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www.ahrq.gov/patient-safety/reports/engage/appe.html
March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Appendix E. Category Definitions
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Table of Contents
Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Executive Summary
Introduction
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psnet.ahrq.gov/issue/swiss-cheese-model
March 27, 2005 - Image/Poster
Swiss Cheese Model.
Citation Text:
Swiss Cheese Model. Adapted from: Reason JT. Managing the Risks of Organizational Accidents. Aldershot, Hants, England: Ashgate: 1997.
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integrationacademy.ahrq.gov/sites/default/files/2021-10/Useful_Refs_For_Fin_Integra_010516_1.pdf
January 01, 2021 - Other Useful References for Financing Integrated Ambulatory Care
Other Useful References for Financing Integrated
Ambulatory Care
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Cochrane Database Syst Rev. 2012;10:CD006525.
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digital.ahrq.gov/sites/default/files/docs/publication/p20hs015325-hartzema-final-report-2005.pdf
January 01, 2005 - The onsite survey was
performed by the Principal Investigator, a statistician, Tom Johns, Manager … Deena Hames Chief Financial Officer Madison County Memorial Hospital
Melissa Meyer Business Office Manager
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digital.ahrq.gov/ahrq-funded-projects/implementation-outcomes-health-it-program-vulnerable-diabetes-patients/annual-summary/2012
January 01, 2012 - Implementation Outcomes of a Health Information Technology Program For Vulnerable Diabetes Patients - 2012
Project Name
Implementation Outcomes of a Health Information Technology Program For Vulnerable Diabetes Patients
Principal Investigator
Handley, Margaret
Organization
Un…
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digital.ahrq.gov/medical-condition/trauma
January 01, 2024 - Trauma (Physical)
A pragmatic, stepped-wedge, hybrid type II trial of interoperable clinical decision support to improve venous thromboembolism prophylaxis for patients with traumatic brain injury.
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psnet.ahrq.gov/node/45626/psn-pdf
October 29, 2017 - The impacts of a pharmacist-managed outpatient clinic
and chemotherapy-directed electronic order sets for
monitoring oral chemotherapy.
October 29, 2017
Battis B, Clifford L, Huq M, et al. The impacts of a pharmacist-managed outpatient clinic and
chemotherapy-directed electronic order sets for monitoring oral chem…
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psnet.ahrq.gov/node/839818/psn-pdf
November 09, 2022 - Factors impacting on patient setup analysis and error
management during breast cancer radiotherapy.
November 9, 2022
Costin I-C, Marcu LG. Factors impacting on patient setup analysis and error management during breast
cancer radiotherapy. Crit Rev Oncol Hematol. 2022;178:103798. doi:10.1016/j.critrevonc.2022.103798…
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April 24, 2019 - Consumer-directed technologies to improve medication
management and safety.
April 24, 2019
Andrade AQ, Roughead EE. Consumer-directed technologies to improve medication management and
safety. Med J Aust. 2019;210(suppl 6):S24-S27. doi:10.5694/mja2.50029.
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psnet.ahrq.gov/node/838133/psn-pdf
January 01, 2023 - Nurse managers' leadership, patient safety, and quality of
care: a systematic review.
September 21, 2022
Lee SE, Hyunjie L, Sang S. Nurse managers' leadership, patient safety, and quality of care: a systematic
review. West J Nurs Res. 2023;45(2):176-185. doi:10.1177/01939459221114079.
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psnet.ahrq.gov/node/866585/psn-pdf
August 28, 2024 - Sex bias in pain management decisions.
August 28, 2024
Guzikevits M, Gordon-Hecker T, Rekhtman D, et al. Sex bias in pain management decisions. Proc Natl
Acad Sci U S A. 2024;121(33):e2401331121. doi:10.1073/pnas.2401331121.
https://psnet.ahrq.gov/issue/sex-bias-pain-management-decisions
Bias against women is, unf…
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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.
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psnet.ahrq.gov/node/44941/psn-pdf
October 05, 2016 - An embedded checklist in the Anesthesia Information
Management System improves pre-anaesthetic induction
setup: a randomised controlled trial in a simulation
setting.
October 5, 2016
Wetmore D, Goldberg A, Gandhi N, et al. An embedded checklist in the Anesthesia Information
Management System improves pre-anaesthe…
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psnet.ahrq.gov/node/72681/psn-pdf
January 27, 2021 - A complexity thinking account of the COVID-19 pandemic:
implications for systems-oriented safety management.
January 27, 2021
Abreu Saurin T. A complexity thinking account of the COVID-19 pandemic: Implications for systems-
oriented safety management. Safety Sci. 2021;134:105087. doi:10.1016/j.ssci.2020.105087.
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April 26, 2023 - Potentiality of algorithms and artificial intelligence
adoption to improve medication management in primary
care: a systematic review.
April 26, 2023
Damiani G, Altamura G, Zedda M, et al. Potentiality of algorithms and artificial intelligence adoption to
improve medication management in primary care: a systematic…
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psnet.ahrq.gov/node/45627/psn-pdf
April 26, 2017 - Imperfect practice makes perfect: error management
training improves transfer of learning.
April 26, 2017
Dyre L, Tabor A, Ringsted C, et al. Imperfect practice makes perfect: error management training improves
transfer of learning. Med Educ. 2017;51(2):196-206. doi:10.1111/medu.13208.
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psnet.ahrq.gov/node/33931/psn-pdf
June 23, 2015 - An analysis of major errors and equipment failures in
anesthesia management: considerations for prevention
and detection.
June 23, 2015
Cooper JB, Newbower RS, Kitz RJ. An analysis of major errors and equipment failures in anesthesia
management: considerations for prevention and detection. Anesthesiology. 1984;60(…
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psnet.ahrq.gov/node/43689/psn-pdf
December 10, 2014 - A meta-analysis of the effectiveness of crew resource
management training in acute care domains.
December 10, 2014
O'Dea A, O'Connor P, Keogh I. A meta-analysis of the effectiveness of crew resource management training
in acute care domains. Postgrad Med J. 2014;90(1070):699-708. doi:10.1136/postgradmedj-2014-13280…
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psnet.ahrq.gov/issue/effective-followership-standardized-algorithm-resolve-clinical-conflicts-and-improve-teamwork
March 13, 2013 - Commentary
Effective followership: a standardized algorithm to resolve clinical conflicts and improve teamwork.
Citation Text:
Sculli GL, Fore AM, Sine DM, et al. Effective followership: A standardized algorithm to resolve clinical conflicts and improve teamwork. J Healthc Risk Manag. 20…
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digital.ahrq.gov/ahrq-funded-projects/self-management-reminders-technology-smart-appraisal-integrated-phr/annual-summary/2011
January 01, 2011 - Self Management & Reminders with Technology: SMART Appraisal of an Integrated PHR - 2011
Project Name
Self Management & Reminders with Technology: SMART Appraisal of an Integrated Personal Health Record
Principal Investigator
Roberts, Mark Stenius
Organization
University of P…