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psnet.ahrq.gov/issue/recent-evidence-health-it-improves-patient-safety-issue-brief
June 29, 2016 - Book/Report
Recent Evidence That Health IT Improves Patient Safety: Issue Brief.
Citation Text:
Recent Evidence That Health IT Improves Patient Safety: Issue Brief. Banger A, Graber ML. Washington, DC: Office of the National Coordinator for Health Information Technology; February 2015.
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psnet.ahrq.gov/issue/science-implementation-ahrqs-program-prevent-hais-results-and-lessons
May 06, 2015 - Special or Theme Issue
From Science to Implementation: AHRQ's Program to Prevent HAIs—Results and Lessons.
Citation Text:
From Science to Implementation: AHRQ's Program to Prevent HAIs—Results and Lessons. Battles JB, Cleeman JI, Kahn KL, Weinberg DA, eds. Am J Infect Control. 2014;42(su…
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psnet.ahrq.gov/issue/patient-safety-20-slaying-dragons-not-just-investigating-them
September 14, 2016 - Commentary
Patient safety 2.0: slaying dragons, not just investigating them.
Citation Text:
Card AJ. Patient safety 2.0: slaying dragons, not just investigating them. J Patient Saf. 2023;19(6):394-395. doi:10.1097/pts.0000000000001140.
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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/system-related-factors-contributing-diagnostic-errors
January 11, 2023 - Review
System-related factors contributing to diagnostic errors.
Citation Text:
Thammasitboon S, Thammasitboon S, Singhal G. System-related factors contributing to diagnostic errors. Curr Probl Pediatr Adolesc Health Care. 2013;43(9):242-7. doi:10.1016/j.cppeds.2013.07.004.
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psnet.ahrq.gov/issue/error-disclosure-and-apology-radiology-case-further-dialogue
October 19, 2022 - Commentary
Error disclosure and apology in radiology: the case for further dialogue.
Citation Text:
Brown SD, Bruno MA, Shyu JY, et al. Error Disclosure and Apology in Radiology: The Case for Further Dialogue. Radiology. 2019;293(1):30-35. doi:10.1148/radiol.2019190126.
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psnet.ahrq.gov/issue/ethical-and-practical-aspects-disclosing-adverse-events-emergency-department
April 04, 2011 - Review
Ethical and practical aspects of disclosing adverse events in the emergency department.
Citation Text:
Stokes SL, Wu AW, Pronovost P. Ethical and practical aspects of disclosing adverse events in the emergency department. Emerg Med Clin North Am. 2006;24(3):703-714.
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psnet.ahrq.gov/issue/incidents-during-out-hospital-patient-transportation
March 23, 2011 - Study
Incidents during out-of-hospital patient transportation.
Citation Text:
Flabouris A, Runciman WB, Levings B. Incidents during out-of-hospital patient transportation. Anaesth Intensive Care. 2006;34(2):228-236.
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psnet.ahrq.gov/issue/identification-errors-pathology-and-laboratory-medicine
October 19, 2022 - Commentary
Identification errors in pathology and laboratory medicine.
Citation Text:
Valenstein PN, Sirota RL. Identification errors in pathology and laboratory medicine. Clin Lab Med. 2004;24(4):979-96, vii.
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psnet.ahrq.gov/issue/transdisciplinary-team-acting-evidence-through-analyses-moot-malpractice-cases
November 03, 2021 - Study
A transdisciplinary team acting on evidence through analyses of moot malpractice cases.
Citation Text:
Constantino RE. A transdisciplinary team acting on evidence through analyses of moot malpractice cases. Dimens Crit Care Nurs. 2007;26(4):150-5.
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psnet.ahrq.gov/issue/respectful-management-serious-clinical-adverse-events-second-edition
January 27, 2016 - Book/Report
Classic
Respectful Management of Serious Clinical Adverse Events. Second Edition.
Citation Text:
Respectful Management of Serious Clinical Adverse Events. Second Edition. Conway J, Federico F, Stewart K, Campbell MJ. Cambridge, MA: Institute for Heal…
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psnet.ahrq.gov/issue/cusp-method
October 23, 2019 - Toolkit
The CUSP Method
Citation Text:
The CUSP Method.
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psnet.ahrq.gov/issue/department-defense-dod-patient-safety-program
December 27, 2018 - July 7, 2021
Teamwork is associated with reduced hospital staff burnout at military treatment
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psnet.ahrq.gov/issue/manage-staff-fatigue-improve-patient-safety
March 01, 2007 - December 6, 2011
Cost implications of reduced work hours and workloads for resident physicians
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psnet.ahrq.gov/issue/malnourishment-epidemic-plagues-hospitals-really
June 04, 2014 - , 2014
Do variations in hospital mortality patterns after weekend admission reflect reduced
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psnet.ahrq.gov/node/42063/psn-pdf
January 06, 2018 - These practices, if implemented, should result in reduced harm from a wide range of
safety threats,
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psnet.ahrq.gov/issue/pregnancy-related-deaths-saving-womens-lives-during-and-after-delivery
September 07, 2016 - November 16, 2022
CDC guideline for opioid prescribing associated with reduced dispensing
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psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
January 01, 2016 - Perhaps better communication across settings during points of transition could have reduced the resident's … Patient Safety Goals for Long Term Care include accurate resident identification, safe medication use, reduced … health care-associated infections, reconciled medications, reduced harm from falls, and reduced health
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psnet.ahrq.gov/issue/advancement-toward-high-reliability-healthcare-awards
June 08, 2011 - January 21, 2009
Teamwork is associated with reduced hospital staff burnout at military
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psnet.ahrq.gov/issue/fatal-drug-mix-exposes-hospital-flaws
March 02, 2016 - July 10, 2018
Teamwork is associated with reduced hospital staff burnout at military