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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh2.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibit 2. Number of procedures stratified by hospital and types between 2008 and 2009
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Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast3-gandhi.pdf
January 01, 2018 - New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - Optimizing (Gandhi)
Optimizing
the Use of HIT
to Improve
Safety
Tejal Gandhi
Handwriting
16
Ways IT Can Improve Safety
• Prevent errors and adverse events
• Facilitating a more rapid response after an
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psnet.ahrq.gov/issue/information-technology-cannot-guarantee-patient-safety
March 14, 2022 - Commentary
Information technology cannot guarantee patient safety.
Citation Text:
de Wildt SN, Verzijden R, van den Anker JN, et al. Information technology cannot guarantee patient safety. BMJ. 2007;334(7598):851-2.
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psnet.ahrq.gov/issue/rating-medical-emergency-teamwork-performance-development-team-emergency-assessment-measure
January 13, 2010 - Study
Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM).
Citation Text:
Cooper S, Cant R, Porter J, et al. Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM). Resuscitation. …
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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/your-code-cart-ready
August 30, 2017 - Newspaper/Magazine Article
Is your code cart ready?
Citation Text:
Cohen ML. Is your code cart ready? Medical economics. 2005;82(18):45-6, 48.
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psnet.ahrq.gov/issue/when-things-go-wrong-how-health-care-organizations-deal-major-failures
March 13, 2013 - Commentary
Classic
When things go wrong: how health care organizations deal with major failures.
Citation Text:
Walshe K, Shortell SM. When things go wrong: how health care organizations deal with major failures. Health Aff (Millwood). 2004;23(3):103-11.
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psnet.ahrq.gov/issue/clinical-dilemmas-and-review-strategies-manage-drug-shortages
August 04, 2021 - Review
Clinical dilemmas and a review of strategies to manage drug shortages.
Citation Text:
Rider AE, Templet DJ, Daley MJ, et al. Clinical dilemmas and a review of strategies to manage drug shortages. J Pharm Pract. 2013;26(3):183-91. doi:10.1177/0897190013482332.
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psnet.ahrq.gov/issue/perruche-case-and-issue-compensation-consequences-medical-error
July 31, 2024 - Commentary
The Perruche case and the issue of compensation for the consequences of medical error.
Citation Text:
Costich JF. The Perruche case and the issue of compensation for the consequences of medical error. Health Policy (New York). 2006;78(1):8-16.
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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/diagnostic-overshadowing-dentistry
March 13, 2024 - Commentary
Diagnostic overshadowing in dentistry.
Citation Text:
Clough S, Handley P. Diagnostic overshadowing in dentistry. Br Dent J. 2019;227(4):311-315. doi:10.1038/s41415-019-0623-x.
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psnet.ahrq.gov/issue/common-errors-computer-electrocardiogram-interpretation
May 08, 2024 - Study
Common errors in computer electrocardiogram interpretation.
Citation Text:
Guglin ME, Thatai D. Common errors in computer electrocardiogram interpretation. Int J Cardiol. 2006;106(2):232-7.
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psnet.ahrq.gov/issue/evaluation-interprofessional-team-training-program-improve-use-patient-safety-strategies
May 18, 2022 - Study
Evaluation of an interprofessional team training program to improve the use of patient safety strategies among healthcare professions students.
Citation Text:
Evaluation of an interprofessional team training program to improve the use of patient safety strategies among healthcare p…
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psnet.ahrq.gov/issue/orienting-frames-and-private-routines-role-cultural-process-critical-care-safety
December 31, 2014 - Study
Orienting frames and private routines: the role of cultural process in critical care safety.
Citation Text:
Hazlehurst B, McMullen C. Orienting frames and private routines: the role of cultural process in critical care safety. Int J Med Inform. 2007;76 Suppl 1:S129-35.
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psnet.ahrq.gov/issue/closed-medical-negligence-claims-can-drive-patient-safety-and-reduce-litigation
February 05, 2020 - Review
Closed medical negligence claims can drive patient safety and reduce litigation.
Citation Text:
Pegalis SE, Bal S. Closed medical negligence claims can drive patient safety and reduce litigation. Clin Orthop Relat Res. 2012;470(5):1398-404. doi:10.1007/s11999-012-2308-5.
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psnet.ahrq.gov/issue/quality-and-safety-artificial-intelligence-generated-health-information
October 19, 2022 - Commentary
Quality and safety of artificial intelligence generated health information.
Citation Text:
Sorich MJ, Menz BD, Hopkins AM. Quality and safety of artificial intelligence generated health information. BMJ. 2024;384:q596. doi:10.1136/bmj.q596.
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psnet.ahrq.gov/issue/assessing-diagnostic-performance
May 13, 2020 - Review
Assessing diagnostic performance.
Citation Text:
Cosby K, Yang D, Fineberg HV. Assessing diagnostic performance. NEJM Evid. 2024;3(2):EVIDra2300232. doi:10.1056/evidra2300232.
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psnet.ahrq.gov/issue/systems-approach-address-impact-second-victim-phenomenon
December 07, 2022 - Commentary
A systems approach to address the impact of second victim phenomenon.
Citation Text:
Gamble B, Gamble KJ. A systems approach to address the impact of second victim phenomenon. Health Serv Manage Res. 2022;35(2):110-113. doi:10.1177/0951484820971455.
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psnet.ahrq.gov/issue/development-patient-safety-culture-measurement-tool-ambulatory-health-care-settings-analysis
October 03, 2011 - Study
Development of a patient safety culture measurement tool for ambulatory health care settings: analysis of content validity.
Citation Text:
Schutz AL, Counte MA, Meurer S. Development of a patient safety culture measurement tool for ambulatory health care settings: analysis of con…
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psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-individual-lifetime-achievement-jeffrey-b-cooper-phd
November 11, 2020 - Award Recipient
John M. Eisenberg Patient Safety Awards. Individual lifetime achievement: Jeffrey B. Cooper, Ph.D., Massachusetts General Hospital.
Citation Text:
Cooper JB. John M. Eisenberg Patient Safety Awards. Individual lifetime achievement: Jeffrey B. Cooper, Ph.D., Massachusetts …