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psnet.ahrq.gov/issue/public-reporting-surgical-outcomes-surgeons-hospitals-or-both
April 05, 2013 - Commentary
Public reporting of surgical outcomes: surgeons, hospitals, or both?
Citation Text:
Jha AK. Public Reporting of Surgical Outcomes: Surgeons, Hospitals, or Both? JAMA. 2017;318(15):1429-1430. doi:10.1001/jama.2017.13815.
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psnet.ahrq.gov/issue/back-basics-preventing-surgical-site-infections
March 17, 2021 - Commentary
Back to basics: preventing surgical site infections.
Citation Text:
Spruce L. Back to basics: preventing surgical site infections. AORN J. 2014;99(5):600-8; quiz 609-11. doi:10.1016/j.aorn.2014.02.002.
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psnet.ahrq.gov/issue/human-reliability-analysis-critique-and-review-managers
November 21, 2021 - Review
Human reliability analysis: a critique and review for managers.
Citation Text:
French S, Bedford T, Pollard SJT, et al. Human reliability analysis: A critique and review for managers. Saf Sci. 2011;49(6). doi:10.1016/j.ssci.2011.02.008.
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psnet.ahrq.gov/issue/increasing-demands-quality-measurement
November 16, 2022 - Commentary
Increasing demands for quality measurement.
Citation Text:
Panzer RJ, Gitomer RS, Greene WH, et al. Increasing demands for quality measurement. JAMA. 2013;310(18):1971-80. doi:10.1001/jama.2013.282047.
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psnet.ahrq.gov/issue/total-systems-safety-supports-practitioners-partnering-families-protect-patients
April 17, 2024 - Newspaper/Magazine Article
Total systems safety supports practitioners in partnering with families to protect patients.
Citation Text:
Total systems safety supports practitioners in partnering with families to protect patients. ISMP Medication Safety Alert! Acute Care. 2024;29(13):1-4.
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psnet.ahrq.gov/issue/disclosure-adverse-events-pediatrics
April 21, 2021 - Organizational Policy/Guidelines
Disclosure of adverse events in pediatrics.
Citation Text:
Disclosure of adverse events in pediatrics. McDonnell WM; Altman RL; Bondi SA et al for the Committee on Medical Liability and Risk Management; Council on Quality Improvement and Patient Safety. P…
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psnet.ahrq.gov/issue/patient-safety-2030
April 13, 2016 - Book/Report
Patient Safety 2030.
Citation Text:
Patient Safety 2030. Yu A, Flott K, Chainani N, Fontana G, Darzi A. London, UK: NIHR Imperial Patient Safety Translational Research Centre; 2016.
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www.ahrq.gov/prevention/resources/depression/depsumtab5.html
April 01, 2013 - Table 5. Summary of the Effect of Feedback from Screening on Patient Outcomes
Screening for Depression in Adults: Summary of the Evidence
The summaries of the evidence briefly present evidence of effectiveness for preventive health services used in primary care clinical settings, including screening tests, co…
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psnet.ahrq.gov/issue/large-scale-coordination-health-care
August 06, 2016 - Special or Theme Issue
Large-scale Coordination: Health Care.
Citation Text:
Large-scale Coordination: Health Care. Nemeth CP ed. Cognition Technol Work. 2007;9(3):127-176.
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psnet.ahrq.gov/issue/multilayered-approach-patient-safety-culture
March 14, 2016 - Commentary
Multilayered approach to patient safety culture.
Citation Text:
Reiman T, Pietikäinen E, Oedewald P. Multilayered approach to patient safety culture. Qual Saf Health Care. 2010;19(5):e20. doi:10.1136/qshc.2008.029793.
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psnet.ahrq.gov/issue/new-horizons-patient-safety-safe-communication-evidence-based-core-competencies-case-studies
November 19, 2018 - Book/Report
New Horizons in Patient Safety. Safe Communication: Evidence-based Core Competencies with Case Studies from Nursing.
Citation Text:
New Horizons in Patient Safety. Safe Communication: Evidence-based Core Competencies with Case Studies from Nursing. Hannawa AF, Wendt AL, Day L…
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psnet.ahrq.gov/issue/pharmacy-student-knowledge-and-communication-medication-errors
June 24, 2009 - Study
Pharmacy student knowledge and communication of medication errors.
Citation Text:
Rickles NM, Noland CM, Tramontozzi A, et al. Pharmacy student knowledge and communication of medication errors. Am J Pharm Educ. 2010;74(4):60.
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psnet.ahrq.gov/issue/answers-improved-medication-reconciliation-lie-pharmacists
June 13, 2011 - Newspaper/Magazine Article
Answers to improved medication reconciliation lie with pharmacists.
Citation Text:
Answers to improved medication reconciliation lie with pharmacists. Barbella M. Drug Topics. November 19, 2007.
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psnet.ahrq.gov/issue/workplace-bullying-or-results-descriptive-study
December 21, 2017 - Study
Workplace bullying in the OR: results of a descriptive study.
Citation Text:
Chipps E, Stelmaschuk S, Albert NM, et al. Workplace Bullying in the OR: Results of a Descriptive Study. AORN J. 2013;98(5). doi:10.1016/j.aorn.2013.08.015.
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psnet.ahrq.gov/issue/assessment-potential-impact-reminder-system-reduction-diagnostic-errors-quasi-experimental
April 19, 2011 - Study
Assessment of the potential impact of a reminder system on the reduction of diagnostic errors: a quasi-experimental study.
Citation Text:
Ramnarayan P, Roberts GC, Coren M, et al. Assessment of the potential impact of a reminder system on the reduction of diagnostic errors: a qua…
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www.ahrq.gov/hai/tools/mvp/cusp.html
March 01, 2017 - Module on How To Apply CUSP for Mechanically Ventilated Patients
This module demonstrates how to apply the Comprehensive Unit-based Safety Program (CUSP) method to improve care for mechanically ventilated patients.
CUSP Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients ( PD…
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psnet.ahrq.gov/issue/appropriate-use-medical-interpreters
December 13, 2023 - Commentary
Appropriate use of medical interpreters.
Citation Text:
Juckett G, Unger K. Appropriate use of medical interpreters. Am Fam Physician. 2014;90(7):476-80.
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh32-34.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibits 32 to 34
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Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
Chapter 1. Administration
Chapter …
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh28.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibit 28. Count of missing values (with percentage)
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Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh68-70.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibits 68 to 70
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Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
Chapter 1. Administration
Chapter …