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psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
August 01, 2006 - Interview
In Conversation with Timothy Vogus about High Reliability … Patient Safety
February 26, 2025
Perspective
High Reliability
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psnet.ahrq.gov/perspective/conversation-withwilliam-b-munier-md-mba
July 01, 2011 - I think the reliability of the information and not exaggerating what we have is essential to our credibility … Becoming a High Reliability Organization: Operational Advice for Hospital Leaders.
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psnet.ahrq.gov/perspective/safety-culture-ems
May 26, 2021 - Just Culture & high reliability. Journal of Emergency Medical Services. April 18, 2018. … https://www.jems.com/ems-insider/just-culture-high-reliability
5.
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psnet.ahrq.gov/node/49422/psn-pdf
November 01, 2003 - High reliability organizations such as the airline industry and military
have striven to decrease risk
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psnet.ahrq.gov/perspective/acgmes-2017-revision-common-program-requirements
January 31, 2018 - Using a human factors framework to assess clinician perceptions of and barriers to high reliability
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psnet.ahrq.gov/node/50701/psn-pdf
November 26, 2019 - incredibly meaningful work to help this system be the
best that it can be in terms of improving our care reliability
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psnet.ahrq.gov/web-mm/specimen-almost-lost
September 21, 2022 - Systems solutions such as checklists, safeguards, and process standardization can improve reliability
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.383_slideshow.ppt
September 01, 2016 - STAAR: improving the reliability of care coordination and reducing hospital readmissions in an academic
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psnet.ahrq.gov/node/50612/psn-pdf
October 30, 2019 - Dissecting communication
barriers in healthcare: a path to enhancing communication resiliency, reliability
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psnet.ahrq.gov/node/33629/psn-pdf
March 01, 2006 - It is a linchpin of training in nearly all high-hazard industries and in all
high reliability organizations
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psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport
June 16, 2021 - January 20, 2021
Handoff checklists improve the reliability of patient handoffs in the
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psnet.ahrq.gov/web-mm/undiagnosed-vaginal-bleeding
July 06, 2022 - April 7, 2022
Reliability and usability of a 7-minute chart review tool to identify
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psnet.ahrq.gov/web-mm/turn-other-cheek
October 26, 2010 - It's an unfortunate reminder that the reliability of patient reports to pinpoint biopsy site locations
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psnet.ahrq.gov/web-mm/inadvertent-castration
October 27, 2010 - May 26, 2021
Learning from safety incidents in high reliability organizations: a systematic
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psnet.ahrq.gov/web-mm/local-anesthesia-induced-coma-during-total-knee-arthroplasty
October 27, 2021 - August 30, 2023
A high-reliability organization framework for health care: a multiyear
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psnet.ahrq.gov/perspective/conversation-withjames-p-bagian-md
September 01, 2006 - beyond the technical analysis is the more challenging judgment regarding what is an acceptable level of reliability … Interview
In Conversation with Timothy Vogus about High Reliability
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psnet.ahrq.gov/node/49429/psn-pdf
January 01, 2004 - Ruptured Heterotopic Pregnancy
January 1, 2004
Cedars MI. Ruptured Heterotopic Pregnancy. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/ruptured-heterotopic-pregnancy
The Case
A 43-year-old woman, gravida 3 para 2, presented at 16 weeks' gestational age with abdominal pain. Her
current pregnancy was the r…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.434_slideshow.ppt
February 01, 2018 - PowerPoint Presentation
Spotlight
Signout Fallout
1
Source and Credits
This presentation is based on the February 2018
AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Amy J. Starmer, MD, MPH, and Christopher P. Landrigan, MD, MPH, Harvard M…
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psnet.ahrq.gov/primer/clinical-decision-support-systems
December 15, 2024 - Clinical Decision Support Systems
Citation Text:
Clinical Decision Support Systems. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
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psnet.ahrq.gov/primer/ambulatory-care-safety
December 15, 2024 - Ambulatory Care Safety
Citation Text:
Ambulatory Care Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…