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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/ehealth-safety-impact-ict-patient-safety-and-risk-management
June 18, 2013 - Book/Report
eHealth for Safety: Impact of ICT on Patient Safety and Risk Management.
Citation Text:
eHealth for Safety: Impact of ICT on Patient Safety and Risk Management. European Commission Information Society and Media. October 2007
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psnet.ahrq.gov/issue/how-coronavirus-delaying-life-altering-surgeries
May 20, 2020 - Audiovisual
How the coronavirus is delaying life-altering surgeries.
Citation Text:
How the coronavirus is delaying life-altering surgeries. Booker C, Kargbo C. PBS News Hour. April 26, 2020.
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psnet.ahrq.gov/issue/feds-stop-public-disclosure-many-serious-hospital-errors
September 17, 2014 - Newspaper/Magazine Article
Feds stop public disclosure of many serious hospital errors.
Citation Text:
Feds stop public disclosure of many serious hospital errors. O'Donnell J.
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psnet.ahrq.gov/issue/providing-safe-high-quality-maternity-care-rural-us-hospitals-ihi-innovation-report
November 02, 2016 - Book/Report
Providing Safe, High-Quality Maternity Care in Rural US Hospitals. IHI Innovation Report.
Citation Text:
Providing Safe, High-Quality Maternity Care in Rural US Hospitals. IHI Innovation Report. Laderman M, Renton M. Boston, MA: Institute for Healthcare Improvement; 2020.
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psnet.ahrq.gov/issue/joint-commission-and-national-quality-forum-announce-2023-eisenberg-award-recipients
February 01, 2023 - Award Recipient
The Joint Commission and National Quality Forum Announce 2023 Eisenberg Award Recipients.
Citation Text:
The Joint Commission and National Quality Forum Announce 2023 Eisenberg Award Recipients. Oakbrook Terrace, IL: Joint Commission and National Quality Forum; February 1…
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psnet.ahrq.gov/issue/ismp-guidelines-safe-medication-use-perioperative-and-procedural-settings
November 16, 2022 - Organizational Policy/Guidelines
ISMP Guidelines for Safe Medication Use in Perioperative and Procedural Settings.
Citation Text:
ISMP Guidelines for Safe Medication Use in Perioperative and Procedural Settings. Plymouth Meeting, PA: Institute for Safe Medication Practices; 2022.
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psnet.ahrq.gov/issue/safety-numbers-hospital-performance-leapfrogs-surgical-volume-standard-based-results-2019
June 21, 2023 - Book/Report
Safety in Numbers: Hospital Performance on Leapfrog’s Surgical Volume Standard Based on Results of the 2019 Leapfrog Hospital Survey.
Citation Text:
Safety in Numbers: Hospital Performance on Leapfrog’s Surgical Volume Standard Based on Results of the 2019 Leapfrog Hospital S…
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psnet.ahrq.gov/issue/national-center-patient-safety-ncps
March 27, 2005 - Multi-use Website
National Center for Patient Safety (NCPS).
Citation Text:
National Center for Patient Safety (NCPS). Department of Veterans Affairs. 24 Frank Lloyd Wright Drive, M2100, Post Office Box 486, Ann Arbor, MI 48106-0486. Phone: (734) 930-5890.
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psnet.ahrq.gov/issue/kentucky-first-state-decriminalize-medical-errors
March 13, 2024 - Newspaper/Magazine Article
Kentucky first state to decriminalize medical errors.
Citation Text:
Kentucky first state to decriminalize medical errors. Robertson R. MedPage Today. April 30, 2024.
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psnet.ahrq.gov/issue/falls-prevention-mayo-clinic-rochester-path-quality-care
January 22, 2017 - Commentary
Falls prevention at Mayo Clinic Rochester: a path to quality care.
Citation Text:
Sulla SJ, McMyler E. Falls prevention at Mayo Clinic Rochester: a path to quality care. J Nurs Care Qual. 2007;22(2):138-44.
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psnet.ahrq.gov/issue/competitive-imperative-learning
September 25, 2024 - Commentary
The competitive imperative of learning.
Citation Text:
Edmondson A. The competitive imperative of learning. Harv Bus Rev. 2008;86(7-8):60-7, 160.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/avoid-punitive-approach-your-safety-event-reporting
October 23, 2019 - Newspaper/Magazine Article
Avoid punitive approach to your safety event reporting,
Citation Text:
Avoid punitive approach to your safety event reporting, Cheney C. HealthLeaders. September 4, 2020.
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psnet.ahrq.gov/issue/descriptive-study-morbidity-and-mortality-conferences-and-their-conformity-medical-incident
September 28, 2010 - National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations
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psnet.ahrq.gov/issue/human-factor-cardiac-surgery-errors-and-near-misses-high-technology-medical-domain
June 09, 2010 - June 9, 2010
Improving patient safety by identifying latent failures in successful operations
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.17_slideshow.ppt
June 01, 2003 - PowerPoint Presentation
Spotlight Case June 2003
Missed Appendicitis
webmm.ahrq.gov
Source and Credits
This presentation is based on June 2003
AHRQ WebM&M Spotlight Case in Surgery
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: James Adams, MD, Fei…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.356_slideshow.ppt
September 01, 2015 - PowerPoint Presentation
Spotlight
Abdominal Pain in Early Pregnancy
This presentation is based on the September 2015
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Charlie C. Kilpatrick, MD, Associate Professor of Obstetrics and Gynecology, Baylor …
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psnet.ahrq.gov/node/33655/psn-pdf
August 01, 2007 - The PeaceHealth Governance Journey in Support of
Quality and Safety
August 1, 2007
Haughom JL. The PeaceHealth Governance Journey in Support of Quality and Safety. PSNet [internet].
2007.
https://psnet.ahrq.gov/perspective/peacehealth-governance-journey-support-quality-and-safety
Perspective
In recent years, the…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.29_slideshow.ppt
September 01, 2003 - Spotlight Case September 2003
Spotlight Case September 2003
Infant Paralyzed for Intubation Before Airway Materials Ready
Source and Credits
This presentation is based on the Sept. 2003 AHRQ WebM&M Spotlight Case in Pediatrics
See the full article at http://webmm.ahrq.gov
CME credit is available through the …
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psnet.ahrq.gov/node/33753/psn-pdf
August 22, 2013 - Update on Safety Culture
August 22, 2013
Frankel A, Leonard M. Update on Safety Culture. PSNet [internet]. 2013.
https://psnet.ahrq.gov/perspective/update-safety-culture
Perspective
Safe and reliable care requires a culture of safety: a collaborative environment in which skilled clinicians
treat each other with r…