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6741. Four patients say Cedars-Sinai did not tell them they had received a radiation overdose. | PSNet
      psnet.ahrq.gov/issue/four-patients-say-cedars-sinai-did-not-tell-them-they-had-received-radiation-overdose
      November 11, 2015 - Newspaper/Magazine Article Four patients say Cedars-Sinai did not tell them they had received a radiation overdose. Citation Text: Four patients say Cedars-Sinai did not tell them they had received a radiation overdose. Zarembo A. Copy Citation Save Save to your…

6742. Building on Innovation to Become a Champion | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/plymouth.html
      March 01, 2021 - Building on Innovation to Become a Champion Plymouth Family Physicians has always been on the cutting edge of primary care improvement. Since founding Plymouth Family Physicians in 1985, the husband-and-wife team of Dr. Mary Arenberg and Dr. George Schroeder have focused on quality improvement activities to pro…

6743. Revealing their medical errors: why three doctors went public. | PSNet
      psnet.ahrq.gov/issue/revealing-their-medical-errors-why-three-doctors-went-public
      November 10, 2010 - Newspaper/Magazine Article Revealing their medical errors: why three doctors went public. Citation Text: Revealing their medical errors: why three doctors went public. O'Reilly KB. Copy Citation Save Save to your library Print Download PDF Sh…

6744. Table 3. Overview of participant responses to draft recommendations for key design features of consumer reporting systems | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/table3.html
      August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events Table 3. Overview of participant responses to draft recommendations for key design features of consumer reporting systems Previous Page Next Page Table of Contents Designing Consumer Reporting Systems for Patient Safety Events Executiv…

6745. Psychological Safety in Healthcare Settings. | PSNet
      psnet.ahrq.gov/issue/psychological-safety-healthcare-settings
      June 01, 2017 - Special or Theme Issue Psychological Safety in Healthcare Settings. Citation Text: Psychological Safety in Healthcare Settings. Int J Public Health. 2024;69. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downl…

6746. 053-Sample-Script-Iodophor (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/053-sample-script-iodophor.docx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Teaching Patients How To Decolonize With Iodophor: Key Points & Sample Script Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Properly teaching patients the importance of preoperative decolonization and how to perform it …

6747. Role of the Patient and Family in Telediagnosis | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/teledx-4.html
      August 01, 2020 - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis Role of the Patient and Family in Telediagnosis Previous Page Next Page Table of Contents Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis Introduction Evidence Base Supporting Te…

6748. NICU Family Information Packet, Appendix B, Ostomy Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-ostomy.pdf
      June 02, 2025 - NICU Family Information Packet, Appendix B, Ostomy Care Ostomy Care Ostomy Basics ■ An ostomy is usually temporary and created as part of a staged surgical approach to divert fecal matter, allow for resolution of inflammation, and to provide time for infant to grow and stabilize. ■ Often has 2 parts: proximal o…

6749. Appendix: The MATCH Work Plan | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/match/appendix/index.html
      July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Appendix: The MATCH Work Plan Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introduction Chapter 1. Building t…

6750. Job Aid: 5 Whys and Fishbone Diagrams (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-5-whys.pdf
      June 02, 2025 - Job Aid: 5 Whys and Fishbone Diagrams Primary Care Practice Facilitator Training Series 1 Job Aid: 5 Whys and Fishbone Diagrams Overview The 5 Whys and fishbone diagrams help practices identify obstacles to good performance and what causes them. They can also be used to identify the factors contribut…

6751. Appendix A: Guide to Online Resources Successfully Used by Hospitals to Improve Patient Flow | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptflow/appendix-a.html
      April 01, 2020 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals Appendix A: Guide to Online Resources Successfully Used by Hospitals to Improve Patient Flow Previous Page Next Page Table of Contents Improving Patient Flow and Reducing Emergency Department Crowding: A Guide f…

6752. Harvard Used AHRQ Data to Develop Tool to Analyze Utilization, Costs in Primary Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201612.html
      September 01, 2016 - Harvard Used AHRQ Data to Develop Tool to Analyze Utilization, Costs in Primary Care Search All Impact Case Studies September 2016 Researchers at Harvard Medical School and Stanford University used data from AHRQ’s Medical Expenditure Panel Survey (MEPS ) to develop an instrument that gauges how workforce …

6753. Types of Evidence Used To Assess Diagnosis | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology4.html
      April 01, 2025 - Exploration of Foundational Terminology and Paradigms for Improving Diagnosis Types of Evidence Used To Assess Diagnosis Previous Page Next Page Table of Contents Exploration of Foundational Terminology and Paradigms for Improving Diagnosis Introduction Perspectives on Diagnostic Improvement D…

6754. Drug labeling and packaging — looking beyond what meets the eye. | PSNet
      psnet.ahrq.gov/issue/drug-labeling-and-packaging-looking-beyond-what-meets-eye
      April 16, 2018 - Newspaper/Magazine Article Drug labeling and packaging — looking beyond what meets the eye. Citation Text: Drug labeling and packaging — looking beyond what meets the eye. PA-PSRS Patient Safety Advisory. Copy Citation Save Save to your library Print Dow…

6755. New system for patients to report medical mistakes. | PSNet
      psnet.ahrq.gov/issue/new-system-patients-report-medical-mistakes
      May 16, 2008 - Newspaper/Magazine Article New system for patients to report medical mistakes. Citation Text: New system for patients to report medical mistakes. Pear R. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

6756. AMA meeting: delegates see boosting quality of care as duty. | PSNet
      psnet.ahrq.gov/issue/ama-meeting-delegates-see-boosting-quality-care-duty
      March 07, 2012 - Organizational Policy/Guidelines AMA meeting: delegates see boosting quality of care as duty. Citation Text: AMA meeting: delegates see boosting quality of care as duty. O'Reilly KB. American Medical News. July 6, 2009;17:28. Copy Citation Save Save to yo…

6757. Better: A Surgeon's Notes on Performance. | PSNet
      psnet.ahrq.gov/issue/better-surgeons-notes-performance
      February 06, 2018 - Book/Report Better: A Surgeon's Notes on Performance. Citation Text: Better: A Surgeon's Notes on Performance. Gawande A. New York, NY: Metropolitan; 2007. Copy Citation Save Save to your library Print Download PDF Share Facebook Twit…

6758. Giving back the pen: disclosure, apology and early compensation discussions after harm in the healthcare setting. | PSNet
      psnet.ahrq.gov/issue/giving-back-pen-disclosure-apology-and-early-compensation-discussions-after-harm-healthcare
      April 26, 2012 - Commentary Giving back the pen: disclosure, apology and early compensation discussions after harm in the healthcare setting. Citation Text: Giving back the pen: disclosure, apology and early compensation discussions after harm in the healthcare setting. Pelletier E, Robson. Healthc Q…

6759. Exploring the experience of nurse practitioners who have committed medical errors: a phenomenological approach. | PSNet
      psnet.ahrq.gov/issue/exploring-experience-nurse-practitioners-who-have-committed-medical-errors-phenomenological
      April 21, 2021 - Study Exploring the experience of nurse practitioners who have committed medical errors: a phenomenological approach. Citation Text: Delacroix R. Exploring the experience of nurse practitioners who have committed medical errors: A phenomenological approach. J Am Assoc Nurse Pract. 2017;2…

6760. 2014 Annual Benchmarking Report: Malpractice Risks in the Diagnostic Process. | PSNet
      psnet.ahrq.gov/issue/2014-annual-benchmarking-report-malpractice-risks-diagnostic-process
      September 26, 2012 - Book/Report 2014 Annual Benchmarking Report: Malpractice Risks in the Diagnostic Process. Citation Text: 2014 Annual Benchmarking Report: Malpractice Risks in the Diagnostic Process. Hoffman J, ed. Cambridge, MA: CRICO Strategies; 2014. Copy Citation Save Save to …