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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/data
January 01, 2023 - Data Collection
Process Scorecard
Description
A process scorecard evaluates a process according to a set of predefined criteria. Based on the user's feedback, the scorecard gives a rating for the process and often times short recommendations according to the rating the process…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/box-and-whisker-plot
January 01, 2023 - Box and Whisker Plot
Also Known As
Box Plot
Description
A box and whisker plot is a graphical means of displaying the variation in a dataset. This plot provides more detail than a histogram and allows multiple sets of data to be displayed in the same graph.
Uses
When comparing…
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psnet.ahrq.gov/issue/another-tragic-parenteral-nutrition-compounding-error
June 10, 2018 - Newspaper/Magazine Article
Another tragic parenteral nutrition compounding error.
Citation Text:
Another tragic parenteral nutrition compounding error. ISMP Medication Safety Alert! Acute Care Edition. April 21, 2011;16:1-3.
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psnet.ahrq.gov/issue/factfinders
February 17, 2021 - Commentary
FactFinders.
Citation Text:
FactFinders. SIS Patient Safety Committee. Spine Intervention Society.
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psnet.ahrq.gov/issue/science-interruption
September 04, 2024 - Commentary
The science of interruption.
Citation Text:
Coiera E. The science of interruption. BMJ Qual Saf. 2012;21(5):357-60. doi:10.1136/bmjqs-2012-000783.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/care-transitions-threat-and-opportunity-patient-safety
May 20, 2009 - Commentary
Care transitions: a threat and an opportunity for patient safety.
Citation Text:
Clancy CM. Care Transitions: A Threat and an Opportunity for Patient Safety. American Journal of Medical Quality. 2006;21(6). doi:10.1177/1062860606293537.
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psnet.ahrq.gov/issue/agency-information-collection-activities-assessing-impact-national-implementation-teamstepps
July 03, 2013 - Press Release/Announcement
Agency information collection activities: Assessing the Impact of the National Implementation of TeamSTEPPS Master Training Program; comment request.
Citation Text:
Agency information collection activities: Assessing the Impact of the National Implementation …
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psnet.ahrq.gov/issue/safe-practices-drug-allergies-using-cds-and-health-it
March 10, 2021 - Book/Report
Safe Practices for Drug Allergies—Using CDS and Health IT.
Citation Text:
Safe Practices for Drug Allergies—Using CDS and Health IT. Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2019.
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psnet.ahrq.gov/issue/supplementary-advisory-results-pa-psrs-workgroup-pharmacy-computer-system-safety
October 21, 2020 - Government Resource
Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety.
Citation Text:
Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety. Patient Safety Advisory
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psnet.ahrq.gov/issue/patient-safety-cataract-surgery
September 23, 2020 - Review
Patient safety in cataract surgery.
Citation Text:
Kelly SP, Astbury NJ. Patient safety in cataract surgery. Eye (Lond). 2006;20(3):275-82.
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psnet.ahrq.gov/issue/people-color-long-covid-face-uphill-battle-be-heard
August 24, 2022 - Newspaper/Magazine Article
People of color with long COVID face uphill battle to be heard.
Citation Text:
People of color with long COVID face uphill battle to be heard. Farah T. Scientific American. September 22, 2022.
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psnet.ahrq.gov/issue/healthcare-wants-fly-high-aviation-industry-can-it
April 12, 2023 - Newspaper/Magazine Article
Healthcare wants to fly as high as the aviation industry. Can it?
Citation Text:
Healthcare wants to fly as high as the aviation industry. Can it? Twenter P. Becker's Clinical Leadership. October 30, 2023.
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psnet.ahrq.gov/issue/crushing-or-splitting-medications-unrecognized-hazards
October 26, 2010 - Commentary
Crushing or splitting medications: unrecognized hazards.
Citation Text:
Gill D, Spain M, Edlund BJ. Crushing or Splitting Medications: Unrecognized Hazards. J Gerontol Nurs. 2012. doi:10.3928/00989134-20111213-01.
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psnet.ahrq.gov/issue/mistakes-were-made-me
January 23, 2019 - Commentary
Mistakes were made (by me).
Citation Text:
Manesh R. Mistakes Were Made (by Me). JAMA Intern Med. 2017;177(10). doi:10.1001/jamainternmed.2017.3781.
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psnet.ahrq.gov/issue/guidance-safe-medical-staffing-report-working-party
February 08, 2011 - Government Resource
Guidance on Safe Medical Staffing: Report of a Working Party.
Citation Text:
Guidance on Safe Medical Staffing: Report of a Working Party. London, UK: Royal College of Physicians; 2018. ISBN: 9781860167270.
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psnet.ahrq.gov/issue/quality-improvement-and-patient-safety-competencies-across-learning-continuum
November 06, 2019 - Book/Report
Quality Improvement and Patient Safety Competencies Across the Learning Continuum.
Citation Text:
Quality Improvement and Patient Safety Competencies Across the Learning Continuum. AAMC New and Emerging Areas in Medicine Series. Washington, DC: Association of American Medical…
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psnet.ahrq.gov/issue/managing-risk-during-transition-new-iso-tubing-connector-standards
December 23, 2016 - Sentinel Event Alerts
Managing risk during transition to new ISO tubing connector standards.
Citation Text:
Managing risk during transition to new ISO tubing connector standards. Sentinel Event Alert. August 20, 2014;(53):1-6.
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psnet.ahrq.gov/issue/building-high-reliability-organization-one-systems-patient-safety-journey
November 23, 2005 - Commentary
Building a high-reliability organization: one system's patient safety journey.
Citation Text:
Building a high-reliability organization: one system's patient safety journey. J Healthc Manag. 2017;62.
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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/learning-investigations
July 28, 2013 - Book/Report
Learning from Investigations.
Citation Text:
Learning from Investigations. Commission for Healthcare Audit and Inspection. London, England; Healthcare Commission: 2008. ISBN 9781845621636.
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