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psnet.ahrq.gov/issue/defense-health-agency-processes-responding-provider-quality-and-safety-concerns
December 09, 2020 - Book/Report
Defense Health Agency Processes for Responding to Provider Quality and Safety Concerns.
Citation Text:
Defense Health Agency Processes for Responding to Provider Quality and Safety Concerns. Washington DC; Governmental Accountability Office; December 1, 2020. Publication GAO-…
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psnet.ahrq.gov/issue/dod-and-va-health-care-medication-needs-during-transitions-may-not-be-managed-all
December 09, 2020 - Book/Report
DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed for All Servicemembers.
Citation Text:
DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed for All Servicemembers. Washington, DC: United States Government Accoun…
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psnet.ahrq.gov/issue/examining-status-vas-electronic-health-record-modernization-program
November 10, 2021 - Congressional Testimony
Examining the Status of VA’s Electronic Health Record Modernization Program.
Citation Text:
Examining the Status of VA’s Electronic Health Record Modernization Program. US Senate Committee on Veterans Affairs. 117th Cong (2021-2022). (July 20, 2022).
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psnet.ahrq.gov/issue/senators-threaten-consequences-after-va-confirms-4-deaths-tied-computer-system-tested-spokane
September 21, 2022 - Newspaper/Magazine Article
Senators threaten consequences after VA confirms 4 deaths tied to computer system tested in Spokane.
Citation Text:
Senators threaten consequences after VA confirms 4 deaths tied to computer system tested in Spokane. Donovan-Smith O. Spokesman Review. March 15,…
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psnet.ahrq.gov/issue/community-living-centers-va-needs-strengthen-its-approach-addressing-resident-complaints
October 12, 2022 - Book/Report
Community Living Centers: VA Needs to Strengthen Its Approach for Addressing Resident Complaints.
Citation Text:
Community Living Centers: VA Needs to Strengthen Its Approach for Addressing Resident Complaints. Washington, DC: United States Government Accountability Office; N…
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psnet.ahrq.gov/issue/agency-information-collection-activities-nursing-home-survey-patient-safety-culture-database
June 16, 2021 - Press Release/Announcement
Agency information collection activities: Nursing Home Survey on Patient Safety Culture Database; comment request.
Citation Text:
Agency information collection activities: Nursing Home Survey on Patient Safety Culture Database; comment request. Agency for Healt…
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psnet.ahrq.gov/issue/advancing-maternal-health-equity-and-reducing-maternal-mortality-workshop
May 19, 2021 - Meeting/Conference Proceedings
Advancing Maternal Health Equity and Reducing Maternal Mortality Workshop.
Citation Text:
Advancing Maternal Health Equity and Reducing Maternal Mortality Workshop. National Academies of Sciences, Engineering, and Medicine. June 7-8, 2021.
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psnet.ahrq.gov/node/857059/psn-pdf
November 29, 2023 - A final comprehensive system option is the development of team-based patient navigation services,
as
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psnet.ahrq.gov/issue/ahrq-health-services-research-projects-making-health-care-safer-ambulatory-care-settings-and
April 01, 2024 - Government Resource
AHRQ Health Services Research Projects: Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R01).
Citation Text:
AHRQ Health Services Research Projects: Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities …
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psnet.ahrq.gov/issue/caregivers-perspectives-ethical-challenges-and-patient-safety-tele-palliative-care
July 10, 2024 - Review
Caregivers' perspectives on ethical challenges and patient safety in tele-palliative care: an integrative review.
Citation Text:
Schuessler N, Glarcher M. Caregivers' perspectives on ethical challenges and patient safety in tele-palliative care: an integrative review. J Hosp Palli…
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psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation-summary
February 26, 2025 - Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary
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February 26, 2025
Innovation
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psnet.ahrq.gov/node/867845/psn-pdf
February 26, 2025 - Combined Proactive Risk Assessment (CPRA) – 4-Step
Technique Innovation Summary
February 26, 2025
https://psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation-
summary
Summary
This innovation describes the Veteran Health Administration (VHA) National Center for Patient Saf…
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psnet.ahrq.gov/issue/health-care-comes-home-human-factors
June 08, 2011 - Book/Report
Health Care Comes Home: The Human Factors.
Citation Text:
Health Care Comes Home: The Human Factors. Committee on the Role of Human Factors in Home Health Care. Washington, DC: National Research Council; 2011. ISBN: 9780309212366.
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psnet.ahrq.gov/issue/why-are-so-many-women-being-misdiagnosed
September 14, 2011 - Newspaper/Magazine Article
Why are so many women being misdiagnosed?
Citation Text:
Why are so many women being misdiagnosed? Mickle K. Glamour. August 11, 2017.
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psnet.ahrq.gov/issue/understanding-patient-safety-third-edition
November 03, 2015 - Book/Report
Classic
Understanding Patient Safety, Third Edition.
Citation Text:
Understanding Patient Safety, Third Edition. Wachter RM, Gupta K. New York, NY: McGraw-Hill Professional; 2017. ISBN: 9781259860249.
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psnet.ahrq.gov/issue/promoting-patient-safety-ethical-basis-policy-deliberation
June 02, 2010 - Book/Report
Promoting Patient Safety: An Ethical Basis for Policy Deliberation.
Citation Text:
Promoting Patient Safety: An Ethical Basis for Policy Deliberation. Sharpe VA. Hastings Center Report; July-August 2003:s1-s19
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psnet.ahrq.gov/issue/safer-together-survey-advancing-patient-and-workforce-safety
July 12, 2017 - Press Release/Announcement
Safer Together Survey: Advancing Patient and Workforce Safety
Citation Text:
Safer Together Survey: Advancing Patient and Workforce Safety Cambridge, MA: Institute for Healthcare Improvement: January 2023.
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psnet.ahrq.gov/issue/out-crisis
March 06, 2005 - Book/Report
Classic
Out of the Crisis.
Citation Text:
Out of the Crisis. Deming WE. Cambridge, MA: Massachusetts Institute of Technology, Center for Advanced Engineering Study, 1986. ISBN: 9780911379013.
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psnet.ahrq.gov/issue/assessing-and-supporting-late-career-practitioners-four-key-questions
May 18, 2022 - Commentary
Assessing and supporting late career practitioners: four key questions.
Citation Text:
White AA, Sage WM, Mazor KM, et al. Assessing and supporting late career practitioners: four key questions. Jt Comm J Qual Patient Saf. 2020;46(10):591-595. doi:10.1016/j.jcjq.2020.07.001.
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psnet.ahrq.gov/issue/spectrum-harm-associated-modern-medicine
July 26, 2023 - Commentary
The spectrum of harm associated with modern medicine.
Citation Text:
Schattner A. The spectrum of harm associated with modern medicine. J Gen Intern Med. 2022;37(3):664-667. doi:10.1007/s11606-021-06997-x.
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