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psnet.ahrq.gov/issue/resilience-healthcare-and-clinical-handover
August 19, 2009 - Commentary
Resilience in healthcare and clinical handover.
Citation Text:
Jeffcott SA, Ibrahim JE, Cameron PA. Resilience in healthcare and clinical handover. Qual Saf Health Care. 2009;18(4):256-60. doi:10.1136/qshc.2008.030163.
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psnet.ahrq.gov/issue/creating-effective-quality-improvement-collaboratives-multiple-case-study
December 19, 2012 - Study
Creating effective quality-improvement collaboratives: a multiple case study.
Citation Text:
Strating MMH, Nieboer AP, Zuiderent-Jerak T, et al. Creating effective quality-improvement collaboratives: a multiple case study. BMJ Qual Saf. 2011;20(4). doi:10.1136/bmjqs.2010.047159. …
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psnet.ahrq.gov/issue/toward-higher-performance-health-systems-adults-health-care-experiences-seven-countries-2007
February 22, 2010 - Study
Toward higher-performance health systems: adults' health care experiences in seven countries, 2007.
Citation Text:
Schoen C, Osborn R, Doty M, et al. Toward higher-performance health systems: adults' health care experiences in seven countries, 2007. Health Aff (Millwood). 2007;26…
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psnet.ahrq.gov/issue/assessing-organisational-culture-quality-and-safety-improvement-national-survey-tools-and
March 08, 2017 - Study
Assessing organisational culture for quality and safety improvement: a national survey of tools and tool use.
Citation Text:
Mannion R, Konteh FH, Davies HTO. Assessing organisational culture for quality and safety improvement: a national survey of tools and tool use. Qual Saf He…
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psnet.ahrq.gov/issue/understanding-safer-practices-health-care-prologue-role-indicators
May 07, 2008 - Study
Understanding safer practices in health care: a prologue for the role of indicators.
Citation Text:
Kazandjian VA, Wicker K, Ogunbo S, et al. Understanding safer practices in health care: a prologue for the role of indicators. J Eval Clin Pract. 2005;11(2):161-70.
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psnet.ahrq.gov/issue/development-self-report-instrument-measure-patient-safety-attitudes-skills-and-knowledge
April 10, 2013 - Commentary
Development of a self-report instrument to measure patient safety attitudes, skills, and knowledge.
Citation Text:
Schnall R, Stone PW, Currie L, et al. Development of a self-report instrument to measure patient safety attitudes, skills, and knowledge. J Nurs Scholarsh. 2008…
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psnet.ahrq.gov/issue/measuring-errors-surgical-pathology-real-life-practice-defining-what-does-and-does-not-matter
January 14, 2011 - Review
Measuring errors in surgical pathology in real-life practice: defining what does and does not matter.
Citation Text:
Renshaw AA, Gould EW. Measuring errors in surgical pathology in real-life practice: defining what does and does not matter. Am J Clin Pathol. 2007;127(1):144-52. …
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psnet.ahrq.gov/issue/hospital-patient-safety-characteristics-best-performing-hospitals
February 03, 2011 - Study
Hospital patient safety: characteristics of best-performing hospitals.
Citation Text:
Longo DR, Hewett JE, Ge B, et al. Hospital patient safety: characteristics of best-performing hospitals. J Healthc Manag. 2007;52(3):188-204; discussion 204-5.
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psnet.ahrq.gov/issue/rating-medical-emergency-teamwork-performance-development-team-emergency-assessment-measure
January 13, 2010 - Study
Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM).
Citation Text:
Cooper S, Cant R, Porter J, et al. Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM). Resuscitation. …
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psnet.ahrq.gov/issue/relationship-between-tort-claims-and-patient-incident-reports-veterans-health-administration
June 17, 2010 - Study
Relationship between tort claims and patient incident reports in the Veterans Health Administration.
Citation Text:
Schmidek JM, Weeks WB. Relationship between tort claims and patient incident reports in the Veterans Health Administration. Qual Saf Health Care. 2005;14(2):117-22.…
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psnet.ahrq.gov/issue/development-patient-safety-culture-measurement-tool-ambulatory-health-care-settings-analysis
October 03, 2011 - Study
Development of a patient safety culture measurement tool for ambulatory health care settings: analysis of content validity.
Citation Text:
Schutz AL, Counte MA, Meurer S. Development of a patient safety culture measurement tool for ambulatory health care settings: analysis of con…
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psnet.ahrq.gov/issue/factors-affecting-incident-reporting-registered-nurses-relationship-perceptions-environment
January 19, 2011 - Study
Factors affecting incident reporting by registered nurses: the relationship of perceptions of the environment for reporting errors, knowledge of the Nursing Practice Act, and demographics on intent to report errors.
Citation Text:
Throckmorton T, Etchegaray J. Factors affecting i…
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psnet.ahrq.gov/issue/what-measure-safe-hospital-medication-errors-missed-risk-management-clinical-staff-and
September 27, 2017 - Study
What is the measure of a safe hospital? Medication errors missed by risk management, clinical staff, and surveyors.
Citation Text:
Grasso BC, Rothschild JM, Jordan CW, et al. What is the measure of a safe hospital? Medication errors missed by risk management, clinical staff, and su…
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www.ahrq.gov/sites/default/files/wysiwyg/nqsleverfactsheet.pdf
May 01, 2014 - National Quality Strategy: Using Levers to Achieve Improved Health and Health Care
National Quality Strategy: Using Levers to
Achieve Improved Health and Health Care
About the National Quality Strategy
The National Quality Strategy is the first-ever national effort backed by legislation to align public- and
privat…
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psnet.ahrq.gov/issue/ncpdp-recommendations-and-guidance-standardizing-dosing-designations-prescription-container
September 09, 2020 - Book/Report
NCPDP Recommendations and Guidance for Standardizing the Dosing Designations on Prescription Container Labels of Oral Liquid Medications Version 1.0.
Citation Text:
NCPDP Recommendations and Guidance for Standardizing the Dosing Designations on Prescription Container Labels o…
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psnet.ahrq.gov/issue/use-cascading-a3s-drive-systemwide-improvement
January 29, 2015 - Commentary
Use of cascading A3s to drive systemwide improvement.
Citation Text:
Winner LE, Burroughs TJ, Cady-Reh JA, et al. Use of Cascading A3s to Drive Systemwide Improvement. Jt Comm J Qual Patient Saf. 2017;43(8):422-428. doi:10.1016/j.jcjq.2017.03.011.
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psnet.ahrq.gov/issue/case-study-identifying-potential-problems-humantechnical-interface-complex-clinical-systems
July 22, 2009 - Commentary
Case study: identifying potential problems at the human/technical interface in complex clinical systems.
Citation Text:
Caudill-Slosberg M, Weeks WB. Case study: identifying potential problems at the human/technical interface in complex clinical systems. Am J Med Qual. 2005;…
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psnet.ahrq.gov/issue/problem-doctors-there-system-level-solution
October 31, 2014 - Commentary
Classic
Problem doctors: is there a system-level solution?
Citation Text:
Leape L, Fromson J. Problem doctors: is there a system-level solution? Ann Intern Med. 2006;144(2):107-15.
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psnet.ahrq.gov/issue/teamwork-healthcare-key-discoveries-enabling-safer-high-quality-care
July 02, 2014 - Review
Classic
Teamwork in healthcare: key discoveries enabling safer, high-quality care.
Citation Text:
Rosen MA, DiazGranados D, Dietz AS, et al. Teamwork in healthcare: Key discoveries enabling safer, high-quality care. Am Psychol. 2018;73(4):433-450. doi:10.…
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integrationacademy.ahrq.gov/expert-insight/niac-video/10881
January 01, 2013 - An official website of the Department of Health & Human Services
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