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psnet.ahrq.gov/node/38665/psn-pdf
May 27, 2009 - Hospitals find confession good for the bottom line.
May 27, 2009
Greene J.
https://psnet.ahrq.gov/issue/hospitals-find-confession-good-bottom-line
This news article discusses apology teams at Michigan hospitals and how their disclosure efforts have
reduced malpractice costs.
https://psnet.ahrq.gov/issue/hospitals…
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psnet.ahrq.gov/node/42044/psn-pdf
February 13, 2013 - Patient Safety.
February 13, 2013
Minnesota Hospital Association; MHA.
https://psnet.ahrq.gov/issue/patient-safety-10
This Web site provides access to materials for patient safety improvement efforts in Minnesota, including
initiatives to reduce adverse drug events and hospital collaboratives to implement best pra…
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psnet.ahrq.gov/node/40919/psn-pdf
November 16, 2011 - Preventing Infections During Cancer Treatment.
November 16, 2011
Centers for Disease Control and Prevention; CDC.
https://psnet.ahrq.gov/issue/preventing-infections-during-cancer-treatment
This Web site provides resources for patients and practitioners to help reduce risk of infection during
outpatient chemotherap…
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psnet.ahrq.gov/node/35360/psn-pdf
September 28, 2005 - Hospitals cutting nurses' long shifts.
September 28, 2005
Kowalczyk L.
https://psnet.ahrq.gov/issue/hospitals-cutting-nurses-long-shifts
This article reports on changes that hospitals are making to curb long work hours for nurses and how such
efforts could reduce potential errors.
https://psnet.ahrq.gov/issue/hos…
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psnet.ahrq.gov/node/39912/psn-pdf
October 06, 2010 - What the doctor missed.
October 6, 2010
https://psnet.ahrq.gov/issue/what-doctor-missed
Reporting how malpractice claims have exposed the frequency of diagnostic errors, this
newspaper article discusses steps hospitals and insurance companies are taking to reduce such errors.
https://psnet.ahrq.gov/issue/what-doct…
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psnet.ahrq.gov/issue/2005-quest-quality-prize
June 17, 2014 - Award Recipient
2005 Quest for Quality Prize.
Citation Text:
Association AH, Pharmacists AS of H-S, Networks H and H. Medication Safety Issue Brief. Bar Code implementation strategies. Hosp Health Netw. 2005;79(7):65-66.
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psnet.ahrq.gov/issue/spectrum-medical-errors-when-patients-sue
October 28, 2020 - Review
The spectrum of medical errors: when patients sue.
Citation Text:
Grant-Kels J, Kels B. The spectrum of medical errors: when patients sue. Int J Gen Med. 2012. doi:10.2147/ijgm.s24257.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…
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psnet.ahrq.gov/issue/acog-committee-opinion-730-fatigue-and-patient-safety
July 26, 2017 - Commentary
ACOG Committee Opinion #730: fatigue and patient safety.
Citation Text:
ACOG Committee Opinion #730: fatigue and patient safety. ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2018;131(2):e78-e81.
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psnet.ahrq.gov/issue/safe-practices-better-healthcare-2009-update
September 29, 2017 - Multi-use Website
Safe Practices for Better Healthcare–2009 Update.
Citation Text:
Safe Practices for Better Healthcare–2009 Update. National Quality Forum. Washington, DC: National Quality Forum; 2009.
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psnet.ahrq.gov/issue/swift-new-tool-identifying-prospective-hazards
February 03, 2021 - Commentary
Beyond FMEA: the structured what-if technique (SWIFT).
Citation Text:
Card AJ, Ward JR, Clarkson PJ. Beyond FMEA: The structured what-if technique (SWIFT). J Healthc Risk Manag. 2012;31(4):23-29. doi:10.1002/jhrm.20101.
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DOI Google Scholar Bi…
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psnet.ahrq.gov/issue/incidence-diagnostic-error-medicine
July 15, 2015 - Review
The incidence of diagnostic error in medicine.
Citation Text:
Graber ML. The incidence of diagnostic error in medicine. BMJ Qual Saf. 2013;22 Suppl 2:ii21-ii27. doi:10.1136/bmjqs-2012-001615.
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psnet.ahrq.gov/issue/ten-years-after-keeping-patients-safe-have-nurses-work-environments-been-transformed
April 04, 2018 - Book/Report
Ten Years After Keeping Patients Safe: Have Nurses' Work Environments Been Transformed?
Citation Text:
Ten Years After Keeping Patients Safe: Have Nurses' Work Environments Been Transformed? Princeton, NJ: Robert Wood Johnson Foundation. Washington, DC: George Washington Un…
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psnet.ahrq.gov/issue/error-reduction-health-care-systems-approach-improving-patient-safety-2nd-edition
May 06, 2016 - Book/Report
Classic
Error Reduction in Health Care: A Systems Approach to Improving Patient Safety, Second edition.
Citation Text:
Error Reduction in Health Care: A Systems Approach to Improving Patient Safety, Second edition. Spath PL, ed. San Francisco, CA: Jo…
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psnet.ahrq.gov/issue/acog-committee-opinion-590-preparing-clinical-emergencies-obstetrics-and-gynecology
May 22, 2019 - Commentary
ACOG Committee Opinion #590: preparing for clinical emergencies in obstetrics and gynecology.
Citation Text:
Improvement AC of O and GC on PS and Q. Committee opinion no. 590: preparing for clinical emergencies in obstetrics and gynecology. Obstet Gynecol. 2014;123(3):722-5. d…
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psnet.ahrq.gov/issue/acog-committee-opinion-546-tracking-and-reminder-systems
May 22, 2019 - Commentary
ACOG Committee Opinion #546: tracking and reminder systems.
Citation Text:
Improvement AC of O and GC on PS and Q. Committee Opinion No.546: Tracking and reminder systems. Obstet Gynecol. 2012;120(6):1535-7. doi:10.1097/01.AOG.0000423820.92906.d0.
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psnet.ahrq.gov/issue/acog-committee-opinion-no-447-patient-safety-obstetrics-and-gynecology
July 19, 2017 - Commentary
ACOG Committee Opinion No. 447: patient safety in obstetrics and gynecology.
Citation Text:
Improvement AC of O and GCC on PS and Q. ACOG Committee Opinion No. 447: Patient safety in obstetrics and gynecology. Obstet Gynecol. 2009;114(6):1424-7. doi:10.1097/AOG.0b013e3181c6f90…
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psnet.ahrq.gov/issue/patient-safety-organizations-new-paradigm-quality-management-and-communication-systems
March 10, 2021 - Commentary
Patient Safety Organizations: a new paradigm in quality management and communication systems in healthcare.
Citation Text:
Dotan DB. Patient safety organizations. J Clin Engineer. 2013;34(3):142-146. doi:10.1097/jce.0b013e3181aae4b2.
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psnet.ahrq.gov/issue/accelerating-what-works-using-qualitative-research-methods-developing-change-package-learning
November 25, 2009 - Commentary
Accelerating what works: using qualitative research methods in developing a change package for a learning collaborative.
Citation Text:
Sorensen A, Bernard SL. Accelerating what works: using qualitative research methods in developing a change package for a learning collaborati…
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psnet.ahrq.gov/issue/national-trauma-care-system-integrating-military-and-civilian-trauma-systems-achieve-zero
September 12, 2018 - Book/Report
A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury.
Citation Text:
A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury. Nat…
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psnet.ahrq.gov/issue/framework-high-performance-health-system-united-states
April 12, 2006 - Book/Report
Framework for a High Performance Health System for the United States.
Citation Text:
Framework for a High Performance Health System for the United States. Mongan JJ. New York, NY; The Commonwealth Fund: 2006.
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