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psnet.ahrq.gov/issue/real-time-automated-paging-and-decision-support-critical-laboratory-abnormalities
April 30, 2014 - Study
Real-time automated paging and decision support for critical laboratory abnormalities.
Citation Text:
Etchells E, Adhikari NKJ, Wu RC, et al. Real-time automated paging and decision support for critical laboratory abnormalities. BMJ Qual Saf. 2011;20(11):924-30. doi:10.1136/bmjqs…
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psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
January 01, 2016 - Diagnostic Errors: A New Chapter in Patient Safety Science, Policy, and Practice
Hardeep Singh, MD, MPH | January 1, 2016
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Singh H. Diagnostic Errors: A New Chapter in Patient Safe…
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psnet.ahrq.gov/issue/nam-action-collaborative-clinician-well-being-and-resilience
June 15, 2011 - Multi-use Website
NAM Action Collaborative on Clinician Well-Being and Resilience.
Citation Text:
NAM Action Collaborative on Clinician Well-Being and Resilience. Washington, DC: National Academy of Medicine.
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psnet.ahrq.gov/issue/near-misses-and-unsafe-conditions-reported-pediatric-emergency-research-network
June 07, 2017 - Study
Near misses and unsafe conditions reported in a Pediatric Emergency Research Network.
Citation Text:
Ruddy RM, Chamberlain JM, Mahajan P, et al. Near misses and unsafe conditions reported in a Pediatric Emergency Research Network. BMJ Open. 2015;5(9):e007541. doi:10.1136/bmjopen-20…
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psnet.ahrq.gov/issue/board-bedside-how-application-financial-structures-safety-and-quality-can-drive
January 29, 2015 - Study
From board to bedside: how the application of financial structures to safety and quality can drive accountability in a large health care system.
Citation Text:
Austin M, Demski R, Callender T, et al. From Board to Bedside: How the Application of Financial Structures to Safety and Q…
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psnet.ahrq.gov/issue/compendium-strategies-prevent-healthcare-associated-infections-acute-care-hospitals
September 01, 2014 - Special or Theme Issue
Classic
A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals.
Citation Text:
A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals. Yokoe DS, Mermel LA,…
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psnet.ahrq.gov/issue/antibiotic-stewardship-acute-care-practical-playbook
August 02, 2017 - Book/Report
Antibiotic Stewardship in Acute Care: A Practical Playbook.
Citation Text:
Antibiotic Stewardship in Acute Care: A Practical Playbook. National Quality Partners. Washington, DC: National Quality Forum; 2016.
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psnet.ahrq.gov/issue/patients-toolkit-diagnosis
November 08, 2017 - Toolkit
Patient's Toolkit for Diagnosis.
Citation Text:
Patient's Toolkit for Diagnosis. SIDM Patient Engagement Committee. Evanston, IL: Society to Improve Diagnosis in Medicine; October 2018.
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psnet.ahrq.gov/issue/operating-sharp-end-complexity-human-error
March 27, 2005 - Book/Report
Classic
Operating at the sharp end: the complexity of human error.
Citation Text:
Operating at the sharp end: the complexity of human error. Cook RI, Woods DD. Chapter In: Bogner MS, ed. Human Error in Medicine. Hillsdale NJ: Lawrence Erlbaum Assoc…
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psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
June 01, 2014 - Patient Advocacy in Patient Safety: Have Things Changed?
Helen Haskell, MA | June 1, 2014
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Citation Text:
Haskell H. Patient Advocacy in Patient Safety: Have Things Changed?. PSNet [internet]. Ro…
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psnet.ahrq.gov/issue/ahrq-safety-program-improving-antibiotic-use
December 24, 2008 - Tools/Toolkit
AHRQ Safety Program for Improving Antibiotic Use.
Citation Text:
AHRQ Safety Program for Improving Antibiotic Use. Agency for Healthcare Research and Quality, Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality, and University of Chicago.
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psnet.ahrq.gov/issue/guidelines-adult-iv-push-medications
April 01, 2015 - Book/Report
Guidelines for Adult IV Push Medications.
Citation Text:
Guidelines for Adult IV Push Medications. Horsham, PA: The Institute for Safe Medication Practices; July 2015.
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psnet.ahrq.gov/web-mm/dropped-lung
February 06, 2012 - The Dropped Lung
Citation Text:
Heffner JR. The Dropped Lung. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error
August 02, 2015 - SPOTLIGHT CASE
Delay in Initiating Antibiotics Results in Fatal Error
Citation Text:
Bellini LM. Delay in Initiating Antibiotics Results in Fatal Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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psnet.ahrq.gov/web-mm/failed-interpretation-screening-tool-delayed-treatment
August 20, 2018 - Failed Interpretation of Screening Tool: Delayed Treatment
Citation Text:
Cable CA, Murphy DJ, Martin GS. Failed Interpretation of Screening Tool: Delayed Treatment. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/perspective/overuse-patient-safety-problem
September 01, 2014 - Overuse as a Patient Safety Problem
Christopher Moriates, MD | September 1, 2014
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Citation Text:
Moriates C. Overuse as a Patient Safety Problem. PSNet [internet]. Rockville (MD): Agency for Heal…
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psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers
August 01, 2010 - Operationalizing Patient Safety at Academic Medical Centers
Chayan Chakraborti, MD; Marc J. Kahn, MD; N. Kevin Krane, MD | August 1, 2010
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Citation Text:
Chakraborti C, Kahn MJ, Krane K. Operatio…
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psnet.ahrq.gov/issue/implications-health-literacy-public-health-workshop-summary
December 17, 2014 - Book/Report
Implications of Health Literacy for Public Health: Workshop Summary.
Citation Text:
Implications of Health Literacy for Public Health: Workshop Summary. Hewitt M, Hernandez LM; Roundtable on Health Literacy, Board on Population Health and Public Health Practice, Institute of …
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psnet.ahrq.gov/issue/procedural-safety-emergency-care-conceptual-model-and-recommendations
July 02, 2011 - Commentary
Procedural safety in emergency care: a conceptual model and recommendations.
Citation Text:
Pines JM, Kelly JJ, Meisl H, et al. Procedural safety in emergency care: a conceptual model and recommendations. Jt Comm J Qual Patient Saf. 2012;38(11):516-526.
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psnet.ahrq.gov/issue/crossing-quality-chasm-new-health-system-21st-century
July 08, 2016 - Book/Report
Classic
Crossing the Quality Chasm: A New Health System for the 21st Century.
Citation Text:
Crossing the Quality Chasm: A New Health System for the 21st Century. Committee on Quality of Health Care in America, Institute of Medicine. Washington DC: N…