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psnet.ahrq.gov/issue/aging-surgeon
February 22, 2019 - Review
The aging surgeon.
Citation Text:
Katlic MR, Coleman JA. The Aging Surgeon. Adv Surg. 2016;50(1):93-103. doi:10.1016/j.yasu.2016.03.008.
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psnet.ahrq.gov/issue/how-one-medical-checkup-can-snowball-cascade-tests-causing-more-harm-good
February 03, 2021 - Newspaper/Magazine Article
How one medical checkup can snowball into a ‘cascade’ of tests, causing more harm than good.
Citation Text:
How one medical checkup can snowball into a ‘cascade’ of tests, causing more harm than good. Ganguli I. Washington Post. January 5, 2020.
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psnet.ahrq.gov/issue/work-system-design-patient-safety-seips-model
December 18, 2013 - Commentary
Work system design for patient safety: the SEIPS model.
Citation Text:
Carayon P, Schoofs Hundt A, Karsh B-T, et al. Work system design for patient safety: the SEIPS model. Qual Saf Health Care. 2006;15(suppl 1):i50-i58. doi:10.1136/qshc.2005.015842.
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psnet.ahrq.gov/issue/adaptive-regulation-or-governmentality-patient-safety-and-changing-regulation-medicine
December 09, 2020 - Commentary
Adaptive regulation or governmentality: patient safety and the changing regulation of medicine.
Citation Text:
Waring J. Adaptive regulation or governmentality: patient safety and the changing regulation of medicine. Sociol Health Illn. 2007;29(2):163-79.
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psnet.ahrq.gov/issue/engineering-foundation-partnership-improve-medication-safety-during-care-transitions
July 20, 2022 - Commentary
Engineering a foundation for partnership to improve medication safety during care transitions.
Citation Text:
Xiao Y, Abebe E, Gurses AP. Engineering a Foundation for Partnership to Improve Medication Safety during Care Transitions. J Patient Saf Risk Manag. 2019;24(1):30-36. …
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psnet.ahrq.gov/issue/simulation-mastery-learning-and-healthcare
November 09, 2011 - Commentary
Simulation, mastery learning and healthcare.
Citation Text:
Dunn W, Dong Y, Zendejas B, et al. Simulation, Mastery Learning and Healthcare. Am J Med Sci. 2017;353(2):158-165. doi:10.1016/j.amjms.2016.12.012.
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psnet.ahrq.gov/issue/second-victim-phenomenon
July 10, 2024 - Review
Second-victim phenomenon.
Citation Text:
New L, Lambeth T. Second-victim phenomenon. Nurs Clin North Am. 2024;59(1):141-152. doi:10.1016/j.cnur.2023.11.011.
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psnet.ahrq.gov/issue/power-collaboration-patient-safety-programs-building-safe-passage-patients-nurses-and
April 21, 2021 - Commentary
The power of collaboration with patient safety programs: building safe passage for patients, nurses, and clinical staff.
Citation Text:
Kerfoot KM, Rapala K, Ebright PR, et al. The power of collaboration with patient safety programs: building safe passage for patients, nurse…
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psnet.ahrq.gov/issue/development-and-validation-tool-improve-paediatric-referralconsultation-communication
May 25, 2011 - Study
Development and validation of a tool to improve paediatric referral/consultation communication.
Citation Text:
Stille CJ, Mazor KM, Meterko V, et al. Development and validation of a tool to improve paediatric referral/consultation communication. BMJ Qual Saf. 2011;20(8):692-7. do…
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psnet.ahrq.gov/issue/case-study-getting-boards-board-allen-memorial-hospital-iowa-health-system
August 04, 2021 - Commentary
Case study: getting boards on board at Allen Memorial Hospital, Iowa Health System.
Citation Text:
Slessor SR, Crandall JB, Nielsen GA. Case study: getting boards on board at Allen Memorial Hospital, Iowa Health System. Jt Comm J Qual Patient Saf. 2008;34(4):221-227.
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psnet.ahrq.gov/issue/unprofessional-behavior-leads-complications
October 31, 2023 - Audiovisual Presentation
Unprofessional Behavior Leads to Complications.
Citation Text:
Unprofessional Behavior Leads to Complications. JN Learning. 2020.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/d2-projectcharter.pdf
December 23, 2009 - INSTRUCTIONS: Project Charter
AHRQ Quality Indicators Toolkit
INSTRUCTIONS
Project Charter
What is this tool? The purpose of the project charter is to describe the performance improvement
rationale, goals, barriers, and anticipated resources to which the team will commit.
Who are the target audiences? St…
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psnet.ahrq.gov/issue/malpractice-liability-and-health-care-quality-review
April 13, 2011 - Review
Emerging Classic
Malpractice liability and health care quality: a review
Citation Text:
Mello MM, Frakes MD, Blumenkranz E, et al. Malpractice liability and health care quality: A review . JAMA. 2020;323(4):352-366. doi:10.1001/jama.2019.21411.
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psnet.ahrq.gov/issue/predictors-warfarin-associated-adverse-events-hospitalized-patients-opportunities-prevent
August 03, 2016 - Review
Predictors of warfarin-associated adverse events in hospitalized patients: opportunities to prevent patient harm.
Citation Text:
Metersky M, Eldridge N, Wang Y, et al. Predictors of warfarin-associated adverse events in hospitalized patients: Opportunities to prevent patient harm.…
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psnet.ahrq.gov/issue/how-medication-prescribing-ceased-systematic-review
June 14, 2019 - Review
How is medication prescribing ceased? A systematic review.
Citation Text:
Ostini R, Jackson C, Hegney D, et al. How is medication prescribing ceased? A systematic review. Med Care. 2011;49(1):24-36. doi:10.1097/MLR.0b013e3181ef9a7e.
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psnet.ahrq.gov/issue/between-flags-implementing-rapid-response-system-scale
June 08, 2011 - Commentary
'Between the flags': implementing a rapid response system at scale.
Citation Text:
Hughes C, Pain C, Braithwaite J, et al. 'Between the flags': implementing a rapid response system at scale. BMJ Qual Saf. 2014;23(9):714-7. doi:10.1136/bmjqs-2014-002845.
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psnet.ahrq.gov/issue/elective-surgical-patients-narratives-hospitalization-co-construction-safety
May 29, 2012 - Study
Elective surgical patients' narratives of hospitalization: the co-construction of safety.
Citation Text:
DOHERTY CAROLE, Saunders MNK. Elective surgical patients' narratives of hospitalization: the co-construction of safety. Soc Sci Med. 2013;98:29-36. doi:10.1016/j.socscimed.2013…
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psnet.ahrq.gov/issue/indian-health-service-actions-needed-improve-use-data-adverse-events
September 07, 2016 - Book/Report
Indian Health Service: Actions Needed to Improve Use of Data on Adverse Events.
Citation Text:
Indian Health Service: Actions Needed to Improve Use of Data on Adverse Events. Washington, DC: United States Government Accounting Office; July 10, 2023. Publication GAO-23-1…
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psnet.ahrq.gov/issue/bringing-equity-lens-patient-safety-event-reporting
September 21, 2009 - Commentary
Bringing the equity lens to patient safety event reporting.
Citation Text:
Gandhi TK, Schulson LB, Thomas AD. Bringing the equity lens to patient safety event reporting. Jt Comm J Qual Patient Saf. 2024;50(1):87-89. doi:10.1016/j.jcjq.2023.09.003.
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psnet.ahrq.gov/issue/no-shortcuts-safer-opioid-prescribing
March 30, 2016 - Commentary
Classic
No shortcuts to safer opioid prescribing.
Citation Text:
Dowell D, Haegerich T, Chou R. No Shortcuts to Safer Opioid Prescribing. N Engl J Med. 2019;380(24):2285-2287. doi:10.1056/NEJMp1904190.
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