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psnet.ahrq.gov/issue/better-home-how-we-fail-children-complex-medical-conditions
December 14, 2022 - Commentary
Better off at home--how we fail children with complex medical conditions.
Citation Text:
Newcomer CA. Better off at home--how we fail children with complex medical conditions. N Engl J Med. 2023;388(3):198-200. doi:10.1056/nejmp2213657.
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psnet.ahrq.gov/issue/quality-performance-improvement-teamwork-information-technology-and-protocols
November 03, 2015 - Commentary
Quality: performance improvement, teamwork, information technology and protocols.
Citation Text:
Coleman NE, Pon S. Quality: performance improvement, teamwork, information technology and protocols. Crit Care Clin. 2013;29(2):129-51. doi:10.1016/j.ccc.2012.11.002.
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psnet.ahrq.gov/issue/winning-battle-standardization
March 02, 2022 - Newspaper/Magazine Article
Winning the battle for standardization.
Citation Text:
Durkee RP, Richard LW. Winning the battle for standardization. The U.S. Army Medical Department examines the EMR to develop a standardized process for medication reconciliation documentation. Health Manag…
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psnet.ahrq.gov/issue/retained-foreign-bodies-after-surgery
November 23, 2011 - Study
Retained foreign bodies after surgery.
Citation Text:
Lincourt AE, Harrell A, Cristiano J, et al. Retained Foreign Bodies After Surgery. Journal of Surgical Research. 2007;138(2). doi:10.1016/j.jss.2006.08.001.
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psnet.ahrq.gov/issue/diagnostic-time-outs-improve-diagnosis
September 14, 2022 - Study
Diagnostic time-outs to improve diagnosis.
Citation Text:
Yale S, Cohen S, Bordini BJ. Diagnostic time-outs to improve diagnosis. Crit Care Clin. 2022;38(2):185-194. doi:10.1016/j.ccc.2021.11.008.
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psnet.ahrq.gov/issue/alcohol-and-drug-testing-health-professionals-following-preventable-adverse-events-bad-idea
January 02, 2017 - Commentary
Alcohol and drug testing of health professionals following preventable adverse events: a bad idea.
Citation Text:
Banja J. Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. Am J Bioeth. 2014;14(12):25-36. doi:10.1080/15265161.20…
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psnet.ahrq.gov/issue/implementing-surgical-checklist-more-checking-box
July 16, 2014 - Study
Implementing a surgical checklist: more than checking a box.
Citation Text:
Levy SM, Senter CE, Hawkins RB, et al. Implementing a surgical checklist: more than checking a box. Surgery. 2012;152(3):331-6. doi:10.1016/j.surg.2012.05.034.
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psnet.ahrq.gov/issue/we-know-what-they-did-wrong-not-why-case-frame-based-feedback
December 21, 2014 - Newspaper/Magazine Article
We know what they did wrong, but not why: the case for 'frame-based' feedback.
Citation Text:
Rudolph JW, Raemer D, Shapiro J. We knowwhatthey did wrong, but notwhy: the case for ‘frame-based’ feedback. Clin Teach. 2013;10(3):186-189. doi:10.1111/j.1743-498x.2…
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psnet.ahrq.gov/issue/creating-safer-operating-room-groups-team-dynamics-and-crew-resource-management-principles
June 11, 2008 - Review
Emerging Classic
Creating a safer operating room: groups, team dynamics and crew resource management principles.
Citation Text:
Wakeman D, Langham MR. Creating a safer operating room: Groups, team dynamics and crew resource management principles. Semin Pe…
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psnet.ahrq.gov/issue/foundations-teaching-surgeons-address-contributions-systems-operating-room-team-conflict
December 21, 2014 - Study
Foundations for teaching surgeons to address the contributions of systems to operating room team conflict.
Citation Text:
Rogers DA, Lingard LA, Boehler ML, et al. Foundations for teaching surgeons to address the contributions of systems to operating room team conflict. Am J Surg.…
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psnet.ahrq.gov/issue/development-and-implementation-patient-safety-program-academic-urban-emergency-department
December 12, 2012 - Study
Development and implementation of a patient safety program in an academic, urban emergency department.
Citation Text:
Blank FSJ, Henneman PL, Maynard AM, et al. Development and implementation of a patient safety program in an academic, urban emergency department. Journal of emerg…
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psnet.ahrq.gov/issue/rapid-response-teams-qualitative-analysis-their-effectiveness
November 02, 2010 - Study
Rapid response teams: qualitative analysis of their effectiveness.
Citation Text:
Leach LS, Mayo AM. Rapid response teams: qualitative analysis of their effectiveness. Am J Crit Care. 2013;22(3):198-210. doi:10.4037/ajcc2013990.
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psnet.ahrq.gov/issue/innovation-and-teamwork-introducing-multidisciplinary-team-ward-rounds
May 25, 2022 - Newspaper/Magazine Article
Innovation and teamwork: introducing multidisciplinary team ward rounds.
Citation Text:
Moroney N, Knowles C. Innovation and teamwork: introducing multidisciplinary team ward rounds. Nursing management (Harrow, London, England : 1994). 2006;13(1):28-31.
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psnet.ahrq.gov/issue/role-nursing-surveillance-keeping-patients-safe
July 14, 2009 - Commentary
The role of nursing surveillance in keeping patients safe.
Citation Text:
Dresser S. The role of nursing surveillance in keeping patients safe. J Nurs Adm. 2012;42(7-8):361-368. doi:10.1097/NNA.0b013e3182619377.
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psnet.ahrq.gov/issue/medication-errors-neonatal-intensive-care-unit
October 05, 2022 - Study
Medication errors in a neonatal intensive care unit.
Citation Text:
Lerner RB de ME, de Carvalho M, Vieira AA, et al. Medication errors in a neonatal intensive care unit. J Pediatr (Rio J). 2008;84(2):166-70. doi:10.2223/JPED.1757.
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psnet.ahrq.gov/issue/nearing-zeroreducing-grade-c-medication-errors
October 05, 2022 - Commentary
Nearing zero...reducing grade C medication errors.
Citation Text:
Cockerham J, Figueroa-Altmann A, Foxen C, et al. Nearing zero..reducing grade C medication errors. Nurs Manage. 2014;45(7):26-31. doi:10.1097/01.NUMA.0000451033.38845.d3.
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psnet.ahrq.gov/node/33620/psn-pdf
September 01, 2005 - In response to “Getting to the Root of the Matter” (June
2005)
September 1, 2005
Grondin L, Saint S, Flanders S, et al. In response to “Getting to the Root of the Matter” (June 2005). PSNet
[internet]. 2005.
https://psnet.ahrq.gov/perspective/response-getting-root-matter-june-2005
In response to "Getting to the R…
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psnet.ahrq.gov/issue/innovative-collaborative-model-care-undiagnosed-complex-medical-conditions
November 21, 2021 - Commentary
An innovative collaborative model of care for undiagnosed complex medical conditions.
Citation Text:
Nageswaran S, Donoghue N, Mitchell A, et al. An Innovative Collaborative Model of Care for Undiagnosed Complex Medical Conditions. Pediatrics. 2017;139(5):e20163373. doi:10.154…
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psnet.ahrq.gov/node/43658/psn-pdf
December 19, 2014 - https://psnet.ahrq.gov/primer/handoffs-and-signouts
https://psnet.ahrq.gov/issue/interprofessional-approaches-patient-safety
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psnet.ahrq.gov/node/44702/psn-pdf
December 16, 2015 - that contribute to alarm
fatigue, this review outlines technical, organizational, and educational approaches