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psnet.ahrq.gov/issue/normalization-deviance-healthcare-delivery
November 19, 2014 - Commentary
The normalization of deviance in healthcare delivery.
Citation Text:
Banja J. The normalization of deviance in healthcare delivery. Bus Horiz. 2010;53(2):139.
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psnet.ahrq.gov/issue/bias-mental-health-diagnosis-gets-way-treatment
April 06, 2022 - Newspaper/Magazine Article
Bias in mental health diagnosis gets in the way of treatment.
Citation Text:
Bias in mental health diagnosis gets in the way of treatment. Garb HN. Psyche. March 22, 2022.
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psnet.ahrq.gov/issue/college-american-pathologists-special-topic-symposium-error-pathology-and-laboratory-medicine
May 31, 2006 - Special or Theme Issue
College of American Pathologists Special Topic Symposium on Error in Pathology and Laboratory Medicine—Practical Lessons for the Pathologist.
Citation Text:
College of American Pathologists Special Topic Symposium on Error in Pathology and Laboratory Medicine—Pra…
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psnet.ahrq.gov/issue/core-entrustable-professional-activities-entering-residency
June 01, 2022 - Book/Report
Core Entrustable Professional Activities for Entering Residency.
Citation Text:
Core Entrustable Professional Activities for Entering Residency. Washington, DC: Association of American Medical Colleges; 2014.
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psnet.ahrq.gov/issue/during-flight-emergencies-sometimes-airlines-medical-kits-fall-short
January 25, 2023 - Newspaper/Magazine Article
During in-flight emergencies, sometimes airlines’ medical kits fall short.
Citation Text:
During in-flight emergencies, sometimes airlines’ medical kits fall short. Ramachandran V. Kaiser Health News. January 6, 2023.
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psnet.ahrq.gov/issue/womans-laborious-search-uncovered-probable-cause-her-searing-abdominal-pain-getting-doctor
March 07, 2007 - Newspaper/Magazine Article
A woman’s laborious search uncovered the probable cause of her searing abdominal pain. Getting a doctor to help was much harder.
Citation Text:
A woman’s laborious search uncovered the probable cause of her searing abdominal pain. Getting a doctor to help was m…
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psnet.ahrq.gov/issue/patient-survival-handbook
February 22, 2006 - Book/Report
The Patient Survival Handbook.
Citation Text:
The Patient Survival Handbook. Powell SM, Stone RD. Peachtree City, GA: Synensis; 2015.
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www.ahrq.gov/teamstepps-program/curriculum/communication/tools/checkback.html
July 01, 2023 - Tool: Check-Back (or Repeat-Back)
A check-back, which is sometimes called a repeat-back, is a closed-loop communication strategy used to verify and validate exchanged information. When a team member calls out information, they typically anticipate a check-back in response to verify that the information was rece…
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www.ahrq.gov/news/newsroom/case-studies/ktcquips32.html
October 01, 2014 - North Dakota Critical Access Hospitals Use AHRQ TeamSTEPPS® to Improve Patient Safety
Search All Impact Case Studies
January 2010
The University of Nebraska Medical Center customized the Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS®) curriculum for use in critical access h…
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psnet.ahrq.gov/issue/quality-and-patient-safety-engaging-your-board-take-lead
April 21, 2015 - Newspaper/Magazine Article
Quality and patient safety. Engaging your board to take the lead.
Citation Text:
Bader BS. Quality and patient safety. Engaging your board to take the lead. Healthcare executive. 2006;21(2):64, 66-7.
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psnet.ahrq.gov/issue/nebraska-coalition-patient-safety-2018-annual-report
July 13, 2022 - Book/Report
Nebraska Coalition for Patient Safety Annual Report.
Citation Text:
Nebraska Coalition for Patient Safety Annual Report. Omaha, NE: Nebraska Coalition for Patient Safety; 2022.
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psnet.ahrq.gov/issue/new-ahrq-sopsr-workplace-safety-supplemental-items-hospitals
May 01, 2017 - Webinar
New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals.
Citation Text:
New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals. Rockville, MD: Agency for Healthcare Research and Quality; December 16, 2021.
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psnet.ahrq.gov/issue/team-training-program-using-human-factors-enhance-patient-safety
January 24, 2024 - Commentary
A team training program using human factors to enhance patient safety.
Citation Text:
Marshall DA, Manus DA. A Team Training Program Using Human Factors to Enhance Patient Safety. AORN J. 2007;86(6). doi:10.1016/j.aorn.2007.11.026.
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psnet.ahrq.gov/issue/patient-safety-and-patient-error
June 02, 2010 - Commentary
Patient safety and patient error.
Citation Text:
Buetow S, Elwyn G. Patient safety and patient error. Lancet. 2007;369(9556):158-61.
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psnet.ahrq.gov/issue/feds-move-rein-prior-authorization-system-harms-and-frustrates-patients
June 01, 2022 - Newspaper/Magazine Article
Feds move to rein in prior authorization, a system that harms and frustrates patients.
Citation Text:
Feds move to rein in prior authorization, a system that harms and frustrates patients. Sausser L. Kaiser Health News. March 13, 2023.
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psnet.ahrq.gov/issue/adverse-outpatient-drug-events-problem-and-opportunity
April 12, 2011 - Commentary
Adverse outpatient drug events—a problem and an opportunity.
Citation Text:
Tierney WM. Adverse outpatient drug events--a problem and an opportunity. N Engl J Med. 2003;348(16):1587-9.
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www.ahrq.gov/policymakers/chipra/cpcf-form1.html
July 01, 2018 - Candidate Measure Submission Form (CPCF)
CHIPRA Pediatric Quality Measures Program (PQMP)
The CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) was approved by the Office of Management and Budget (OMB) in accordance with the Paperwork Reduction Act. The OMB Control Num…
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psnet.ahrq.gov/issue/electronic-data-collection-using-medwatchplus-portal-and-rational-questionnaire
July 03, 2013 - Government Resource
Electronic data collection using MedWatchPlus portal and rational questionnaire.
Citation Text:
Electronic data collection using MedWatchPlus portal and rational questionnaire. Shuren J. Federal Register. October 23, 2008;73:63153-63157.
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psnet.ahrq.gov/issue/art-apology-when-and-how-seek-forgiveness
May 17, 2023 - Commentary
The art of apology: when and how to seek forgiveness.
Citation Text:
The art of apology: when and how to seek forgiveness. Roberts RG. Fam Pract Manag. 2007;14(7):44-49.
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psnet.ahrq.gov/issue/white-blood-cell-left-shift-neonate-case-mistaken-identity
March 30, 2022 - Commentary
White blood cell left shift in a neonate: a case of mistaken identity.
Citation Text:
White blood cell left shift in a neonate: a case of mistaken identity. Mohamed IS; Wynn RJ; Cominsky K; Reynolds AM; Ryan RM; Kumar VH; Lakshminrusimha S.
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