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psnet.ahrq.gov/node/47406/psn-pdf
October 31, 2018 - Systems Approach in Healthcare.
October 31, 2018
Dean J, Clarkson J, eds. Future Hosp J. 2018;5:145-187.
https://psnet.ahrq.gov/issue/systems-approach-healthcare
The systems approach has long been heralded as a key element to safe patient care. Articles in this
special issue explore techniques to engage clinicians…
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psnet.ahrq.gov/node/40646/psn-pdf
July 27, 2011 - Engineering a Learning Healthcare System: A Look at the
Future: Workshop Summary.
July 27, 2011
Grossmann C, Goolsby WA, Olsen L, McGinnis JM; Institute of Medicine and National Academy of
Engineering. Washington, DC: The National Academies Press; 2011. ISBN: 9780309120647.
https://psnet.ahrq.gov/issue/engineering…
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digital.ahrq.gov/ahrq-funded-projects/research-agenda-patient-centered-medical-home/final-report
January 01, 2023 - A Research Agenda for the Patient-Centered Medical Home - Final Report
Citation
Landon B. A Research Agenda for the Patient-Centered Medical Home - Final Report. (Prepared by the Society of General Internal Medicine under Grant No. R13 HS017995). Rockville, MD: Agency for Healthcare Research and Quali…
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digital.ahrq.gov/ahrq-funded-projects/enabling-sleep-apnea-patient-centered-care-internet-intervention/citation/ehealth
January 01, 2023 - An eHealth approach to the management of chronic sleep disorders.
Citation
Stepnowsky S, Bonjean M. An eHealth approach to the management of chronic sleep disorders. In: Carlstedt R, ed. Handbook of integrative clinical psychology, psychiatry, and behavioral medicine: perspectives, practices, and rese…
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2023-compendium-techdoc.pdf
January 01, 2023 - Compendium of U.S. Health Systems, 2023, Technical Documentation
Comparative Health System Performance Initiative:
Compendium of U.S. Health Systems, 2023, Technical
Documentation
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
5600 Fishers Lane
Rockvill…
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psnet.ahrq.gov/node/34785/psn-pdf
February 18, 2011 - Diseases of medical progress.
February 18, 2011
MOSER RH. Diseases of medical progress. N Engl J Med. 1956;255(13):606-14.
https://psnet.ahrq.gov/issue/diseases-medical-progress
This review shares a perspective that the history of medicine provides numerous examples of how
emerging illnesses develop from sound the…
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psnet.ahrq.gov/node/73097/psn-pdf
March 31, 2011 - The Future of Nursing: Leading Change, Advancing
Health.
March 31, 2011
Institute of Medicine. Washington, DC: The National Academies Press: 2011.
https://psnet.ahrq.gov/issue/future-nursing-leading-change-advancing-health
The effective engagement of nursing is key to patient safety and care quality improvement. T…
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psnet.ahrq.gov/node/39093/psn-pdf
November 11, 2009 - For whom the Bell Commission tolls: unintended effects
of limiting residents' hours.
November 11, 2009
Millard WB. For whom the bell commission tolls: unintended effects of limiting residents' hours. Ann Emerg
Med. 2009;54(4):A25-9.
https://psnet.ahrq.gov/issue/whom-bell-commission-tolls-unintended-effects-limitin…
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psnet.ahrq.gov/node/41024/psn-pdf
December 21, 2011 - Teamwork and team training in the ICU: where do the
similarities with aviation end?
December 21, 2011
Reader TW, Cuthbertson BH. Teamwork and team training in the ICU: Where do the similarities with
aviation end? Crit Care. 2011;15(6). doi:10.1186/cc10353.
https://psnet.ahrq.gov/issue/teamwork-and-team-training-ic…
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psnet.ahrq.gov/node/74733/psn-pdf
February 02, 2022 - Prep, Stop, Block.
February 2, 2022
RA-UK, the Faculty of Pain Medicine, RCoA Simulation and NHS Improvement
https://psnet.ahrq.gov/issue/prep-stop-block
Standardization is a common strategy for preventing practice deviations that can contribute to harm. This
tool outlines a three-step process for minimizing the o…
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psnet.ahrq.gov/node/36042/psn-pdf
February 17, 2011 - Major congenital malformations after first-trimester
exposure to ACE inhibitors.
February 17, 2011
Cooper WO, Hernandez-Diaz S, Arbogast PG, et al. Major Congenital Malformations after First-Trimester
Exposure to ACE Inhibitors. New England Journal of Medicine. 2006;354(23). doi:10.1056/nejmoa055202.
https://psnet…
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psnet.ahrq.gov/node/50606/psn-pdf
October 30, 2019 - One doctor. 25 deaths. How could it have happened?
October 30, 2019
Healy J, Farr I, Feiger L, Duffy C. New York Times. October 11, 2019.
https://psnet.ahrq.gov/issue/one-doctor-25-deaths-how-could-it-have-happened
Systemic failures persistently undermine processes meant to keep patients safe. This news story discu…
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psnet.ahrq.gov/node/34754/psn-pdf
February 06, 2018 - Patient Safety in Anesthetic Practice.
February 6, 2018
Morell RC; Eichhorn JH, eds. New York: Churchill Livingstone, 1997. ISBN: 9780443076824.
https://psnet.ahrq.gov/issue/patient-safety-anesthetic-practice
Anesthesiology made its mark early on in the quest for patient safety. Eichhorn was a part of the
converge…
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psnet.ahrq.gov/node/38982/psn-pdf
February 03, 2011 - Association of resident fatigue and distress with
perceived medical errors.
February 3, 2011
West CP, Tan AD, Habermann TM, et al. Association of resident fatigue and distress with perceived
medical errors. JAMA. 2009;302(12):1294-300. doi:10.1001/jama.2009.1389.
https://psnet.ahrq.gov/issue/association-resident-f…
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psnet.ahrq.gov/node/36256/psn-pdf
February 02, 2011 - Association of perceived medical errors with resident
distress and empathy: a prospective longitudinal study.
February 2, 2011
West CP, Huschka MM, Novotny PJ, et al. Association of perceived medical errors with resident distress
and empathy: a prospective longitudinal study. JAMA. 2006;296(9):1071-8.
https://psne…
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psnet.ahrq.gov/node/35858/psn-pdf
July 22, 2010 - How long and how much are nurses now working?
July 22, 2010
Trinkoff AM, Geiger-Brown J, Brady B, et al. How long and how much are nurses now working? Am J Nurs.
2006;106(4):60-72.
https://psnet.ahrq.gov/issue/how-long-and-how-much-are-nurses-now-working
The authors analyzed results from a national survey and foun…
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psnet.ahrq.gov/node/35595/psn-pdf
January 04, 2009 - Patient Safety: Achieving a New Standard of Care.
January 4, 2009
Institute of Medicine (US) Committee on Data Standards for Patient Safety, Aspden P, Corrigan JM,
Wolcott J, Erickson SM, eds. Washington (DC): National Academies Press (US); 2004.
https://psnet.ahrq.gov/issue/patient-safety-achieving-new-standa…
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psnet.ahrq.gov/node/42537/psn-pdf
October 02, 2013 - The use of a checklist in a pediatric oncology clinic.
October 2, 2013
McLean TW, White GM, Bagliani AF, et al. The use of a checklist in a pediatric oncology clinic. Pediatr
Blood Cancer. 2013;60(11):1855-9. doi:10.1002/pbc.24657.
https://psnet.ahrq.gov/issue/use-checklist-pediatric-oncology-clinic
An Institute o…
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psnet.ahrq.gov/node/42025/psn-pdf
February 06, 2013 - Medical malpractice: why is it so hard for doctors to
apologize?
February 6, 2013
Sanghavi D.
https://psnet.ahrq.gov/issue/medical-malpractice-why-it-so-hard-doctors-apologize
Discussing barriers to physician error disclosure, this article details how an apology-and-offer approach and
analyzing claims data can im…
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psnet.ahrq.gov/node/40771/psn-pdf
June 15, 2012 - Medication prescribing errors in the prehospital setting
and in the ED.
June 15, 2012
Lifshitz AE, Goldstein LH, Sharist M, et al. Medication prescribing errors in the prehospital setting and in
the ED. Am J Emerg Med. 2012;30(5):726-31. doi:10.1016/j.ajem.2011.04.023.
https://psnet.ahrq.gov/issue/medication-presc…