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psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-system-innovation-concord-hospital
October 19, 2022 - Commentary
John M. Eisenberg Patient Safety Awards. System innovation: Concord Hospital.
Citation Text:
Uhlig PN, Brown J, Nason AK, et al. John M. Eisenberg Patient Safety Awards. System innovation: Concord Hospital. Jt Comm J Qual Improv. 2002;28(12):666-672.
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psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition
November 10, 2017 - Book/Report
Classic
Just Culture: Restoring Trust and Accountability in Your Organization, Third Edition.
Citation Text:
Just Culture: Restoring Trust and Accountability in Your Organization, Third Edition. Dekker S. Boca Raton, FL: CRC Press; 2017. ISBN: 978147…
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psnet.ahrq.gov/issue/commission-inquiry-hormone-receptor-testing
May 26, 2021 - Book/Report
Commission of Inquiry on Hormone Receptor Testing.
Citation Text:
Commission of Inquiry on Hormone Receptor Testing. Cameron M. St. John's, NL: Government of Newfoundland and Labrador; 2009. ISBN: 978551463537.
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psnet.ahrq.gov/issue/artificial-intelligence-health-care-benefits-and-challenges-technologies-augment-patient-care
January 08, 2014 - Book/Report
Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient Care.
Citation Text:
Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient Care. Washington DC; United States Government Accountabil…
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psnet.ahrq.gov/issue/safe-operation-social-construct
August 07, 2019 - Commentary
Safe operation as a social construct.
Citation Text:
Rochlin GI. Safe operation as a social construct. Ergonomics. 2002;42(11):1549-1560. doi:10.1080/001401399184884.
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psnet.ahrq.gov/issue/emperors-new-clothes-or-whatever-happened-human-error
March 27, 2005 - Meeting/Conference Proceedings
The Emperor’s New Clothes: Or Whatever Happened To “Human Error”?
Citation Text:
The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? Hollnagel E, Amalberti R. Chapter In: Dekker SWA, ed. Proceedings of the 4th International Workshop…
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psnet.ahrq.gov/issue/mock-trial-2009-rsna-annual-meeting-jury-exonerates-radiologist-failure-communicate-abnormal
October 23, 2018 - Commentary
Mock trial at 2009 RSNA annual meeting: jury exonerates radiologist for failure to communicate abnormal finding—but...
Citation Text:
Berlin L. Mock trial at 2009 RSNA annual meeting: Jury exonerates radiologist for failure to communicate abnormal finding--but.. Radiology. 20…
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psnet.ahrq.gov/issue/crossing-quality-chasm-new-health-system-21st-century
July 08, 2016 - Book/Report
Classic
Crossing the Quality Chasm: A New Health System for the 21st Century.
Citation Text:
Crossing the Quality Chasm: A New Health System for the 21st Century. Committee on Quality of Health Care in America, Institute of Medicine. Washington DC: N…
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digital.ahrq.gov/sites/default/files/docs/page/THQITStoriesMcConnochie2010.pdf
January 01, 2001 - Integrated Telemedicine System Demonstrates Reduction in Children’s Emergency Department Visits
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psnet.ahrq.gov/issue/algorithmic-bias-playbook
May 13, 2020 - Book/Report
Algorithmic Bias Playbook.
Citation Text:
Algorithmic Bias Playbook. Obermeyer Z, Nissan R, Stern M, et al. Center for Applied Artificial Intelligence, Chicago Booth: June 2021.
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psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail
March 03, 2021 - Commentary
Classic
Leading change: why transformation efforts fail.
Citation Text:
Leading change: why transformation efforts fail. Kotter JP. Harvard Bus Rev 1995;73(2);59-67.
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psnet.ahrq.gov/issue/perinatal-high-reliability
September 29, 2010 - Review
Perinatal high reliability.
Citation Text:
Knox E, Simpson KR. Perinatal high reliability. Am J Obstet Gynecol. 2011;204(5):373-377. doi:10.1016/j.ajog.2010.10.900.
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psnet.ahrq.gov/issue/improving-patient-care-my-right-knee
August 04, 2021 - Commentary
Improving patient care. My right knee.
Citation Text:
Berwick DM. Improving patient care. My right knee. Ann Intern Med. 2005;142(2):121-5.
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psnet.ahrq.gov/issue/surgical-simulation-systematic-review
June 15, 2011 - Review
Surgical simulation: a systematic review.
Citation Text:
Sutherland LM, Middleton PF, Anthony A, et al. Surgical simulation: a systematic review. Ann Surg. 2006;243(3):291-300.
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psnet.ahrq.gov/issue/patient-safety-performance-reversing-recent-declines-through-shared-profession-wide-system
December 01, 2021 - Commentary
Patient safety performance: reversing recent declines through shared profession-wide system-level solutions.
Citation Text:
doi:full/10.1056/CAT.22.0318.
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psnet.ahrq.gov/issue/major-congenital-malformations-after-first-trimester-exposure-ace-inhibitors
July 10, 2008 - Study
Major congenital malformations after first-trimester exposure to ACE inhibitors.
Citation Text:
Cooper WO, Hernandez-Diaz S, Arbogast PG, et al. Major Congenital Malformations after First-Trimester Exposure to ACE Inhibitors. New England Journal of Medicine. 2006;354(23). doi:10.…
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psnet.ahrq.gov/issue/high-costs-unnecessary-care
June 28, 2023 - Commentary
The high costs of unnecessary care.
Citation Text:
Carroll AE. The High Costs of Unnecessary Care. JAMA. 2017;318(18):1748-1749. doi:10.1001/jama.2017.16193.
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psnet.ahrq.gov/issue/critical-laboratory-value-notification-failure-mode-effects-and-criticality-analysis
June 27, 2018 - Commentary
Critical laboratory value notification: a failure mode effects and criticality analysis.
Citation Text:
Saxena S, Kempf R, Wilcox S, et al. Critical laboratory value notification: a failure mode effects and criticality analysis. Jt Comm J Qual Patient Saf. 2005;31(9):495-506…
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psnet.ahrq.gov/issue/nurses-role-causation-compensable-injury
March 24, 2011 - Study
The nurse's role in the causation of compensable injury.
Citation Text:
Painter LM, Dudjak LA, Kidwell KM, et al. The Nurse's Role in the Causation of Compensable Injury. J Nurs Care Qual. 2011;26(4):311-319. doi:10.1097/ncq.0b013e31820f9576.
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psnet.ahrq.gov/issue/identity-crisis-examination-costs-and-benefits-unique-patient-identifier-us-health-care
May 21, 2014 - Book/Report
Identity Crisis: An Examination of the Costs and Benefits of a Unique Patient Identifier for the US Health Care System.
Citation Text:
Identity Crisis: An Examination of the Costs and Benefits of a Unique Patient Identifier for the US Health Care System. Hillestad R, Bigelow …