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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/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/perspective/university-texas-system-clinical-safety-and-effectiveness-course
February 01, 2011 - The University of Texas System Clinical Safety and Effectiveness Course
Eric J. Thomas, MD, MPH; Jan Patterson, MD, MS; Sherry Martin, MEd; Doris Quinn, PhD; Gary Reed, MD; Ken Shine, MD | February 1, 2011
View more articles from the same authors.
Citation Text:
T…
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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/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/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/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/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/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/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/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/38439/psn-pdf
December 23, 2012 - Legality of technicians' involvement in medication
reconciliation not clear.
December 23, 2012
Thompson CA. Legality of technicians' involvement in medication reconciliation not clear. American journal
of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists.
2009;66…
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psnet.ahrq.gov/node/38537/psn-pdf
November 15, 2017 - Engaging as partners in patient safety: the experience of
librarians.
November 15, 2017
Zipperer L, Sykes J. Patient Saf Qual Healthc. March/April 2009;6:28-30,32-33.
https://psnet.ahrq.gov/issue/engaging-partners-patient-safety-experience-librarians
This survey explores the varied roles that medical librarians p…
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psnet.ahrq.gov/node/35020/psn-pdf
June 22, 2009 - Surgical skill is predicted by the ability to detect errors.
June 22, 2009
Bann S, Khan M, Datta V, et al. Surgical skill is predicted by the ability to detect errors. Am J Surg.
2005;189(4):412-5.
https://psnet.ahrq.gov/issue/surgical-skill-predicted-ability-detect-errors
The investigators observed surgeons parti…
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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/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/chief-residents-quality-improvement-and-patient-safety-recipe-new-role-graduate-medical
August 13, 2014 - Commentary
Chief of Residents for Quality Improvement and Patient Safety: a recipe for a new role in graduate medical education.
Citation Text:
Ferraro K, Zernzach R, Maturo S, et al. Chief of Residents for Quality Improvement and Patient Safety: A Recipe for a New Role in Graduate Medic…
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psnet.ahrq.gov/issue/how-event-reporting-us-hospitals-has-changed-2005-2009
April 21, 2010 - Study
How event reporting by US hospitals has changed from 2005 to 2009.
Citation Text:
Farley DO, Haviland AM, Haas A, et al. How event reporting by US hospitals has changed from 2005 to 2009. BMJ Qual Saf. 2011;21(1). doi:10.1136/bmjqs-2011-000114.
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