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psnet.ahrq.gov/issue/increasing-rate-detection-wrong-patient-radiographs-use-photographs-obtained-time-radiography
June 13, 2015 - Study
Increasing rate of detection of wrong-patient radiographs: use of photographs obtained at time of radiography.
Citation Text:
Tridandapani S, Ramamurthy S, Galgano SJ, et al. Increasing Rate of Detection of Wrong-Patient Radiographs: Use of Photographs Obtained at Time of Radiograp…
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psnet.ahrq.gov/issue/how-willing-are-patients-question-healthcare-staff-issues-related-quality-and-safety-their
July 31, 2008 - Study
How willing are patients to question healthcare staff on issues related to the quality and safety of their healthcare? An exploratory study.
Citation Text:
Davis R, Koutantji M, Vincent C. How willing are patients to question healthcare staff on issues related to the quality and …
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psnet.ahrq.gov/issue/root-cause-analyses-suicides-mental-health-clients
March 16, 2016 - Study
Root cause analyses of suicides of mental health clients.
Citation Text:
Gillies D, Chicop D, O'Halloran P. Root Cause Analyses of Suicides of Mental Health Clients: Identifying Systematic Processes and Service-Level Prevention Strategies. Crisis. 2015;36(5):316-324. doi:10.1027/02…
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psnet.ahrq.gov/issue/vignette-study-examine-health-care-professionals-attitudes-towards-patient-involvement-error
March 11, 2013 - Study
A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention.
Citation Text:
Schwappach DLB, Frank O, Davis R. A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention. J…
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psnet.ahrq.gov/issue/radiographers-experience-preventing-patient-safety-incidents-context-radiological
December 20, 2017 - Study
Radiographers' experience of preventing patient safety incidents in the context of radiological examinations.
Citation Text:
Wallin A, Ringdal M, Ahlberg K, et al. Radiographers' experience of preventing patient safety incidents in the context of radiological examinations. Scand J …
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psnet.ahrq.gov/node/34855/psn-pdf
March 07, 2005 - Pharmacists play key role in patient safety.
March 7, 2005
https://psnet.ahrq.gov/issue/pharmacists-play-key-role-patient-safety
Description of a successful model from Duke University (SD), where hospital pharmacists play an integral
role in patient care. They provide counseling for patients, support for medical te…
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psnet.ahrq.gov/node/39466/psn-pdf
June 27, 2018 - Patient engagement in patient safety: barriers and
facilitators.
June 27, 2018
Scobie AC, Persaud DD. Patient Saf Qual Healthc. March/April 2010;7:42-47.
https://psnet.ahrq.gov/issue/patient-engagement-patient-safety-barriers-and-facilitators
This article reviews the literature and describes a framework for patien…
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psnet.ahrq.gov/node/41874/psn-pdf
November 21, 2012 - Reducing Diagnostic Errors.
November 21, 2012
Boston, MA: National Patient Safety Foundation; 2011.
https://psnet.ahrq.gov/issue/reducing-diagnostic-errors
This online continuing education module will educate participants on diagnostic errors, including
contributing factors and prevention strategies. Dr. Mark Grab…
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psnet.ahrq.gov/node/35729/psn-pdf
May 08, 2018 - Pump up the volume—tips for increasing error reporting.
May 8, 2018
ISMP Medication Safety Alert! Acute Care Edition. February 9, 2006;11:1-2,4.
https://psnet.ahrq.gov/issue/pump-volume-tips-increasing-error-reporting
This article presents best practices in six areas that can influence the success of incident repor…
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psnet.ahrq.gov/node/34006/psn-pdf
August 15, 2018 - PULSE Center for Patient Safety Education & Advocacy.
August 15, 2018
Wantagh, NY 11793-0353. 516-579-4711; Info@Pulsecpsea.org.
https://psnet.ahrq.gov/issue/pulse-center-patient-safety-education-advocacy
PULSE is a nonprofit grassroots organization and support group that works at the community level in
sever…
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psnet.ahrq.gov/node/35662/psn-pdf
June 25, 2010 - Debriefing after critical incidents for anaesthetic trainees.
June 25, 2010
Tan H. Debriefing after critical incidents for anaesthetic trainees. Anaesth Intensive Care. 2005;33(6):768-
72.
https://psnet.ahrq.gov/issue/debriefing-after-critical-incidents-anaesthetic-trainees
The author surveyed Australian anesthesi…
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psnet.ahrq.gov/node/35100/psn-pdf
November 04, 2015 - Patient Safety Improvement Corps: An AHRQ/VA
partnership.
November 4, 2015
AHRQ; Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/patient-safety-improvement-corps-ahrqva-partnership
The Agency for Healthcare Research and Quality announces the 2007–2008 Patient Safety Improvement
Corps (PSI…
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psnet.ahrq.gov/node/40389/psn-pdf
July 31, 2012 - Getting Your Best Health Care: Real-World Stories for
Patient Empowerment.
July 31, 2012
Farbstein K. Rockville, MD: Access Intelligence, LLC; 2011. ISBN: 9781885461452.
https://psnet.ahrq.gov/issue/getting-your-best-health-care-real-world-stories-patient-empowerment
This book explores patient-centered care and pr…
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psnet.ahrq.gov/web-mm/mobility-lost-icu
August 01, 2018 - SPOTLIGHT CASE
Mobility Lost in the ICU
Citation Text:
Smith J. Mobility Lost in the ICU. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNot…
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psnet.ahrq.gov/node/36193/psn-pdf
September 30, 2010 - The Ethics of Using QI Methods to Improve Health Care
Quality and Safety.
September 30, 2010
Baily MA, Bottrell M, Lynn J, Jennings J. Hastings Center Report; 2006(July-August): S2-S40.
https://psnet.ahrq.gov/issue/ethics-using-qi-methods-improve-health-care-quality-and-safety
The participants in this AHRQ–funded …
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psnet.ahrq.gov/node/37128/psn-pdf
February 24, 2011 - Development and implementation of an oral sign-out
skills curriculum.
February 24, 2011
Horwitz LI, Moin T, Green M. Development and implementation of an oral sign-out skills curriculum. J Gen
Intern Med. 2007;22(10):1470-4.
https://psnet.ahrq.gov/issue/development-and-implementation-oral-sign-out-skills-curriculu…
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psnet.ahrq.gov/node/36352/psn-pdf
April 14, 2011 - Patient expectations of fair complaint handling in
hospitals: empirical data.
April 14, 2011
Friele RD, Sluijs EM. Patient expectations of fair complaint handling in hospitals: empirical data. BMC
Health Serv Res. 2006;6:106.
https://psnet.ahrq.gov/issue/patient-expectations-fair-complaint-handling-hospitals-empir…
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psnet.ahrq.gov/node/39737/psn-pdf
November 30, 2016 - Physician's Guide to Patient Safety Organizations.
November 30, 2016
Chicago, IL: American Medical Association; 2009.
https://psnet.ahrq.gov/issue/physicians-guide-patient-safety-organizations
This guide reviews the Patient Safety Quality and Improvement Act of 2005 and aims to further physician
knowledge of and p…
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psnet.ahrq.gov/node/41933/psn-pdf
February 19, 2013 - Overarching goals: a strategy for improving healthcare
quality and safety?
February 19, 2013
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.
https://psnet.ahrq.gov/issue/overarching-g…
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psnet.ahrq.gov/issue/development-testing-and-findings-pediatric-focused-trigger-tool-identify-medication-related
April 11, 2011 - Study
Development, testing, and findings of a pediatric-focused trigger tool to identify medication-related harm in US children's hospitals.
Citation Text:
Takata GS, Mason W, Taketomo C, et al. Development, testing, and findings of a pediatric-focused trigger tool to identify medicati…