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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/cause-and-effect-diagram
January 01, 2023 - Cause-and-Effect Diagram
Also Known As
Ishikawa Diagram
Fishbone Diagram
Examples
Roberts L, Johnson C, Shanmugam R, et al. Computer simulation and six-sigma tools applied to process improvement in an emergency department. 17th Annual Society for Health Systems Management Engineering F…
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psnet.ahrq.gov/issue/ahrq-safety-program-improving-surgical-care-and-recovery
December 24, 2008 - Multi-use Website
AHRQ Safety Program for Improving Surgical Care and Recovery.
Citation Text:
AHRQ Safety Program for Improving Surgical Care and Recovery. Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/issue/bar-coded-medication-administration-bcma
December 24, 2008 - Government Resource
Bar-Coded Medication Administration (BCMA).
Citation Text:
Bar-Coded Medication Administration (BCMA). Agency for Healthcare Research and Quality; AHRQ.
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psnet.ahrq.gov/issue/critical-behavior-improve-quality-and-patient-safety-health-care-speaking
March 13, 2019 - Review
As a critical behavior to improve quality and patient safety in health care: speaking up!
Citation Text:
Nacioglu A. As a critical behavior to improve quality and patient safety in health care: speaking up!. Safety in Health. 2016;2(1). doi:10.1186/s40886-016-0021-x.
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psnet.ahrq.gov/issue/medication-errors-associated-documented-allergies
March 18, 2010 - Government Resource
Medication errors associated with documented allergies.
Citation Text:
Medication errors associated with documented allergies. PA-PSRS Patient Saf Advis. September 2008;5:75-80.
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psnet.ahrq.gov/issue/video-games-can-help-cut-surgical-errors
January 23, 2008 - Newspaper/Magazine Article
Video games can help cut surgical errors.
Citation Text:
Video games can help cut surgical errors. Baertlein L.
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psnet.ahrq.gov/issue/learning-invited-reviews
May 29, 2019 - Book/Report
Learning From Invited Reviews.
Citation Text:
Learning From Invited Reviews. London, UK: Royal College of Surgeons of England; 2019.
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psnet.ahrq.gov/issue/pinpoint-beam-strays-invisibly-harming-instead-healing
March 09, 2011 - Newspaper/Magazine Article
A pinpoint beam strays invisibly, harming instead of healing.
Citation Text:
A pinpoint beam strays invisibly, harming instead of healing. Bogdanich W; Rebelo K.
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psnet.ahrq.gov/issue/bellevue-desperate-fight-ensure-patients-safety
September 24, 2014 - Newspaper/Magazine Article
At Bellevue, a desperate fight to ensure the patients' safety.
Citation Text:
At Bellevue, a desperate fight to ensure the patients' safety. Hartocollis A, Bernstein N. New York Times. November 2, 2012:A1.
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psnet.ahrq.gov/issue/reduce-risks-hospitals-enlist-proceduralists
August 17, 2016 - Newspaper/Magazine Article
To reduce risks, hospitals enlist 'proceduralists.'
Citation Text:
To reduce risks, hospitals enlist 'proceduralists.' Landro L.
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psnet.ahrq.gov/issue/wrong-site-surgeries-rise
November 08, 2006 - Newspaper/Magazine Article
'Wrong site' surgeries on the rise.
Citation Text:
'Wrong site' surgeries on the rise. Davis R.
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psnet.ahrq.gov/issue/strategies-addressing-health-care-worker-fatigue
March 28, 2012 - Book/Report
Strategies for Addressing Health Care Worker Fatigue.
Citation Text:
Strategies for Addressing Health Care Worker Fatigue. Oakbrook Terrace, IL: Joint Commission Resources; 2008. ISBN: 9781599402291.
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psnet.ahrq.gov/issue/safe-foundations-junior-doctors-and-patient-safety
October 26, 2007 - Multi-use Website
Safe Foundations: Junior Doctors and Patient Safety.
Citation Text:
Safe Foundations: Junior Doctors and Patient Safety. National Patient Safety Agency.
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psnet.ahrq.gov/issue/agency-healthcare-research-and-qualitys-patient-safety-network
November 02, 2005 - Commentary
The Agency for Healthcare Research and Quality's Patient Safety Network.
Citation Text:
The Agency for Healthcare Research and Quality's Patient Safety Network. Clancy CM; Keyes MA.
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psnet.ahrq.gov/issue/practical-patient-safety
January 29, 2014 - Book/Report
Practical Patient Safety.
Citation Text:
Practical Patient Safety. Reynard J, Reynolds J, Stevenson P. Oxford, UK: Oxford University Press; 2009. ISBN: 9780199239931.
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psnet.ahrq.gov/issue/crico
June 24, 2019 - Multi-use Website
CRICO.
Citation Text:
CRICO. 1325 Boylston Street, Boston, MA 02215
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December 1…
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psnet.ahrq.gov/issue/hospital-harm-project
December 04, 2019 - Toolkit
Hospital Harm Project.
Citation Text:
Hospital Harm Project. Canadian Institute for Health Information, Health Excellence Canada.
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psnet.ahrq.gov/issue/front-line-defense-role-nurses-preventing-sentinel-events-third-edition
November 27, 2018 - Book/Report
Front Line of Defense: The Role of Nurses in Preventing Sentinel Events. Third Edition.
Citation Text:
Front Line of Defense: The Role of Nurses in Preventing Sentinel Events. Third Edition. Oakbrook, IL: Joint Commission Resources; 2018. ISBN: 9781635850611.
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psnet.ahrq.gov/issue/patient-safety-or-0
October 23, 2024 - Newspaper/Magazine Article
Patient safety in the OR.
Citation Text:
Stempniak M. Patient safety in the OR. Hospitals & health networks. 2012;86(10):8 p following 40.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
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psnet.ahrq.gov/issue/over-counter-medicines-benefits-and-dangers
August 05, 2008 - Newspaper/Magazine Article
Over-the-counter medicines' benefits and dangers.
Citation Text:
Over-the-counter medicines' benefits and dangers. Brody JE. New York Times. November 30, 2015.
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