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digital.ahrq.gov/ahrq-funded-projects/data-flow-clinical-outcomes-perinatal-continuum-care-system/citation/provider
January 01, 2023 - Provider and patient satisfaction with the integration of ambulatory and hospital EHR systems.
Citation
Meyerhoefer CD, Sherer SA, Deily ME, et al. Provider and patient satisfaction with the integration of ambulatory and hospital EHR systems. J Am Med Inform Assoc 2018 May 16. doi: 10.1093/jamia/ocy0…
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digital.ahrq.gov/ahrq-funded-projects/measuring-value-remote-intensive-care-unit-icu-monitoring/citation/costs-and
January 01, 2023 - Costs and cost-effectiveness of a telemedicine intensive care unit program in 6 intensive care units in a large health care system.
Citation
Franzini L, Sail KR, Thomas EJ, et al. Costs and cost-effectiveness of a telemedicine intensive care unit program in 6 intensive care units in a large health car…
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psnet.ahrq.gov/node/36965/psn-pdf
February 15, 2011 - Strategic work-arounds to accommodate new technology:
the case of smart pumps in hospital care.
February 15, 2011
McAlearney AS, Vrontos J, Schneider PJ, et al. Strategic Work-Arounds to Accommodate New
Technology. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000242987.93789.63.
https://psnet.ahrq.gov/issue/strat…
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psnet.ahrq.gov/node/36796/psn-pdf
August 26, 2011 - Patient safety curriculum for surgical residency
programs: results of a national consensus conference.
August 26, 2011
Sachdeva AK, Philibert I, Leach DC, et al. Patient safety curriculum for surgical residency programs: results
of a national consensus conference. Surgery. 2007;141(4):427-41.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/43560/psn-pdf
September 24, 2014 - Burnout in Healthcare.
September 24, 2014
Laschinger H, Montgomery A, eds. Burnout Res. 2014;1:57-102.
https://psnet.ahrq.gov/issue/burnout-healthcare
Burnout has been linked to depression, work dissatisfaction, and increased rates of adverse events.
Articles in this special issue explore health professionals' exp…
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psnet.ahrq.gov/node/43682/psn-pdf
November 19, 2014 - Pearls, Pitfalls, and Errors in Musculoskeletal Diagnosis.
November 19, 2014
Blankenbaker DG, ed. AJR Am J Roentgenol. 2014;203(3):476-593.
https://psnet.ahrq.gov/issue/pearls-pitfalls-and-errors-musculoskeletal-diagnosis
Articles in this special issue discuss common pitfalls in musculoskeletal imaging that can con…
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psnet.ahrq.gov/node/44110/psn-pdf
May 13, 2015 - Simulation in Anaesthesia and Surgery.
May 13, 2015
Hahnenkamp K, Breuer G, eds. Best Pract Res Clin Anaesthesiol. 2015;29(1):1-96.
https://psnet.ahrq.gov/issue/simulation-anaesthesia-and-surgery
In the last decade, simulation has emerged as an educational strategy for teaching clinical skills. Articles in
this sp…
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psnet.ahrq.gov/node/73326/psn-pdf
June 01, 2021 - CANDOR Webinar Series.
June 1, 2021
Patient Safety Movement Foundation. 2021.
https://psnet.ahrq.gov/issue/candor-webinar-series
The Communication and Optimal Resolution (CANDOR) model was designed to support early error
disclosure with patients and families after mistakes in care occur. This three-part webi…
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psnet.ahrq.gov/node/43495/psn-pdf
December 15, 2014 - Disruptive behaviors among physicians.
December 15, 2014
Sanchez LT. Disruptive behaviors among physicians. JAMA. 2014;312(21):2209-2210.
doi:10.1001/jama.2014.10218.
https://psnet.ahrq.gov/issue/disruptive-behaviors-among-physicians
This commentary spotlights concerns about physicians with disruptive behaviors an…
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psnet.ahrq.gov/node/41297/psn-pdf
September 19, 2012 - Failure mode and effects analysis: too little for too much?
September 19, 2012
Franklin BD, Shebl NA, Barber N. Failure mode and effects analysis: too little for too much? BMJ Qual Saf.
2012;21(7):607-11. doi:10.1136/bmjqs-2011-000723.
https://psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-too-little-too-mu…
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psnet.ahrq.gov/node/38785/psn-pdf
September 02, 2009 - An ethnographic study of classifying and accounting for
risk at the sharp end of medical wards.
September 2, 2009
Dixon-Woods M, Suokas A, Pitchforth E, et al. An ethnographic study of classifying and accounting for risk
at the sharp end of medical wards. Soc Sci Med. 2009;69(3):362-9. doi:10.1016/j.socscimed.2009.…
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psnet.ahrq.gov/node/36221/psn-pdf
October 20, 2010 - Enhancing patient safety during hand-offs: standardized
communication and teamwork using the 'SBAR' method.
October 20, 2010
Hohenhaus S, Powell S, Hohenhaus JT. Am J Nurs. 2006;106(8):72A-72B.
https://psnet.ahrq.gov/issue/enhancing-patient-safety-during-hand-offs-standardized-communication-and-
teamwork-using-sba…
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psnet.ahrq.gov/node/43718/psn-pdf
December 03, 2014 - Patient safety culture in nephrology nurse practice
settings: initial findings.
December 3, 2014
Ulrich B, Kear T. Nephrol Nurs J. 2014;41:459-476.
https://psnet.ahrq.gov/issue/patient-safety-culture-nephrology-nurse-practice-settings-initial-findings
This study utilized AHRQ patient safety culture surveys to asse…
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psnet.ahrq.gov/node/39103/psn-pdf
November 18, 2009 - Identifying organizational cultures that promote patient
safety.
November 18, 2009
Singer SJ, Falwell A, Gaba DM, et al. Identifying organizational cultures that promote patient safety. Health
Care Manag Rev. 2009;34(4):300-311. doi:10.1097/HMR.0b013e3181afc10c.
https://psnet.ahrq.gov/issue/identifying-organizatio…
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psnet.ahrq.gov/node/39184/psn-pdf
January 06, 2010 - Patient safety attitudes of paediatric trainee physicians.
January 6, 2010
Parry G, Horowitz L, Goldmann D. Patient safety attitudes of paediatric trainee physicians. Qual Saf Health
Care. 2009;18(6):462-6. doi:10.1136/qshc.2006.020230.
https://psnet.ahrq.gov/issue/patient-safety-attitudes-paediatric-trainee-physic…
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psnet.ahrq.gov/node/45241/psn-pdf
October 31, 2023 - Hospital Harm Project.
October 31, 2023
Canadian Institute for Health Information, Health Excellence Canada.
https://psnet.ahrq.gov/issue/hospital-harm-project
Reducing preventable harm associated with health care is a worldwide goal. This Canadian initiative
developed a measure to track unintended harm in acute c…
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psnet.ahrq.gov/node/45442/psn-pdf
October 12, 2016 - Radiotherapy Incident Reporting and Analysis System.
October 12, 2016
Center for Assessment of Radiological Sciences. 4913 Wuakesha Street, Madison,WI 53705. 608-345-
5795. Email: brthomad@cars-pso.org.
https://psnet.ahrq.gov/issue/radiotherapy-incident-reporting-and-analysis-system
Patient Safety Organizations en…
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psnet.ahrq.gov/node/74095/psn-pdf
February 01, 2022 - Zero Suicide Initiative.
November 17, 2021
Office of the Federal Register, National Archives and Records Administration. Fed Register. November 3,
2021;(86):60883-60893.
https://psnet.ahrq.gov/issue/zero-suicide-initiative
Patient suicide attempts are considered never events. This funding announcement calls for pr…
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psnet.ahrq.gov/node/840494/psn-pdf
November 30, 2022 - Safety of anesthetic and perioperative medication
practices.
November 30, 2022
Meyer TA. Anesthesiology News. October 31, 2022.
https://psnet.ahrq.gov/issue/safety-anesthetic-and-perioperative-medication-practices
Medication use in the surgical environment is complex and high-risk. This article describes steps tow…
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psnet.ahrq.gov/node/46494/psn-pdf
January 24, 2018 - Complications.
January 24, 2018
Anaesthesia. 2018;73(suppl 1):3-101.
https://psnet.ahrq.gov/issue/complications
Study of complications can provide insights into presurgical patient counseling, risk assessment, and
medical harm prevention. Articles in this special issue explore complications in anesthesia, includin…