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psnet.ahrq.gov/issue/revealing-disparities-health-care-workers-observations-discrimination-against-patients
April 12, 2006 - Book/Report
Revealing Disparities: Health Care Workers’ Observations of Discrimination Against Patients.
Citation Text:
Revealing Disparities: Health Care Workers’ Observations of Discrimination Against Patients. Fernandez H, Ayo-Vaughan M, Zephyrin LC, et al. New York, NY: The Commonwea…
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psnet.ahrq.gov/issue/psychology-insights-apologizing-patients
March 27, 2024 - Commentary
Psychology insights on apologizing to patients.
Citation Text:
Redelmeier DA, Roach J. Psychology insights on apologizing to patients. J Hosp Med. 2024;Epub Dec 30. doi:10.1002/jhm.13585.
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psnet.ahrq.gov/issue/framing-diagnostic-error-epidemiological-perspective
January 12, 2022 - Review
Framing diagnostic error: an epidemiological perspective.
Citation Text:
Hunter MK, Singareddy C, Mundt KA. Framing diagnostic error: an epidemiological perspective. Front Public Health. 2024;12:1479750. doi:10.3389/fpubh.2024.1479750.
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psnet.ahrq.gov/issue/ambulatory-medication-errors-and-adverse-events-involved-medicine-related-malpractice-cases
November 18, 2016 - Study
Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021.
Citation Text:
Boisvert S, Nelson M, Ross J. Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021. J Patient…
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psnet.ahrq.gov/issue/textbook-rapid-response-systems-concept-and-implementation
September 30, 2010 - Book/Report
Textbook of Rapid Response Systems: Concept and Implementation.
Citation Text:
Textbook Of Rapid Response Systems: Concept And Implementation. (DeVita MA, ed.). Springer; 2025. ISBN 9783031679513.
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psnet.ahrq.gov/issue/intrahospital-patient-transport-checklists-adverse-events-and-other-considerations-anesthesia
April 24, 2019 - Newspaper/Magazine Article
Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesia professional.
Citation Text:
Andrew C, Fitzsimons M. Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesi…
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psnet.ahrq.gov/issue/ethics-oversight-and-quality-improvement-initiatives
August 04, 2021 - Study
Ethics, oversight and quality improvement initiatives.
Citation Text:
Taylor HA, Pronovost PJ, Sugarman J. Ethics, oversight and quality improvement initiatives. Quality and Safety in Health Care. 2010;19(4). doi:10.1136/qshc.2009.038034.
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psnet.ahrq.gov/issue/hospital-checklists-are-meant-save-lives-so-why-do-they-often-fail
July 31, 2013 - Newspaper/Magazine Article
Hospital checklists are meant to save lives—so why do they often fail?
Citation Text:
Anthes E. Hospital checklists are meant to save lives - so why do they often fail? Nature. 2015;523(7562):516-8. doi:10.1038/523516a.
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psnet.ahrq.gov/issue/definition-quality-and-approaches-its-assessment-vol-1-explorations-quality-assessment-and
May 24, 2015 - Book/Report
Classic
The Definition of Quality and Approaches to Its Assessment. Vol 1. Explorations in Quality Assessment and Monitoring.
Citation Text:
The Definition of Quality and Approaches to Its Assessment. Vol 1. Explorations in Quality Assessment and Mon…
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psnet.ahrq.gov/issue/failure-mode-and-effect-analysis-reliable
August 15, 2012 - Study
Is failure mode and effect analysis reliable?
Citation Text:
Shebl NA, Franklin BD, Barber N. Is failure mode and effect analysis reliable? J Patient Saf. 2009;5(2):86-94. doi:10.1097/PTS.0b013e3181a6f040.
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psnet.ahrq.gov/issue/ahrq-communication-and-optimal-resolution-candor-toolkit
May 25, 2016 - Toolkit
AHRQ Communication and Optimal Resolution (CANDOR) Toolkit.
Citation Text:
AHRQ Communication and Optimal Resolution (CANDOR) Toolkit. Rockville, MD: Agency for Healthcare Research and Quality; May 2016.
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psnet.ahrq.gov/issue/leadership-challenge-staff-nurse-perceptions-after-organizational-teamstepps-initiative
May 11, 2016 - Study
A leadership challenge: staff nurse perceptions after an organizational TeamSTEPPS initiative.
Citation Text:
Castner J, Foltz-Ramos K, Schwartz DG, et al. A leadership challenge: staff nurse perceptions after an organizational TeamSTEPPS initiative. J Nurs Adm. 2012;42(10):467-47…
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psnet.ahrq.gov/issue/prevention-wrong-site-tooth-extraction-clinical-guidelines
August 04, 2021 - Commentary
Prevention of wrong-site tooth extraction: clinical guidelines.
Citation Text:
Lee JS, Curley AW, Smith RA, et al. Prevention of wrong-site tooth extraction: clinical guidelines. J Oral Maxillofac Surg. 2007;65(9):1793-9.
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psnet.ahrq.gov/issue/nearing-zeroreducing-grade-c-medication-errors
October 05, 2022 - Commentary
Nearing zero...reducing grade C medication errors.
Citation Text:
Cockerham J, Figueroa-Altmann A, Foxen C, et al. Nearing zero..reducing grade C medication errors. Nurs Manage. 2014;45(7):26-31. doi:10.1097/01.NUMA.0000451033.38845.d3.
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psnet.ahrq.gov/issue/medication-errors-neonatal-intensive-care-unit
October 05, 2022 - Study
Medication errors in a neonatal intensive care unit.
Citation Text:
Lerner RB de ME, de Carvalho M, Vieira AA, et al. Medication errors in a neonatal intensive care unit. J Pediatr (Rio J). 2008;84(2):166-70. doi:10.2223/JPED.1757.
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psnet.ahrq.gov/issue/nursing-student-medication-errors-snapshot-view-school-nursings-quality-and-safety-officer
October 19, 2022 - Commentary
Nursing student medication errors: a snapshot view from a school of nursing's quality and safety officer.
Citation Text:
Cooper E. Nursing student medication errors: a snapshot view from a school of nursing's quality and safety officer. J Nurs Educ. 2014;53(3):S51-4. doi:10.…
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psnet.ahrq.gov/issue/new-professionalism-surgical-residents-duty-hours-restrictions-and-shift-transitions
October 19, 2022 - Study
A new professionalism? Surgical residents, duty hours restrictions, and shift transitions.
Citation Text:
Coverdill JE, Carbonell AM, Fryer J, et al. A new professionalism? Surgical residents, duty hours restrictions, and shift transitions. Acad Med. 2010;85(10 Suppl):S72-5. doi:1…
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psnet.ahrq.gov/issue/rethinking-patient-safety-discussion-guide-patients-healthcare-providers-and-leaders
August 24, 2022 - Toolkit
Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders.
Citation Text:
Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders. Gilbert R, Asselbergs M, Davis D, et al. Healthcare Excellence Canada; 2023.
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psnet.ahrq.gov/issue/medical-device-use-error-root-cause-analysis
January 10, 2018 - Book/Report
Medical Device Use Error: Root Cause Analysis.
Citation Text:
Medical Device Use Error: Root Cause Analysis. Wiklund M, Dwyer A, Davis E. Boca Raton, FL: CRC Press; 2015. ISBN: 9781498705790.
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psnet.ahrq.gov/issue/how-discrimination-health-care-affects-older-americans-and-what-health-systems-and-providers
February 28, 2024 - Book/Report
How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do.
Citation Text:
How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do. Doty MM, Horstman C, Shah A et al. Issue Brief. New…