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psnet.ahrq.gov/issue/coupling-policymaking-evaluation-case-opioid-crisis
September 29, 2017 - Commentary
Coupling policymaking with evaluation—the case of the opioid crisis.
Citation Text:
Barnett ML, Gray J, Zink A, et al. Coupling Policymaking with Evaluation - The Case of the Opioid Crisis. New Engl J Med. 2017;377(24):2306-2309. doi:10.1056/NEJMp1710014.
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psnet.ahrq.gov/issue/failure-rescue-process-measure-evaluate-fetal-safety-during-labor
October 19, 2022 - Study
Failure to rescue as a process measure to evaluate fetal safety during labor.
Citation Text:
Beaulieu MJ. Failure to rescue as a process measure to evaluate fetal safety during labor. MCN Am J Matern Child Nurs. 2009;34(1):18-23. doi:10.1097/01.NMC.0000343861.64614.c9.
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psnet.ahrq.gov/issue/patient-involvement-patient-safety-qualitative-study-nursing-staff-and-patient-perceptions
March 02, 2016 - Study
Patient involvement in patient safety: a qualitative study of nursing staff and patient perceptions.
Citation Text:
Bishop A, Macdonald M. Patient Involvement in Patient Safety: A Qualitative Study of Nursing Staff and Patient Perceptions. J Patient Saf. 2017;13(2):82-87. doi:10.10…
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psnet.ahrq.gov/issue/patient-safety-curriculum-surgical-residency-programs-results-national-consensus-conference
September 16, 2009 - Commentary
Patient safety curriculum for surgical residency programs: results of a national consensus conference.
Citation Text:
Sachdeva AK, Philibert I, Leach DC, et al. Patient safety curriculum for surgical residency programs: results of a national consensus conference. Surgery. 20…
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psnet.ahrq.gov/issue/addressing-health-care-disparities-improving-quality-and-safety
January 27, 2021 - Sentinel Event Alerts
Addressing health care disparities by improving quality and safety.
Citation Text:
Addressing health care disparities by improving quality and safety. Sentinel Event Alert. Nov 10 2021;(64):1-7.
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psnet.ahrq.gov/issue/overarching-goals-strategy-improving-healthcare-quality-and-safety
September 24, 2018 - Review
Overarching goals: a strategy for improving healthcare quality and safety?
Citation Text:
Nanji KC, Ferris T, Torchiana DF, et al. Overarching goals: a strategy for improving healthcare quality and safety? BMJ Qual Saf. 2013;22(3):187-93. doi:10.1136/bmjqs-2012-001082.
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psnet.ahrq.gov/issue/going-solid-model-system-dynamics-and-consequences-patient-safety
August 01, 2018 - Commentary
Classic
"Going solid": a model of system dynamics and consequences for patient safety.
Citation Text:
Cook R, Rasmussen J. "Going solid": a model of system dynamics and consequences for patient safety. Qual Saf Health Care. 2005;14(2):130-4.
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psnet.ahrq.gov/issue/escape-fire-lessons-future-health-care
July 05, 2008 - Book/Report
Classic
Escape Fire: Lessons for the Future of Health Care.
Citation Text:
Escape Fire: Lessons for the Future of Health Care. Berwick DM. Washington DC: Commonwealth Fund; 2002.
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psnet.ahrq.gov/issue/introducing-new-technology-safely
April 01, 2010 - Commentary
Introducing new technology safely.
Citation Text:
Mytton OT, Velazquez A, Banken R, et al. Introducing new technology safely. Qual Saf Health Care. 2010;19 Suppl 2:i9-14. doi:10.1136/qshc.2009.038554.
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psnet.ahrq.gov/issue/literature-review-do-rapid-response-systems-reduce-incidence-major-adverse-events
April 22, 2015 - Review
Literature review: do rapid response systems reduce the incidence of major adverse events in the deteriorating ward patient?
Citation Text:
Massey D, Aitken LM, Chaboyer W. Literature review: do rapid response systems reduce the incidence of major adverse events in the deteriora…
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psnet.ahrq.gov/issue/partnering-patients-and-families-design-patient-and-family-centered-health-care-system
November 29, 2017 - Meeting/Conference Proceedings
Classic
Partnering with Patients and Families to Design a Patient- and Family-Centered Health Care System: Recommendations and Promising Practices.
Citation Text:
Partnering with Patients and Families to Design a Patient- and Famil…
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psnet.ahrq.gov/issue/contribution-diagnostic-errors-maternal-morbidity-and-mortality-during-and-immediately-after
February 17, 2021 - Book/Report
The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science.
Citation Text:
The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of …
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psnet.ahrq.gov/issue/policies-promote-shared-responsibility-safer-electronic-health-records
August 25, 2021 - Commentary
Policies to promote shared responsibility for safer electronic health records.
Citation Text:
Sittig DF, Singh H. Policies to promote shared responsibility for safer electronic health records. JAMA. 2021;326(15):1477-1478. doi:10.1001/jama.2021.13945.
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psnet.ahrq.gov/issue/economic-burden-patient-safety-targets-acute-care-systematic-review
April 05, 2013 - Review
The economic burden of patient safety targets in acute care: a systematic review.
Citation Text:
Mittmann N, Matlow A. The economic burden of patient safety targets in acute care: a systematic review. Drug Healthc Patient Saf. 2012. doi:10.2147/dhps.s33288.
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psnet.ahrq.gov/issue/roi-fall-prevention-intervention-invest-little-save-lot
September 13, 2017 - Study
ROI for a fall prevention intervention: invest a little, save a lot.
Citation Text:
Cooper AS. ROI for a fall prevention intervention: invest a little, save a lot. Nurs Adm Q. 2024;48(3):248-252. doi:10.1097/naq.0000000000000647.
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psnet.ahrq.gov/issue/conflict-resolution-applying-aviation-crew-resource-management-healthcare
October 22, 2010 - Commentary
Conflict resolution: applying aviation crew resource management in healthcare.
Citation Text:
Braverman A. Conflict resolution: applying aviation crew resource management in healthcare. Nurs Manage. 2021;52(9):30-34. doi:10.1097/01.numa.0000771740.79361.1c.
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psnet.ahrq.gov/issue/portable-advanced-medical-simulation-new-emergency-department-testing-and-orientation
September 23, 2020 - Commentary
Portable advanced medical simulation for new emergency department testing and orientation.
Citation Text:
Kobayashi L, Shapiro MJ, Sucov A, et al. Portable advanced medical simulation for new emergency department testing and orientation. Acad Emerg Med. 2006;13(6):691-5.
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psnet.ahrq.gov/issue/association-shift-level-nurse-staffing-adverse-patient-events
October 06, 2016 - Study
The association of shift-level nurse staffing with adverse patient events.
Citation Text:
Patrician PA, Loan L, McCarthy MC, et al. The association of shift-level nurse staffing with adverse patient events. J Nurs Adm. 2011;41(2):64-70. doi:10.1097/NNA.0b013e31820594bf.
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psnet.ahrq.gov/issue/ashp-guidelines-managing-drug-product-shortages
September 06, 2023 - Commentary
ASHP guidelines on managing drug product shortages.
Citation Text:
Fox ER, McLaughlin MM. ASHP guidelines on managing drug product shortages. Am J Health Syst Pharm. 2018;75(21):1742-1750. doi:10.2146/ajhp180441.
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psnet.ahrq.gov/issue/intolerance-error-and-culture-blame-drive-medical-excess
March 24, 2017 - Commentary
Intolerance of error and culture of blame drive medical excess.
Citation Text:
Hoffman JR, Kanzaria HK. Intolerance of error and culture of blame drive medical excess. BMJ. 2014;349(oct14 3). doi:10.1136/bmj.g5702.
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