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psnet.ahrq.gov/issue/governing-surgical-count-through-communication-interactions-implications-patient-safety
November 06, 2015 - Study
Governing the surgical count through communication interactions: implications for patient safety.
Citation Text:
Riley R, Manias E, Polglase A. Governing the surgical count through communication interactions: implications for patient safety. Qual Saf Health Care. 2006;15(5):369-3…
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psnet.ahrq.gov/issue/simple-checklist-preventing-major-complications-associated-cesarean-delivery
January 10, 2024 - Commentary
A simple checklist for preventing major complications associated with cesarean delivery.
Citation Text:
Duff P. A simple checklist for preventing major complications associated with cesarean delivery. Obstet Gynecol. 2010;116(6):1393-1396. doi:10.1097/AOG.0b013e3181fae763.
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psnet.ahrq.gov/issue/hospitals-slow-adopt-patient-apology-policies
April 22, 2016 - Newspaper/Magazine Article
Hospitals slow to adopt patient apology policies.
Citation Text:
Rice S. Hospitals slow to adopt patient apology policies. Modern healthcare. 2015;45(33):16, 29-30.
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psnet.ahrq.gov/issue/challenge-competency-assessment-late-career-practitioner
July 15, 2020 - Commentary
The challenge of competency assessment of the late-career practitioner.
Citation Text:
Steffany M. The challenge of competency assessment of the late‐career practitioner. J Healthc Risk Manag. 2022;41(3):31-38. doi:10.1002/jhrm.21492.
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psnet.ahrq.gov/issue/silent-epidemic-health-effects-illiteracy
January 12, 2011 - Commentary
The silent epidemic--the health effects of illiteracy.
Citation Text:
Marcus EN. The silent epidemic--the health effects of illiteracy. N Engl J Med. 2006;355(4):339-41.
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psnet.ahrq.gov/issue/patient-safety-part-i-patient-safety-and-dermatologist
June 07, 2008 - Review
Patient safety: Part I. Patient safety and the dermatologist.
Citation Text:
Elston DM, Taylor JS, Coldiron BM, et al. Patient safety. J Am Acad Dermatol. 2009;61(2):179-190. doi:10.1016/j.jaad.2009.04.056.
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www.ahrq.gov/faqs/index.html?page=27
June 12, 2025 - Frequently Asked Questions
Check to find the answers to your questions about the Agency for Healthcare Research and Quality (AHRQ)
programs and activities. You can search by category or key words. You can also send us your questions or website
feedback here. We will respond to your requests based on the bes…
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psnet.ahrq.gov/issue/leadership-oversight-patient-safety-programs-essential-element
October 03, 2017 - Commentary
Leadership oversight for patient safety programs: an essential element.
Citation Text:
Moffatt-Bruce SD, Clark S, DiMaio M, et al. Leadership Oversight for Patient Safety Programs: An Essential Element. Ann Thorac Surg. 2017;105(2):351-356. doi:10.1016/j.athoracsur.2017.11.021…
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psnet.ahrq.gov/issue/implementing-safe-and-reliable-process-medication-administration
June 22, 2022 - Commentary
Implementing a safe and reliable process for medication administration.
Citation Text:
Richardson B, Bromirski B, Hayden A. Implementing a safe and reliable process for medication administration. Clin Nurse Spec. 2012;26(3):169-76. doi:10.1097/NUR.0b013e3182503fbe.
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psnet.ahrq.gov/issue/toward-modelling-safety-violations-healthcare-systems
May 01, 2024 - Commentary
Toward the modelling of safety violations in healthcare systems.
Citation Text:
Catchpole K. Toward the modelling of safety violations in healthcare systems. BMJ Qual Saf. 2013;22(9):705-9. doi:10.1136/bmjqs-2012-001604.
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psnet.ahrq.gov/issue/disclosure-adverse-events-pediatrics
April 21, 2021 - Organizational Policy/Guidelines
Disclosure of adverse events in pediatrics.
Citation Text:
Disclosure of adverse events in pediatrics. McDonnell WM; Altman RL; Bondi SA et al for the Committee on Medical Liability and Risk Management; Council on Quality Improvement and Patient Safety. P…
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psnet.ahrq.gov/issue/identification-and-prevention-common-adverse-drug-events-intensive-care-unit
December 16, 2020 - Special or Theme Issue
Identification and Prevention of Common Adverse Drug Events in the Intensive Care Unit.
Citation Text:
Identification and Prevention of Common Adverse Drug Events in the Intensive Care Unit. Papadopoulos J, Kane-Gill SL, Cooper B, eds. Crit Care Med. 2010;38:(s…
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psnet.ahrq.gov/issue/patient-centered-care-improvement-guide
June 10, 2020 - Book/Report
Patient-Centered Care Improvement Guide.
Citation Text:
Patient-Centered Care Improvement Guide. Frampton S, Guastello S, Brady C, et al. Derby, CT: Planetree; Camden, ME: Picker Institute; 2008.
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psnet.ahrq.gov/issue/second-victim-traumatic-experience
October 06, 2016 - Commentary
Second victim: a traumatic experience.
Citation Text:
Second victim: a traumatic experience. Wands B. AANA J. 2021;89(2):168-174.
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psnet.ahrq.gov/issue/medical-emergency-team-implementation-experiences-mentor-hospital
November 21, 2016 - Commentary
Medical emergency team implementation: experiences of a mentor hospital.
Citation Text:
Jamieson E, Ferrell C, Rutledge DN. Medical emergency team implementation: experiences of a mentor hospital. Medsurg Nurs. 2008;17(5):312-6, 323.
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psnet.ahrq.gov/issue/nurses-sleep-work-hours-and-patient-care-quality-and-safety
April 23, 2012 - Study
Nurses' sleep, work hours, and patient care quality, and safety
Citation Text:
Nurses' sleep, work hours, and patient care quality, and safety Stimpfel AW, Fatehi F, Kovner C. Sleep Health. 2020;6(3):314-320.
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psnet.ahrq.gov/issue/iatrogenic-harm-cost-equation-and-new-technology
January 24, 2024 - Commentary
The iatrogenic-harm cost equation and new technology.
Citation Text:
Webster CS. The iatrogenic-harm cost equation and new technology. Anaesthesia. 2005;60(9). doi:10.1111/j.1365-2044.2005.04331.x.
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psnet.ahrq.gov/issue/mistakes-and-disclosure
October 19, 2022 - Commentary
Mistakes and disclosure.
Citation Text:
Winter RO, Birnberg BA. Mistakes and disclosure. Fam Med. 2008;40(4):245-7.
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psnet.ahrq.gov/issue/strengthening-medical-error-meme-pool
August 08, 2012 - Commentary
Strengthening the medical error "meme pool."
Citation Text:
Mazer BL, Nabhan C. Strengthening the Medical Error "Meme Pool". J Gen Intern Med. 2019;34(10):2264-2267. doi:10.1007/s11606-019-05156-7.
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psnet.ahrq.gov/issue/quality-pharmacologic-care-vulnerable-older-patients
August 27, 2012 - Study
The quality of pharmacologic care for vulnerable older patients.
Citation Text:
Higashi T, Shekelle PG, Solomon DH, et al. The quality of pharmacologic care for vulnerable older patients. Ann Intern Med. 2004;140(9):714-20.
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