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psnet.ahrq.gov/node/45924/psn-pdf
March 15, 2017 - Patient safety incidents are common in primary care: a
national prospective active incident reporting survey.
March 15, 2017
Michel P, Brami J, Chanelière M, et al. Patient safety incidents are common in primary care: A national
prospective active incident reporting survey. PLoS One. 2017;12(2):e0165455.
doi:10.13…
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psnet.ahrq.gov/node/44755/psn-pdf
November 18, 2016 - Effect of patient-centred bedside rounds on hospitalised
patients' decision control, activation and satisfaction with
care.
November 18, 2016
O'Leary KJ, Killarney A, Hansen LO, et al. Effect of patient-centred bedside rounds on hospitalised
patients' decision control, activation and satisfaction with care. BMJ Qu…
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psnet.ahrq.gov/node/45765/psn-pdf
April 05, 2017 - Clinical reasoning in the context of active decision
support during medication prescribing.
April 5, 2017
Horsky J, Aarts J, Verheul L, et al. Clinical reasoning in the context of active decision support during
medication prescribing. Int J Med Inform. 2017;97:1-11. doi:10.1016/j.ijmedinf.2016.09.004.
https://psne…
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psnet.ahrq.gov/node/41141/psn-pdf
February 15, 2013 - An examination of opportunities for the active patient in
improving patient safety.
February 15, 2013
Davis R, Sevdalis N, Jacklin R, et al. An examination of opportunities for the active patient in improving
patient safety. J Patient Saf. 2012;8(1):36-43. doi:10.1097/PTS.0b013e31823cba94.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/issue/hospital-system-barriers-rapid-response-team-activation-cognitive-work-analysis
September 09, 2015 - Study
Hospital system barriers to rapid response team activation: a cognitive work analysis.
Citation Text:
Braaten JS. CE: Original research: hospital system barriers to rapid response team activation: a cognitive work analysis. Am J Nurs. 2015;115(2):22-32; test 33; 47. doi:10.1097/01.…
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psnet.ahrq.gov/issue/prospective-multicenter-study-pharmacist-activities-resulting-medication-error-interception
December 14, 2011 - Study
A prospective, multicenter study of pharmacist activities resulting in medication error interception in the emergency department.
Citation Text:
Patanwala AE, Sanders AB, Thomas MC, et al. A prospective, multicenter study of pharmacist activities resulting in medication error int…
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psnet.ahrq.gov/web-mm/overdose-gabapentin-and-oxycodone-patient-end-stage-renal-disease-case-appropriate
October 31, 2023 - clinicians through appropriate medications and doses.These methods, however, rely the clinician to actively
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psnet.ahrq.gov/node/38979/psn-pdf
October 14, 2009 - Active learning: when is more better? The case of
resident physicians' medical errors.
October 14, 2009
Katz-Navon T; Naveh E; Stern Z.
https://psnet.ahrq.gov/issue/active-learning-when-more-better-case-resident-physicians-medical-errors
Establishing an active learning climate, in which resident physicians are enc…
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psnet.ahrq.gov/node/73553/psn-pdf
July 28, 2021 - A medical director who participates actively in
training, who knows the situations that the EMS personnel
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psnet.ahrq.gov/node/38700/psn-pdf
July 13, 2009 - The active components of effective training in obstetric
emergencies.
July 13, 2009
Siassakos D, Crofts JF, Winter C, et al. The active components of effective training in obstetric
emergencies. BJOG. 2009;116(8):1028-32. doi:10.1111/j.1471-0528.2009.02178.x.
https://psnet.ahrq.gov/issue/active-components-effectiv…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.251_slideshow.ppt
October 01, 2011 - Spotlight Case [MONTH] 2003
Spotlight Case
Mobility Lost in the ICU
*
*
Source and Credits
This presentation is based on the October 2011
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Jim Smith, PT, DPT, MA; Associate Professor of Physical …
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psnet.ahrq.gov/node/37880/psn-pdf
January 15, 2009 - Factors associated with system-level activities for patient
safety and infection control.
January 15, 2009
Fukuda H, Imanaka Y, Hirose M, et al. Factors associated with system-level activities for patient safety and
infection control. Health Policy (New York). 2009;89(1):26-36. doi:10.1016/j.healthpol.2008.04.009.
…
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psnet.ahrq.gov/node/36692/psn-pdf
January 18, 2011 - The objective medical emergency team activation criteria:
a case-control study.
January 18, 2011
Cretikos M, Chen J, Hillman K, et al. The objective medical emergency team activation criteria: a case-
control study. Resuscitation. 2007;73(1):62-72.
https://psnet.ahrq.gov/issue/objective-medical-emergency-team-acti…
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psnet.ahrq.gov/issue/impact-nurse-led-rapid-response-system-adverse-major-adverse-events-and-activation-medical
December 17, 2010 - Study
The impact of a nurse led rapid response system on adverse, major adverse events and activation of the medical emergency team.
Citation Text:
Massey D, Aitken LM, Chaboyer W. The impact of a nurse led rapid response system on adverse, major adverse events and activation of the medi…
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psnet.ahrq.gov/node/838192/psn-pdf
September 28, 2022 - When medical error becomes personal, activism becomes
painful.
September 28, 2022
Millenson M. Forbes. September 16, 2022.
https://psnet.ahrq.gov/issue/when-medical-error-becomes-personal-activism-becomes-painful
Unnecessary medication infusions indicate weaknesses in medication service processes. While no harm
w…
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psnet.ahrq.gov/glossary/latent-error-or-latent-condition
September 13, 2021 - Latent Error (or Latent Condition)
September 13, 2021
Anonymous (not verified)
The terms active and latent as applied to errors were coined by Reason . Latent errors (or latent conditions) refer to less apparent failures of organization or design that contributed to the occurrence of errors or allowed them…
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psnet.ahrq.gov/node/43306/psn-pdf
February 17, 2017 - Addressing patient safety in rapid response activations
for nonhospitalized persons.
February 17, 2017
Lakshminarayana PH, Darby JM, Simmons RL. Addressing Patient Safety in Rapid Response Activations
for Nonhospitalized Persons. J Patient Saf. 2017;13(1):14-19. doi:10.1097/PTS.0000000000000098.
https://psnet.ahrq…
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psnet.ahrq.gov/node/42595/psn-pdf
November 25, 2013 - Agency information collection activities: Assessing the
Impact of the National Implementation of TeamSTEPPS
Master Training Program; comment request.
November 25, 2013
Agency for Healthcare Research and Quality. Federal Register. August 27, 2013;78:52927-52929.
https://psnet.ahrq.gov/issue/agency-information-colle…
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psnet.ahrq.gov/issue/economic-evaluations-maintaining-patient-safety-systems-teaching-hospitals
January 15, 2009 - Study
Economic evaluations of maintaining patient safety systems in teaching hospitals.
Citation Text:
Fukuda H, Imanaka Y, Hirose M, et al. Economic evaluations of maintaining patient safety systems in teaching hospitals. Health Policy (New York). 2008;88(2-3):381-91. doi:10.1016/j.he…
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psnet.ahrq.gov/node/39675/psn-pdf
January 19, 2011 - A 5-year analysis of rapid response system activation at
an in-hospital haemodialysis unit.
January 19, 2011
Galhotra S, Devita MA, Dew MA, et al. A 5-year analysis of rapid response system activation at an in-
hospital haemodialysis unit. Qual Saf Health Care. 2010;19(6):e38. doi:10.1136/qshc.2008.031666.
https:/…