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  1. Assisting beginners in root cause analysis operations: analysis and recommendations regarding the spread of COVID-19 in nursing facilities for the elderly. | PSNet

    psnet.ahrq.gov/issue/assisting-beginners-root-cause-analysis-operations-analysis-and-recommendations-regarding
    June 08, 2022 - Commentary Assisting beginners in root cause analysis operations: analysis and recommendations regarding the spread of COVID-19 in nursing facilities for the elderly. Citation Text: Tsuchiya H. Assisting beginners in root cause analysis operations: analysis and recommendations regarding …

  2. Educating seniors to be patient safety self-advocates in primary care. | PSNet

    psnet.ahrq.gov/issue/educating-seniors-be-patient-safety-self-advocates-primary-care
    December 15, 2011 - Study Educating seniors to be patient safety self-advocates in primary care. Citation Text: Elder NC, Regan SL, Pallerla H, et al. Educating Seniors to Be Patient Safety Self-Advocates in Primary Care. J Patient Saf. 2008;4(2). doi:10.1097/pts.0b013e318175d806. Copy Citation Form…

  3. Causes of death of residents in ACGME-accredited programs 2000 through 2014: implications for the learning environment. | PSNet

    psnet.ahrq.gov/issue/causes-death-residents-acgme-accredited-programs-2000-through-2014-implications-learning
    January 31, 2018 - Study Causes of death of residents in ACGME-accredited programs 2000 through 2014: implications for the learning environment. Citation Text: Yaghmour NA, Brigham T, Richter T, et al. Causes of Death of Residents in ACGME-Accredited Programs 2000 Through 2014. Acad Med. 2017;92(7):976-983…

  4. Restricted duty hours for surgeons and impact on residents quality of life, education, and patient care: a literature review. | PSNet

    psnet.ahrq.gov/issue/restricted-duty-hours-surgeons-and-impact-residents-quality-life-education-and-patient-care
    October 08, 2008 - Review Restricted duty hours for surgeons and impact on residents quality of life, education, and patient care: a literature review. Citation Text: Pape H-C, Pfeifer R. Restricted duty hours for surgeons and impact on residents quality of life, education, and patient care: a literature…

  5. Patient-led training on patient safety: a pilot study to test the feasibility and acceptability of an educational intervention. | PSNet

    psnet.ahrq.gov/issue/patient-led-training-patient-safety-pilot-study-test-feasibility-and-acceptability
    April 24, 2017 - Study Patient-led training on patient safety: a pilot study to test the feasibility and acceptability of an educational intervention. Citation Text: Jha V, Winterbottom A, Symons J, et al. Patient-led training on patient safety: a pilot study to test the feasibility and acceptability …

  6. Enteral nutrition: an underappreciated source of patient safety events. | PSNet

    psnet.ahrq.gov/issue/enteral-nutrition-underappreciated-source-patient-safety-events
    February 01, 2023 - Study Enteral nutrition: an underappreciated source of patient safety events. Citation Text: Citty SW, Chew M, Hiller LD, et al. Enteral nutrition: an underappreciated source of patient safety events. Nutr Clin Prac. 2024;39(4):784-799. doi:10.1002/ncp.11153. Copy Citation Format: …

  7. Florida AHCA/AHRQ Project

    hcup-us.ahrq.gov/datainnovations/clinicaldata/FL24ProcessFlowchart.jsp
    April 24, 2011 - Florida AHCA/AHRQ Project An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …

  8. RISE: exploring volunteer retention and sustainability of a second victim support program. | PSNet

    psnet.ahrq.gov/issue/rise-exploring-volunteer-retention-and-sustainability-second-victim-support-program
    April 21, 2021 - Study RISE: exploring volunteer retention and sustainability of a second victim support program. Citation Text: Connors C, Dukhanin V, Norvell M, et al. RISE: Exploring Volunteer Retention and Sustainability of a Second Victim Support Program. J Healthc Manag. 2021;66(1):19-32. doi:10.10…

  9. An effective intervention: limiting opioid prescribing as a means of reducing opioid analgesic misuse, and overdose deaths. | PSNet

    psnet.ahrq.gov/issue/effective-intervention-limiting-opioid-prescribing-means-reducing-opioid-analgesic-misuse-and
    July 29, 2020 - Commentary An effective intervention: limiting opioid prescribing as a means of reducing opioid analgesic misuse, and overdose deaths. Citation Text: Fink BC, Uyttebrouck O, Larson RS. An effective intervention: limiting opioid prescribing as a means of reducing opioid analgesic misuse, …

  10. The association between professional burnout and engagement with patient safety culture and outcomes: a systematic review. | PSNet

    psnet.ahrq.gov/issue/association-between-professional-burnout-and-engagement-patient-safety-culture-and-outcomes
    October 28, 2020 - Review The association between professional burnout and engagement with patient safety culture and outcomes: a systematic review. Citation Text: Mossburg SE, Himmelfarb CD. The Association Between Professional Burnout and Engagement With Patient Safety Culture and Outcomes: A Systematic …

  11. A proposed approach to allegations of sexual boundary violation in health care. | PSNet

    psnet.ahrq.gov/issue/proposed-approach-allegations-sexual-boundary-violation-health-care
    October 19, 2022 - Study A proposed approach to allegations of sexual boundary violation in health care. Citation Text: Cooper WO, Foster JJ, Hickson GB, et al. A proposed approach to allegations of sexual boundary violation in health care. Jt Comm J Qual Patient Saf. 2023;49(12):671-679. doi:10.1016/j.jcj…

  12. The working hours of hospital staff nurses and patient safety. | PSNet

    psnet.ahrq.gov/issue/working-hours-hospital-staff-nurses-and-patient-safety
    December 19, 2012 - Study Classic The working hours of hospital staff nurses and patient safety. Citation Text: Rogers AE, Hwang W-T, Scott LD, et al. The working hours of hospital staff nurses and patient safety. Health Aff (Millwood). 2004;23(4):202-212. Copy Citation For…

  13. Closed-loop communication in interprofessional emergency teams: a cross-sectional observation study on the use of closed-loop communication among anesthesia personnel. | PSNet

    psnet.ahrq.gov/issue/closed-loop-communication-interprofessional-emergency-teams-cross-sectional-observation-study
    September 24, 2016 - Study Closed-loop communication in interprofessional emergency teams: a cross-sectional observation study on the use of closed-loop communication among anesthesia personnel. Citation Text: Gjøvikli K, Valeberg BT. Closed-loop communication in interprofessional emergency teams: a cross-se…

  14. Anatomic pathology databases and patient safety. | PSNet

    psnet.ahrq.gov/issue/anatomic-pathology-databases-and-patient-safety
    April 08, 2008 - Study Anatomic pathology databases and patient safety. Citation Text: Raab SS, Grzybicki DM, Zarbo RJ, et al. Anatomic pathology databases and patient safety. Arch Pathol Lab Med. 2005;129(10):1246-1251. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

  15. Confirmation bias: why psychiatrists stick to wrong preliminary diagnoses. | PSNet

    psnet.ahrq.gov/issue/confirmation-bias-why-psychiatrists-stick-wrong-preliminary-diagnoses
    June 13, 2011 - Study Confirmation bias: why psychiatrists stick to wrong preliminary diagnoses. Citation Text: Mendel R, Traut-Mattausch E, Jonas E, et al. Confirmation bias: why psychiatrists stick to wrong preliminary diagnoses. Psychol Med. 2011;41(12):2651-2659. doi:10.1017/S0033291711000808. C…

  16. Perceptions of nurses who are second victims in a hospital setting. | PSNet

    psnet.ahrq.gov/issue/perceptions-nurses-who-are-second-victims-hospital-setting
    February 28, 2018 - Study Perceptions of nurses who are second victims in a hospital setting. Citation Text: Draus C, Mianecki TB, Musgrove H, et al. Perceptions of nurses who are second victims in a hospital setting. J Nurs Care Qual. 2022;37(2):110-116. doi:10.1097/ncq.0000000000000603. Copy Citation …

  17. Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations. | PSNet

    psnet.ahrq.gov/issue/voluntary-electronic-reporting-laboratory-errors-analysis-37532-laboratory-event-reports-30
    February 24, 2011 - Study Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations. Citation Text: Snydman LK, Harubin B, Kumar S, et al. Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event…

  18. Wrong-site surgery in California, 2007–2014. | PSNet

    psnet.ahrq.gov/issue/wrong-site-surgery-california-2007-2014
    July 27, 2023 - Study Wrong-site surgery in California, 2007–2014. Citation Text: Moshtaghi O, Haidar YM, Sahyouni R, et al. Wrong-site surgery in California, 2007-2014. Otolaryngol Head Neck Surg. 2017;157(1):48-52. doi:10.1177/0194599817693226. Copy Citation Format: DOI Google Scholar Pu…

  19. The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment. | PSNet

    psnet.ahrq.gov/issue/rca-recast-root-cause-analysis-simulation-interprofessional-clinical-learning-environment
    May 18, 2022 - Study The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment. Citation Text: Ziemba JB, Berns JS, Huzinec JG, et al. The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment. Acad Med. 2021;…

  20. The implementation of communication didactics for OB/GYN residents on the disclosure of adverse perioperative events. | PSNet

    psnet.ahrq.gov/issue/implementation-communication-didactics-obgyn-residents-disclosure-adverse-perioperative
    July 21, 2021 - Study The implementation of communication didactics for OB/GYN residents on the disclosure of adverse perioperative events. Citation Text: Chung EH, Truong T, Jooste KR, et al. The implementation of communication didactics for OB/GYN residents on the disclosure of adverse perioperative e…
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