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psnet.ahrq.gov/issue/role-chief-executive-officer-maximizing-patient-safety
January 03, 2017 - Newspaper/Magazine Article
The role of the chief executive officer in maximizing patient safety.
Citation Text:
Shorr AS. The role of the chief executive officer in maximizing patient safety. Healthcare executive. 2007;22(2):20-2, 24, 26.
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psnet.ahrq.gov/issue/err-human-unless-you-are-healthcare-provider
March 22, 2023 - Commentary
To err is human, unless you are a healthcare provider.
Citation Text:
To err is human, unless you are a healthcare provider. Zajicek J. Belmont Health Law J. 2020;4:79-135.
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psnet.ahrq.gov/issue/partnering-families-and-patient-advocates-another-line-defense-adverse-event-surveillance
September 11, 2019 - Newspaper/Magazine Article
Partnering with families and patient advocates: another line of defense in adverse event surveillance.
Citation Text:
Partnering with families and patient advocates: another line of defense in adverse event surveillance. ISMP Medication Safety Alert! Acute Care…
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digital.ahrq.gov/ahrq-funded-projects/improving-quality-care-children-special-needs
January 01, 2023 - Improving Quality Care for Children with Special Needs
Project Final Report ( PDF , 187.42 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/statistical-process-control
January 01, 2023 - Statistical Process Control
Acronym
SPC
Also Known As
Control Chart
Run Chart
Examples
Taveras M. Increasing charge capture using scheduling techniques for a hospital-based ancillary service. 17th Annual Society for Health Systems Management Engineering Forum; 2005; Dallas, TX;…
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psnet.ahrq.gov/issue/when-misdiagnosis-child-abuse
June 09, 2021 - Newspaper/Magazine Article
When the misdiagnosis is child abuse.
Citation Text:
Clifford S. When the misdiagnosis is child abuse. The Atlantic. 2020;August 20.
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psnet.ahrq.gov/issue/patient-safety-patients-role
May 26, 2011 - Commentary
Patient safety: the patient's role.
Citation Text:
Ford D. Patient safety: the patient's role. . World Hosp Health Serv. 2006;42(3):45-48.
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psnet.ahrq.gov/issue/workforce-and-patient-safety
February 21, 2024 - Book/Report
Workforce and Patient Safety.
Citation Text:
Workforce and Patient Safety. Dorset, UK: Health Services Safety Investigations Body; 2024.
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psnet.ahrq.gov/issue/implementation-rapid-response-team-success-story
August 21, 2024 - Commentary
Implementation of a rapid response team: a success story.
Citation Text:
Scott SS, Elliott S. Implementation of a rapid response team: a success story. Crit Care Nurse. 2009;29(3):66-75; quiz 76. doi:10.4037/ccn2009802.
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psnet.ahrq.gov/issue/pediatric-safety-incidents-intensive-care-reporting-system
May 27, 2011 - Study
Pediatric safety incidents from an intensive care reporting system.
Citation Text:
Pediatric safety incidents from an intensive care reporting system. Skapik JL; Pronovost PJ; Miller MR; Thompson DA; Wu AW.
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psnet.ahrq.gov/issue/engaging-patients-and-family-members-patient-safety-experience-new-york-city-health-and
October 19, 2022 - Study
Engaging patients and family members in patient safety—the experience of the New York City Health and Hospitals Corporation.
Citation Text:
Wale JB, Moon RR. Engaging patients and family members in patient safety--the experience of the New York City Health and Hospitals Corporation…
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psnet.ahrq.gov/issue/examining-status-vas-electronic-health-record-modernization-program
November 10, 2021 - Congressional Testimony
Examining the Status of VA’s Electronic Health Record Modernization Program.
Citation Text:
Examining the Status of VA’s Electronic Health Record Modernization Program. US Senate Committee on Veterans Affairs. 117th Cong (2021-2022). (July 20, 2022).
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psnet.ahrq.gov/issue/fatal-error-sparks-debate-over-punitive-measures
May 20, 2020 - Newspaper/Magazine Article
Fatal error sparks debate over punitive measures.
Citation Text:
Fatal error sparks debate over punitive measures. Fernandez J. Drug Topics. May 7, 2007.
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psnet.ahrq.gov/issue/checking-checklist
July 11, 2023 - Book/Report
Checking In on the Checklist.
Citation Text:
Checking In on the Checklist. Buissonniere M. Brooklyn NY: Lifebox and Ariadne Labs; 2020.
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effectivehealthcare.ahrq.gov/sites/default/files/epstein1.pdf
January 01, 2009 - Epstein
Slide 1: Response to Naik and Singh
Ronald M Epstein MD
Professor of Family Medicine, Psychiatry and Oncology
Director, Rochester Center to Improve Communication in Health Care
University
of Rochester
Medical Center
Slide 2: Starting
points
• Synchronous asynchrono…
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psnet.ahrq.gov/issue/addressing-problematic-opioid-use-oecd-countries
October 14, 2020 - Book/Report
Addressing Problematic Opioid Use in OECD Countries.
Citation Text:
Addressing Problematic Opioid Use in OECD Countries. Organisation for Economic Co-operation and Development. Paris, France: OECD Publishing; 2019. ISBN: 978926474260.
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digital.ahrq.gov/ahrq-funded-projects/creating-foundation-design-culturally-informed-health-it/annual-summary/2011
January 01, 2011 - Creating a foundation for the design of culturally-informed health IT - 2011
Project Name
Creating a Foundation for the Design of Culturally-Informed Health Information Technology
Principal Investigator
Valdez, Rupa Sheth
Organization
University of Wisconsin - Madison
…
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psnet.ahrq.gov/issue/vaught-says-some-system-practices-contributed-fatal-mistake
September 29, 2021 - Newspaper/Magazine Article
RaDonda Vaught says some system practices contributed to fatal mistake.
Citation Text:
RaDonda Vaught says some system practices contributed to fatal mistake. Clark C. MedPage Today. March 14, 2024.
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digital.ahrq.gov/ahrq-funded-projects/using-short-message-system-sms-improve-health-care-quality-and-outcomes-among/annual-summary/2010
January 01, 2010 - Using Short Message System (SMS) to Improve Health Care Quality and Outcomes Among HIV-Positive Men - 2010
Project Name
Using Short Message System (SMS) to Improve Health Care Quality and Outcomes Among HIV-Positive Men
Principal Investigator
Uhrig, Jennifer
Organization
RTI …
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psnet.ahrq.gov/issue/nurses-role-medication-safety
June 26, 2024 - Review
Nurses' role in medication safety.
Citation Text:
Choo J, Hutchinson A, Bucknall T. Nurses' role in medication safety. J Nurs Manag. 2010;18(7):853-61. doi:10.1111/j.1365-2834.2010.01164.x.
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