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psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
January 27, 2021 - for training and education. 14-17
Use of a dedicated ECMO checklist
Use of a uniform checklist applicable … Flow to device correctly adjusted accordingly, if applicable
ii.
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psnet.ahrq.gov/issue/quality-care-and-quality-life-balancing-patient-safety-and-physician-burnout
September 27, 2023 - Commentary
Quality of care and quality of life: balancing patient safety and physician burnout.
Citation Text:
Minkoff H, O'Brien J, Berkowitz R. Quality of care and quality of life: balancing patient safety and physician burnout. Obstet Gynecol. 2024;144(3):e50-e55. doi:10.1097/aog.0000…
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psnet.ahrq.gov/issue/human-factors-analysis-classification-system-hfacs-applied-health-care
November 16, 2022 - Study
The Human Factors Analysis Classification System (HFACS) applied to health care.
Citation Text:
Diller T, Helmrich G, Dunning S, et al. The Human Factors Analysis Classification System (HFACS) applied to health care. Am J Med Qual. 2014;29(3):181-190. doi:10.1177/1062860613491623. …
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psnet.ahrq.gov/issue/design-patient-safety-systems-based-risk-identification-framework
February 03, 2021 - Study
Emerging Classic
Design for patient safety: a systems-based risk identification framework.
Citation Text:
Simsekler MCE, Ward JR, Clarkson J. Design for patient safety: a systems-based risk identification framework. Ergonomics. 2018;61(8):1046-1064. doi:10…
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psnet.ahrq.gov/issue/understanding-situation-awareness-nursing-work-hybrid-concept-analysis
October 20, 2021 - Study
Understanding situation awareness in nursing work: a hybrid concept analysis.
Citation Text:
Sitterding MC, Broome ME, Everett LQ, et al. Understanding situation awareness in nursing work: a hybrid concept analysis. ANS Adv Nurs Sci. 2012;35(1):77-92. doi:10.1097/ANS.0b013e318245…
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psnet.ahrq.gov/issue/accuracy-skin-cancer-diagnosis-physician-assistants-compared-dermatologists-large-health-care
August 04, 2021 - Study
Emerging Classic
Accuracy of skin cancer diagnosis by physician assistants compared with dermatologists in a large health care system.
Citation Text:
Anderson AM, Matsumoto M, Saul MI, et al. Accuracy of Skin Cancer Diagnosis by Physician Assistants Compar…
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psnet.ahrq.gov/issue/applying-requisite-imagination-safeguard-electronic-health-record-transitions
August 25, 2021 - Commentary
Applying requisite imagination to safeguard electronic health record transitions.
Citation Text:
Sittig DF, Lakhani P, Singh H. Applying requisite imagination to safeguard electronic health record transitions. J Am Med Inform Assoc. 2022;29(5):1014-1018. doi:10.1093/jamia/ocab…
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psnet.ahrq.gov/issue/validity-agency-healthcare-research-and-quality-patient-safety-indicators-academic-medical
October 19, 2022 - Study
Validity of Agency for Healthcare Research and Quality Patient Safety Indicators at an academic medical center.
Citation Text:
Ramanathan R, Leavell P, Stockslager G, et al. Validity of Agency for Healthcare Research and Quality Patient Safety Indicators at an academic medical cen…
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psnet.ahrq.gov/issue/establishing-multidisciplinary-taskforce-improve-anticoagulation-safety-large-health-system
July 08, 2020 - Commentary
Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system.
Citation Text:
Attia E, Fuentes A, Vassallo M, et al. Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. Am J Health Syst …
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psnet.ahrq.gov/issue/dashboards-visual-display-patient-safety-data-systematic-review
November 11, 2020 - Review
Dashboards for visual display of patient safety data: a systematic review.
Citation Text:
Murphy DR, Savoy A, Satterly T, et al. Dashboards for visual display of patient safety data: a systematic review. BMJ Health Care Inform. 2021;28(1):e100437. doi:10.1136/bmjhci-2021-100437.
…
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psnet.ahrq.gov/issue/digital-health-and-patient-safety
September 01, 2016 - Commentary
Digital health and patient safety.
Citation Text:
Agboola SO, Bates DW, Kvedar JC. Digital Health and Patient Safety. JAMA. 2016;315(16):1697-1698. doi:10.1001/jama.2016.2402.
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Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…
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psnet.ahrq.gov/issue/making-health-care-safer-ambulatory-care-settings-and-long-term-care-facilities-r18
May 30, 2018 - Grant Announcement
Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R18).
Citation Text:
Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R18). Rockville, MD: Agency for Healthcare Research and Quality; April 10, 2018.…
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psnet.ahrq.gov/issue/conflict-resolution-applying-aviation-crew-resource-management-healthcare
October 22, 2010 - Commentary
Conflict resolution: applying aviation crew resource management in healthcare.
Citation Text:
Braverman A. Conflict resolution: applying aviation crew resource management in healthcare. Nurs Manage. 2021;52(9):30-34. doi:10.1097/01.numa.0000771740.79361.1c.
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…
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psnet.ahrq.gov/issue/resilience-healthcare-and-clinical-handover
August 19, 2009 - Commentary
Resilience in healthcare and clinical handover.
Citation Text:
Jeffcott SA, Ibrahim JE, Cameron PA. Resilience in healthcare and clinical handover. Qual Saf Health Care. 2009;18(4):256-60. doi:10.1136/qshc.2008.030163.
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Format:
DOI Google Scholar Pu…
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psnet.ahrq.gov/issue/zero-suicide-initiative
July 03, 2013 - Grant Announcement
Zero Suicide Initiative.
Citation Text:
Zero Suicide Initiative. Office of the Federal Register, National Archives and Records Administration. Fed Register. November 3, 2021;(86):60883-60893.
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psnet.ahrq.gov/issue/creating-web-based-intensive-care-unit-safety-reporting-system
October 13, 2018 - Commentary
Creating the web-based intensive care unit safety reporting system.
Citation Text:
Holzmueller CG. Creating the Web-based Intensive Care Unit Safety Reporting System. Journal of the American Medical Informatics Association. 2004;12(2). doi:10.1197/jamia.m1408.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-44
September 26, 2017 - Commentary
ISMP medication error report analysis.
Citation Text:
Cohen MR, Smetzer JL. Neuromuscular Blocker Mix-up in the Pharmacy; ISMP and Doctor's Digest Launch New iPhone Application; “UD” for “Ut Dictum”—an Ambiguous and Dangerous Abbreviation; Order by Metric Weight, Not Volume.…
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psnet.ahrq.gov/node/49479/psn-pdf
April 01, 2005 - The Forgotten Med
April 1, 2005
Cucina R. The Forgotten Med. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/forgotten-med
The Case
A 78-year-old woman with a history of chronic obstructive pulmonary disease (COPD) came to the hospital
with increasing shortness of breath and chest pain. Although she had no …
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psnet.ahrq.gov/issue/development-concept-return-investment-large-scale-quality-improvement-programmes-healthcare
October 27, 2021 - Review
The development of the concept of return-on-investment from large-scale quality improvement programmes in healthcare: an integrative systematic literature review.
Citation Text:
Thusini S’thembile, Milenova M, Nahabedian N, et al. The development of the concept of return-on-invest…
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psnet.ahrq.gov/issue/just-culture-medication-error-prevention-and-second-victim-support-better-prescription
February 02, 2022 - Book/Report
Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students for Practices.
Citation Text:
Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students …