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psnet.ahrq.gov/issue/adverse-events-0
September 20, 2011 - Multi-use Website
Adverse Events.
Citation Text:
Adverse Events. United States Office of the Inspector General: 2010-2023.
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psnet.ahrq.gov/issue/pridx-framework-engage-payers-reducing-diagnostic-errors-healthcare
January 22, 2025 - Commentary
The PRIDx framework to engage payers in reducing diagnostic errors in healthcare.
Citation Text:
Ali KJ, Goeschel CA, DeLia DM, et al. The PRIDx framework to engage payers in reducing diagnostic errors in healthcare. Diagnosis (Berl). 2024;11(1):17-24. doi:10.1515/dx-2023-0042…
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psnet.ahrq.gov/issue/acog-committee-opinion-681-disclosure-and-discussion-adverse-events
May 22, 2019 - Commentary
ACOG Committee Opinion #681: disclosure and discussion of adverse events.
Citation Text:
Improvement C on PS and Q. Committee Opinion No. 681: Disclosure and Discussion of Adverse Events. Obstet Gynecol. 2016;128(6):e257-e261.
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psnet.ahrq.gov/issue/three-australian-whistleblowing-sagas-lessons-internal-and-external-regulation
August 17, 2005 - Study
Three Australian whistleblowing sagas: lessons for internal and external regulation.
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Faunce TA, Bolsin SNC. Three Australian whistleblowing sagas: lessons for internal and external regulation. Med J Aust. 2004;181(1):44-7.
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psnet.ahrq.gov/issue/discharge-mental-health-care-making-it-safe-and-patient-centred
October 07, 2020 - Book/Report
Discharge from Mental Health Care: Making it Safe and Patient-centred.
Citation Text:
Discharge from Mental Health Care: Making it Safe and Patient-centred. Manchester, UK: Parliamentary and Health Service Ombudsman; March 2024.
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psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
May 01, 2016 - This standard provides recommendations with regard to indications, timeframes, and strategies to improve
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psnet.ahrq.gov/perspective/ehr-copy-and-paste-and-patient-safety
January 01, 2018 - Finally, we need to examine a variety of strategies—both technological and otherwise—to see their impact
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psnet.ahrq.gov/issue/2023-ihi-patient-safety-congress
October 06, 2022 - United States Meeting/Conference
2023 IHI Patient Safety Congress.
Citation Text:
Institute for Healthcare Improvement. Gaylord National Resort and Convention Center, National Harbor, MD, May 22–24, 2023.
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psnet.ahrq.gov/issue/understanding-interrater-reliability-and-validity-risk-assessment-tools-used-predict-adverse
July 19, 2023 - Commentary
Understanding interrater reliability and validity of risk assessment tools used to predict adverse clinical events.
Citation Text:
Siedlecki SL, Albert NM. Understanding Interrater Reliability and Validity of Risk Assessment Tools Used to Predict Adverse Clinical Events. Clin …
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psnet.ahrq.gov/issue/empirical-investigation-channels-facilitate-total-quality-culture
December 21, 2022 - Study
An empirical investigation of the channels that facilitate a total quality culture.
Citation Text:
Gallear D, Ghobadian A. An Empirical Investigation of the Channels that Facilitate a Total Quality Culture. Total Quality Management & Business Excellence. 2004;15(8). doi:10.1080/14…
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psnet.ahrq.gov/issue/organizational-culture-and-its-implications-infection-prevention-and-control-healthcare
October 06, 2010 - Review
Organizational culture and its implications for infection prevention and control in healthcare institutions.
Citation Text:
De Bono S, Heling G, Borg MA. Organizational culture and its implications for infection prevention and control in healthcare institutions. J Hosp Infect. 20…
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psnet.ahrq.gov/issue/inpatient-fall-prevention-use-room-webcams
July 19, 2023 - Study
Inpatient fall prevention: use of in-room Webcams.
Citation Text:
Hardin SR, Dienemann J, Rudisill P, et al. Inpatient fall prevention: use of in-room Webcams. J Patient Saf. 2013;9(1):29-35. doi:10.1097/PTS.0b013e3182753e4f.
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psnet.ahrq.gov/issue/nurse-prescribing-reflections-safety-practice
June 21, 2017 - Study
Nurse prescribing: reflections on safety in practice.
Citation Text:
Bradley E, Hynam B, Nolan P. Nurse prescribing: reflections on safety in practice. Soc Sci Med. 2007;65(3):599-609.
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psnet.ahrq.gov/issue/patient-safety-learning-aviation-industry
September 03, 2011 - Commentary
Patient safety: learning from the aviation industry.
Citation Text:
Kosnik LK, Brown J, Maund T. Patient safety: learning from the aviation industry. Nurs Manage. 2007;38(1):25-30; quiz 31.
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psnet.ahrq.gov/issue/monitoring-teamwork-narrative-review
November 06, 2015 - Review
Monitoring teamwork: a narrative review.
Citation Text:
Rutherford JS. Monitoring teamwork: a narrative review. Anaesthesia. 2017;72 Suppl 1:84-94. doi:10.1111/anae.13744.
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psnet.ahrq.gov/issue/medical-errors-disclosure-styles-interpersonal-forgiveness-and-outcomes
June 14, 2017 - Study
Medical errors: disclosure styles, interpersonal forgiveness, and outcomes.
Citation Text:
Hannawa AF, Shigemoto Y, Little TD. Medical errors: Disclosure styles, interpersonal forgiveness, and outcomes. Social Sci Med. 2016;156:29-38. doi:10.1016/j.socscimed.2016.03.026.
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psnet.ahrq.gov/issue/nexus-nursing-leadership-and-culture-safer-patient-care
January 18, 2018 - Review
The nexus of nursing leadership and a culture of safer patient care.
Citation Text:
Murray M, Sundin D, Cope V. The nexus of nursing leadership and a culture of safer patient care. J Clin Nurs. 2018;27(5-6):1287-1293. doi:10.1111/jocn.13980.
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psnet.ahrq.gov/issue/single-patient-rooms-safe-patient-centered-hospitals
April 01, 2016 - Commentary
Single-patient rooms for safe patient-centered hospitals.
Citation Text:
Detsky ME. Single-Patient Rooms for Safe Patient-Centered Hospitals. JAMA. 2008;300(8). doi:10.1001/jama.300.8.954.
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psnet.ahrq.gov/issue/disclosure-programmes-us-inadequate-response-medical-error
October 25, 2023 - Commentary
Disclosure programmes in the US--an inadequate response to medical error.
Citation Text:
Handley GM. Disclosure programmes in the US—an inadequate response to medical error. BMJ. 2024;385:q1318. doi:10.1136/bmj.q1318.
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psnet.ahrq.gov/issue/creating-comprehensive-unit-based-approach-detecting-and-preventing-harm-neonatal-intensive
December 15, 2021 - Commentary
Creating a comprehensive, unit-based approach to detecting and preventing harm in the neonatal intensive care unit.
Citation Text:
Creating a comprehensive, unit-based approach to detecting and preventing harm in the neonatal intensive care unit. Sedlock EW, Ottosen M, Nether …