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psnet.ahrq.gov/issue/using-potentially-aggressiveviolent-patient-huddle-improve-health-care-safety
November 16, 2022 - Commentary
Using a potentially aggressive/violent patient huddle to improve health care safety.
Citation Text:
Larson LA, Finley JL, Gross TL, et al. Using a Potentially Aggressive/Violent Patient Huddle to Improve Health Care Safety. Jt Comm J Qual Patient Saf. 2019;45(2):74-80. doi:10.…
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psnet.ahrq.gov/issue/golden-state-medical-supply-inc-issues-voluntary-nationwide-recall-atenolol-25-mg-tablets-and
June 20, 2018 - Press Release/Announcement
Golden State Medical Supply, Inc. Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets and Clopidogrel 75 mg Tablets Due to a Label Mix-up.
Citation Text:
Golden State Medical Supply, Inc. Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets…
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psnet.ahrq.gov/issue/perinatal-care-quality-and-safety-initiative-are-there-financial-rewards-improved-quality
April 27, 2019 - Study
A perinatal care quality and safety initiative: are there financial rewards for improved quality?
Citation Text:
Kozhimannil KB, Sommerness SA, Rauk P, et al. A perinatal care quality and safety initiative: are there financial rewards for improved quality? Jt Comm J Qual Patient …
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psnet.ahrq.gov/issue/nursing-guidelines-comprehensive-harm-prevention-strategies-adult-patients-acute-hospitals
August 10, 2022 - Review
Nursing guidelines for comprehensive harm prevention strategies for adult patients in acute hospitals: an integrative review and synthesis.
Citation Text:
Redley B, Douglas T, Hoon L, et al. Nursing guidelines for comprehensive harm prevention strategies for adult patients in acut…
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psnet.ahrq.gov/issue/stress-ward-evidence-safety-tipping-points-hospitals
November 13, 2024 - Study
Stress on the ward: evidence of safety tipping points in hospitals.
Citation Text:
Kuntz L, Mennicken R, Scholtes S. Stress on the Ward: Evidence of Safety Tipping Points in Hospitals. Manage Sci. 2014;61(4). doi:10.1287/mnsc.2014.1917.
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psnet.ahrq.gov/issue/exposure-leadership-walkrounds-neonatal-intensive-care-units-associated-better-patient-safety
December 12, 2014 - Study
Exposure to Leadership WalkRounds in neonatal intensive care units is associated with a better patient safety culture and less caregiver burnout.
Citation Text:
Sexton B, Sharek PJ, Thomas EJ, et al. Exposure to Leadership WalkRounds in neonatal intensive care units is associated w…
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psnet.ahrq.gov/issue/implementation-comprehensive-unit-based-safety-program-reduce-surgical-site-infections
December 20, 2023 - Study
Implementation of a comprehensive unit-based safety program to reduce surgical site infections in cesarean delivery.
Citation Text:
Dieplinger B, Egger M, Jezek C, et al. Implementation of a comprehensive unit-based safety program to reduce surgical site infections in cesarean deli…
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psnet.ahrq.gov/issue/measuring-teamwork-performance-teams-crisis-situations-systematic-review-assessment-tools-and
November 04, 2020 - Review
Emerging Classic
Measuring the teamwork performance of teams in crisis situations: a systematic review of assessment tools and their measurement properties.
Citation Text:
Boet S, Etherington N, Larrigan S, et al. Measuring the teamwork performance of tea…
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psnet.ahrq.gov/issue/medicare-letters-curb-overprescribing-controlled-substances-had-no-detectable-effect
May 25, 2016 - Study
Medicare letters to curb overprescribing of controlled substances had no detectable effect on providers.
Citation Text:
Sacarny A, Yokum D, Finkelstein A, et al. Medicare Letters To Curb Overprescribing Of Controlled Substances Had No Detectable Effect On Providers. Health Aff (Mil…
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psnet.ahrq.gov/issue/analysis-interprofessional-clinical-learning-environment-quality-improvement-and-patient
April 19, 2017 - Study
Analysis of the interprofessional clinical learning environment for quality improvement and patient safety from perspectives of interprofessional teams.
Citation Text:
Cheng MKW, Collins S, Baron RB, et al. Analysis of the interprofessional clinical learning environment for quality…
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psnet.ahrq.gov/issue/poking-skunk-ethical-and-medico-legal-concerns-research-about-patients-experiences-medical
May 05, 2021 - Commentary
'Poking the skunk': ethical and medico-legal concerns in research about patients' experiences of medical injury.
Citation Text:
Moore JS, Mello MM, Bismark M. 'Poking the skunk': Ethical and medico-legal concerns in research about patients' experiences of medical injury. Bioet…
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psnet.ahrq.gov/issue/design-and-evaluation-simulation-scenarios-program-introducing-patient-safety-teamwork-safety
February 08, 2017 - Study
Design and evaluation of simulation scenarios for a program introducing patient safety, teamwork, safety leadership, and simulation to healthcare leaders and managers.
Citation Text:
Cooper JB, Singer SJ, Hayes J, et al. Design and evaluation of simulation scenarios for a program…
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psnet.ahrq.gov/issue/sustaining-gains-7-year-follow-through-hospital-wide-patient-safety-improvement-project
October 19, 2022 - Study
Sustaining the gains: a 7-year follow-through of a hospital-wide patient safety improvement project on hospital-wide adverse event outcomes and patient safety culture.
Citation Text:
Sim MA, Ti LK, Mujumdar S, et al. Sustaining the gains: a 7-year follow-through of a hospital-wide …
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psnet.ahrq.gov/issue/factors-associated-intern-fatigue
October 28, 2009 - Study
Factors associated with intern fatigue.
Citation Text:
Friesen LD, Vidyarthi A, Baron RB, et al. Factors associated with intern fatigue. J Gen Intern Med. 2008;23(12):1981-6. doi:10.1007/s11606-008-0798-3.
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psnet.ahrq.gov/issue/effects-2011-duty-hour-reforms-interns-and-their-patients-prospective-longitudinal-cohort
October 19, 2022 - Study
Effects of the 2011 duty hour reforms on interns and their patients: a prospective longitudinal cohort study.
Citation Text:
Sen S, Kranzler HR, Didwania AK, et al. Effects of the 2011 duty hour reforms on interns and their patients: a prospective longitudinal cohort study. JAMA In…
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psnet.ahrq.gov/issue/impact-online-education-intern-behaviour-around-joint-commission-national-patient-safety
September 30, 2012 - Study
Impact of online education on intern behaviour around Joint Commission national patient safety goals: a randomised trial.
Citation Text:
Shaw T, Pernar LI, Peyre S, et al. Impact of online education on intern behaviour around joint commission national patient safety goals: a rand…
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psnet.ahrq.gov/issue/clinician-well-being-assessment-and-interventions-joint-commission-accredited-hospitals-and
June 07, 2023 - Study
Clinician well-being assessment and interventions in Joint Commission-accredited hospitals and federally qualified health centers.
Citation Text:
Longo BA, Schmaltz SP, Williams SC, et al. Clinician well-being assessment and interventions in Joint Commission-accredited hospitals an…
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psnet.ahrq.gov/issue/national-assessment-patient-safety-curricula-undergraduate-medical-education-results-2012
June 07, 2023 - Study
A national assessment on patient safety curricula in undergraduate medical education: results from the 2012 clerkship directors in internal medicine survey.
Citation Text:
Jain CC, Aiyer MK, Murphy EJ, et al. A national assessment on patient safety curricula in undergraduate medica…
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psnet.ahrq.gov/issue/electronic-trigger-based-care-escalation-identify-preventable-adverse-events-hospitalised
September 28, 2016 - Study
Classic
An electronic trigger based on care escalation to identify preventable adverse events in hospitalised patients.
Citation Text:
Bhise V, Sittig DF, Vaghani V, et al. An electronic trigger based on care escalation to identify preventable adverse even…
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psnet.ahrq.gov/issue/missed-acute-coronary-syndrome-during-telephone-triage-out-hours-primary-care-lessons-case
March 11, 2020 - Study
Missed acute coronary syndrome during telephone triage at out-of-hours primary care: lessons from a case-control study.
Citation Text:
Erkelens DC, Rutten FH, Wouters LT, et al. Missed Acute Coronary Syndrome During Telephone Triage at Out-of-Hours Primary Care. J Patient Saf. 2022…