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  1. psnet.ahrq.gov/issue/establishing-simulation-center-surgical-skills-what-do-and-how-do-it
    January 18, 2012 - Meeting/Conference Proceedings Establishing a simulation center for surgical skills: what to do and how to do it. Citation Text: Haluck RS, Satava RM, Fried G, et al. Establishing a simulation center for surgical skills: what to do and how to do it. Copy Citation Format: …
  2. psnet.ahrq.gov/issue/hospitals-will-still-have-share-safety-data-publicly-cms-will-publish-scorecard-avoidable
    March 27, 2024 - Newspaper/Magazine Article Hospitals will still have to share safety data publicly—CMS will publish scorecard of avoidable patient harm after all. Citation Text: Hospitals will still have to share safety data publicly—CMS will publish scorecard of avoidable patient harm after all. Clark …
  3. psnet.ahrq.gov/issue/implementing-met-based-rrs-toronto-general-hospital
    January 11, 2017 - Commentary Implementing an MET-based RRS at Toronto General Hospital. Citation Text: Warner MB, Reynolds SF. Implementing an MET-based RRS at Toronto General Hospital. Jt Comm J Qual Patient Saf. 2008;34(1):57-9, 1. Copy Citation Format: Google Scholar PubMed BibTeX EndNote…
  4. psnet.ahrq.gov/issue/trail-quality-and-safety-health-care
    December 17, 2009 - Commentary On the trail of quality and safety in health care. Citation Text: Grol R, Berwick DM, Wensing M. On the trail of quality and safety in health care. BMJ. 2008;336(7635):74-6. doi:10.1136/bmj.39413.486944.AD. Copy Citation Format: DOI Google Scholar PubMed BibTeX…
  5. psnet.ahrq.gov/issue/manic-medication-safety-bar-codes-and-drug-information-databases-are-helping-reduce
    October 19, 2010 - Newspaper/Magazine Article Manic for medication safety: bar codes and drug information databases are helping to reduce medication errors. Citation Text: Rogoski RR. Manic for medication safety. Health management technology. 2007;28(2):14, 16-8. Copy Citation Format: Googl…
  6. psnet.ahrq.gov/issue/2021-john-m-eisenberg-patient-safety-and-quality-awards
    August 02, 2023 - Award Recipient The 2021 John M. Eisenberg Patient Safety and Quality Awards. Citation Text: The 2021 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2022;48(8):365-424. Copy Citation Save Save to your library Print Dow…
  7. psnet.ahrq.gov/issue/british-nurse-was-found-guilty-killing-seven-babies-did-she-do-it
    July 28, 2021 - Newspaper/Magazine Article British nurse was found guilty of killing seven babies. Did she do it? Citation Text: British nurse was found guilty of killing seven babies. Did she do it? Aviv R. New Yorker. May 20, 2024. Copy Citation Save Save to your library …
  8. psnet.ahrq.gov/issue/concept-analysis-wrong-site-surgery
    June 11, 2014 - Review Concept analysis: wrong-site surgery. Citation Text: Watson DS. Concept analysis: wrong-site surgery. AORN J. 2015;101(6):650-6. doi:10.1016/j.aorn.2015.03.012. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…
  9. www.ahrq.gov/talkingquality/plan/manage.html
    November 01, 2018 - How Will You Manage a Health Care Quality Reporting Project? Managing a quality reporting project requires forethought, patience, and creativity. While detailed advice on how to manage this kind of effort is beyond the scope of TalkingQuality, this page offers some basic guidance to help you keep your project…
  10. psnet.ahrq.gov/issue/some-health-workers-suffering-addiction-steal-drugs-meant-patients
    October 28, 2020 - Audiovisual Some health workers suffering from addiction steal drugs meant for patients. Citation Text: Some health workers suffering from addiction steal drugs meant for patients. Mann B. All Things Considered. National Public Radio. October 5, 2020. Copy Citation …
  11. psnet.ahrq.gov/issue/monitoring-patient-safety-health-care-building-case-surrogate-measures
    June 23, 2009 - Commentary Monitoring patient safety in health care: building the case for surrogate measures. Citation Text: Gaynes RP, Platt R. Monitoring patient safety in health care: building the case for surrogate measures. Jt Comm J Qual Patient Saf. 2006;32(2):95-101. Copy Citation Forma…
  12. psnet.ahrq.gov/issue/my-life-was-upended-35-years-cancer-diagnosis-doctor-just-told-me-i-was-misdiagnosed
    April 11, 2018 - Newspaper/Magazine Article My life was upended for 35 years by a cancer diagnosis. A doctor just told me I was misdiagnosed. Citation Text: My life was upended for 35 years by a cancer diagnosis. A doctor just told me I was misdiagnosed. Henigson J. Washington Post. March 26, 2021. …
  13. psnet.ahrq.gov/issue/top-penn-state-health-surgeon-warned-leaders-about-transplant-problems-months-shutdown-then
    July 18, 2018 - Newspaper/Magazine Article Top Penn State Health surgeon warned leaders about transplant problems months before shutdown. Then he was let go. Citation Text: Top Penn State Health surgeon warned leaders about transplant problems months before shutdown. Then he was let go. Massey W, Keith …
  14. psnet.ahrq.gov/issue/surgical-simulation-systematic-review
    June 15, 2011 - Review Surgical simulation: a systematic review. Citation Text: Sutherland LM, Middleton PF, Anthony A, et al. Surgical simulation: a systematic review. Ann Surg. 2006;243(3):291-300. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …
  15. psnet.ahrq.gov/issue/performance-improvement-plan-increase-nurse-adherence-use-medication-safety-software
    March 13, 2024 - Commentary A performance improvement plan to increase nurse adherence to use of medication safety software. Citation Text: Gavriloff C. A Performance Improvement Plan to Increase Nurse Adherence to Use of Medication Safety Software. J Pediatr Nurs. 2011;27(4). doi:10.1016/j.pedn.2011.0…
  16. psnet.ahrq.gov/issue/neuroscience-critical-care-role-advanced-practice-nurse-patient-safety
    September 21, 2009 - Commentary Neuroscience critical care: the role of the advanced practice nurse in patient safety. Citation Text: Phillips J. Neuroscience critical care: the role of the advanced practice nurse in patient safety. AACN Clin Issues. 2005;16(4):581-592. Copy Citation Format: …
  17. psnet.ahrq.gov/issue/ambiguities-chronic-illness-management-and-challenges-medical-error-paradigm
    July 02, 2014 - Study Ambiguities of chronic illness management and challenges to the medical error paradigm. Citation Text: Lutfey KE, Freese J. Ambiguities of chronic illness management and challenges to the medical error paradigm. Soc Sci Med. 2007;64(2):314-25. Copy Citation Format: …
  18. www.ahrq.gov/hai/tools/surgery/modules/sustainability/spreading-slides.html
    December 01, 2017 - Sustaining and Spreading Surgical Safety Improvements: Slide Presentation AHRQ Safety Program for Surgery Slide 1: AHRQ Safety Program for Surgery—Sustainability Sustaining and Spreading Surgical Safety Improvements Slide 2: Learning Objectives After this session, you will be able to– Define sus…
  19. psnet.ahrq.gov/issue/prevention-medical-accidents-caused-defective-surgical-instruments
    July 31, 2019 - Study Prevention of medical accidents caused by defective surgical instruments. Citation Text: Yasuhara H, Fukatsu K, Komatsu T, et al. Prevention of medical accidents caused by defective surgical instruments. Surgery. 2012;151(2):153-61. doi:10.1016/j.surg.2011.06.029. Copy Citation…
  20. psnet.ahrq.gov/issue/systems-approach-patient-centered-care
    November 21, 2021 - Commentary A systems approach to patient-centered care. Citation Text: Bergeson SC, Dean JD. A systems approach to patient-centered care. JAMA. 2006;296(23):2848-51. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…