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psnet.ahrq.gov/issue/why-current-breast-pathology-practices-must-be-evaluated
February 23, 2018 - Book/Report
Why Current Breast Pathology Practices Must Be Evaluated.
Citation Text:
Why Current Breast Pathology Practices Must Be Evaluated. Dallas, TX: Susan G Komen Breast Cancer Foundation; 2006.
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psnet.ahrq.gov/issue/investigating-clinical-incidents-nhs
February 04, 2015 - Book/Report
Investigating Clinical Incidents in the NHS.
Citation Text:
Investigating Clinical Incidents in the NHS. Sixth Report of Session 2014–15. House of Commons Public Administration Select Committee. London, England: The Stationery Office; March 27, 2015. Publication HC 886.
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psnet.ahrq.gov/issue/high-cost-retained-surgical-items
February 22, 2023 - Newspaper/Magazine Article
The high cost of retained surgical items.
Citation Text:
The high cost of retained surgical items. Moorehead LD. Outpatient Surgery. April 5, 2023.
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psnet.ahrq.gov/issue/meltdown-why-our-systems-fail-and-what-we-can-do-about-it
March 09, 2016 - Book/Report
Meltdown: Why Our Systems Fail and What We Can Do About It.
Citation Text:
Meltdown: Why Our Systems Fail and What We Can Do About It. Clearfield C, Tilcsik A. New York, NY: Penguin Press; 2018. ISBN: 978-0735222632.
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psnet.ahrq.gov/issue/getting-ahead-harm-it-happens-guide-about-proactive-analysis-improving-surgical-care-safety
November 30, 2016 - Book/Report
Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety.
Citation Text:
Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety. Wiley K, Davies JM. Edmonton, AB: Canadia…
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psnet.ahrq.gov/issue/measurement-diagnostic-errors-key-first-step-their-reduction
June 27, 2016 - Government Resource
Measurement of diagnostic errors is a key first step to their reduction.
Citation Text:
Measurement of diagnostic errors is a key first step to their reduction. Singh H. National Quality Measures Expert Commentaries. November 23, 2015.
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psnet.ahrq.gov/issue/request-proposals-clinical-quality-measures-improve-diagnosis
December 17, 2008 - Grant Recipient
Request for proposals for clinical quality measures to improve diagnosis.
Citation Text:
Request for proposals for clinical quality measures to improve diagnosis. Palo Alto CA; Gordon and Betty Moore Foundation: February 22, 2022.
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psnet.ahrq.gov/issue/2015-rosenthal-symposium-protecting-patients-advances-and-future-directions-patient-safety
January 26, 2022 - Audiovisual Presentation
2015 Rosenthal Symposium: Protecting Patients: Advances and Future Directions in Patient Safety.
Citation Text:
2015 Rosenthal Symposium: Protecting Patients: Advances and Future Directions in Patient Safety. National Academy of Sciences; National Academy of Medi…
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psnet.ahrq.gov/issue/ahrq-2012-annual-conference
August 01, 2012 - Meeting/Conference Proceedings
AHRQ 2012 Annual Conference.
Citation Text:
AHRQ 2012 Annual Conference. Agency for Healthcare Research and Quality. September 9–12, 2012; Bethesda North Marriott Hotel & Conference Center, Bethesda, MD.
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psnet.ahrq.gov/issue/plague-year-mistakes-and-struggles-behind-americas-covid-19-tragedy
September 04, 2013 - Newspaper/Magazine Article
The plague year. The mistakes and the struggles behind America’s coronavirus tragedy.
Citation Text:
The plague year. The mistakes and the struggles behind America’s coronavirus tragedy. Wright L. New Yorker. January 4, 2021;96(463):20-59.
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psnet.ahrq.gov/issue/encouraging-patients-ask-questions-how-overcome-white-coat-silence
April 17, 2019 - Commentary
Encouraging patients to ask questions: how to overcome "white-coat silence."
Citation Text:
Judson TJ, Detsky AS, Press MJ. Encouraging patients to ask questions: how to overcome "white-coat silence". JAMA. 2013;309(22):2325-6. doi:10.1001/jama.2013.5797.
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psnet.ahrq.gov/issue/patient-safety-break-silence
October 19, 2022 - Commentary
Patient safety: break the silence.
Citation Text:
Johnson HL, Kimsey D. Patient safety: break the silence. AORN J. 2012;95(5):591-601. doi:10.1016/j.aorn.2012.03.002.
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psnet.ahrq.gov/issue/mitigating-bias-ai-point-care
March 08, 2023 - Newspaper/Magazine Article
Mitigating bias in AI at the point of care.
Citation Text:
Mitigating bias in AI at the point of care. Decamp M, Lindvall C. Science. 2023;381(6654):150-152.
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psnet.ahrq.gov/issue/health-literacy-toolkit
February 22, 2023 - Toolkit
Health Literacy Toolkit.
Citation Text:
Health Literacy Toolkit. Leeds, UK: Health Education England, Public Health England, NHS England and Community Health and Learning Foundation; December 11, 2017.
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psnet.ahrq.gov/issue/wrong-drug-and-wrong-dose-dispensing-errors-identified-pharmacist-professional-liability
August 31, 2016 - Study
Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims.
Citation Text:
Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims. Reiner G, Pierce SL, Flynn J. J Am Pharm Assoc (2003). 2020;60(5):e…
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psnet.ahrq.gov/issue/will-my-patient-fall
March 13, 2013 - Review
Will my patient fall?
Citation Text:
Ganz DA, Bao Y, Shekelle PG, et al. Will my patient fall? JAMA. 2007;297(1):77-86.
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psnet.ahrq.gov/issue/stop-measure-safe-and-transparent-opioid-prescribing-promote-patient-safety-and-reduced-risk
October 30, 2019 - Book/Report
The STOP Measure. Safe and Transparent Opioid Prescribing to Promote Patient Safety and Reduced Risk of Opioid Misuse.
Citation Text:
The STOP Measure. Safe and Transparent Opioid Prescribing to Promote Patient Safety and Reduced Risk of Opioid Misuse. Washington, DC: America…
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psnet.ahrq.gov/issue/medical-error-reporting-system-could-boost-patient-safety
December 14, 2022 - Newspaper/Magazine Article
Medical Error Reporting System Could Boost Patient Safety.
Citation Text:
Medical Error Reporting System Could Boost Patient Safety. Ebright PR; Rapala K. Indianapolis, IN: Center for Urban Policy and the Environment, School of Public and Environmental Affa…
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psnet.ahrq.gov/issue/small-effort-big-payoffautomated-maximum-dose-alerts-hard-stops
June 10, 2018 - Newspaper/Magazine Article
Small effort, big payoff...automated maximum dose alerts with hard stops.
Citation Text:
Small effort, big payoff...automated maximum dose alerts with hard stops. ISMP Medication Safety Alert! Acute care edition! September 19, 2013;18:1-4.
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psnet.ahrq.gov/issue/organisation-losing-its-memory-patient-safety-alerts-implementation-monitoring-and-regulation
March 17, 2011 - Book/Report
An Organisation Losing its Memory? Patient Safety Alerts: Implementation, Monitoring and Regulation in England
Citation Text:
An Organisation Losing its Memory? Patient Safety Alerts: Implementation, Monitoring and Regulation in England Cousins D. Croydon, UK: Accidents again…