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psnet.ahrq.gov/issue/demanding-medical-excellence-doctors-and-accountability-information-age
May 13, 2020 - Book/Report
Classic
Demanding Medical Excellence. Doctors and Accountability in the Information Age.
Citation Text:
Demanding Medical Excellence. Doctors and Accountability in the Information Age. Millenson ML. Chicago, IL: University of Chicago Press; 1999. ISB…
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psnet.ahrq.gov/issue/role-automation-complex-system-failures
June 28, 2013 - Commentary
The role of automation in complex system failures.
Citation Text:
Perry SJ, Wears RL, Cook RI. The role of automation in complex system failures. J Patient Saf. 2005;1(1):56-61. https://journals.lww.com/journalpatientsafety/Fulltext/2005/03000/The_Role_of_Automation_in_Compl…
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psnet.ahrq.gov/issue/respectful-management-serious-clinical-adverse-events-second-edition
January 27, 2016 - Book/Report
Classic
Respectful Management of Serious Clinical Adverse Events. Second Edition.
Citation Text:
Respectful Management of Serious Clinical Adverse Events. Second Edition. Conway J, Federico F, Stewart K, Campbell MJ. Cambridge, MA: Institute for Heal…
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psnet.ahrq.gov/issue/implementing-optimal-team-based-care-reduce-clinician-burnout
January 16, 2019 - Book/Report
Emerging Classic
Implementing Optimal Team-Based Care to Reduce Clinician Burnout.
Citation Text:
Implementing Optimal Team-Based Care to Reduce Clinician Burnout. Smith CD, Corbridge S, Dopp AL, et al. NAM Perspectives. Washington DC: National Acade…
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psnet.ahrq.gov/issue/economics-patient-safety-part-iii-long-term-care-valuing-safety-long-haul
September 28, 2022 - Book/Report
The Economics of Patient Safety Part III: Long-term Care: Valuing Safety for the Long Haul.
Citation Text:
The Economics of Patient Safety Part III: Long-term Care: Valuing Safety for the Long Haul. de Bienassis K, Llena-Nozal A, Klazinga N for the Organisation for Econo…
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psnet.ahrq.gov/issue/preventing-communication-errors-telephone-medicine
December 01, 2004 - Commentary
Preventing communication errors in telephone medicine.
Citation Text:
Reisman AB, Brown KE. Preventing communication errors in telephone medicine. J Gen Intern Med. 2005;20(10):959-63.
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psnet.ahrq.gov/issue/think-health-care-workers-are-tested-often-coronavirus-think-again
July 29, 2020 - Audiovisual
Think health care workers are tested often for the Coronavirus? Think again.
Citation Text:
Think health care workers are tested often for the Coronavirus? Think again. Wamsley L. National Public Radio and WBUR. December 7, 2020.
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psnet.ahrq.gov/issue/alarm-management-promoting-safety-and-establishing-guidelines
May 24, 2017 - Commentary
Alarm management: promoting safety and establishing guidelines.
Citation Text:
Criscitelli T. Alarm Management: Promoting Safety and Establishing Guidelines. AORN J. 2016;103(5):518-21. doi:10.1016/j.aorn.2016.03.008.
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DOI Google Scholar PubM…
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psnet.ahrq.gov/issue/assessment-ahrq-patient-safety-initiative-focus-implementation-and-dissemination-evaluation
May 21, 2014 - Book/Report
Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III.
Citation Text:
Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III. Farley DO, Damberg CL, Ridgely …
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psnet.ahrq.gov/issue/maternal-and-infant-health-inequality-new-evidence-linked-administrative-data
August 23, 2017 - Book/Report
Maternal and Infant Health Inequality: New Evidence from Linked Administrative Data.
Citation Text:
Maternal and Infant Health Inequality: New Evidence from Linked Administrative Data. Kennedy-Moulton K, Miller S, Persson P, et al. Cambridge, MA: National Bureau of Econo…
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psnet.ahrq.gov/issue/inpatient-notes-diagnostic-excellence-starts-incessant-watch
August 31, 2022 - Commentary
Inpatient notes: diagnostic excellence starts with an incessant watch.
Citation Text:
Dhaliwal G. Annals for Hospitalists Inpatient Notes - Diagnostic Excellence Starts With an Incessant Watch. Ann Intern Med. 2017;167(8):HO2-HO3. doi:10.7326/m17-2447.
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psnet.ahrq.gov/issue/medication-without-harm-how-digital-healthcare-tools-can-support-providers-and-improve
July 22, 2024 - Meeting/Conference Proceedings
Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety.
Citation Text:
Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety. Agency for Healthcare Research a…
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psnet.ahrq.gov/issue/system-governance-towards-improved-patient-safety-key-functions-approaches-and-pathways
October 07, 2020 - Book/Report
System Governance Towards Improved Patient Safety: Key Functions, Approaches and Pathways to Implementation.
Citation Text:
System Governance Towards Improved Patient Safety: Key Functions, Approaches and Pathways to Implementation. Auraaen A, Saar K, Klazinga N for the Organ…
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psnet.ahrq.gov/node/49824/psn-pdf
March 01, 2018 - She was treated with opioids for mild ongoing pain, and no additional ECGs or
laboratory tests were
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psnet.ahrq.gov/node/50928/psn-pdf
February 21, 2020 - Updates in the Role of Health IT in Patient Safety
February 21, 2020
Hall KK, Fitall E, Hettinger AZ. Updates in the Role of Health IT in Patient Safety. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety
Background
Health information technology (HIT) has the potential…
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psnet.ahrq.gov/web-mm/check-twice-transport-once
March 15, 2023 - Check Twice, Transport Once
Citation Text:
DePew A, Rice J, Chou J. Check Twice, Transport Once. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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psnet.ahrq.gov/web-mm/complaints-safety-surveillance
May 05, 2021 - Complaints as Safety Surveillance
Citation Text:
Morris JL, Bismark M. Complaints as Safety Surveillance. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-254-rural-telehealth-executive-summary.pdf
December 01, 2022 - Executive Summary_Comparative Effectiveness Review No. 254: Improving Rural Health Through Telehealth-Guided Provider-to-Provider Communication
Comparative Effectiveness Review
Number 254
Improving Rural Health Through
Telehealth-Guided Provider-to-Provider
Communication
Executive Summary
Main Points
• Use …
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-234-headaches-pregnancy-summary.pdf
November 01, 2020 - Treatment—antiemetics (dopamine receptor antagonists), antihistamines, and
opioids: One RCT found that
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effectivehealthcare.ahrq.gov/products/retention-strategies-opioid-use-disorder/rapid-protocol