.gov/issue/r…
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psnet.ahrq.gov/node/47212/psn-pdf
July 11, 2018 - Medicine and the rise of the robots: a qualitative review of
recent advances of artificial intelligence in health.
July 11, 2018
Loh E. BMJ Leader. 2018;2(2):59-63.
https://psnet.ahrq.gov/issue/medicine-and-rise-robots-qualitative-review-recent-advances-artificial-
intelligence-health
Artificial intelligence (AI)…
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psnet.ahrq.gov/node/866254/psn-pdf
July 10, 2024 - Top Penn State Health surgeon warned leaders about
transplant problems months before shutdown. Then he
was let go.
July 10, 2024
Massey W, Keith C. Spotlight PA: June 20, 2024.
https://psnet.ahrq.gov/issue/top-penn-state-health-surgeon-warned-leaders-about-transplant-problems-
months-shutdown-then
Whistleblowers…
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digital.ahrq.gov/principal-investigator/moran-barbara
January 01, 2023 - Moran, Barbara
Transforming Healthcare Quality through Information Technology - Final Report
Citation
Rosa C. Transforming Healthcare Quality through Information Technology - Final Report. (Prepared by Cleveland Clinic Health System under Grant No. UC1 HS015076). Rockville, MD…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Ehringer_17.pdf
February 08, 2008 - Examples
to consider as appropriate include the following:
Patient Safety
Integrating reminders … Integrating
“best of care” protocols into clinicians’ workflow via
care provider order entry: Impact
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Ehringer_17.pdf
February 08, 2008 - Examples
to consider as appropriate include the following:
Patient Safety
Integrating reminders … Integrating
“best of care” protocols into clinicians’ workflow via
care provider order entry: Impact
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digital.ahrq.gov/sites/default/files/docs/Mass_eHealth_QuestionsAndComments.pdf
April 10, 2007 - What model of HIE is being used (central, de-central, hybrid,
Connecting For Health, Integrating the
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psnet.ahrq.gov/issue/understanding-and-improving-everyday-work-healthcare
May 13, 2020 - August 19, 2020
Implementing root cause analysis and action: integrating human factors
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cmext.ahrq.gov/confluence/plugins/viewsource/viewpagesrc.action?pageId=114991771
strong>IG—implementation guide
IHE—Integrating
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psnet.ahrq.gov/issue/decade-patient-safety-2020-2030
December 21, 2005 - October 21, 2020
A Guide to Patient Safety Improvement: Integrating Knowledge Translation
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www.ahrq.gov/patient-safety/reports/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-references.html
June 01, 2023 - The importance of integrating narrative into health care decision making.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-indications-notes.docx
April 01, 2022 - Slide 12
As you consider integrating interventions to include a review of clinical indications and