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psnet.ahrq.gov/issue/errors-medicine-punishment-versus-learning-medical-adverse-events-revisited-expanding-frame
August 24, 2022 - Review
Errors in medicine: punishment versus learning medical adverse events revisited - expanding the frame.
Citation Text:
Brattebø G, Flaatten HK. Errors in medicine: punishment versus learning medical adverse events revisited – expanding the frame. Curr Opin Anaesthesiol. 2023;36(2):…
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psnet.ahrq.gov/issue/role-patient-involvement-diagnostic-process-internal-medicine-cognitive-approach
April 25, 2012 - Commentary
The role of patient involvement in the diagnostic process in internal medicine: a cognitive approach.
Citation Text:
Lucchiari C, Pravettoni G. The role of patient involvement in the diagnostic process in internal medicine: a cognitive approach. Eur J Intern Med. 2013;24(5):4…
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psnet.ahrq.gov/issue/checklists-reduce-diagnostic-errors
September 18, 2024 - Commentary
Checklists to reduce diagnostic errors.
Citation Text:
Ely JW, Graber ML, Croskerry P. Checklists to reduce diagnostic errors. Acad Med. 2011;86(3):307-313. doi:10.1097/ACM.0b013e31820824cd.
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psnet.ahrq.gov/issue/yours-learning-organization
March 18, 2019 - Newspaper/Magazine Article
Is yours a learning organization?
Citation Text:
Garvin DA, Edmondson A, Gino F. Is yours a learning organization? Harv Bus Rev. 2008;86(3):109-16, 134.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…
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psnet.ahrq.gov/issue/inappropriate-surgeries-resulting-misdiagnosis-early-amyotrophic-lateral-sclerosis
October 31, 2014 - Study
Inappropriate surgeries resulting from misdiagnosis of early amyotrophic lateral sclerosis.
Citation Text:
Srinivasan J, Scala S, Jones R, et al. Inappropriate surgeries resulting from misdiagnosis of early amyotrophic lateral sclerosis. Muscle Nerve. 2006;34(3):359-60.
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psnet.ahrq.gov/issue/medicaid-program-payment-adjustment-provider-preventable-conditions-including-health-care
July 07, 2021 - Government Resource
Medicaid program; payment adjustment for provider-preventable conditions including health care–acquired conditions.
Citation Text:
Medicaid program; payment adjustment for provider-preventable conditions including health care–acquired conditions. Centers for Medic…
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digital.ahrq.gov/ahrq-funded-projects/enabling-health-care-decisionmaking-through-use-health-information-technology/annual-summary/2010
January 01, 2010 - Enabling Health Care Decisionmaking through the Use of Health Information Technology - 2010
Project Name
Enabling Health Care Decisionmaking through the Use of Health Information Technology
Principal Investigator
Lobach, David
Organization
Duke University
Contract Num…
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psnet.ahrq.gov/issue/how-communication-among-members-health-care-team-affects-maternal-morbidity-and-mortality
November 12, 2014 - Commentary
How communication among members of the health care team affects maternal morbidity and mortality.
Citation Text:
Brennan RA, Keohane CA. How Communication Among Members of the Health Care Team Affects Maternal Morbidity and Mortality. J Obstet Gynecol Neonatal Nurs. 2016;45(6)…
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psnet.ahrq.gov/issue/ensuring-medication-safety-consumers-ethnic-minority-backgrounds-need-address-unconscious
July 29, 2020 - Commentary
Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscious bias within health systems.
Citation Text:
Chauhan A, Walpola RL. Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscio…
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psnet.ahrq.gov/issue/partnering-pediatric-patients-and-families-high-reliability-identify-and-reduce-preventable
December 02, 2020 - Commentary
Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events.
Citation Text:
Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events. Kirby J, Cannon C, Darrah …
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psnet.ahrq.gov/issue/100000-lives-campaign-setting-goal-and-deadline-improving-health-care-quality
February 29, 2012 - Commentary
The 100,000 Lives Campaign: setting a goal and a deadline for improving health care quality.
Citation Text:
Berwick DM, Calkins DR, McCannon CJ, et al. The 100 000 Lives Campaign. JAMA. 2006;295(3). doi:10.1001/jama.295.3.324.
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psnet.ahrq.gov/issue/culture-cure-assessments-patient-safety-culture-oecd-countries
October 07, 2020 - Book/Report
Culture as a Cure: Assessments of Patient Safety Culture in OECD Countries.
Citation Text:
Culture as a Cure: Assessments of Patient Safety Culture in OECD Countries. de Bienassisi K, Kristensenii S, Burtscheri M, et al for the Organisation for Economic Co-operation and …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d2_combo_projectcharter.pdf
December 23, 2009 - Project Charter
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool D.2
Project Charter
What is the purpose of this tool? The purpose of the project charter is to describe the performance
improvement rationale, goals, barriers, and anticipated resources to which the…
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psnet.ahrq.gov/issue/hospital-performance-trends-national-quality-measures-and-association-joint-commission
September 20, 2011 - Study
Hospital performance trends on national quality measures and the association with Joint Commission accreditation.
Citation Text:
Schmaltz SP, Williams SC, Chassin MR, et al. Hospital performance trends on national quality measures and the association with joint commission accre…
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psnet.ahrq.gov/issue/prevention-3-never-events-operating-room-fires-gossypiboma-and-wrong-site-surgery
February 10, 2012 - Review
Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery.
Citation Text:
Zahiri HR, Stromberg J, Skupsky H, et al. Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. Surg Innov. 2011;18(1):55-…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d2_combo_projectcharter.docx
December 23, 2009 - Project Charter
What is the purpose of 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? Staff members directly involved in the improvement project. Consider adding …
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www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/tools-resources-decolonization.html
October 01, 2024 - MRSA Prevention Toolkit: ICUs & Non-ICUs
Tools & Resources for Decolonization
Previous Page Next Page
Table of Contents
MRSA Prevention Toolkit: ICUs & Non-ICUs
The Four Key Strategies of MRSA Prevention
The Importance of MRSA Prevention
Decolonization
Tools & Resources for Decolonization
…
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psnet.ahrq.gov/issue/organisational-failure-rethinking-whistleblowing-tomorrows-doctors
May 18, 2022 - Commentary
Organisational failure: rethinking whistleblowing for tomorrow's doctors.
Citation Text:
Taylor DJ, Goodwin D. Organisational failure: rethinking whistleblowing for tomorrow’s doctors. J Med Ethics. 2022;48(10):672-677. doi:10.1136/jme-2022-108328.
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psnet.ahrq.gov/issue/narrativizing-nursing-students-experiences-medical-errors-during-clinicals
September 28, 2010 - Study
Narrativizing nursing students' experiences with medical errors during clinicals.
Citation Text:
Noland CM, Carmack HJ. Narrativizing Nursing Students' Experiences With Medical Errors During Clinicals. Qual Health Res. 2015;25(10):1423-34. doi:10.1177/1049732314562892.
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psnet.ahrq.gov/issue/liquid-medication-dosing-errors-hispanic-parents-role-health-literacy-and-english-proficiency
December 14, 2016 - Study
Liquid medication dosing errors by Hispanic parents: role of health literacy and English proficiency.
Citation Text:
Harris LM, Dreyer BP, Mendelsohn A, et al. Liquid Medication Dosing Errors by Hispanic Parents: Role of Health Literacy and English Proficiency. Acad Pediatr. 2017;1…