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  1. psnet.ahrq.gov/issue/surgical-simulation-curriculum-senior-medical-students-based-teamstepps
    December 21, 2014 - Study A surgical simulation curriculum for senior medical students based on TeamSTEPPS. Citation Text: Meier AH, Boehler ML, McDowell CM, et al. A surgical simulation curriculum for senior medical students based on TeamSTEPPS. Arch Surg. 2012;147(8):761-6. doi:10.1001/archsurg.2012.1340.…
  2. psnet.ahrq.gov/issue/improving-disclosure-and-management-medical-error-opportunity-transform-surgeons-tomorrow
    April 11, 2012 - Review Improving disclosure and management of medical error—an opportunity to transform the surgeons of tomorrow. Citation Text: Tevlin R, Doherty E, Traynor O. Improving disclosure and management of medical error - an opportunity to transform the surgeons of tomorrow. Surgeon. 2013;11…
  3. psnet.ahrq.gov/issue/surgical-site-signing-and-time-out-issues-compliance-or-complacence
    January 07, 2011 - Study Surgical site signing and "time out": issues of compliance or complacence. Citation Text: Johnston G, Ekert L, Pally E. Surgical site signing and "time out": issues of compliance or complacence. J Bone Joint Surg Am. 2009;91(11):2577-80. doi:10.2106/JBJS.H.01615. Copy Citation …
  4. psnet.ahrq.gov/issue/standardized-postoperative-handover-process-improves-outcomes-intensive-care-unit-model
    June 21, 2015 - Study Standardized postoperative handover process improves outcomes in the intensive care unit: a model for operational sustainability and improved team performance. Citation Text: Bhakta RT, Stockwell DC. Transitions of care in the pediatric cardiac intensive care unit*. Crit Care Med…
  5. psnet.ahrq.gov/issue/bar-code-technology-and-medication-administration-error
    June 07, 2023 - Review Bar code technology and medication administration error. Citation Text: Young J, Slebodnik M, Sands L. Bar Code Technology and Medication Administration Error. J Patient Saf. 2010;6(2):115-120. doi:10.1097/pts.0b013e3181de35f7. Copy Citation Format: DOI Google Scho…
  6. psnet.ahrq.gov/issue/quality-and-safety-track-training-future-physician-leaders
    March 28, 2018 - Commentary The quality and safety track: training future physician leaders. Citation Text: Vinci LM, Oyler J, Arora V. The Quality and Safety Track: Training Future Physician Leaders. Am J Med Qual. 2014;29(4):277-83. doi:10.1177/1062860613498264. Copy Citation Format: DOI …
  7. www.ahrq.gov/sites/default/files/wysiwyg/sdm/share-approach/share-conversation-starters.pdf
    October 01, 2024 - The SHARE Approach: Conversation Starters The SHARE Approach: Conversation Starters The SHARE Approach provides five elements to guide shared decision-making discussions with patients. These can be used in any order, and you may need to use some of the elements multiple times to reach a decision with your…
  8. psnet.ahrq.gov/issue/filling-gaps-institute-safe-medication-practices-ismp-do-not-crush-list-immediate-release
    July 21, 2021 - Study Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products Citation Text: Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products Uttaro E, Zhao F, Schweigha…
  9. psnet.ahrq.gov/issue/infant-deaths-associated-cough-and-cold-medications-two-states-2005
    February 27, 2019 - Government Resource Infant deaths associated with cough and cold medications—two states, 2005. Citation Text: Prevention C for DC and. Infant deaths associated with cough and cold medications--two states, 2005. MMWR Morb Mortal Wkly Rep. 2007;56(1):1-4. Copy Citation Format: …
  10. psnet.ahrq.gov/issue/approaching-evidence-basis-aviation-derived-teamwork-training-medicine
    August 09, 2023 - Review Approaching the evidence basis for aviation-derived teamwork training in medicine. Citation Text: Zeltser M, Nash DB. Approaching the evidence basis for aviation-derived teamwork training in medicine. Am J Med Qual. 2010;25(1):13-23. doi:10.1177/1062860609345664. Copy Citation…
  11. psnet.ahrq.gov/issue/medication-based-trigger-tool-identify-adverse-events-pediatric-anesthesiology
    April 22, 2020 - Commentary A medication-based trigger tool to identify adverse events in pediatric anesthesiology. Citation Text: Taghon T, Elsey N, Miler V, et al. A medication-based trigger tool to identify adverse events in pediatric anesthesiology. Jt Comm J Qual Patient Saf. 2014;40(7):326-334. C…
  12. psnet.ahrq.gov/issue/facilitated-survey-instrument-captures-significantly-more-anesthesia-events-does-traditional
    September 13, 2017 - Study A facilitated survey instrument captures significantly more anesthesia events than does traditional voluntary event reporting. Citation Text: Oken A, Rasmussen MD, Slagle JM, et al. A facilitated survey instrument captures significantly more anesthesia events than does traditiona…
  13. www.ahrq.gov/hai/cauti-tools/impl-guide/index.html
    October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Next Page Table of Contents Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Overview Frameworks for Change and Improvement Technical…
  14. psnet.ahrq.gov/issue/examining-markers-safety-homecare-using-international-classification-patient-safety
    March 02, 2016 - Review Examining markers of safety in homecare using the international classification for patient safety. Citation Text: Macdonald M, Lang A, Storch J, et al. Examining markers of safety in homecare using the international classification for patient safety. BMC Health Serv Res. 2013;13:…
  15. psnet.ahrq.gov/issue/words-drug-highest-frequency-dispensing-errors
    March 04, 2015 - Commentary Words: the "drug" with the highest frequency of dispensing errors. Citation Text: Lamba S. Words: the "drug" with the highest frequency of dispensing errors. Acad Emerg Med. 2011;18(1):93-5. doi:10.1111/j.1553-2712.2010.00965.x. Copy Citation Format: DOI Google…
  16. psnet.ahrq.gov/issue/year-1-medical-undergraduates-knowledge-and-attitudes-medical-error
    March 24, 2011 - Study Year 1 medical undergraduates' knowledge of and attitudes to medical error. Citation Text: Flin R, Patey R, Jackson J, et al. Year 1 medical undergraduates' knowledge of and attitudes to medical error. Med Educ. 2009;43(12):1147-55. doi:10.1111/j.1365-2923.2009.03499.x. Copy Ci…
  17. psnet.ahrq.gov/issue/cognitive-biases-internal-medicine-scoping-review
    April 08, 2020 - Review Cognitive biases in internal medicine: a scoping review. Citation Text: Loncharich MF, Robbins RC, Durning SJ, et al. Cognitive biases in internal medicine: a scoping review. Diagnosis (Berl). 2023;10(3):205-214. doi:10.1515/dx-2022-0120. Copy Citation Format: DOI Go…
  18. psnet.ahrq.gov/issue/correlation-workload-disagreement-and-amendment-rates-surgical-pathology-and-nongynecologic
    January 14, 2011 - Study Correlation of workload with disagreement and amendment rates in surgical pathology and nongynecologic cytology. Citation Text: Renshaw AA, Gould EW. Correlation of workload with disagreement and amendment rates in surgical pathology and nongynecologic cytology. Am J Clin Pathol.…
  19. psnet.ahrq.gov/issue/quality-and-safety-intensive-care-unit
    January 19, 2011 - Review Quality and safety in the intensive care unit. Citation Text: Stockwell DC, Slonim A. Quality and safety in the intensive care unit. J Intensive Care Med. 2006;21(4):199-210. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…
  20. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/131-what-are-the-4-es-one-pager.docx
    May 24, 2024 - The aim is to Engage hearts and minds and thus, change attitudes and behaviors.1-6 Raise awareness of the problem, communicate benefits of the solution, and lay out the goals for the intervention. · Use unit data, published literature, and national benchmarks. Storytelling is an underrated tool. Engagement is not a on…