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psnet.ahrq.gov/issue/debrief-it-all-tool-inclusion-safety-ii
June 08, 2022 - Study
Debrief it all: a tool for inclusion of Safety-II.
Citation Text:
Bentley SK, McNamara S, Meguerdichian MJ, et al. Debrief it all: a tool for inclusion of Safety-II. Adv Simul (Lond). 2021;6(1):9. doi:10.1186/s41077-021-00163-3.
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DOI Google Schola…
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psnet.ahrq.gov/issue/application-strong-matrix-management-and-pdca-cycle-management-severe-covid-19-patients
March 24, 2019 - Commentary
The application of strong matrix management and PDCA cycle in the management of severe COVID-19 patients.
Citation Text:
Li Y, Wang H, Jiao J. The application of strong matrix management and PDCA cycle in the management of severe COVID-19 patients. Crit Care. 2020;24(1):157. d…
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psnet.ahrq.gov/issue/adherence-national-guidelines-timeliness-test-results-communication-patients-veterans-affairs
March 03, 2019 - Study
Adherence to national guidelines for timeliness of test results communication to patients in the Veterans Affairs health care system.
Citation Text:
Meyer AND, Scott TMT, Singh H. Adherence to national guidelines for timeliness of test results communication to patients in the Veter…
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psnet.ahrq.gov/issue/errors-diagnosis-pediatric-practice-multisite-survey
November 13, 2024 - Study
Errors of diagnosis in pediatric practice: a multisite survey.
Citation Text:
Singh H, Thomas EJ, Wilson L, et al. Errors of diagnosis in pediatric practice: a multisite survey. Pediatrics. 2010;126(1):70-9. doi:10.1542/peds.2009-3218.
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DOI Goog…
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psnet.ahrq.gov/issue/future-artificial-intelligence-applications-cancer-care-global-cross-sectional-survey
April 27, 2022 - Study
Future of artificial intelligence applications in cancer care: a global cross-sectional survey of researchers.
Citation Text:
Cabral BP, Braga LAM, Syed-Abdul S, et al. Future of artificial intelligence applications in cancer care: a global cross-sectional survey of researchers. Cu…
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psnet.ahrq.gov/web-mm/mark-my-tooth
June 01, 2014 - Mark My Tooth
Citation Text:
Smith RA. Mark My Tooth. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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psnet.ahrq.gov/node/49631/psn-pdf
July 01, 2011 - Patient Safety and Adherence to Self-Administered
Medications
July 1, 2011
Spall H, Van-Spall C, Nieuwlaat R, et al. Patient Safety and Adherence to Self-Administered Medications.
PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/patient-safety-and-adherence-self-administered-medications
The Case
A 30-year-o…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.443_slideshow.ppt
May 01, 2018 - Spotlight
Spotlight
Out of Sight, Out of Mind: Out-of-Office Test Result Management
1
Source and Credits
This presentation is based on the May 2018
AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Eric Poon, MD, MPH, Duke University School o…
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psnet.ahrq.gov/web-mm/dropped-lung
February 06, 2012 - The reliability of predictions and confidence ratings of experts.
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psnet.ahrq.gov/perspective/physical-environment-often-unconsidered-patient-safety-tool
November 21, 2018 - Analysis
February 26, 2025
Perspective
High Reliability
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psnet.ahrq.gov/node/851555/psn-pdf
July 31, 2023 - The reliability and utility of band
counts among patients over 3 months of age has been extensively
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psnet.ahrq.gov/node/38079/psn-pdf
February 15, 2011 - Improvement Global Trigger Tool methodology and evaluates a refined process to improve
the interrater reliability … The authors found that a high level of interrater reliability was
possible with well-trained primary
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psnet.ahrq.gov/node/46783/psn-pdf
January 24, 2018 - PSNet interview, the president and chief executive
officer of The Joint Commission discusses high reliability … /psnet.ahrq.gov/perspective/conversation-mark-chassin-md-mpp-mph
https://psnet.ahrq.gov/primer/high-reliability
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psnet.ahrq.gov/node/34087/psn-pdf
June 16, 2011 - experiences in non-health
care industries also suggested the importance of culture on creating high reliability … psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/issue/organizational-culture-source-high-reliability
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psnet.ahrq.gov/node/49535/psn-pdf
May 01, 2007 - This is precisely what the High
Reliability Organization approach (14,15), along with other organizations
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psnet.ahrq.gov/issue/healthcare-climate-framework-measuring-and-improving-patient-safety
November 02, 2010 - Interview
In Conversation with Timothy Vogus about High Reliability … Patient Safety
February 26, 2025
Perspective
High Reliability … April 5, 2023
High-reliability organizations (HROs): what they know that we don't (Part
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psnet.ahrq.gov/perspective/patient-safety-perspective-office-practice
May 01, 2009 - Patient Safety: A Perspective from Office Practice
Richard J. Baron, MD | May 1, 2009
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Baron RJ. Patient Safety: A Perspective from Office Practice. PSNet [internet]. Rockville (MD…
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psnet.ahrq.gov/perspective/conversation-withwilliam-b-weeks-md-mba
May 01, 2009 - In Conversation with…William B. Weeks, MD, MBA
May 1, 2009
Also Read an Essay
Citation Text:
In Conversation with…William B. Weeks, MD, MBA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …
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psnet.ahrq.gov/node/841305/psn-pdf
January 27, 2023 - a lot of overlap with the principles we’re discussing and other patient
safety concepts, like high-reliability … because success is based on a huge sequence of interactions and
https://psnet.ahrq.gov/primer/high-reliability
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psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
January 31, 2024 - Interview
In Conversation with Timothy Vogus about High Reliability … Patient Safety
February 26, 2025
Perspective
High Reliability