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psnet.ahrq.gov/issue/measure-twice-cut-once
June 14, 2023 - Commentary
Measure twice, cut once.
Citation Text:
Atkinson WK. Measure twice, cut once. AORN J. 2013;98(1):77-80. doi:10.1016/j.aorn.2013.05.004.
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psnet.ahrq.gov/issue/strategic-approach-quality-improvement-and-patient-safety-education-and-resident-integration
November 17, 2010 - Commentary
A strategic approach to quality improvement and patient safety education and resident integration in a general surgery residency.
Citation Text:
O'Heron CT, Jarman BT. A strategic approach to quality improvement and patient safety education and resident integration in a gener…
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psnet.ahrq.gov/issue/improving-oversight-graduate-medical-education-enterprise-one-institutions-strategies-and
September 21, 2009 - Study
Improving oversight of the graduate medical education enterprise: one institution's strategies and tools.
Citation Text:
Afrin LB, Arana GW, Medio FJ, et al. Improving Oversight of the Graduate Medical Education Enterprise: One Institution???s Strategies and Tools. Academic Medic…
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psnet.ahrq.gov/issue/role-documents-and-documentation-communication-failure-across-perioperative-pathway
November 06, 2015 - Review
The role of documents and documentation in communication failure across the perioperative pathway. A literature review.
Citation Text:
Braaf S, Manias E, Riley R. The role of documents and documentation in communication failure across the perioperative pathway. A literature revi…
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www.ahrq.gov/patient-safety/reports/engage/model-in-pc.html
March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Model of Patient Safety in Primary Care
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Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
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psnet.ahrq.gov/issue/making-it-easier-do-right-thing-modern-communication-qi-agenda
January 20, 2016 - Commentary
Making it easier to do the right thing: a modern communication QI agenda.
Citation Text:
Wynia M. Making it easier to do the right thing: a modern communication QI agenda. Patient Educ Couns. 2012;88(3):364-6. doi:10.1016/j.pec.2012.06.027.
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psnet.ahrq.gov/issue/reducing-risk-adverse-drug-events-older-adults
November 21, 2021 - Commentary
Reducing the risk of adverse drug events in older adults.
Citation Text:
Pretorius RW, Gataric G, Swedlund SK, et al. Reducing the risk of adverse drug events in older adults. Am Fam Physician. 2013;87(5):331-6.
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psnet.ahrq.gov/issue/investigation-and-analysis-critical-incidents-and-adverse-events-healthcare
March 05, 2014 - Study
Classic
The investigation and analysis of critical incidents and adverse events in healthcare.
Citation Text:
Woloshynowych M, Rogers S, Taylor-Adams S, et al. The investigation and analysis of critical incidents and adverse events in healthcare. Health …
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psnet.ahrq.gov/issue/sued-misdiagnosis-it-could-happen-you
February 07, 2024 - Commentary
Sued for misdiagnosis? It could happen to you.
Citation Text:
Lippman H, Davenport J. Sued for misdiagnosis? It could happen to you. J Fam Pract. 2010;59(9):498-508.
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psnet.ahrq.gov/issue/relationship-between-high-fidelity-simulation-and-patient-safety-prelicensure-nursing
October 19, 2022 - Review
Relationship between high-fidelity simulation and patient safety in prelicensure nursing education: a comprehensive review.
Citation Text:
Blum CA, Parcells DA. Relationship between high-fidelity simulation and patient safety in prelicensure nursing education: a comprehensive re…
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psnet.ahrq.gov/issue/safety-and-quality-parenteral-nutrition-translating-guidelines-clinical-practice-considering
October 20, 2021 - Special or Theme Issue
Safety and Quality of Parenteral Nutrition: Translating Guidelines into Clinical Practice Considering Different Organizational Settings.
Citation Text:
Safety and Quality of Parenteral Nutrition: Translating Guidelines into Clinical Practice Considering Different O…
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psnet.ahrq.gov/issue/improving-ambulatory-patient-safety-learning-last-decade-moving-ahead-next
November 15, 2018 - Commentary
Improving ambulatory patient safety: learning from the last decade, moving ahead in the next.
Citation Text:
Wynia MK, Classen DC. Improving Ambulatory Patient Safety. JAMA. 2011;306(22):2504-2505. doi:10.1001/jama.2011.1820.
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psnet.ahrq.gov/issue/development-and-evaluation-required-patient-safety-course
January 11, 2023 - Commentary
Development and evaluation of a required patient safety course.
Citation Text:
Sukkari SR, Sasich LD, Tuttle DA, et al. Development and evaluation of a required patient safety course. Am J Pharm Educ. 2008;72(3):65.
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psnet.ahrq.gov/issue/team-working-intensive-care-current-evidence-and-future-endeavors
April 24, 2018 - Review
Team working in intensive care: current evidence and future endeavors.
Citation Text:
Richardson J, West MA, Cuthbertson BH. Team working in intensive care: current evidence and future endeavors. Curr Opin Crit Care. 2010;16(6):643-8. doi:10.1097/MCC.0b013e32833e9731.
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psnet.ahrq.gov/issue/organizational-resilience-paradox-management-systematic-review-literature
February 15, 2017 - Review
Organizational resilience as paradox management: a systematic review of the literature.
Citation Text:
Tekletsion BF, Gomes JFDS, Tefera B. Organizational resilience as paradox management: a systematic review of the literature. J Contingencies Crisis Manage. 2024;32(1):e12495. doi…
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psnet.ahrq.gov/issue/medical-emergency-team-and-rapid-response-system-finding-treating-and-preventing-hypoglycemia
September 23, 2020 - Commentary
The medical emergency team and rapid response system: finding, treating, and preventing hypoglycemia.
Citation Text:
DiNardo M, Noschese M, Korytkowski M, et al. The medical emergency team and rapid response system: finding, treating, and preventing hypoglycemia. Jt Comm J Qua…
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psnet.ahrq.gov/issue/placing-patient-safety-heart-value-based-healthcare
February 15, 2023 - Commentary
Placing patient safety at the heart of value-based healthcare.
Citation Text:
La Regina M, Federici L, Bianco A, et al. Placing patient safety at the heart of value-based healthcare. Int J Qual Health Care. 2024;36(3):mzae087. doi:10.1093/intqhc/mzae087.
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psnet.ahrq.gov/issue/kaiser-permanentes-performance-improvement-system-part-4-creating-learning-organization
July 19, 2023 - Commentary
Kaiser Permanente's performance improvement system, part 4: creating a learning organization.
Citation Text:
Schilling L, Dearing JW, Staley P, et al. Kaiser Permanente's performance improvement system, Part 4: Creating a learning organization. Jt Comm J Qual Patient Saf. 2011…
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psnet.ahrq.gov/issue/quality-safety-time-coronavirus-design-better-learn-faster
March 29, 2017 - Commentary
Quality & safety in the time of coronavirus--design better, learn faster.
Citation Text:
Fitzsimons J. Quality and safety in the time of Coronavirus: design better, learn faster. Int J Qual Health Care. 2021;33(1):mzaa051. doi:10.1093/intqhc/mzaa051.
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psnet.ahrq.gov/issue/interns-overestimate-effectiveness-their-hand-communication
March 02, 2011 - Study
Interns overestimate the effectiveness of their hand-off communication.
Citation Text:
Chang VY, Arora V, Lev-Ari S, et al. Interns overestimate the effectiveness of their hand-off communication. Pediatrics. 2010;125(3):491-496. doi:10.1542/peds.2009-0351.
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