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psnet.ahrq.gov/issue/how-one-health-system-overcame-resistance-surgical-checklist
May 23, 2018 - Newspaper/Magazine Article
How one health system overcame resistance to a surgical checklist.
Citation Text:
How one health system overcame resistance to a surgical checklist. Hilton K, Anderson A. Harv Bus Rev. May 20, 2019.
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psnet.ahrq.gov/issue/quality-and-safety-womens-health-care-2nd-ed
July 26, 2017 - Organizational Policy/Guidelines
Quality and Safety in Women's Health Care. Second Edition.
Citation Text:
Quality and Safety in Women's Health Care. Second Edition. Women's Health Care Physicians; Committee on Patient Safety and Quality Improvement. Washington, DC: American College of O…
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digital.ahrq.gov/ahrq-funded-projects/personal-health-information-management-and-design-consumer-health-it/building-bridges-consumer-needs-and-design-health-information-technology-participants
January 01, 2023 - Building Bridges: Consumer Needs and the Design of Health Information Technology - Participants
Back to Project
KEYNOTE SPEAKERS
Honorary Chair, Patricia Flatley Brennan, RN, PhD University of Wisconsin-Madison
Patricia Flatley…
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psnet.ahrq.gov/issue/medication-safety-certificate-program
September 30, 2020 - Audiovisual Presentation
Medication Safety Certificate Program.
Citation Text:
Medication Safety Certificate Program. American Society of Health-System Pharmacists, Institute for Safe Medication Practices.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/data
January 01, 2023 - Data Collection
Process Scorecard
Description
A process scorecard evaluates a process according to a set of predefined criteria. Based on the user's feedback, the scorecard gives a rating for the process and often times short recommendations according to the rating the process…
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psnet.ahrq.gov/issue/world-patient-safety-science-technology-summit
January 01, 2020 - Meeting/Conference Proceedings
World Patient Safety, Science & Technology Summit.
Citation Text:
World Patient Safety, Science & Technology Summit. Patient Safety Movement Foundation. VEA Newport Beach, Newport Beach, CA, June 1-2, 2023.
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psnet.ahrq.gov/issue/ordering-continuous-renal-replacement-therapy-computerized-provider-order-entry-system
April 01, 2024 - Commentary
Ordering of continuous renal replacement therapy in a computerized provider order entry system.
Citation Text:
Ordering of continuous renal replacement therapy in a computerized provider order entry system. Oh SS; Sinclair-Pingel J; Feldott CC; Hargrove FR.
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psnet.ahrq.gov/issue/efforts-improve-safety-culture-elderly-nursing-homes-qualitative-study
April 18, 2018 - Study
Efforts to improve the safety culture of the elderly in nursing homes: a qualitative study.
Citation Text:
Indarwati R, Efendi F, Fauziningtyas R, et al. Efforts to improve the safety culture of the elderly in nursing homes: a qualitative study. Risk Manag Healthc Policy. 2023;16:3…
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psnet.ahrq.gov/issue/healthcare-wants-fly-high-aviation-industry-can-it
April 12, 2023 - Newspaper/Magazine Article
Healthcare wants to fly as high as the aviation industry. Can it?
Citation Text:
Healthcare wants to fly as high as the aviation industry. Can it? Twenter P. Becker's Clinical Leadership. October 30, 2023.
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psnet.ahrq.gov/issue/texas-health-presbyterian-hospital-ebola-crisis-perfect-storm-human-errors-system-failures
February 23, 2018 - Book/Report
The Texas Health Presbyterian Hospital Ebola Crisis: A Perfect Storm of Human Errors, System Failures and Lack of Mindfulness.
Citation Text:
The Texas Health Presbyterian Hospital Ebola Crisis: A Perfect Storm of Human Errors, System Failures and Lack of Mindfulness. Anderso…
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psnet.ahrq.gov/issue/strategies-and-tips-maximizing-failure-mode-and-effect-analysis-your-organization
January 13, 2016 - Book/Report
Strategies and tips for maximizing failure mode and effect analysis in your organization.
Citation Text:
Strategies and tips for maximizing failure mode and effect analysis in your organization. Chicago, IL: American Society of Healthcare Risk Management; 2002.
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psnet.ahrq.gov/issue/2009-older-adults-knowledge-about-medications-can-impact-driving
July 12, 2016 - Book/Report
2009 Older Adults' Knowledge About Medications That Can Impact Driving.
Citation Text:
2009 Older Adults' Knowledge About Medications That Can Impact Driving. MacLennan PA, Owsley C, Rue LW III, McGwin G Jr. Washington, DC: American Automobile Association Foundation for…
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psnet.ahrq.gov/issue/sustaining-improvement
January 09, 2019 - Book/Report
Sustaining Improvement.
Citation Text:
Sustaining Improvement. Scoville R, Little K, Rakover J, et al. Cambridge, Massachusetts: Institute for Healthcare Improvement; 2016.
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psnet.ahrq.gov/issue/never-events-hospital-care-canada-safer-care-patients
August 12, 2020 - Book/Report
Never Events for Hospital Care in Canada: Safer Care for Patients.
Citation Text:
Never Events for Hospital Care in Canada: Safer Care for Patients. Toronto, ON: Health Quality Ontario and the Canadian Patient Safety Institute; September 2015. ISBN: 9781460666180.
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psnet.ahrq.gov/issue/last-person-youd-expect-die-childbirth
May 03, 2017 - Newspaper/Magazine Article
The last person you'd expect to die in childbirth.
Citation Text:
The last person you'd expect to die in childbirth. Martin N, Montagne R. ProPublica and National Public Radio. May 12, 2017.
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psnet.ahrq.gov/issue/preventing-lawsuits-coalition-pushes-apologies-and-cash-front-dealing-medical-errors-when
February 20, 2019 - Newspaper/Magazine Article
Preventing lawsuits: Coalition pushes apologies and cash up-front. Dealing with medical errors when they happen--instead of in court--can benefit doctors and patients, supporters say.
Citation Text:
Preventing lawsuits: Coalition pushes apologies and cash up-fr…
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psnet.ahrq.gov/issue/patient-safety-spring-2019-final-cdp-report
October 28, 2020 - Book/Report
Patient Safety, Spring 2019 Final CDP Report.
Citation Text:
Patient Safety, Spring 2019 Final CDP Report. Patient Safety Standing Committee. February 6, 2020. Washington DC; National Quality Forum. February 2020.
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psnet.ahrq.gov/issue/macarthur-fellows-program-peter-pronovost
June 11, 2013 - Press Release/Announcement
The MacArthur Fellows Program: Peter Pronovost.
Citation Text:
The MacArthur Fellows Program: Peter Pronovost. The John D. and Catherine T. MacArthur Foundation.
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psnet.ahrq.gov/issue/error-and-uncertainty-diagnostic-radiology
December 18, 2019 - Book/Report
Error and Uncertainty in Diagnostic Radiology.
Citation Text:
Error and Uncertainty in Diagnostic Radiology. Bruno MA. New York, NY: Oxford University Press; 2019. ISBN: 9780190665395.
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psnet.ahrq.gov/issue/transformational-effort-patient-safety
October 05, 2022 - Book/Report
A Transformational Effort on Patient Safety.
Citation Text:
A Transformational Effort on Patient Safety. Subgroup on Patient Safety. Washington DC: President’s Council of Advisors on Science and Technology; September 2023.
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