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psnet.ahrq.gov/issue/computer-entry-errors
March 06, 2005 - Study
Computer entry errors.
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March 6, 2005
Data collected through the MedMARX sm program is analyzed to reveal where technology fulfills its promised benefit i…
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psnet.ahrq.gov/issue/22-california-hospitals-earn-top-status-outstanding-patient-safety-health-care-quality
December 14, 2005 - Press Release/Announcement
22 California hospitals earn top status for outstanding patient safety- health care quality.
Citation Text:
Leapfrog Group
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psnet.ahrq.gov/issue/no-fall-zone
February 01, 2012 - Newspaper/Magazine Article
The no-fall zone.
Citation Text:
Butcher L.
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June 26, 2013
Butcher L.
This magazine article explores …
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psnet.ahrq.gov/issue/emergency-pharmacist-research-center-safety-measure-emergency-medicine
July 13, 2016 - Toolkit
The Emergency Pharmacist Research Center: A Safety Measure in Emergency Medicine.
Citation Text:
University of Rochester Medical Center
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psnet.ahrq.gov/issue/eye-eye-donald-berwick
October 19, 2005 - Audiovisual
Eye to eye: Donald Berwick.
Citation Text:
Berwick D; Couric K.
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February 14, 2007
Berwick D; Couric K.
Dr. Berwick…
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psnet.ahrq.gov/issue/council-state-governments-csgs-health-literacy-tool-kit
July 25, 2007 - Toolkit
The Council of State Governments (CSG's) Health Literacy Tool Kit.
Citation Text:
Council of State Governments
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March 6, 2005
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psnet.ahrq.gov/node/33931/psn-pdf
June 23, 2015 - An analysis of major errors and equipment failures in
anesthesia management: considerations for prevention
and detection.
June 23, 2015
Cooper JB, Newbower RS, Kitz RJ. An analysis of major errors and equipment failures in anesthesia
management: considerations for prevention and detection. Anesthesiology. 1984;60(…
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psnet.ahrq.gov/node/44466/psn-pdf
September 16, 2015 - Is researching adverse events in hospital deaths a good
way to describe patient safety in hospitals: a
retrospective patient record review study.
September 16, 2015
Baines RJ, Langelaan M, de Bruijne M, et al. Is researching adverse events in hospital deaths a good way
to describe patient safety in hospitals: a re…
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psnet.ahrq.gov/node/35251/psn-pdf
April 06, 2011 - Promoting health care safety through training high
reliability teams.
April 6, 2011
Wilson KA. Promoting health care safety through training high reliability teams. Quality and Safety in Health
Care. 2005;14(4). doi:10.1136/qshc.2004.010090.
https://psnet.ahrq.gov/issue/promoting-health-care-safety-through-trainin…
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psnet.ahrq.gov/node/44036/psn-pdf
April 15, 2015 - Can medical students identify a potentially serious
acetaminophen dosing error in a simulated encounter? A
case control study.
April 15, 2015
Dudas RA, Barone MA. Can medical students identify a potentially serious acetaminophen dosing error in a
simulated encounter? a case control study. BMC Med Educ. 2015;15(1).…
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psnet.ahrq.gov/node/35832/psn-pdf
August 04, 2009 - The incorporation of patient safety into board certification
examinations.
August 4, 2009
Kachalia A, Johnson J, Miller ST, et al. The incorporation of patient safety into board certification
examinations. Acad Med. 2006;81(4):317-25.
https://psnet.ahrq.gov/issue/incorporation-patient-safety-board-certification-ex…
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psnet.ahrq.gov/node/43870/psn-pdf
January 28, 2015 - Peer review of medical practices: missed opportunities to
learn.
January 28, 2015
Kadar N. Peer review of medical practices: missed opportunities to learn. Am J Obstet Gynecol.
2014;211(6):596-601. doi:10.1016/j.ajog.2014.08.018.
https://psnet.ahrq.gov/issue/peer-review-medical-practices-missed-opportunities-learn…
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psnet.ahrq.gov/node/840490/psn-pdf
February 14, 2006 - Evidence of bias and variation in diagnostic accuracy
studies.
February 14, 2006
Rutjes AWS, Reitsma JB, Di Nisio M, et al. Evidence of bias and variation in diagnostic accuracy studies.
CMAJ. 2006;174(4):469-476. doi:10.1503/cmaj.050090.
https://psnet.ahrq.gov/issue/evidence-bias-and-variation-diagnostic-accuracy…
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psnet.ahrq.gov/node/47429/psn-pdf
December 05, 2018 - The Fearless Organization: Creating Psychological Safety
in the Workplace for Learning, Innovation, and Growth.
December 5, 2018
Edmondson AC. Hoboken, NJ: John Wiley & Sons, Inc.; 2019. ISBN: 9781119477266.
https://psnet.ahrq.gov/issue/fearless-organization-creating-psychological-safety-workplace-learning-
innova…
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psnet.ahrq.gov/node/44493/psn-pdf
September 19, 2016 - Interventions in health organisations to reduce the impact
of adverse events in second and third victims.
September 19, 2016
Mira JJ, Lorenzo S, Carrillo I, et al. Interventions in health organisations to reduce the impact of adverse
events in second and third victims. BMC Health Serv Res. 2015;15:341. doi:10.1186/…
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psnet.ahrq.gov/node/38009/psn-pdf
August 27, 2008 - Analysis of 23,364 patient-generated, physician-reviewed
malpractice claims from a non-tort, blame-free, national
patient insurance system: lessons learned from Sweden.
August 27, 2008
Pukk-Härenstam K, Ask J, Brommels M, et al. Analysis of 23 364 patient-generated, physician-reviewed
malpractice claims from a non…
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psnet.ahrq.gov/node/46926/psn-pdf
March 07, 2018 - A comprehensive program to reduce rates of hospital-
acquired pressure ulcers in a system of community
hospitals.
March 7, 2018
Englebright J, Westcott R, McManus K, et al. A Comprehensive Program to Reduce Rates of Hospital-
Acquired Pressure Ulcers in a System of Community Hospitals. J Patient Saf. 2018;14(1):54…
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psnet.ahrq.gov/node/837961/psn-pdf
August 31, 2022 - Risk reduction strategy to decrease incidence of retained
surgical items.
August 31, 2022
Kaplan HJ, Spiera ZC, Feldman DL, et al. Risk reduction strategy to decrease incidence of retained
surgical items. J Am Coll Surg. 2022;235(3):494-499. doi:10.1097/xcs.0000000000000264.
https://psnet.ahrq.gov/issue/risk-reduc…
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psnet.ahrq.gov/node/50621/psn-pdf
November 06, 2019 - Team-based intervention to reduce the impact of
nonactionable alarms in an adult intensive care unit.
November 6, 2019
Yeh J, Wilson R, Young L, et al. Team-Based Intervention to Reduce the Impact of Nonactionable Alarms
in an Adult Intensive Care Unit. J Nurs Care Qual. 2019;35(2):115-122.
doi:10.1097/ncq.0000000…
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psnet.ahrq.gov/node/844774/psn-pdf
September 11, 2019 - Advances in Human Factors and Ergonomics in
Healthcare and Medical Devices.
September 11, 2019
Lightner NJ, Kalra J, eds. Cham, Switzerland: Springer Nature; 2019. ISBN: 9783030204501.
https://psnet.ahrq.gov/issue/advances-human-factors-and-ergonomics-healthcare-and-medical-devices
Human-centered processes, techno…