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psnet.ahrq.gov/issue/critical-appraisal-ahrqs-diagnostic-errors-report
July 13, 2016 - Commentary
A critical appraisal of AHRQ's "Diagnostic Errors" report.
Citation Text:
Carpenter C, Jotte R, Griffey RT, et al. A critical appraisal of AHRQ's "Diagnostic Errors" report. Mo Med. 2023;120(2):114-120.
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psnet.ahrq.gov/issue/medicares-oversight-ambulatory-surgery-centers-report
February 11, 2015 - Book/Report
Medicare's Oversight of Ambulatory Surgery Centers Report.
Citation Text:
Medicare's Oversight of Ambulatory Surgery Centers Report. Washington, DC: Office of the Inspector General; September 2019. Report No. OEI-01-15-00400.
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psnet.ahrq.gov/issue/report-independent-inquiry-issues-raised-paterson
November 16, 2022 - Book/Report
Report of the Independent Inquiry into the Issues Raised by Paterson.
Citation Text:
Report of the Independent Inquiry into the Issues Raised by Paterson. James G. House Commons Report 31. Department of Health and Social Care. London, England: Crown Copyright; 2020.…
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psnet.ahrq.gov/issue/patient-reported-service-quality-medicine-unit
February 24, 2011 - Study
Patient-reported service quality on a medicine unit.
Citation Text:
Weingart SN, Pagovich O, Sands DZ, et al. Patient-reported service quality on a medicine unit. Int J Qual Health Care. 2006;18(2):95-101.
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psnet.ahrq.gov/issue/patient-safety-culture-report-focusing-indicators
February 22, 2023 - Book/Report
Patient Safety Culture Report: Focusing on Indicators.
Citation Text:
Patient Safety Culture Report: Focusing on Indicators. Utrecht, Netherlands: European Network for Patient Safety; 2010.
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psnet.ahrq.gov/issue/patient-reports-undesirable-events-during-hospitalization
March 28, 2011 - Study
Patient reports of undesirable events during hospitalization.
Citation Text:
Agoritsas T, Bovier PA, Perneger T. Patient reports of undesirable events during hospitalization. J Gen Intern Med. 2005;20(10):922-8.
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psnet.ahrq.gov/issue/lessons-covid-war-investigative-report
March 09, 2022 - Book/Report
Lessons from the Covid War: An Investigative Report.
Citation Text:
Lessons from the Covid War: An Investigative Report. Covid Crisis Group. New York: Public Affairs; 2023. ISBN: 9781541703803.
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psnet.ahrq.gov/issue/annual-benchmarking-report-malpractice-risks-surgery
July 18, 2018 - Book/Report
Annual Benchmarking Report: Malpractice Risks in Surgery.
Citation Text:
Annual Benchmarking Report: Malpractice Risks in Surgery. Cambridge, MA: CRICO/RMF Strategies; 2010.
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psnet.ahrq.gov/issue/transforming-concepts-patient-safety-progress-report
January 20, 2015 - Review
Classic
Transforming concepts in patient safety: a progress report.
Citation Text:
Gandhi TK, Kaplan GS, Leape L, et al. Transforming concepts in patient safety: a progress report. BMJ Qual Saf. 2018;27(12):1019-1026. doi:10.1136/bmjqs-2017-007756.
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psnet.ahrq.gov/issue/err-human-report-retrospective-and-decade-ahead
February 15, 2011 - Meeting/Conference Proceedings
"To Err Is Human" Report Retrospective and the Decade Ahead.
Citation Text:
Bonacum D, Corrigan J, Gelinas L, et al. 2009 Annual National Patient Safety Foundation Congress. doi:10.1097/pts.0b013e3181b5cb8a.
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psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
February 01, 2010 - They also recommended improvements to the culture of safety through error detection, reporting, and monitoring … The next logical step is that we would then have a data system and a reporting system that tracks the
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psnet.ahrq.gov/perspective/quality-and-safety-challenges-critical-care-preventing-and-treating-delirium-intensive
December 01, 2012 - of assessing outcomes, adjusted appropriately for the risk factors, and should use that for public reporting … So this would be the first, critical step in order to put into place an adjusted method for public reporting
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psnet.ahrq.gov/perspective/conversation-withthomas-j-nasca-md
February 01, 2010 - The next logical step is that we would then have a data system and a reporting system that tracks the … They also recommended improvements to the culture of safety through error detection, reporting, and monitoring
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psnet.ahrq.gov/perspective/can-research-help-us-improve-medical-liability-system
March 01, 2012 - financial consequences, the psychological effects of the litigation process, and the claims-related reporting … majority of injuries go uncompensated, and a greater number of claims could exacerbate liability cost and reporting-related
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psnet.ahrq.gov/perspective/conversation-richard-c-boothman-jd
March 01, 2012 - financial consequences, the psychological effects of the litigation process, and the claims-related reporting … majority of injuries go uncompensated, and a greater number of claims could exacerbate liability cost and reporting-related
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psnet.ahrq.gov/web-mm/lost-transitions-care-managing-opioid-dependent-patient-frequent-hospitalizations
October 27, 2022 - PDMP systems may be set up differently and have different rules and regulations surrounding use and reporting … June 10, 2020
The effectiveness of checklists and error reporting systems in enhancing
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psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
August 30, 2023 - reported safety events declined from 2019 to 2020, indicating that the pandemic had a negative impact on reporting … Patricia McGaffigan: Many of our performance measures are associated with measuring and reporting specific
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psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
August 30, 2023 - Patricia McGaffigan: Many of our performance measures are associated with measuring and reporting specific … reported safety events declined from 2019 to 2020, indicating that the pandemic had a negative impact on reporting
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psnet.ahrq.gov/web-mm/engaging-seriously-ill-older-patients-advance-care-planning
December 22, 2018 - WebM&M Cases
Getting a Good Report Card: Unintended Consequences of the Public Reporting
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psnet.ahrq.gov/web-mm/unfamiliar-catheter
November 01, 2006 - Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices.