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psnet.ahrq.gov/issue/introducing-patient-safety-professional-why-what-who-how-and-where
July 03, 2014 - Commentary
Introducing the patient safety professional: why, what, who, how, and where?
Citation Text:
Saint S, Krein SL, Manojlovich M, et al. Introducing the patient safety professional: why, what, who, how, and where? J Patient Saf. 2011;7(4):175-80. doi:10.1097/PTS.0b013e318230e58…
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psnet.ahrq.gov/issue/miles-go-introduction-5-million-lives-campaign
April 04, 2011 - Commentary
Miles to go: an introduction to the 5 Million Lives Campaign.
Citation Text:
McCannon J, Hackbarth AD, Griffin F. Miles to go: an introduction to the 5 Million Lives Campaign. Jt Comm J Qual Patient Saf. 2007;33(8):477-84.
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psnet.ahrq.gov/issue/case-study-preventing-surgical-complications-baystate-medical-center
May 27, 2011 - Commentary
Case study: preventing surgical complications at Baystate Medical Center.
Citation Text:
Fitzgerald J, Kanter G, Benjamin EM. Case Study: Preventing Surgical Complications at Baystate Medical Center. The Joint Commission Journal on Quality and Patient Safety. 2016;33(11). doi:…
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psnet.ahrq.gov/issue/development-and-implementation-patient-safety-program-academic-urban-emergency-department
December 12, 2012 - Study
Development and implementation of a patient safety program in an academic, urban emergency department.
Citation Text:
Blank FSJ, Henneman PL, Maynard AM, et al. Development and implementation of a patient safety program in an academic, urban emergency department. Journal of emerg…
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psnet.ahrq.gov/issue/improved-prophylaxis-and-decreased-rates-preventable-harm-use-mandatory-computerized-clinical
June 21, 2016 - Study
Improved prophylaxis and decreased rates of preventable harm with the use of a mandatory computerized clinical decision support tool for prophylaxis for venous thromboembolism in trauma.
Citation Text:
Haut ER, Lau BD, Kraenzlin FS, et al. Improved prophylaxis and decreased rates o…
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psnet.ahrq.gov/issue/patient-safety-and-leadership-do-you-walk-walk
November 04, 2020 - Commentary
Patient safety and leadership: do you walk the walk?
Citation Text:
Jarrett MP. Patient Safety and Leadership: Do You Walk the Walk? J Healthc Manag. 2017;62(2):88-92. doi:10.1097/JHM-D-17-00005.
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psnet.ahrq.gov/issue/high-reliability-emergency-response-teams-hospital-improving-quality-and-safety-using-situ
December 30, 2014 - Study
High-reliability emergency response teams in the hospital: improving quality and safety using in situ simulation training.
Citation Text:
Wheeler DS, Geis G, Mack EH, et al. High-reliability emergency response teams in the hospital: improving quality and safety using in situ simu…
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psnet.ahrq.gov/issue/architecture-safety-emerging-priority-improving-patient-safety
June 09, 2011 - Review
The architecture of safety: an emerging priority for improving patient safety.
Citation Text:
Joseph A, Henriksen K, Malone E. The Architecture Of Safety: An Emerging Priority For Improving Patient Safety. Health Aff (Millwood). 2018;37(11):1884-1891. doi:10.1377/hlthaff.2018.0643…
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psnet.ahrq.gov/issue/coronavirus-pandemics-wider-health-care-crisis
June 21, 2016 - Newspaper/Magazine Article
The coronavirus pandemic’s wider health-care crisis.
Citation Text:
Khullar D. The coronavirus pandemic’s wider health-care crisis. New Yorker. 2020;Jun 29.
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psnet.ahrq.gov/issue/va-health-care-va-uses-medical-injury-tort-claims-data-assess-veterans-care-should-take
February 10, 2010 - Government Resource
VA Health Care: VA Uses Medical Injury Tort Claims Data to Assess Veterans’ Care, but Should Take Action to Ensure That These Data Are Complete.
Citation Text:
VA Health Care: VA Uses Medical Injury Tort Claims Data to Assess Veterans’ Care, but Should Take Action t…
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psnet.ahrq.gov/issue/problem-5-whys
July 19, 2023 - Commentary
The problem with the '5 whys.'
Citation Text:
Card AJ. The problem with '5 whys'. BMJ Qual Saf. 2017;26(8):671-677. doi:10.1136/bmjqs-2016-005849.
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psnet.ahrq.gov/issue/physicians-diagnostic-accuracy-confidence-and-resource-requests-vignette-study
May 29, 2015 - Study
Physicians' diagnostic accuracy, confidence, and resource requests: a vignette study.
Citation Text:
Meyer AND, Payne VL, Meeks DW, et al. Physicians' diagnostic accuracy, confidence, and resource requests: a vignette study. JAMA Intern Med. 2013;173(21):1952-1958. doi:10.1001/jama…
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psnet.ahrq.gov/issue/safety-mind-mental-health-services-and-patient-safety
August 07, 2018 - Book/Report
With Safety in Mind: Mental Health Services and Patient Safety.
Citation Text:
With Safety in Mind: Mental Health Services and Patient Safety. Scobie S, Minghella E, Dale C, et al. London, UK: National Patient Safety Agency; 2006.
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psnet.ahrq.gov/issue/preventing-healthcare-associated-infections-results-and-lessons-learned-ahrqs-hai-program
May 06, 2015 - Special or Theme Issue
Preventing Healthcare-Associated Infections: Results and Lessons Learned from AHRQ's HAI Program.
Citation Text:
Preventing Healthcare-Associated Infections: Results and Lessons Learned from AHRQ's HAI Program. Battles JB, Cleeman JI, Kahn KL, Weinberg DA, eds. Inf…
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psnet.ahrq.gov/issue/practices-prevent-venous-thromboembolism-brief-review
June 21, 2016 - Review
Practices to prevent venous thromboembolism: a brief review.
Citation Text:
Lau BD, Haut ER. Practices to prevent venous thromboembolism: a brief review. BMJ Qual Saf. 2014;23(3):187-95. doi:10.1136/bmjqs-2012-001782.
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psnet.ahrq.gov/issue/errors-and-adverse-events-otolaryngology
October 27, 2010 - Review
Errors and adverse events in otolaryngology.
Citation Text:
Shah RK, Roberson DW, Healy GB. Errors and adverse events in otolaryngology. Curr Opin Otolaryngol Head Neck Surg. 2006;14(3):164-9.
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psnet.ahrq.gov/issue/implementing-distraction-free-practice-red-zone-medication-safety-initiative
November 16, 2022 - Commentary
Implementing a distraction-free practice with the Red Zone Medication Safety initiative.
Citation Text:
Connor JA, Ahern JP, Cuccovia B, et al. Implementing a Distraction-Free Practice With the Red Zone Medication Safety Initiative. Dimens Crit Care Nurs. 2016;35(3):116-24. do…
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psnet.ahrq.gov/issue/patient-safety-what-how-and-when
June 23, 2021 - Commentary
Patient safety: the what, how, and when.
Citation Text:
Albrecht RM. Patient safety: the what, how, and when. Am J Surg. 2015;210(6):978-82. doi:10.1016/j.amjsurg.2015.09.003.
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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