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psnet.ahrq.gov/issue/managing-risk-point-care-preventing-errors
February 06, 2018 - Newspaper/Magazine Article
Managing risk at the point-of-care: preventing errors.
Citation Text:
Managing risk at the point-of-care: preventing errors. Njoroge S; Nichols JH.
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psnet.ahrq.gov/issue/disclosing-medical-errors-patients-status-report-2007
June 01, 2004 - Commentary
Disclosing medical errors to patients: a status report in 2007.
Citation Text:
Levinson W, Gallagher TH. Disclosing medical errors to patients: a status report in 2007. CMAJ. 2007;177(3):265-7.
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psnet.ahrq.gov/issue/hospital-rphs-weigh-new-jcaho-patient-safety-goals
May 20, 2020 - Newspaper/Magazine Article
Hospital R.Ph.s weigh in on new JCAHO patient safety goals.
Citation Text:
Hospital R.Ph.s weigh in on new JCAHO patient safety goals. Vecchione A. Drug Topics. July 11, 2005
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psnet.ahrq.gov/issue/computer-technology-and-clinical-work-still-waiting-godot
October 19, 2022 - Commentary
Computer technology and clinical work: still waiting for Godot.
Citation Text:
Wears RL, Berg M. Computer Technology and Clinical Work. JAMA. 2005;293(10). doi:10.1001/jama.293.10.1261.
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psnet.ahrq.gov/issue/wounded-care-failure-one-indian-health-service-hospital-reveals-system-crisis
October 05, 2016 - Newspaper/Magazine Article
Wounded care: failure at one Indian Health Service hospital reveals a system in crisis.
Citation Text:
Wounded care: failure at one Indian Health Service hospital reveals a system in crisis. Herman B, Fei F. Mod Healthc. December 2, 2016.
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psnet.ahrq.gov/issue/administrative-issues-ensure-safe-anesthesia-care-office-based-setting
March 27, 2019 - Review
Administrative issues to ensure safe anesthesia care in the office-based setting.
Citation Text:
Gaulton TG, Shapiro FE, Urman RD. Administrative issues to ensure safe anesthesia care in the office-based setting. Curr Opin Anaesthesiol. 2013;26(6):692-7. doi:10.1097/ACO.00000000…
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psnet.ahrq.gov/issue/dana-farber-cancer-institute-principles-fair-and-just-culture
January 11, 2023 - Organizational Policy/Guidelines
Dana-Farber Cancer Institute Principles of a Fair and Just Culture.
Citation Text:
Dana-Farber Cancer Institute Principles of a Fair and Just Culture. Dana-Farber Cancer Institute.
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psnet.ahrq.gov/issue/high-cost-low-morale-clinical-laboratory-how-workplace-environment-impacts-patient-safety
March 06, 2005 - Newspaper/Magazine Article
The high cost of low morale in the clinical laboratory: how workplace environment impacts patient safety.
Citation Text:
The high cost of low morale in the clinical laboratory: how workplace environment impacts patient safety. Barker T; Noguez J.
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psnet.ahrq.gov/issue/state-patient-safety-centers-new-approach-promote-patient-safety
November 29, 2009 - Book/Report
State Patient Safety Centers: A New Approach to Promote Patient Safety.
Citation Text:
State Patient Safety Centers: A New Approach to Promote Patient Safety. Rosenthal J, Booth M. Portland, ME National Academy for State Health Policy; October 2004.
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psnet.ahrq.gov/issue/excusable-neglect-malpractice-suits-against-radiologists-proposed-jury-instruction-recognize
April 11, 2011 - Commentary
Excusable neglect in malpractice suits against radiologists: a proposed jury instruction to recognize the human condition.
Citation Text:
Excusable neglect in malpractice suits against radiologists: a proposed jury instruction to recognize the human condition. Caldwell C; …
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psnet.ahrq.gov/issue/implementing-patient-safety-alert-system
June 21, 2015 - Study
Implementing a patient safety alert system.
Citation Text:
Furman C. Implementing a patient safety alert system. Nurs Econ. 2005;23(1):42-5.
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psnet.ahrq.gov/issue/patient-safety-health-affairs-briefing
September 01, 2021 - Audiovisual Presentation
Patient Safety: A Health Affairs Briefing.
Citation Text:
Patient Safety: A Health Affairs Briefing. Project Hope.
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psnet.ahrq.gov/issue/scarce-access-interpreters-immigrants-struggle-understand-doctors-orders
April 27, 2016 - Newspaper/Magazine Article
With scarce access to interpreters, immigrants struggle to understand doctors' orders.
Citation Text:
With scarce access to interpreters, immigrants struggle to understand doctors' orders. Eldred SM. Health Shots. National Public Radio. August 15, 2018.
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psnet.ahrq.gov/issue/kaiser-permanentes-innovation-front-lines
January 20, 2021 - Commentary
Kaiser Permanente's innovation on the front lines.
Citation Text:
McCreary L. Kaiser Permanente's innovation on the front lines. Harv Bus Rev. 2010;88(9):92, 94-7, 126.
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psnet.ahrq.gov/issue/medical-error-and-moral-luck
October 02, 2024 - Commentary
Medical error and moral luck.
Citation Text:
Allhoff F. Medical Error and Moral Luck. Kennedy Inst Ethics J. 2019;29(3):187-203. doi:10.1353/ken.2019.0022.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140115_DB/1_Dale_Shaller_Intro_slides_1-11.pdf
January 15, 2014 - Using the CAHPS Database to Compare, Report, and Improve Organizational Performance
Using the CAHPS Database to Compare,
Report, and Improve Organizational
Performance
A Webcast Presented by the CAHPS User Network
January 15, 2014
1:00 – 2:30 pm EST
•
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2
What is CAHPS?
Consumer Assessment…
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psnet.ahrq.gov/issue/misidentification-alphanumeric-symbols
March 26, 2014 - Newspaper/Magazine Article
Misidentification of alphanumeric symbols.
Citation Text:
Misidentification of alphanumeric symbols. ISMP Medication Safety Alert! Acute care edition. June 5, 2014;19:1-2,4-5.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-SOPS_101_Webcast-GRAY-Overview.pdf
June 02, 2025 - Understanding SOPS Surveys: A Primer for New Users (Webcast) - Gray (Overview)
Overview of the SOPS Surveys
Laura Gray, MPH
Senior Study Director
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
12
What is Patient Safety Culture?
13
AHRQ Surveys on Patient Safety Culture
• Surveys …
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1T1-Nursing_Home_Readiness_and_Resource_Assessment_Phase_1.pdf
May 01, 2014 - Nursing Home Readiness and Resource Assessment
Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality
HAIs
Healthcare-
Associated
Infections
PREVENT
Comprehensive Antibiogram Toolkit: Phase 1
Nursing Home Readiness and Resource Assessment
This worksheet is designed to be …
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T3-Not_all_Infections_need_antibiotics-_final.pdf
May 01, 2014 - How to enter Data Manually Into an Antibiogram Template
Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality
Not All “Infections” Need Antibiotics!
What is the UTI SBAR form? What does it include?
• The Suspected Urinary Tract Infection
(UTI) Situation, Background,
Ass…