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Challenges of implementing a communication-and-resolution program where multiple organizations must cooperate. | PSNet

psnet.ahrq.gov/issue/challenges-implementing-communication-and-resolution-program-where-multiple-organizations

May 11, 2016 - Study Challenges of implementing a communication-and-resolution program where multiple organizations must cooperate. Citation Text: Mello MM, Armstrong S, Greenberg Y, et al. Challenges of Implementing a Communication-and-Resolution Program Where Multiple Organizations Must Cooperate. He…

Anti-black racism as a chronic condition. | PSNet

psnet.ahrq.gov/issue/anti-black-racism-chronic-condition

December 17, 2020 - Commentary Anti-black racism as a chronic condition. Citation Text: Sederstrom N, Lasege T. Anti-black racism as a chronic condition. Hastings Cent Rep. 2022;52(S1):s24-s29. doi:10.1002/hast.1364. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML …

Medication appropriateness in vulnerable older adults: healthy skepticism of appropriate polypharmacy. | PSNet

psnet.ahrq.gov/issue/medication-appropriateness-vulnerable-older-adults-healthy-skepticism-appropriate

October 04, 2023 - Review Medication appropriateness in vulnerable older adults: healthy skepticism of appropriate polypharmacy. Citation Text: Fried TR, Mecca MC. Medication Appropriateness in Vulnerable Older Adults: Healthy Skepticism of Appropriate Polypharmacy. J Am Geriatr Soc. 2019;67(6):1123-1127. …

Effectiveness of interventions to improve patient handover in surgery: a systematic review. | PSNet

psnet.ahrq.gov/issue/effectiveness-interventions-improve-patient-handover-surgery-systematic-review

June 25, 2018 - Review Effectiveness of interventions to improve patient handover in surgery: a systematic review. Citation Text: Pucher PH, Johnston MJ, Aggarwal R, et al. Effectiveness of interventions to improve patient handover in surgery: A systematic review. Surgery. 2015;158(1):85-95. doi:10.1016…

Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. | PSNet

psnet.ahrq.gov/issue/using-performance-improvement-enhance-time-out-compliance-and-prevent-wrong-site-surgery

October 06, 2021 - Commentary Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. Citation Text: Vance ME, Proctor T, Schmidt KA. Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. AORN J. 2021;113(6):635-642. doi:10.1002/ao…

Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients. | PSNet

psnet.ahrq.gov/issue/assessment-safety-enhancement-hospital-medication-reconciliation-process-elderly-patients

August 04, 2021 - Study Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients. Citation Text: Gizzi LA, Slain D, Hare JT, et al. Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients. Am J Geriatr Phar…

What's in a name? Provider perception of injured John Doe patients. | PSNet

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September 27, 2017 - Study What's in a name? Provider perception of injured John Doe patients. Citation Text: Janowak CF, Agarwal SK, Zarzaur BL. What's in a Name? Provider Perception of Injured John Doe Patients. J Surg Res. 2019;238:218-223. doi:10.1016/j.jss.2019.01.027. Copy Citation Format: …

How improving practice relationships among clinicians and nonclinicians can improve quality in primary care. | PSNet

psnet.ahrq.gov/issue/how-improving-practice-relationships-among-clinicians-and-nonclinicians-can-improve-quality

December 18, 2013 - Study How improving practice relationships among clinicians and nonclinicians can improve quality in primary care. Citation Text: Lanham H, McDaniel RR, Crabtree B, et al. How improving practice relationships among clinicians and nonclinicians can improve quality in primary care. Jt Comm…

Classification of failures in the perception of conversational agents (CAs) and their implications on patient safety. | PSNet

psnet.ahrq.gov/issue/classification-failures-perception-conversational-agents-cas-and-their-implications-patient

July 06, 2022 - Study Classification of failures in the perception of conversational agents (CAs) and their implications on patient safety. Citation Text: Aftab H, Shah SHH, Habli I. Classification of failures in the perception of conversational agents (CAs) and their implications on patient safety. Stu…

Root-cause analysis: swatting at mosquitoes versus draining the swamp. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-swatting-mosquitoes-versus-draining-swamp

January 31, 2024 - Commentary Root-cause analysis: swatting at mosquitoes versus draining the swamp. Citation Text: Trbovich PL, Shojania KG. Root-cause analysis: swatting at mosquitoes versus draining the swamp. BMJ Qual Saf. 2017;26(5):350-353. doi:10.1136/bmjqs-2016-006229. Copy Citation Format: …

A nursing home’s 64-day Covid siege: ‘They’re all going to die’. | PSNet

psnet.ahrq.gov/issue/nursing-homes-64-day-covid-siege-theyre-all-going-die

September 15, 2021 - Newspaper/Magazine Article A nursing home’s 64-day Covid siege: ‘They’re all going to die’. Citation Text: Barker K. A nursing home’s 64-day Covid siege: ‘They’re all going to die’. New York Times. 2020;June 10. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML End…

Actions Needed to Improve Newly Enrolled Veterans' Access to Primary Care. | PSNet

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September 07, 2016 - Government Resource Actions Needed to Improve Newly Enrolled Veterans' Access to Primary Care. Citation Text: Actions Needed to Improve Newly Enrolled Veterans' Access to Primary Care. Washington, DC: United States Government Accountability Office; March 18, 2016. Publication GAO-16-328.…

How U.S. teams advanced communication and resolution program adoption at local, state and national levels. | PSNet

psnet.ahrq.gov/issue/how-us-teams-advanced-communication-and-resolution-program-adoption-local-state-and-national

April 24, 2018 - Study How U.S. teams advanced communication and resolution program adoption at local, state and national levels. Citation Text: LeCraw FR, Stearns SC, McCoy MJ. How U.S. Teams advanced communication and resolution program adoption at local, state and national levels. J Patient Saf Risk M…

Speak up! Addressing the paradox plaguing patient-centered care. | PSNet

psnet.ahrq.gov/issue/speak-addressing-paradox-plaguing-patient-centered-care

October 17, 2018 - Commentary Speak up! Addressing the paradox plaguing patient-centered care. Citation Text: Mazor KM, Smith KM, Fisher K, et al. Speak Up! Addressing the Paradox Plaguing Patient-Centered Care. Ann Intern Med. 2016;164(9):618-9. doi:10.7326/M15-2416. Copy Citation Format: DO…

Rescue me: saving the vulnerable non-ICU patient population. | PSNet

psnet.ahrq.gov/issue/rescue-me-saving-vulnerable-non-icu-patient-population

June 01, 2011 - Study Rescue me: saving the vulnerable non-ICU patient population. Citation Text: Bader MK, Neal B, Johnson L, et al. Rescue me: saving the vulnerable non-ICU patient population. Jt Comm J Qual Patient Saf. 2009;35(4):199-205. Copy Citation Format: Google Scholar PubMed Bib…

Educational quality improvement report: outcomes from a revised morbidity and mortality format that emphasised patient safety. | PSNet

psnet.ahrq.gov/issue/educational-quality-improvement-report-outcomes-revised-morbidity-and-mortality-format

March 10, 2010 - Study Educational quality improvement report: outcomes from a revised morbidity and mortality format that emphasised patient safety. Citation Text: Bechtold ML, Scott SD, Nelson K, et al. Educational quality improvement report: outcomes from a revised morbidity and mortality format tha…

Relationships of multitasking, physicians' strain, and performance: an observational study in ward physicians. | PSNet

psnet.ahrq.gov/issue/relationships-multitasking-physicians-strain-and-performance-observational-study-ward

September 24, 2016 - Study Relationships of multitasking, physicians' strain, and performance: an observational study in ward physicians. Citation Text: Weigl M, Müller A, Sevdalis N, et al. Relationships of multitasking, physicians' strain, and performance: an observational study in ward physicians. J Pat…

Stop the line: interventions to prevent retained surgical items. | PSNet

psnet.ahrq.gov/issue/stop-line-interventions-prevent-retained-surgical-items

July 10, 2024 - Commentary Stop the line: interventions to prevent retained surgical items. Citation Text: Angelilli S. Stop the line: interventions to prevent retained surgical items. AORN J. 2024;120(2):71-81. doi:10.1002/aorn.14190. Copy Citation Format: DOI Google Scholar BibTeX EndNot…

Safe care for pediatric patients: a scoping review across multiple health care settings. | PSNet

psnet.ahrq.gov/issue/safe-care-pediatric-patients-scoping-review-across-multiple-health-care-settings

August 03, 2022 - Review Safe care for pediatric patients: a scoping review across multiple health care settings. Citation Text: Stang A, Thomson D, Hartling L, et al. Safe Care for Pediatric Patients: A Scoping Review Across Multiple Health Care Settings. Clin Pediatr (Phila). 2018;57(1):62-75. doi:10.11…

The impact of a tele-ICU on provider attitudes about teamwork and safety climate. | PSNet

psnet.ahrq.gov/issue/impact-tele-icu-provider-attitudes-about-teamwork-and-safety-climate

May 25, 2016 - Study The impact of a tele-ICU on provider attitudes about teamwork and safety climate. Citation Text: Chu-Weininger MYL, Wueste L, Lucke JF, et al. The impact of a tele-ICU on provider attitudes about teamwork and safety climate. Qual Saf Health Care. 2010;19(6):e39. doi:10.1136/qshc.…

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