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psnet.ahrq.gov/node/34654/psn-pdf
June 16, 2011 - Risk mitigation in large scale systems: lessons from high
reliability organizations.
June 16, 2011
Grabowski M, Roberts K. Calif Manag Rev. 1997;39(4):152-161.
https://psnet.ahrq.gov/issue/risk-mitigation-large-scale-systems-lessons-high-reliability-organizations
The authors examine high-reliability organizations,…
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psnet.ahrq.gov/node/867596/psn-pdf
January 22, 2025 - Creation of root cause analysis and action (RCA2)
standard work by a multidisciplinary team to prevent
harm, reduce bias, and improve safety culture.
January 22, 2025
Musheno D, Harnish M, Roberts J, et al. Creation of root cause analysis and action (RCA2) standard work
by a multidisciplinary team to prevent harm,…
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psnet.ahrq.gov/web-mm/charcoal-lavage-lungs
January 01, 2016 - EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Download Citation
Robert … Robert S.
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psnet.ahrq.gov/node/34989/psn-pdf
February 24, 2011 - Laboratory safety monitoring of chronic medications in
ambulatory care settings.
February 24, 2011
Hurley JS, Roberts M, Solberg LI, et al. Brief report: Laboratory safety monitoring of chronic medications in
ambulatory care settings. J Gen Intern Med. 2005;20(4). doi:10.1111/j.1525-1497.2005.40182.x.
https://psne…
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psnet.ahrq.gov/issue/safer-dx-checklist-10-high-priority-practices-diagnostic-excellence
August 04, 2021 - April 22, 2020
Robert L. Wears Patient Safety Leadership Award.
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psnet.ahrq.gov/node/842417/psn-pdf
January 11, 2023 - Scaling-up a pharmacist-led information technology
intervention (PINCER) to reduce hazardous prescribing in
general practices: multiple interrupted time series study.
January 11, 2023
Rodgers S, Taylor AC, Roberts SA, et al. Scaling-up a pharmacist-led information technology intervention
(PINCER) to reduce hazardo…
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psnet.ahrq.gov/node/838910/psn-pdf
October 26, 2022 - Rates of surgical consultations after emergency
department admission in Black and White Medicare
patients.
October 26, 2022
Roberts SE, Rosen CB, Keele LJ, et al. Rates of surgical consultations after emergency department
admission in Black and White Medicare patients. JAMA Surg. 2022;157(12):1097-1104.
doi:10.10…
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psnet.ahrq.gov/node/73087/psn-pdf
March 31, 2021 - Developing open disclosure strategies to medical error
using simulation in final-year medical students: linking
mindset and experiential learning to lifelong reflective
practice.
March 31, 2021
Lane AS, Roberts C. Developing open disclosure strategies to medical error using simulation in final-year
medical studen…
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psnet.ahrq.gov/node/867091/psn-pdf
November 06, 2024 - Initiative to deprescribe high-risk drugs for older adults
presenting to the emergency department after falls.
November 6, 2024
Selman K, Roberts E, Niznik J, et al. Initiative to deprescribe high?risk drugs for older adults presenting to
the emergency department after falls. J Am Geriatr Soc. 2024;72(Supp 3):s60-s…
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psnet.ahrq.gov/issue/joint-commission-and-national-quality-forum-announce-2022-eisenberg-award-recipients
February 21, 2024 - February 21, 2024
Robert L. Wears Patient Safety Leadership Award.
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psnet.ahrq.gov/issue/mark-graber-diagnostic-quality-safety-award
November 08, 2017 - February 21, 2024
Robert L. Wears Patient Safety Leadership Award.
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psnet.ahrq.gov/node/44150/psn-pdf
August 21, 2015 - Reflection on adverse event disclosure in the
postsurgical hospital context.
August 21, 2015
Roberts F, Gettings P, Torbeck L, et al. Reflection on adverse event disclosure in the postsurgical hospital
context. J Surg Educ. 2015;72(4):767-70. doi:10.1016/j.jsurg.2014.12.016.
https://psnet.ahrq.gov/issue/reflection…
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psnet.ahrq.gov/web-mm/saline-flush-leads-acute-paralysis-awake-patient-risks-improper-medication-labeling
February 01, 2019 - EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Download Citation
Robert … The Commentary
By Robert Scott Kriss, DO
Background
This case is an excellent example of an adverse … Robert Scott Kriss, DO
Health Sciences Associate Clinical Professor
Department of Anesthesiology &
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psnet.ahrq.gov/node/42742/psn-pdf
August 02, 2015 - Impact of rapid response system implementation on
critical deterioration events in children.
August 2, 2015
Bonafide CP, Localio R, Roberts KE, et al. Impact of rapid response system implementation on critical
deterioration events in children. JAMA Pediatr. 2014;168(1):25-33. doi:10.1001/jamapediatrics.2013.3266.
…
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psnet.ahrq.gov/issue/collaborative-accountability-and-improvement
August 14, 2018 - March 14, 2018
Robert L. Wears Patient Safety Leadership Award.
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psnet.ahrq.gov/issue/leape-ahead-award
September 29, 2017 - Preventable Harms – Point, Counterpoint, and Areas of Agreement
September 24, 2024
Robert
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psnet.ahrq.gov/issue/healthcare-quality-and-patient-safety-award
May 24, 2015 - January 6, 2025
Robert L. Wears Patient Safety Leadership Award.
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psnet.ahrq.gov/node/47663/psn-pdf
January 01, 2021 - The association of the nurse work environment and
patient safety in pediatric acute care.
January 16, 2019
Lake ET, Roberts KE, Agosto PD, et al. The Association of the Nurse Work Environment and Patient
Safety in Pediatric Acute Care. J Patient Saf. 2021;17(8):e1546-e1552.
doi:10.1097/pts.0000000000000559.
https…
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psnet.ahrq.gov/perspective/role-national-quality-forum-nqf-quest-transparency-us-hospitals-patient-safety
April 01, 2010 - Robert Wachter, Editor, AHRQ WebM&M: Tell us what the National Quality Forum does.
Dr.
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psnet.ahrq.gov/issue/disposal-paper-records-containing-personal-information-hospitals
March 13, 2024 - July 12, 2017
Interview
In Conversation With… Robert M.