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psnet.ahrq.gov/node/845302/psn-pdf
March 01, 2023 - Reducing preventable adverse events in obstetrics by
improving interprofessional communication skills--results
of an intervention study.
March 1, 2023
Hüner B, Derksen C, Schmiedhofer M, et al. Reducing preventable adverse events in obstetrics by
improving interprofessional communication skills – results of an int…
-
psnet.ahrq.gov/node/846448/psn-pdf
March 22, 2023 - Understanding patient and clinician reported nonroutine
events in ambulatory surgery.
March 22, 2023
Salwei ME, Anders S, Slagle JM, et al. Understanding patient and clinician reported nonroutine events in
ambulatory surgery. J Patient Saf. 2023;19(2):e38-e45. doi:10.1097/pts.0000000000001089.
https://psnet.ahrq.g…
-
psnet.ahrq.gov/node/61094/psn-pdf
November 04, 2020 - The doctor was rude, the toilets are dirty. Utilizing 'soft
signals' in the regulation of patient safety.
November 4, 2020
Kok J, Wallenburg I, Leistikow I, et al. The doctor was rude, the toilets are dirty. Utilizing ‘soft signals’ in the
regulation of patient safety. Safety Sci. 2020;131:104914. doi:10.1016/j.ssc…
-
psnet.ahrq.gov/node/46273/psn-pdf
August 30, 2017 - Increasing patient safety with neonates via handoff
communication during delivery: a call for
interprofessional health care team training across GME
and CME.
August 30, 2017
Vanderbilt AA, Pappada SM, Stein H, et al. Increasing patient safety with neonates via handoff
communication during delivery: a call for int…
-
psnet.ahrq.gov/node/74265/psn-pdf
January 19, 2022 - Psychometric properties of the perinatal missed care
survey and missed care during labor and birth.
January 19, 2022
Lyndon A, Simpson KR, Spetz J, et al. Psychometric properties of the perinatal missed care survey and
missed care during labor and birth. Appl Nurs Res. 2022;63:151516. doi:10.1016/j.apnr.2021.151516…
-
psnet.ahrq.gov/node/60334/psn-pdf
May 13, 2020 - Crisis Standards of Care: Ten Years of Successes and
Challenges–Proceedings of a Workshop.
May 13, 2020
National Academies of Sciences, Engineering, and Medicine. Washington, DC; The National Academies
Press: 2020. ISBN 9780309676250.
https://psnet.ahrq.gov/issue/crisis-standards-care-ten-years-successes-and-…
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psnet.ahrq.gov/node/837310/psn-pdf
June 01, 2022 - National cross-sectional cohort study of the relationship
between quality of mental healthcare and death by
suicide.
June 1, 2022
Shiner B, Gottlieb DJ, Levis M, et al. National cross-sectional cohort study of the relationship between
quality of mental healthcare and death by suicide. BMJ Qual Saf. 2022;31(6):434-…
-
psnet.ahrq.gov/node/47659/psn-pdf
January 27, 2019 - Medical overuse as a physician cognitive error: looking
under the hood.
January 27, 2019
Korenstein D. Medical overuse as a physician cognitive error: looking under the hood. JAMA Intern Med.
2019;179(1):26-27. doi:10.1001/jamainternmed.2018.5136.
https://psnet.ahrq.gov/issue/medical-overuse-physician-cognitive-er…
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psnet.ahrq.gov/node/38071/psn-pdf
February 15, 2011 - A multifaceted approach to safety: the synergistic
detection of adverse drug events in adult inpatients.
February 15, 2011
Ferranti JM, Horvath MM, Cozart H, et al. A Multifaceted Approach to Safety. J Patient Saf. 2008;4(3):184-
190. doi:10.1097/pts.0b013e318184a9d5.
https://psnet.ahrq.gov/issue/multifaceted-appr…
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psnet.ahrq.gov/node/42989/psn-pdf
May 28, 2014 - Interactive questioning in critical care during handovers:
a transcript analysis of communication behaviours by
physicians, nurses and nurse practitioners.
May 28, 2014
Rayo MF, Mount-Campbell AF, O'Brien JM, et al. Interactive questioning in critical care during handovers: a
transcript analysis of communication b…
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psnet.ahrq.gov/node/50555/psn-pdf
October 16, 2019 - Improving critical incident reporting in primary care
through education and involvement.
October 16, 2019
Müller BS, Beyer M, Blazejewski T, et al. Improving critical incident reporting in primary care through
education and involvement. BMJ Open Qual. 2019;8(3):e000556. doi:10.1136/bmjoq-2018-000556.
https://psnet…
-
psnet.ahrq.gov/node/47848/psn-pdf
May 08, 2019 - A mixed-method study of practitioners' perspectives on
issues related to EHR medication reconciliation at a
health system.
May 8, 2019
Rangachari P, Dellsperger KC, Fallaw D, et al. A Mixed-Method Study of Practitioners' Perspectives on
Issues Related to EHR Medication Reconciliation at a Health System. Qual Manag…
-
psnet.ahrq.gov/node/72549/psn-pdf
December 09, 2020 - Pharmacist counseling when dispensing naloxone by
standing order: a secret shopper study of 4 chain
pharmacies.
December 9, 2020
Contreras J, Baus C, Brandt C, et al. Pharmacist counseling when dispensing naloxone by standing order:
a secret shopper study of 4 chain pharmacies. J Am Pharm Assoc (2003). 2021;61(2):…
-
psnet.ahrq.gov/node/73139/psn-pdf
April 14, 2021 - Effect of barcode technology on medication preparation
safety: a quasi-experimental study.
April 14, 2021
Küng K, Aeschbacher K, Rütsche A, et al. Effect of barcode technology on medication preparation safety: a
quasi-experimental study. Int J Qual Health Care. 2021;33(1). doi:10.1093/intqhc/mzab043.
https://psnet…
-
psnet.ahrq.gov/node/866960/psn-pdf
October 16, 2024 - The consequences of misdiagnosing race-based trauma
response in Black men: a critical examination.
October 16, 2024
Sanders AA, Roberts JD, McDowell MC, et al. The consequences of misdiagnosing race-based trauma
response in Black men: a critical examination. Soc Work Public Health. 2024;39(7):721-733.
doi:10.1080/…
-
psnet.ahrq.gov/node/44216/psn-pdf
April 25, 2016 - Improving medication safety during hospital-based
transitions of care.
April 25, 2016
Sponsler KC, Neal EB, Kripalani S. Improving medication safety during hospital-based transitions of care.
Cleve Clin J Med. 2015;82(6):351-360. doi:10.3949/ccjm.82a.14025.
https://psnet.ahrq.gov/issue/improving-medication-safety-…
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psnet.ahrq.gov/node/35877/psn-pdf
July 23, 2010 - National Quality Forum 30 safe practices: priority and
progress in Iowa hospitals.
July 23, 2010
Ward MM, Evans TC, Spies AJ, et al. National Quality Forum 30 safe practices: priority and progress in
Iowa hospitals. Am J Med Qual. 2006;21(2):101-8.
https://psnet.ahrq.gov/issue/national-quality-forum-30-safe-practi…
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psnet.ahrq.gov/node/61072/psn-pdf
October 28, 2020 - Reducing nosocomial transmission of COVID-19:
implementation of a COVID-19 triage system.
October 28, 2020
Wake RM, Morgan M, Choi J, et al. Reducing nosocomial transmission of COVID-19: implementation of a
COVID-19 triage system. Clin Med (Lond). 2020;20(5):e141-e145. doi:10.7861/clinmed.2020-0411.
https://psnet.…
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psnet.ahrq.gov/node/74205/psn-pdf
January 01, 2022 - Communicating certainty in pathology reports:
interpretation differences among staff pathologists,
clinicians, and residents in a multicenter study.
December 22, 2021
Gibson BA, McKinnon E, Bentley RC, et al. Communicating certainty in pathology reports: interpretation
differences among staff pathologists, clinici…
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psnet.ahrq.gov/node/50651/psn-pdf
November 13, 2019 - How effective is teamwork really? The relationship
between teamwork and performance in healthcare teams:
a systematic review and meta-analysis.
November 13, 2019
Schmutz JB, Meier LL, Manser T. How effective is teamwork really? The relationship between teamwork
and performance in healthcare teams: a systematic rev…