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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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digital.ahrq.gov/health-care-theme/provider-burden
January 01, 2023 - Provider Burden
Artificial Intelligence and Human Factors in Healthcare Quality & Safety
Description
Using a conference model, this study convenes a multidisciplinary group of experts to explore the integration of human factors engineering approaches in the implementation of a…
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digital.ahrq.gov/health-care-theme/medication-errors
January 01, 2023 - Medication Errors
Artificial Intelligence-Based Health Information Technology Tools to Optimize Critical Care Pharmacist Resources Through Adverse Drug Event Prediction
Description
This research will use artificial intelligence and machine learning to create prediction tools i…
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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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psnet.ahrq.gov/issue/racial-ethnic-and-payer-disparities-adverse-safety-events-are-there-differences-across
December 01, 2019 - Book/Report
Racial, Ethnic, and Payer Disparities in Adverse Safety Events: Are there Differences across Leapfrog Hospital Safety Grades?
Citation Text:
Racial, Ethnic, and Payer Disparities in Adverse Safety Events: Are there Differences across Leapfrog Hospital Safety Grades? Gangopa…
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psnet.ahrq.gov/issue/improvement-guide-practical-approach-enhancing-organizational-performance-2nd-ed
November 29, 2017 - Book/Report
Classic
The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. 2nd ed.
Citation Text:
The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. 2nd ed. Langley GJ, Moen R, Nolan KM, et al. Ho…
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psnet.ahrq.gov/issue/role-automation-complex-system-failures
June 28, 2013 - Commentary
The role of automation in complex system failures.
Citation Text:
Perry SJ, Wears RL, Cook RI. The role of automation in complex system failures. J Patient Saf. 2005;1(1):56-61. https://journals.lww.com/journalpatientsafety/Fulltext/2005/03000/The_Role_of_Automation_in_Compl…
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psnet.ahrq.gov/issue/medication-communication-concept-analysis
June 16, 2021 - Review
Medication communication: a concept analysis.
Citation Text:
Manias E. Medication communication: a concept analysis. J Adv Nurs. 2010;66(4):933-43. doi:10.1111/j.1365-2648.2009.05225.x.
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psnet.ahrq.gov/issue/transitioning-newborns-nicu-home-resource-toolkit
August 01, 2012 - Government Resource
Transitioning Newborns From NICU to Home: A Resource Toolkit.
Citation Text:
Transitioning Newborns From NICU to Home: A Resource Toolkit. Rockville, MD: Agency for Healthcare Research and Quality; December 2013. AHRQ Publication No. 12(14)-0054-EF.
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psnet.ahrq.gov/issue/system-failure-versus-personal-accountability-case-clean-hands
February 16, 2011 - Commentary
System failure versus personal accountability--the case for clean hands.
Citation Text:
Goldmann DA. System failure versus personal accountability--the case for clean hands. N Engl J Med. 2006;355(2):121-3.
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digital.ahrq.gov/ahrq-funded-projects/consumer-engagement-developing-electronic-health-information-systems
January 01, 2023 - Consumer Engagement in Developing Electronic Health Information Systems
Project Final Report ( PDF , 372.87 KB)
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psnet.ahrq.gov/issue/meeting-moment-addressing-barriers-and-facilitating-clinical-adoption-artificial-intelligence
September 19, 2018 - Book/Report
Meeting the Moment: Addressing Barriers and Facilitating Clinical Adoption of Artificial Intelligence in Medical Diagnosis.
Citation Text:
Meeting the Moment: Addressing Barriers and Facilitating Clinical Adoption of Artificial Intelligence in Medical Diagnosis. Adler-Milstei…
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psnet.ahrq.gov/issue/cybersecurity-patient-safety-policy-options-health-care-sector
December 16, 2020 - Book/Report
Cybersecurity is Patient Safety: Policy Options in the Health Care Sector.
Citation Text:
Cybersecurity is Patient Safety: Policy Options in the Health Care Sector. Washington DC; Office of Senator Mark Warner: November 25, 2022.
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psnet.ahrq.gov/issue/defensive-medicine-among-high-risk-specialist-physicians-volatile-malpractice-environment
February 17, 2011 - Study
Defensive medicine among high-risk specialist physicians in a volatile malpractice environment.
Citation Text:
Studdert DM, Mello MM, Sage WM, et al. Defensive medicine among high-risk specialist physicians in a volatile malpractice environment. JAMA. 2005;293(21):2609-17.
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psnet.ahrq.gov/issue/learning-candour-and-accountability-review-way-nhs-trusts-review-and-investigate-deaths
January 23, 2019 - Book/Report
Learning, Candour and Accountability. A Review of the Way NHS Trusts Review and Investigate the Deaths of Patients in England.
Citation Text:
Learning, Candour and Accountability. A Review of the Way NHS Trusts Review and Investigate the Deaths of Patients in England. Newcast…
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psnet.ahrq.gov/issue/medication-safety-issue-brief-look-alike-sound-alike-drugs
June 17, 2014 - Newspaper/Magazine Article
Medication safety issue brief. Look-alike, sound-alike drugs.
Citation Text:
Association AH, Pharmacists AS of H-S, Networks H & H. Medication safety issue brief, look-alike, sound-alike drugs. Hospitals and Health Networks. October 2005;79(10):57-58.
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psnet.ahrq.gov/issue/families-are-struggling-use-medicines-home-we-must-truly-involve-them-their-own-safety
February 02, 2022 - Newspaper/Magazine Article
Families are struggling to use medicines at home — we must truly involve them in their own safety.
Citation Text:
Families are struggling to use medicines at home — we must truly involve them in their own safety. Morris S, O’Hara J. Pharmacuetical Journal.…
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psnet.ahrq.gov/issue/simple-checklist-preventing-major-complications-associated-cesarean-delivery
January 10, 2024 - Commentary
A simple checklist for preventing major complications associated with cesarean delivery.
Citation Text:
Duff P. A simple checklist for preventing major complications associated with cesarean delivery. Obstet Gynecol. 2010;116(6):1393-1396. doi:10.1097/AOG.0b013e3181fae763.
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