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  1. psnet.ahrq.gov/issue/reliability-uncertainty-and-management-error-new-perspectives-covid-19-era
    January 12, 2022 - Commentary Reliability, uncertainty and the management of error: new perspectives in the COVID-19 era. Citation Text: Schulman PR. Reliability, uncertainty and the management of error: new perspectives in the COVID‐19 era. J Contingencies Crisis Manage. 2022;30(1):92-101. doi:10.1111/146…
  2. psnet.ahrq.gov/issue/disclosure-through-our-eyes
    July 02, 2009 - Commentary Disclosure through our eyes. Citation Text: Sheridan S, Conrad N, King S, et al. Disclosure Through Our Eyes. J Patient Saf. 2008;4(1):18-26. doi:10.1097/pts.0b013e31816543cc. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…
  3. psnet.ahrq.gov/issue/safety-ii-and-resilience-way-ahead-patient-safety-anaesthesiology
    October 08, 2016 - Review Safety-II and resilience: the way ahead in patient safety in anaesthesiology. Citation Text: Staender S. Safety-II and resilience: the way ahead in patient safety in anaesthesiology. Curr Opin Anaesthesiol. 2015;28(6):735-9. doi:10.1097/ACO.0000000000000252. Copy Citation Fo…
  4. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-process-mapping.pdf
    June 02, 2025 - Job Aid: Process Mapping Primary Care Practice Facilitator Training Series 1 Job Aid: Process Mapping Overview Process mapping, also called workflow mapping, allows a practice to "see" an entire work process from beginning to end. When to use process mapping Use process mapping to help a p…
  5. psnet.ahrq.gov/issue/cultural-diversity-what-role-does-it-play-patient-safety
    June 15, 2011 - Commentary Cultural diversity: what role does it play in patient safety? Citation Text: Ardoin KB, Wilson KB. Cultural diversity: what role does it play in patient safety? Nurs Womens Health. 2010;14(4):322-6. doi:10.1111/j.1751-486X.2010.01563.x. Copy Citation Format: DO…
  6. psnet.ahrq.gov/issue/leading-your-organization-high-reliability
    August 18, 2021 - Commentary Leading your organization to high reliability. Citation Text: Kemper C, Boyle DK. Leading your organization to high reliability. Nurs Manag. 2009;40(4):14-18. doi:10.1097/01.NUMA.0000349684.24165.68. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…
  7. www.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy2/index.html
    December 01, 2017 - Strategy 2: Communicating to Improve Quality Research shows that when patients are engaged in their health care, it can lead to measurable improvements in safety and quality. To promote stronger engagement, Agency for Healthcare Research and Quality developed the Guide to Patient and Family Engagement in Hospit…
  8. psnet.ahrq.gov/issue/roundtable-public-policy-affecting-patient-safety
    June 15, 2016 - Commentary Roundtable on public policy affecting patient safety. Citation Text: Crane RM, Raymond B. Roundtable on Public Policy Affecting Patient Safety. J Patient Saf. 2011;7(1):5-10. doi:10.1097/pts.0b013e31820c98cd. Copy Citation Format: DOI Google Scholar BibTeX EndN…
  9. psnet.ahrq.gov/issue/patient-misidentification-oncology-care
    March 22, 2006 - Commentary Patient misidentification in oncology care. Citation Text: Patient misidentification in oncology care. Schulmeister L. Clin J Oncol Nurs. 2008;12:495-498. Copy Citation Save Save to your library Print Download PDF Share Faceb…
  10. psnet.ahrq.gov/issue/are-you-listeningare-you-really-listening
    December 04, 2016 - Commentary Are you listening...Are you really listening? Citation Text: Denham CR, Dingman J, Foley M, et al. Are You Listening…Are You Really Listening? J Patient Saf. 2008;4(3):148-161. doi:10.1097/pts.0b013e318184db52. Copy Citation Format: DOI Google Scholar BibTeX En…
  11. psnet.ahrq.gov/issue/randomized-field-study-leadership-walkrounds-based-intervention
    May 24, 2016 - Book/Report A Randomized Field Study of a Leadership WalkRounds-Based Intervention. Citation Text: A Randomized Field Study of a Leadership WalkRounds-Based Intervention. Tucker AL, Singer SJ. Cambridge, MA: Harvard Business School; June 25, 2012. HBS Working Paper No. 12-113. Cop…
  12. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/tool.html
    June 01, 2017 - Sustainability Tool - Sustainability Module Background: This tool can be used to identify sustainability issues in planning and implementing your improvement efforts. How to use this tool: The Implementation Team leader (or individual designated by the leader) should complete this checklist. Us…
  13. psnet.ahrq.gov/issue/availability-spanish-prescription-labels
    December 18, 2014 - Study Availability of Spanish prescription labels. Citation Text: Sharif I, Lo S, Ozuah PO. Availability of Spanish prescription labels. J Health Care Poor Underserved. 2006;17(1):65-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnot…
  14. www.ahrq.gov/pqmp/about/learning-collaborative.html
    September 01, 2021 - PQMP Learning Collaborative In late 2017, AHRQ—in partnership with the Centers for Medicare & Medicaid Services (CMS)—launched the Pediatric Quality Measures Program (PQMP) Learning Collaborative as a central component of the PQMP strategy to support the dissemination, implementation, performance monitoring, an…
  15. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-references.html
    August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study References Previous Page   Table of Contents Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study Introduction Initial Approach…
  16. psnet.ahrq.gov/issue/alliance-between-society-and-medicine-publics-stake-medical-professionalism
    November 16, 2022 - Commentary Alliance between society and medicine: the public's stake in medical professionalism. Citation Text: Cohen JJ, Cruess S, Davidson C. Alliance between society and medicine: the public's stake in medical professionalism. JAMA. 2007;298(6):670-3. Copy Citation Format: …
  17. psnet.ahrq.gov/issue/confronting-colleague-who-covers-medical-error
    September 16, 2020 - Commentary Confronting a colleague who covers up a medical error. Citation Text: Brody H. Confronting a colleague who covers up a medical error. Am Fam Physician. 2006;73(7):1272, 1274. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnot…
  18. psnet.ahrq.gov/issue/ripped-apart-medical-misdiagnosis-and-malpractice
    August 25, 2021 - Audiovisual Presentation Ripped apart: medical misdiagnosis and malpractice. Citation Text: Ripped apart: medical misdiagnosis and malpractice. Kast S, Gerr M, Black D, et al. “On the Record.” WYPR. August 3, 2021 Copy Citation Save Save to your library …
  19. psnet.ahrq.gov/issue/studying-technical-work-emergency-care
    September 29, 2010 - Commentary Studying the technical work of emergency care. Citation Text: Nemeth CP, Cook RI, Wears RL. Studying the technical work of emergency care. Ann Emerg Med. 2007;50(4):384-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
  20. psnet.ahrq.gov/issue/disclosure-and-apology-nursing-and-risk-management-working-together
    August 21, 2015 - Commentary Disclosure and apology: nursing and risk management working together. Citation Text: Russell D. Disclosure and apology: Nursing and risk management working together. Nurs Manage. 2018;49(6):17-19. doi:10.1097/01.NUMA.0000533773.14544.e2. Copy Citation Format: DOI…