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psnet.ahrq.gov/issue/commentary-sentinel-serious-events-reported-district-health-boards-200607
March 05, 2008 - Book/Report
Commentary on Sentinel & Serious Events Reported by District Health Boards - 2006/07.
Citation Text:
Commentary on Sentinel & Serious Events Reported by District Health Boards - 2006/07. National Health Epidemiology and Quality Assurance Advisory Committee. Wellington, Ne…
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psnet.ahrq.gov/issue/hearing-patient-safety-and-quality-issues-end-stage-renal-disease-treatment
December 23, 2012 - Congressional Testimony
Hearing on Patient Safety and Quality Issues in End Stage Renal Disease Treatment.
Citation Text:
Hearing on Patient Safety and Quality Issues in End Stage Renal Disease Treatment. House Committee on Ways and Means. 109th Congress, 2nd Sess (December 6, 2006).…
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psnet.ahrq.gov/issue/enhancing-prescription-medicine-adherence-national-plan
April 28, 2021 - Book/Report
Enhancing Prescription Medicine Adherence: A National Plan.
Citation Text:
Enhancing Prescription Medicine Adherence: A National Plan. Rockville, MD: National Council on Patient Information and Education; 2007.
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psnet.ahrq.gov/issue/taking-lead-patient-safety-how-healthcare-leaders-influence-behavior-and-create-culture
August 29, 2017 - Book/Report
Taking the Lead in Patient Safety: How Healthcare Leaders Influence Behavior and Create Culture.
Citation Text:
Taking the Lead in Patient Safety: How Healthcare Leaders Influence Behavior and Create Culture. Krause TR, Hidley J. Hoboken, NJ: Wiley; 2008. ISBN: 9780470225394.…
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psnet.ahrq.gov/issue/bleeding-and-pain-pregnant-woman-louisiana-couldnt-get-answers
January 18, 2023 - Newspaper/Magazine Article
Bleeding and in pain, a pregnant woman in Louisiana couldn’t get answers.
Citation Text:
Bleeding and in pain, a pregnant woman in Louisiana couldn’t get answers. Westwood R. Kaiser Health News. January 12, 2023.
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-2.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 5.2. Heights Hospital
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospital
Ca…
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psnet.ahrq.gov/issue/correlates-medication-error-hospitals
August 24, 2022 - Book/Report
Correlates of Medication Error in Hospitals.
Citation Text:
Correlates Of Medication Error In Hospitals.
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psnet.ahrq.gov/issue/cognitive-bias-clinical-practice-nurturing-healthy-skepticism-among-medical-students
August 07, 2024 - Commentary
Cognitive bias in clinical practice—nurturing healthy skepticism among medical students.
Citation Text:
Bhatti A. Cognitive bias in clinical practice - nurturing healthy skepticism among medical students. Adv Med Educ Pract. 2018;9:235-237. doi:10.2147/AMEP.S149558.
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psnet.ahrq.gov/issue/doctors-fear-criminalization-medical-mistakes
March 28, 2012 - Newspaper/Magazine Article
Doctors fear criminalization of medical mistakes.
Citation Text:
Doctors fear criminalization of medical mistakes. Sorrel AL. American Medical News. November 27, 2006.
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psnet.ahrq.gov/issue/actions-renew-focus-safety-culture
July 24, 2024 - Newspaper/Magazine Article
Actions to renew focus on safety culture.
Citation Text:
Actions to renew focus on safety culture. Salvon-Harman J. Healthcare Executive. 2023;39(3):48-49.
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psnet.ahrq.gov/issue/management-drug-shortages-perioperative-setting
August 13, 2008 - Newspaper/Magazine Article
Management of drug shortages in the perioperative setting.
Citation Text:
Management of drug shortages in the perioperative setting. Murray C, Rycek W, Johnson D, Sifuentes-Tovar F. Pharm Purch Prod. January 2013;10:12.
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psnet.ahrq.gov/issue/quality-and-safety-healthcare-switzerland
March 23, 2022 - Book/Report
Quality and Safety of Healthcare in Switzerland.
Citation Text:
Quality and Safety of Healthcare in Switzerland. Vincent C, Staines A. Bern, Switzerland: Federal Department of Home Affairs, Federal Office of Public Health; 2019.
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psnet.ahrq.gov/issue/so-much-care-it-hurts-unneeded-scans-therapy-surgery-only-add-patients-ills
January 15, 2020 - Newspaper/Magazine Article
So much care it hurts: unneeded scans, therapy, surgery only add to patients' ills.
Citation Text:
So much care it hurts: unneeded scans, therapy, surgery only add to patients' ills. Szabo L. Kaiser Health News. October 23, 2017.
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psnet.ahrq.gov/issue/how-low-can-they-go-rural-hospitals-weigh-keeping-obstetric-units-when-births-decline
November 17, 2021 - Newspaper/Magazine Article
How low can they go? Rural hospitals weigh keeping obstetric units when births decline.
Citation Text:
How low can they go? Rural hospitals weigh keeping obstetric units when births decline. Huff C. Kaiser Health News. November 12, 2021.
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psnet.ahrq.gov/issue/medical-error-and-moral-luck
October 02, 2024 - Commentary
Medical error and moral luck.
Citation Text:
Allhoff F. Medical Error and Moral Luck. Kennedy Inst Ethics J. 2019;29(3):187-203. doi:10.1353/ken.2019.0022.
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psnet.ahrq.gov/issue/common-program-requirements-learning-and-working-environment-duty-hours
November 18, 2020 - Multi-use Website
Common Program Requirements. The Learning and Working Environment (Duty Hours).
Citation Text:
Common Program Requirements. The Learning and Working Environment (Duty Hours). Accreditation Council for Graduate Medical Education.
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digital.ahrq.gov/organization/university-california-san-francisco
January 01, 2023 - University of California, San Francisco
Engaging Diverse Patients in Health Information Technology Use
Description
This is a questionnaire designed to be completed by individuals with chronic care needs in patient homes. The tool includes questions to assess the current state …
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digital.ahrq.gov/location/usa-ca-san-francisco
January 01, 2023 - USA, CA, San Francisco
Engaging Diverse Patients in Health Information Technology Use
Description
This is a questionnaire designed to be completed by individuals with chronic care needs in patient homes. The tool includes questions to assess the current state of patient portal…
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digital.ahrq.gov/principal-investigator/overhage-marc
January 01, 2023 - Overhage, Marc
State and Regional Demonstration in Health Information Technology: Indiana - Final Report
Citation
Overhage JM. State and Regional Demonstration in Health Information Technology: Indiana - Final Report. (Prepared by Indiana University under Contract No. 290-04-0…
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www.ahrq.gov/teamstepps-program/curriculum/implement/pre/ready.html
January 01, 2024 - Readiness Assessment
Investing in TeamSTEPPS typically requires one or more identifiable problems that are creating risks to patient safety, care quality, or operational efficiency that an organization or unit agrees they must resolve.
Are You Ready for TeamSTEPPS?
Determining whether your organization or u…