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psnet.ahrq.gov/issue/shifting-and-sharing-academic-physicians-strategies-navigating-underperformance-and-failure
August 21, 2019 - Study
Shifting and sharing: academic physicians' strategies for navigating underperformance and failure.
Citation Text:
LaDonna KA, Ginsburg S, Watling C. Shifting and Sharing: Academic Physicians' Strategies for Navigating Underperformance and Failure. Acad Med. 2018;93(11):1713-1718. d…
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psnet.ahrq.gov/issue/development-barriers-error-disclosure-assessment-tool
August 28, 2019 - Study
Development of the barriers to error disclosure assessment tool.
Citation Text:
Welsh D, Zephyr D, Pfeifle AL, et al. Development of the Barriers to Error Disclosure Assessment Tool. J Patient Saf. 2021;17(5):363-374. doi:10.1097/PTS.0000000000000331.
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psnet.ahrq.gov/issue/obstetrician-gynecologists-opinions-about-patient-safety-costs-and-liability-remain-problems
November 25, 2009 - Study
Obstetrician-gynecologists' opinions about patient safety: costs and liability remain problems; are mandated reports a solution?
Citation Text:
Stumpf PG, Anderson B, Lawrence H, et al. Obstetrician-gynecologists' opinions about patient safety: costs and liability remain problems…
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psnet.ahrq.gov/issue/automated-medication-error-studies-audit-supplementation-were-effectively-designed-and
May 18, 2011 - Study
Automated medication error studies with audit supplementation were effectively designed and analyzed by time series.
Citation Text:
Shuster JJ, Winterstein AG. Automated medication error studies with audit supplementation were effectively designed and analyzed by time series. J C…
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psnet.ahrq.gov/issue/patient-safety-culture-hospital-settings-across-continents-systematic-review
June 13, 2018 - Review
Patient safety culture in hospital settings across continents: a systematic review.
Citation Text:
Alabdullah H, Karwowski W. Patient safety culture in hospital settings across continents: a systematic review. Appl Sci. 2024;14(18):8496. doi:10.3390/app14188496.
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psnet.ahrq.gov/issue/now-time-routinely-ask-patients-about-safety
March 08, 2023 - Commentary
Now is the time to routinely ask patients about safety.
Citation Text:
Gandhi TK. Now Is the Time to Routinely Ask Patients About Safety. Jt Comm J Qual Patient Saf. 2023;49(4):235-236. doi:10.1016/j.jcjq.2023.01.009.
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psnet.ahrq.gov/issue/advancing-measurement-patient-safety-culture
February 14, 2015 - Study
Advancing measurement of patient safety culture.
Citation Text:
Ginsburg LR, Gilin D, Tregunno D, et al. Advancing measurement of patient safety culture. Health Serv Res. 2009;44(1):205-24. doi:10.1111/j.1475-6773.2008.00908.x.
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psnet.ahrq.gov/issue/state-art-usage-simulation-anesthesia-skills-and-teamwork
June 18, 2014 - Review
State-of-the-art usage of simulation in anesthesia: skills and teamwork.
Citation Text:
Krage R, Erwteman M. State-of-the-art usage of simulation in anesthesia: skills and teamwork. Curr Opin Anaesthesiol. 2015;28(6):727-34. doi:10.1097/ACO.0000000000000257.
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psnet.ahrq.gov/issue/can-structured-checklist-prevent-problems-laparoscopic-equipment
August 10, 2016 - Study
Can a structured checklist prevent problems with laparoscopic equipment?
Citation Text:
Verdaasdonk EGG, Stassen LPS, Hoffmann WF, et al. Can a structured checklist prevent problems with laparoscopic equipment? Surg Endosc. 2008;22(10):2238-43. doi:10.1007/s00464-008-0029-3.
Co…
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psnet.ahrq.gov/issue/implementation-standardized-dosing-units-iv-medications
May 11, 2014 - Study
Implementation of standardized dosing units for I.V. medications.
Citation Text:
Jung B, Couldry R, Wilkinson S, et al. Implementation of standardized dosing units for i.v. medications. Am J Health Syst Pharm. 2014;71(24):2153-8. doi:10.2146/ajhp140046.
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psnet.ahrq.gov/issue/epidemiology-comparative-methods-detection-and-preventability-adverse-drug-events
March 09, 2016 - Study
Epidemiology, comparative methods of detection, and preventability of adverse drug events.
Citation Text:
Al-Tajir GK, Kelly WN. Epidemiology, comparative methods of detection, and preventability of adverse drug events. Ann Pharmacother. 2005;39(7-8):1169-74.
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psnet.ahrq.gov/issue/failure-medication-delivery-system-how-disclosure-and-systems-investigation-improve-patient
April 03, 2005 - Commentary
A failure in the medication delivery system-how disclosure and systems investigation improve patient safety.
Citation Text:
Lucas SR, Pollak E, Makowski C. A failure in the medication delivery system—how disclosure and systems investigation improve patient safety. J Healthc Ri…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/infographicposter-final508_0.pdf
June 02, 2025 - Infographic Poster: Did you know...Patient safety issues in primary care are real.
Did you know...
Patient safety issues in
primary care are real.
Annually,
1 in 20 outpatients experiences a diagnostic error
55%
of patients said
diagnostic errors
were a chief concern
in outpatient visits
1 in 9
ED admissi…
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www.ahrq.gov/takeheart/about/initiative/index.html
December 01, 2022 - The TAKEheart Initiative
Aims
AHRQ's TAKEheart initiative seeks to increase participation in cardiac rehabilitation (CR) among eligible patients nationwide.
Key Components
TAKEheart promotes two proven strategies for increasing referral and enrollment in CR:
Implementing automatic referral to make …
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psnet.ahrq.gov/issue/telenursing-incidents-and-disasters-systematic-review-literature
January 07, 2015 - Review
Telenursing in incidents and disasters: a systematic review of the literature.
Citation Text:
Nejadshafiee M, Bahaadinbeigy K, Kazemi M, et al. Telenursing in incidents and disasters: a systematic review of the literature. J Emerg Nurs. 2020. doi:10.1016/j.jen.2020.03.005.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/staff-info-poster.pdf
June 02, 2025 - Microsoft Word - Be_Prepared_for_Practice_Staff.V8.docx
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/PatientsGuideToTeachBack.pdf
June 02, 2025 - A Patient's Guide to Teach-Back
A Patient’s Guide to Teach-Back
What is teach-back?
Teach-back is a way for you to tell your
provider (a doctor, nurse, or other person
you see at your health care visit) in your
own words what you understood. …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/clinician-info-poster.pdf
June 02, 2025 - Microsoft Word - Be_Prepared_for_Providers.V8.docx
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/bepreparedpt_famguide.pdf
June 02, 2025 - Be Prepared! A Guide for Patients and Families
Be Prepared!
A Guide for Patients and Families
How can you prepare for appointments?
We are using two new tools to help you prepare for appointments and be an active member of the
health care team.
■
■
■
The Patient Prep Card
helps you think about what
you want t…
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psnet.ahrq.gov/issue/limited-health-literacy-barrier-medication-reconciliation-ambulatory-care
March 24, 2010 - Study
Limited health literacy is a barrier to medication reconciliation in ambulatory care.
Citation Text:
Persell SD, Osborn CY, Richard R, et al. Limited health literacy is a barrier to medication reconciliation in ambulatory care. J Gen Intern Med. 2007;22(11):1523-6.
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