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psnet.ahrq.gov/issue/lessons-learned-death-outside-hospitals-doorstep
October 30, 2019 - Newspaper/Magazine Article
Lessons learned from a death outside a hospital's doorstep.
Citation Text:
Lessons learned from a death outside a hospital's doorstep. Palmer J. Patient Saf Qual Healthc. May/June 2019.
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psnet.ahrq.gov/issue/national-action-alliance-advance-patient-safety-webinar-series
April 01, 2024 - Webinar
National Action Alliance to Advance Patient and Workforce Safety Webinar Series.
Citation Text:
National Action Alliance to Advance Patient and Workforce Safety Webinar Series. US Department of Health and Human Services. 2023-2025.
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psnet.ahrq.gov/issue/reducing-latent-errors-drift-errors-and-stakeholder-dissonance
December 14, 2010 - Commentary
Reducing latent errors, drift errors, and stakeholder dissonance.
Citation Text:
Reducing latent errors, drift errors, and stakeholder dissonance. Samaras GM. Work: J Prev Assess Rehabil. 2012;41:1948-1955.
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digital.ahrq.gov/ahrq-funded-projects/effective-use-e-prescribing-physician-practices-and-pharmacies/annual-summary/2010
January 01, 2010 - Effective Use of e-Prescribing in Physician Practices and Pharmacies - 2010
Project Name
Effective Use of e-Prescribing in Physician Practices and Pharmacies
Principal Investigator
Grossman, Joy
Organization
Center for Studying Health System Change
Contract Number
2…
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-support-clinical-decision-making-obesity-care/annual-summary/2010
January 01, 2010 - Health Information Technology to Support Clinical Decision Making in Obesity Care - 2010
Project Name
Health Information Technology to Support Clinical Decision Making in Obesity Care
Principal Investigator
Gance-Cleveland, Bonnie
Organization
Arizona State University - Tempe…
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psnet.ahrq.gov/issue/er-doctors-misdiagnose-patients-unusual-symptoms
August 05, 2008 - Newspaper/Magazine Article
ER doctors misdiagnose patients with unusual symptoms.
Citation Text:
ER doctors misdiagnose patients with unusual symptoms. Abelson R. New York Times. December 15, 2022.
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psnet.ahrq.gov/issue/adaptive-expertise-medical-decision-making
September 18, 2024 - Commentary
Emerging Classic
Adaptive expertise in medical decision making.
Citation Text:
Croskerry P. Adaptive expertise in medical decision making. Med Teach. 2018;40(8):803-808. doi:10.1080/0142159X.2018.1484898.
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psnet.ahrq.gov/issue/making-complaints-count-supporting-complaints-handling-nhs-and-uk-government-departments
July 19, 2023 - Book/Report
Making Complaints Count: Supporting Complaints Handling in the NHS and UK Government Departments.
Citation Text:
Making Complaints Count: Supporting Complaints Handling in the NHS and UK Government Departments. Manchester, UK: The Parliamentary and Health Service Ombudsman; J…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/andre-b-et-al-2008
January 01, 2008 - Andre B et al. 2008 "Experiences with the implementation of computerized tools in health care units: a review article."
Reference
Andre B, Ringdal GI, Loge JH, et al. Experiences with the implementation of computerized tools in health care units: a review article. Int J Hum Comput Interact 2008;24(8):…
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psnet.ahrq.gov/issue/power-predict-leveraging-medical-malpractice-data-reduce-patient-harm-and-financial-loss
July 18, 2018 - Webinar
The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient Harm and Financial Loss.
Citation Text:
The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient Harm and Financial Loss. Cambridge, MA; CRICO Strategies: July 14, 2020.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/christakis-da-et-al
January 01, 2023 - Christakis DA et al. 2001 "A randomized controlled trial of point-of-care evidence to improve the antibiotic prescribing practices for otitis media in children."
Reference
Christakis DA, Zimmerman FJ, Wright JA, et al. A randomized controlled trial of point-of-care evidence to improve the antibiotic p…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/zind-b-2009-response
January 01, 2009 - Zind B 2009 "Response to request for information by Barbara Zind, physician in a family practice, on August 3, 2009."
Reference
Zind B. Response to request for information (RFI) by Barbara Zind, physician in a family practice, on August 3, 2009. Agency for Healthcare Research and Quality; 2009.
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psnet.ahrq.gov/issue/naval-aviation-safety-and-its-application-medicine
June 01, 2016 - Newspaper/Magazine Article
Naval aviation safety and its application to medicine.
Citation Text:
Naval aviation safety and its application to medicine. Harmon KT. Patient Saf Qual Healthc. March/April 2006.
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psnet.ahrq.gov/issue/pact-collaborative-pathway-accountability-compassion-and-transparency
February 05, 2014 - Multi-use Website
PACT Collaborative: Pathway to Accountability, Compassion and Transparency.
Citation Text:
PACT Collaborative: Pathway to Accountability, Compassion and Transparency. Ariadne Labs, Brigham and Women’s Hospital, Harvard TH Chan School of Public Health.
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psnet.ahrq.gov/issue/error-prone-conditions-lead-student-nurse-related-errors
October 31, 2012 - Newspaper/Magazine Article
Error-prone conditions that lead to student nurse-related errors.
Citation Text:
Error-prone conditions that lead to student nurse-related errors. ISMP Medication Safety Alert! Acute care edition. October 18, 2007.
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psnet.ahrq.gov/issue/disrespectful-behaviors-part-1-and-part-2
June 10, 2018 - Newspaper/Magazine Article
Disrespectful behaviors—part 1 and part 2.
Citation Text:
Disrespectful behaviors—part 1 and part 2. ISMP Medication Safety Alert! Acute care edition. October 3, 2013;18:1-4. April 24, 2014;19:1-4.
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psnet.ahrq.gov/issue/call-action-safeguarding-integrity-healthcare-quality-and-safety-systems
November 09, 2022 - Book/Report
Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety Systems.
Citation Text:
Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety Systems. Glenview, IL: National Association of Healthcare Quality; October 2012.
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psnet.ahrq.gov/issue/manage-staff-fatigue-improve-patient-safety
March 01, 2007 - Newspaper/Magazine Article
Manage staff fatigue to improve patient safety.
Citation Text:
Spath P. Manage staff fatigue to improve patient safety. Part 2 of 2. Hospital peer review. 2006;31(5):70-2.
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psnet.ahrq.gov/issue/medical-liability-new-ideals-making-system-work-better-patients
May 18, 2011 - Congressional Testimony
Medical Liability: New Ideals for Making the System Work Better for Patients.
Citation Text:
Medical Liability: New Ideals for Making the System Work Better for Patients. Hearing before Senate Committee on Health Education Labor and Pensions (June 22, 2006).
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-final-rule
December 24, 2008 - Government Resource
Patient Safety and Quality Improvement; Final Rule.
Citation Text:
Patient Safety and Quality Improvement; Final Rule. US Department of Health and Human Services; Agency for Healthcare Research and Quality; Federal Register. November 21, 2008;73:70731-70814.
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