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psnet.ahrq.gov/node/36019/psn-pdf
September 22, 2010 - Errors and adverse events in otolaryngology.
September 22, 2010
Shah RK, Roberson DW, Healy GB. Errors and adverse events in otolaryngology. Curr Opin Otolaryngol
Head Neck Surg. 2006;14(3):164-9.
https://psnet.ahrq.gov/issue/errors-and-adverse-events-otolaryngology
The authors assessed the literature specific to …
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psnet.ahrq.gov/node/36760/psn-pdf
August 23, 2011 - A plan for achieving significant improvement in patient
safety.
August 23, 2011
Johnson K, Maultsby CC. A plan for achieving significant improvement in patient safety. J Nurs Care Qual.
2007;22(2):164-71.
https://psnet.ahrq.gov/issue/plan-achieving-significant-improvement-patient-safety
The authors describe the u…
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psnet.ahrq.gov/node/36643/psn-pdf
January 14, 2011 - Addressing the nursing work environment to promote
patient safety.
January 14, 2011
Lin L, Liang BA. Addressing the nursing work environment to promote patient safety. Nurs Forum.
2007;42(1):20-30.
https://psnet.ahrq.gov/issue/addressing-nursing-work-environment-promote-patient-safety
The authors assess factors i…
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psnet.ahrq.gov/node/38185/psn-pdf
October 29, 2008 - Implementation of the SBAR communication technique in
a tertiary center.
October 29, 2008
Woodhall LJ, Vertacnik L, McLaughlin M. Implementation of the SBAR Communication Technique in a
Tertiary Center. J Emerg Nurs. 2008;34(4):314-317. doi:10.1016/j.jen.2007.07.007.
https://psnet.ahrq.gov/issue/implementation-sba…
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psnet.ahrq.gov/issue/implementing-delivery-room-checklists-and-communication-standards-multi-neonatal-icu-quality
November 20, 2019 - Study
Implementing delivery room checklists and communication standards in a multi-neonatal ICU quality improvement collaborative.
Citation Text:
Bennett SC, Finer N, Halamek LP, et al. Implementing Delivery Room Checklists and Communication Standards in a Multi-Neonatal ICU Quality Impr…
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psnet.ahrq.gov/issue/are-pathologists-self-aware-their-diagnostic-accuracy-metacognition-and-diagnostic-process
May 18, 2022 - Study
Are pathologists self-aware of their diagnostic accuracy? Metacognition and the diagnostic process in pathology.
Citation Text:
Clayton DA, Eguchi MM, Kerr KF, et al. Are pathologists self-aware of their diagnostic accuracy? Metacognition and the diagnostic process in pathology. Me…
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psnet.ahrq.gov/issue/discrepancies-between-home-medications-listed-hospital-admission-and-reported-medical
November 03, 2021 - Study
Discrepancies between home medications listed at hospital admission and reported medical conditions.
Citation Text:
Slain D, Kincaid SE, Dunsworth TS. Discrepancies between home medications listed at hospital admission and reported medical conditions. Am J Geriatr Pharmacother.…
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psnet.ahrq.gov/issue/how-effective-teamwork-really-relationship-between-teamwork-and-performance-healthcare-teams
February 14, 2017 - Review
Classic
How effective is teamwork really? The relationship between teamwork and performance in healthcare teams: a systematic review and meta-analysis.
Citation Text:
Schmutz JB, Meier LL, Manser T. How effective is teamwork really? The relationship betwe…
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psnet.ahrq.gov/issue/review-incidents-related-health-information-technology-swedish-healthcare-characterise-system
December 20, 2023 - Study
A review of incidents related to health information technology in Swedish healthcare to characterise system issues as a basis for improvement in clinical practice.
Citation Text:
Pan D, Nilsson E, Rahman Jabin MS. A review of incidents related to health information technology in Sw…
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psnet.ahrq.gov/issue/decreasing-misdiagnoses-urinary-tract-infections-pediatric-emergency-department
October 26, 2022 - Study
Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department.
Citation Text:
Ostrow O, Prodanuk M, Foong Y, et al. Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department. Pediatrics. 2022;150(1):e2021055866. doi:10.1542/pe…
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psnet.ahrq.gov/issue/narrative-feedback-or-personnel-about-safety-their-surgical-practice-and-after-surgical
May 09, 2018 - Study
Narrative feedback from OR personnel about the safety of their surgical practice before and after a surgical safety checklist intervention.
Citation Text:
Alidina S, Hur H-C, Berry WR, et al. Narrative feedback from OR personnel about the safety of their surgical practice before an…
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psnet.ahrq.gov/issue/biasing-influence-mental-shortcuts-diagnostic-decision-making-radiologists-can-overlook
April 07, 2021 - Study
Biasing influence of 'mental shortcuts' on diagnostic decision-making: radiologists can overlook breast cancer in mamograms when prior diagnostic information is available.
Citation Text:
Branch F, Santana I, Hegdé J. Biasing influence of 'mental shortcuts' on diagnostic decision-ma…
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psnet.ahrq.gov/issue/prevalence-adverse-events-hospitals-five-latin-american-countries-results-iberoamerican-study
December 03, 2008 - Study
Prevalence of adverse events in the hospitals of five Latin American countries: results of the 'Iberoamerican Study of Adverse Events' (IBEAS).
Citation Text:
Aranaz-Andrés JM, Aibar-Remón C, Limón-Ramírez R, et al. Prevalence of adverse events in the hospitals of five Latin Amer…
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psnet.ahrq.gov/issue/what-defines-high-performing-health-system-systematic-review
August 17, 2022 - Review
What defines a high-performing health system: a systematic review.
Citation Text:
Ahluwalia SC, Damberg CL, Silverman M, et al. What Defines a High-Performing Health Care Delivery System: A Systematic Review. Jt Comm J Qual Patient Saf. 2017;43(9):450-459. doi:10.1016/j.jcjq.2017.…
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psnet.ahrq.gov/issue/pathologists-perspectives-disclosing-harmful-pathology-error
January 22, 2020 - Study
Pathologists' perspectives on disclosing harmful pathology error.
Citation Text:
Dintzis SM, Clennon EK, Prouty CD, et al. Pathologists' Perspectives on Disclosing Harmful Pathology Error. Arch Pathol Lab Med. 2017;141(6):841-845. doi:10.5858/arpa.2016-0136-OA.
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psnet.ahrq.gov/issue/readiness-report-medical-treatment-errors-effects-safety-procedures-safety-information-and
July 11, 2007 - Study
Readiness to report medical treatment errors: the effects of safety procedures, safety information, and priority of safety.
Citation Text:
Naveh E, Katz-Navon T, Stern Z. Readiness to report medical treatment errors: the effects of safety procedures, safety information, and prior…
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psnet.ahrq.gov/issue/struggling-invent-high-reliability-organizations-health-care-settings-insights-field
October 02, 2019 - Study
Struggling to invent high-reliability organizations in health care settings: insights from the field.
Citation Text:
Dixon NM, Shofer M. Struggling to invent high-reliability organizations in health care settings: Insights from the field. Health Serv Res. 2006;41(4 Pt 2):1618-32.…
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psnet.ahrq.gov/issue/inappropriateness-medication-prescriptions-elderly-patients-primary-care-setting-systematic
February 14, 2024 - Review
Inappropriateness of medication prescriptions to elderly patients in the primary care setting: a systematic review.
Citation Text:
Opondo D, Eslami S, Visscher S, et al. Inappropriateness of medication prescriptions to elderly patients in the primary care setting: a systematic r…
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psnet.ahrq.gov/issue/contributing-factors-identified-hospital-incident-report-narratives
January 02, 2017 - Study
Contributing factors identified by hospital incident report narratives.
Citation Text:
Nuckols TK, Bell DS, Paddock SM, et al. Contributing factors identified by hospital incident report narratives. Qual Saf Health Care. 2008;17(5):368-72. doi:10.1136/qshc.2007.023721.
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psnet.ahrq.gov/issue/near-miss-mixed-methods-analysis-medical-student-assignments-patient-safety
May 25, 2016 - Study
"Near miss": a mixed-methods analysis of medical student assignments in patient safety.
Citation Text:
Plugge T, Breviu A, Lappé K, et al. "Near miss": a mixed-methods analysis of medical student assignments in patient safety. Am J Med Qual. 2024;39(4):168-173. doi:10.1097/jmq.0000…