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psnet.ahrq.gov/issue/improving-patient-care-my-right-knee
August 04, 2021 - Commentary
Improving patient care. My right knee.
Citation Text:
Berwick DM. Improving patient care. My right knee. Ann Intern Med. 2005;142(2):121-5.
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psnet.ahrq.gov/issue/does-simulation-improve-patient-safety-self-efficacy-competence-operational-performance-and
May 25, 2016 - Commentary
Does simulation improve patient safety?: self-efficacy, competence, operational performance, and patient safety.
Citation Text:
Nishisaki A, Keren R, Nadkarni V. Does simulation improve patient safety? Self-efficacy, competence, operational performance, and patient safety. A…
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psnet.ahrq.gov/issue/new-horizons-patient-safety-safe-communication-evidence-based-core-competencies-case-studies
November 19, 2018 - Book/Report
New Horizons in Patient Safety. Safe Communication: Evidence-based Core Competencies with Case Studies from Nursing.
Citation Text:
New Horizons in Patient Safety. Safe Communication: Evidence-based Core Competencies with Case Studies from Nursing. Hannawa AF, Wendt AL, Day L…
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psnet.ahrq.gov/issue/canadian-quality-and-patient-safety-framework-health-and-social-services
December 09, 2020 - Multi-use Website
The Canadian Quality and Patient Safety Framework for Health and Social Services.
Citation Text:
The Canadian Quality and Patient Safety Framework for Health and Social Services. Canadian Patient Safety Institute and Health Standards Organization.
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psnet.ahrq.gov/issue/how-nursing-homes-worst-offenses-are-hidden-public
September 22, 2021 - Newspaper/Magazine Article
How nursing homes’ worst offenses are hidden from the public.
Citation Text:
How nursing homes’ worst offenses are hidden from the public. Gebeloff R, Thomas K, Silver-Greenberg J. New York Times. December 9, 2021.
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psnet.ahrq.gov/issue/recent-evidence-health-it-improves-patient-safety-issue-brief
June 29, 2016 - Book/Report
Recent Evidence That Health IT Improves Patient Safety: Issue Brief.
Citation Text:
Recent Evidence That Health IT Improves Patient Safety: Issue Brief. Banger A, Graber ML. Washington, DC: Office of the National Coordinator for Health Information Technology; February 2015.
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psnet.ahrq.gov/issue/improving-care-using-patient-feedback
April 19, 2017 - Book/Report
Improving care by using patient feedback.
Citation Text:
Improving care by using patient feedback. National Institute for Health Research. Southampton, UK: NIHR Dissemination Centre; December 2019.
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psnet.ahrq.gov/issue/i-felt-i-was-dying-how-women-postpartum-depression-fall-through-cracks-us-health-care
February 15, 2023 - Newspaper/Magazine Article
‘I felt like I was dying’: how women with postpartum depression fall through the cracks of U.S. health care.
Citation Text:
‘I felt like I was dying’: how women with postpartum depression fall through the cracks of U.S. health care. Gammon K. STAT. June 26, 202…
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psnet.ahrq.gov/issue/human-and-organizational-biases-affecting-management-safety
May 29, 2014 - Commentary
Human and organizational biases affecting the management of safety.
Citation Text:
Reiman T, Rollenhagen C. Human and organizational biases affecting the management of safety. Reliab Eng Syst Saf. 2011;96(10). doi:10.1016/j.ress.2011.05.010.
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psnet.ahrq.gov/issue/basics-fmea-2nd-edition
October 23, 2013 - Book/Report
Classic
The Basics of FMEA. 2nd ed.
Citation Text:
The Basics of FMEA. 2nd ed. McDermott RE, Mikulak RJ, Beauregard MR. New York, NY: CRC Press; 2009. ISBN: 9781563273773.
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psnet.ahrq.gov/issue/physician-liability-age-data-reliance-and-errors
March 18, 2020 - Commentary
Physician liability in the age of data reliance and errors.
Citation Text:
Physician liability in the age of data reliance and errors. Montesantos L. Ann Health Law Life Sci. 2022;31(Spring):179-215.
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psnet.ahrq.gov/issue/whistleblowing-and-patient-safety-patients-or-professions-interests-stake
June 10, 2020 - Commentary
Whistleblowing and patient safety: the patient's or the profession's interests at stake.
Citation Text:
Bolsin S, Pal R, Wilmshurst P, et al. Whistleblowing and patient safety: the patient's or the profession's interests at stake? J R Soc Med. 2011;104(7):278-82. doi:10.1258/…
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psnet.ahrq.gov/issue/science-improvement
August 04, 2021 - Commentary
Classic
The science of improvement.
Citation Text:
Berwick DM. The science of improvement. JAMA. 2008;299(10):1182-4. doi:10.1001/jama.299.10.1182.
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psnet.ahrq.gov/issue/system-factors-analysis-line-tube-and-drain-incidents-intensive-care-unit
December 15, 2011 - Study
A system factors analysis of "line, tube, and drain" incidents in the intensive care unit.
Citation Text:
Needham DM, Sinopoli DJ, Thompson DA, et al. A system factors analysis of "line, tube, and drain" incidents in the intensive care unit. Crit Care Med. 2005;33(8):1701-1707.
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psnet.ahrq.gov/issue/two-effective-initiatives-c-suite-leaders-improve-medication-safety-and-reliability-outcomes
March 14, 2023 - Newspaper/Magazine Article
Two effective initiatives for C-suite leaders to improve medication safety and the reliability of outcomes.
Citation Text:
Two effective initiatives for C-suite leaders to improve medication safety and the reliability of outcomes. ISMP Medication Safety Alert! …
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psnet.ahrq.gov/issue/advancing-patient-safety-implementation-through-safe-medication-use-research-r18
December 20, 2023 - Government Resource
Advancing Patient Safety Implementation Through Safe Medication Use Research (R18).
Citation Text:
Advancing Patient Safety Implementation Through Safe Medication Use Research (R18). Rockville, MD: Agency for Healthcare Research and Quality. PA-14-002.
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psnet.ahrq.gov/issue/covid-19-delaying-routine-care-chronic-disease-startups-brace-slew-complications
May 02, 2018 - Newspaper/Magazine Article
With Covid-19 delaying routine care, chronic disease startups brace for a slew of complications.
Citation Text:
With Covid-19 delaying routine care, chronic disease startups brace for a slew of complications. Brodwin E. STAT. April 14, 2020.
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psnet.ahrq.gov/issue/peoples-experiences-diagnosis
June 17, 2014 - Book/Report
People’s Experiences of Diagnosis.
Citation Text:
People’s Experiences Of Diagnosis. London, England: National Voices; June 2024.
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psnet.ahrq.gov/issue/ahrq-focuses-ambulatory-patient-safety
January 31, 2024 - Commentary
AHRQ focuses on ambulatory patient safety.
Citation Text:
Ricciardi R. AHRQ Focuses on Ambulatory Patient Safety. J Nurs Care Qual. 2015;30(3):193-6. doi:10.1097/NCQ.0000000000000124.
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psnet.ahrq.gov/issue/nurses-and-patients-natural-partners-advance-patient-safety
July 11, 2018 - Commentary
Nurses and patients: natural partners to advance patient safety
Citation Text:
Ricciardi R, Shofer M. Nurses and Patients: Natural Partners to Advance Patient Safety. J Nurs Care Qual. 2019;34(1):1-3. doi:10.1097/NCQ.0000000000000377.
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