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psnet.ahrq.gov/issue/human-factors-subsystems-approach-trauma-care
October 08, 2013 - Study
A human factors subsystems approach to trauma care.
Citation Text:
Catchpole K, Ley EJ, Wiegmann D, et al. A human factors subsystems approach to trauma care. JAMA Surg. 2014;149(9):962-8.
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psnet.ahrq.gov/issue/instrument-count-sheets-and-set-reviews-patient-safety-tools
February 28, 2011 - Commentary
Instrument count sheets and set reviews as patient safety tools.
Citation Text:
Spear J. Instrument Count Sheets and Set Reviews as Patient Safety Tools. AORN J. 2016;104(6):588-592. doi:10.1016/j.aorn.2016.10.007.
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psnet.ahrq.gov/issue/basics-fmea-2nd-edition
October 23, 2013 - Book/Report
Classic
The Basics of FMEA. 2nd ed.
Citation Text:
The Basics of FMEA. 2nd ed. McDermott RE, Mikulak RJ, Beauregard MR. New York, NY: CRC Press; 2009. ISBN: 9781563273773.
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psnet.ahrq.gov/issue/patient-safety-obstetrics-and-gynecology-agenda-future
January 12, 2011 - Commentary
Patient safety in obstetrics and gynecology: an agenda for the future.
Citation Text:
Pearlman MD. Patient safety in obstetrics and gynecology: an agenda for the future. Obstet Gynecol. 2006;108(5):1266-71.
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psnet.ahrq.gov/issue/many-people-color-worry-good-health-care-tied-their-appearance
September 20, 2023 - Newspaper/Magazine Article
Many people of color worry good health care is tied to their appearance.
Citation Text:
Many people of color worry good health care is tied to their appearance. DeGuzman C. KFF Health News. December 5, 2023
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psnet.ahrq.gov/issue/frustrating-case-incident-reporting-systems
June 22, 2022 - Commentary
The frustrating case of incident-reporting systems.
Citation Text:
Shojania KG. The frustrating case of incident-reporting systems. Qual Saf Health Care. 2008;17(6):400-2. doi:10.1136/qshc.2008.029496.
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psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-diagnostic-safety-01
May 19, 2021 - Press Release/Announcement
Common Formats for Patient Safety Data Collection: Diagnostic Safety 0.1.
Citation Text:
Common Formats for Patient Safety Data Collection: Diagnostic Safety 0.1. The Agency for Healthcare Research and Quality. Fed Register. 2021;86(103): 29263-29264.
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psnet.ahrq.gov/issue/patient-safety-20-slaying-dragons-not-just-investigating-them
September 14, 2016 - Commentary
Patient safety 2.0: slaying dragons, not just investigating them.
Citation Text:
Card AJ. Patient safety 2.0: slaying dragons, not just investigating them. J Patient Saf. 2023;19(6):394-395. doi:10.1097/pts.0000000000001140.
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psnet.ahrq.gov/issue/wrong-site-surgery-otolaryngology-head-and-neck-surgery
March 03, 2021 - Review
Wrong site surgery in otolaryngology–head and neck surgery.
Citation Text:
Liou T-N, Nussenbaum B. Wrong site surgery in otolaryngology-head and neck surgery. Laryngoscope. 2014;124(1):104-109. doi:10.1002/lary.24140.
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psnet.ahrq.gov/issue/disclosure-adverse-events-pediatrics
April 21, 2021 - Organizational Policy/Guidelines
Disclosure of adverse events in pediatrics.
Citation Text:
Disclosure of adverse events in pediatrics. McDonnell WM; Altman RL; Bondi SA et al for the Committee on Medical Liability and Risk Management; Council on Quality Improvement and Patient Safety. P…
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psnet.ahrq.gov/issue/building-culture-patient-safety-through-simulation-interprofessional-learning-model
August 21, 2019 - Book/Report
Building a Culture of Patient Safety Through Simulation: An Interprofessional Learning Model.
Citation Text:
Building a Culture of Patient Safety Through Simulation: An Interprofessional Learning Model. Gallo K, Smith LG, eds. New York, NY: Springer Publishing Company; 2015. …
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psnet.ahrq.gov/issue/learning-and-mindfulness-improving-perioperative-patient-safety
January 12, 2022 - Commentary
Learning and mindfulness: improving perioperative patient safety.
Citation Text:
Graling PR, Sanchez JA. Learning and mindfulness: improving perioperative patient safety. AORN J. 2017;105(3):317-321. doi:10.1016/j.aorn.2017.01.006.
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psnet.ahrq.gov/issue/emerging-infections-contact-precautions-controversy
October 12, 2011 - Commentary
Emerging infections: the contact precautions controversy.
Citation Text:
Zastrow RL. Emerging infections: the contact precautions controversy. Am J Nurs. 2011;111(3):47-53. doi:10.1097/10.1097/01.NAJ.0000395242.14347.37.
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psnet.ahrq.gov/issue/group-urges-going-metric-head-dosing-mistakes
December 19, 2017 - Commentary
Group urges going metric to head off dosing mistakes.
Citation Text:
Budnitz DS, Lovegrove MC, Rose KO. Adherence to Label and Device Recommendations for Over-the-Counter Pediatric Liquid Medications. PEDIATRICS. 2014;133(2). doi:10.1542/peds.2013-2362.
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psnet.ahrq.gov/issue/can-you-prevent-adverse-drug-events-after-hospital-discharge
September 09, 2009 - Commentary
Can you prevent adverse drug events after hospital discharge?
Citation Text:
Forster AJ. Can you prevent adverse drug events after hospital discharge? CMAJ. 2006;174(7):921-2.
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psnet.ahrq.gov/issue/doctor-gave-me-inept-diagnosis-neurological-problem-i-should-know-im-neurologist
April 27, 2022 - Newspaper/Magazine Article
A doctor gave me an inept diagnosis for a neurological problem. I should know: I’m a neurologist.
Citation Text:
A doctor gave me an inept diagnosis for a neurological problem. I should know: I’m a neurologist. Horowitz SH. Washington Post. October 4, 2020…
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www.ahrq.gov/cahps/surveys-guidance/item-sets/search.html
August 31, 2025 - Browse Supplemental Items for CAHPS Surveys
Users of standardized CAHPS surveys may incorporate supplemental items in order to meet the needs of their organizations, local markets, and/or audiences. Use the filters at left to identify the supplemental items available for the CAHPS survey of interest. Select an item…
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psnet.ahrq.gov/issue/systems-approach-medicine-controversy-and-misconceptions
June 24, 2020 - Commentary
The systems approach to medicine: controversy and misconceptions.
Citation Text:
Dekker SWA, Leveson NG. The systems approach to medicine: controversy and misconceptions. BMJ Qual Saf. 2015;24(1):7-9. doi:10.1136/bmjqs-2014-003106.
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www.ahrq.gov/cahps/index.html
April 11, 2025 - Consumer Assessment of Healthcare Providers and Systems (CAHPS®)
CAHPS Virtual Research Meeting – September 18
Register now to learn how meaningful patient and family involvement can enhance care experi…
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psnet.ahrq.gov/issue/respectful-management-serious-clinical-adverse-events-second-edition
January 27, 2016 - Book/Report
Classic
Respectful Management of Serious Clinical Adverse Events. Second Edition.
Citation Text:
Respectful Management of Serious Clinical Adverse Events. Second Edition. Conway J, Federico F, Stewart K, Campbell MJ. Cambridge, MA: Institute for Heal…