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psnet.ahrq.gov/issue/patient-perceptions-missed-nursing-care
September 27, 2017 - Study
Patient perceptions of missed nursing care.
Citation Text:
Kalisch BJ, McLaughlin M, Dabney BW. Patient perceptions of missed nursing care. Jt Comm J Qual Patient Saf. 2012;38(4):161-7.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/BEqfaqsota4EqjZDZkEHMm
August 01, 2020 - Behavioral Counseling Interventions to Prevent Sexually Transmitted Infections: Clinician Summary of USPSTF Recommendation
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www.uspreventiveservicestaskforce.org
Clinician Summary of USPSTF Recommendation
Behavioral Counseling Interventions to Prevent Sexually
Transmitted Infections August 2020
The USPSTF rec…
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www.ahrq.gov/priority-populations/observances/hispanic-heritage/index.html
October 01, 2021 - Grantees Focusing on Hispanic and Latino Populations
Peter Yellowlees, M.D.
“I have found it fascinating to see the way that almost all patients speak differently, using simpler phrases and less words, when using an interpreter. Their descriptions of clinical symptoms and histories is much ric…
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psnet.ahrq.gov/issue/where-should-patient-safety-be-installed
October 05, 2022 - Commentary
Where should patient safety be installed?
Citation Text:
Sine DM, Paull D. Where should patient safety be installed? J Healthc Risk Manag. 2017;37(3):14-17. doi:10.1002/jhrm.21285.
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psnet.ahrq.gov/issue/costly-issues-uncommunicative-or
July 29, 2020 - Newspaper/Magazine Article
Costly issues of an uncommunicative OR.
Citation Text:
Neil R. Costly issues of an uncommunicative OR. Materials management in health care. 2006;15(3):30-3.
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psnet.ahrq.gov/issue/tension-between-promoting-mobility-and-preventing-falls-hospital
April 24, 2018 - Commentary
The tension between promoting mobility and preventing falls in the hospital.
Citation Text:
Growdon ME, Shorr RI, Inouye SK. The Tension Between Promoting Mobility and Preventing Falls in the Hospital. JAMA Intern Med. 2017;177(6):759-760. doi:10.1001/jamainternmed.2017.0840. …
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psnet.ahrq.gov/issue/apologies-and-medical-error
November 16, 2022 - Commentary
Apologies and medical error.
Citation Text:
Robbennolt JK. Apologies and medical error. Clin Orthop Relat Res. 2009;467(2):376-82. doi:10.1007/s11999-008-0580-1.
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psnet.ahrq.gov/issue/pharmacist-involvement-rapid-response-team-community-hospital
August 08, 2018 - Commentary
Pharmacist involvement in a rapid-response team at a community hospital.
Citation Text:
Cooper BE. Pharmacist involvement in a rapid-response team at a community hospital. Am J Health Syst Pharm. 2007;64(7):694, 697-8.
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psnet.ahrq.gov/issue/medically-induced-trauma-support-services-mitss
December 07, 2016 - Newspaper/Magazine Article
Medically Induced Trauma Support Services (MITSS).
Citation Text:
Medically Induced Trauma Support Services (MITSS). Tobin WN. Patient Safety Quality Healthcare. May/June 2013.
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psnet.ahrq.gov/issue/learning-adverse-events-and-near-misses
January 15, 2020 - Commentary
Learning from adverse events and near misses.
Citation Text:
Greenberg CC. Learning from adverse events and near misses. J Gastrointest Surg. 2009;13(1):3-5. doi:10.1007/s11605-008-0693-6.
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psnet.ahrq.gov/issue/path-safe-and-reliable-healthcare
August 20, 2018 - Commentary
The path to safe and reliable healthcare.
Citation Text:
Leonard MW, Frankel A. The path to safe and reliable healthcare. Patient Educ Couns. 2010;80(3). doi:10.1016/j.pec.2010.07.001.
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psnet.ahrq.gov/issue/patient-safety-organizations-hospital-participation-value-and-challenges
February 11, 2015 - Book/Report
Patient Safety Organizations: Hospital Participation, Value, and Challenges.
Citation Text:
Patient Safety Organizations: Hospital Participation, Value, and Challenges. US Department of Health and Human Services; Office of the Inspector General, September 2019. OIG Report N…
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psnet.ahrq.gov/issue/what-about-doctors-impact-medical-errors-0
December 15, 2014 - Commentary
What about doctors? The impact of medical errors.
Citation Text:
Abd Elwahab S, Doherty E. What about doctors? The impact of medical errors. The Surgeon. 2014;12(6). doi:10.1016/j.surge.2014.06.004.
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psnet.ahrq.gov/issue/influences-observed-incidence-and-reporting-medication-errors-anesthesia
October 19, 2022 - Study
Influences observed on incidence and reporting of medication errors in anesthesia.
Citation Text:
Cooper L, DiGiovanni N, Schultz L, et al. Influences observed on incidence and reporting of medication errors in anesthesia. Can J Anaesth. 2012;59(6):562-70. doi:10.1007/s12630-012-…
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psnet.ahrq.gov/issue/when-i-saydiagnostic-error
January 26, 2022 - Commentary
When I say…diagnostic error.
Citation Text:
Hautz WE. When I say… diagnostic error. Med Educ. 2018. doi:10.1111/medu.13602.
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psnet.ahrq.gov/issue/radically-redesigning-patient-safety
November 13, 2024 - Newspaper/Magazine Article
Radically redesigning patient safety.
Citation Text:
Radick LE. Radically Redesigning Patient Safety. Healthcare executive. 2016;31(2):32-4, 36-40, 42.
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psnet.ahrq.gov/issue/clinical-cognition-and-biomedical-informatics-issues-patient-safety
September 04, 2024 - Commentary
Clinical cognition and biomedical informatics: issues of patient safety.
Citation Text:
Patel VL, Currie L. Clinical cognition and biomedical informatics: Issues of patient safety. Int J Med Inform. 2005;74(11-12). doi:10.1016/j.ijmedinf.2005.07.009.
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www.ahrq.gov/sops/surveys/nursing-home/index.html
April 01, 2025 - SOPS Nursing Home Survey
AHRQ released the Surveys on Patient Safety Culture® (SOPS®) Nursing Home Survey to assess staff perceptions about patient safety culture in their nursing home in 2008. In 2025, AHRQ released a new version, the SOPS Nursing Home Survey 2.0 . This new version removed all negatively wo…
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psnet.ahrq.gov/issue/behind-human-error-second-edition
April 13, 2018 - Book/Report
Classic
Behind Human Error, Second Edition.
Citation Text:
Behind Human Error, Second Edition. Woods DD, Dekker S, Cook R, Johannesen L. Boca Raton, FL: CRC Press; 2017. ISBN: 9781317175537.
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psnet.ahrq.gov/issue/global-patient-safety-action-plan-2021-2030-towards-eliminating-avoidable-harm-health-care
July 14, 2021 - Book/Report
Global Patient Safety Action Plan 2021-2030: Towards Eliminating Avoidable Harm in Health Care.
Citation Text:
Global Patient Safety Action Plan 2021-2030: Towards Eliminating Avoidable Harm in Health Care. Geneva, Switzerland: World Health Organization; 2021. ISBN: 978924003…