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psnet.ahrq.gov/issue/girl-who-cried-pain-bias-against-women-treatment-pain
February 08, 2023 - Review
Classic
The girl who cried pain: a bias against women in the treatment of pain.
Citation Text:
Hoffmann DE, Tarzian AJ. The girl who cried pain: a bias against women in the treatment of pain. J Law Med Ethics. 2001;29(1):13-27. doi:10.1111/j.1748-720x.200…
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psnet.ahrq.gov/issue/physicians-practice-dispensing-medicines-qualitative-study
November 16, 2022 - Study
Physicians' practice of dispensing medicines: a qualitative study.
Citation Text:
Darbyshire D, Gordon M, Baker P, et al. Physicians' Practice of Dispensing Medicines: A Qualitative Study. J Patient Saf. 2016;12(2):82-8. doi:10.1097/PTS.0000000000000122.
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psnet.ahrq.gov/issue/application-iv-medication-harm-index-assess-nature-harm-averted-smart-infusion-safety-systems
January 23, 2017 - Study
Application of the IV Medication Harm Index to assess the nature of harm averted by "smart" infusion safety systems.
Citation Text:
Williams CK, Maddox RR, Heape E, et al. Application of the IV Medication Harm Index to Assess the Nature of Harm Averted by "Smart" Infusion Safety …
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psnet.ahrq.gov/issue/safe-day-call-reducing-silos-health-care-through-frontline-risk-assessment
May 25, 2016 - Commentary
The safe day call: reducing silos in health care through frontline risk assessment.
Citation Text:
Paterson C, Miller K, Benden M, et al. The Safe Day Call: Reducing Silos in Health Care Through Frontline Risk Assessment. Jt Comm J Qual Patient Saf. 2014;40(10):476-481.
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www.ahrq.gov/news/newsroom/case-studies/201516.html
June 01, 2015 - San Diego Universities Collaborate Using TeamSTEPPS® to Boost Professional Education
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June 2015
About 900 students at two San Diego universities have been instructed in the team-based methods of TeamSTEPPS® , AHRQ's evidence-based patient safety training program for health car…
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psnet.ahrq.gov/issue/exploring-role-salient-distracting-clinical-features-emergence-diagnostic-errors-and
July 03, 2014 - Study
Exploring the role of salient distracting clinical features in the emergence of diagnostic errors and the mechanisms through which reflection counteracts mistakes.
Citation Text:
Mamede S, Splinter TAW, Van Gog T, et al. Exploring the role of salient distracting clinical features…
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psnet.ahrq.gov/issue/critical-incident-reports-concerning-anaesthetic-equipment-analysis-uk-national-reporting-and
August 03, 2022 - Study
Critical incident reports concerning anaesthetic equipment: analysis of the UK National Reporting and Learning System (NRLS) data from 2006-2008.
Citation Text:
Cassidy CJ, Smith AF, Arnot-Smith J. Critical incident reports concerning anaesthetic equipment: analysis of the UK Nat…
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psnet.ahrq.gov/issue/mapping-changes-surgical-mortality-over-9-years-peer-review-audit
March 04, 2011 - Study
Mapping changes in surgical mortality over 9 years by peer review audit.
Citation Text:
Thompson A, Ashraf Z, Burton H, et al. Mapping changes in surgical mortality over 9 years by peer review audit. Br J Surg. 2005;92(11):1449-52.
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psnet.ahrq.gov/issue/use-simulation-assess-electronic-health-record-safety-intensive-care-unit-pilot-study
December 10, 2014 - Study
Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study.
Citation Text:
March CA, Steiger D, Scholl G, et al. Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study. BMJ Open. 2013;3(4). d…
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psnet.ahrq.gov/issue/prospective-risk-assessment-informal-carers-medication-administration-errors-within
February 08, 2017 - Study
A prospective risk assessment of informal carers' medication administration errors within the domiciliary setting.
Citation Text:
Parand A, Faiella G, Franklin BD, et al. A prospective risk assessment of informal carers' medication administration errors within the domiciliary setti…
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psnet.ahrq.gov/issue/using-near-miss-events-improve-mri-safety-large-academic-centre
May 31, 2017 - Commentary
Using near-miss events to improve MRI safety in a large academic centre.
Citation Text:
Goolsarran N, Martinez J, Garcia C. Using near-miss events to improve MRI safety in a large academic centre. BMJ Open Qual. 2019;8(2):e000593. doi:10.1136/bmjoq-2018-000593.
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psnet.ahrq.gov/issue/comparison-three-methods-estimating-rates-adverse-events-and-rates-preventable-adverse-events
March 23, 2011 - Study
Comparison of three methods for estimating rates of adverse events and rates of preventable adverse events in acute care hospitals.
Citation Text:
Michel P, Quenon JL, de Sarasqueta AM, et al. Comparison of three methods for estimating rates of adverse events and rates of prevent…
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psnet.ahrq.gov/issue/psych-mnemonic-help-psychiatric-residents-decrease-patient-handoff-communication-errors
November 16, 2022 - Study
PSYCH: a mnemonic to help psychiatric residents decrease patient handoff communication errors.
Citation Text:
Mariano MT, Brooks V, DiGiacomo M. PSYCH: A Mnemonic to Help Psychiatric Residents Decrease Patient Handoff Communication Errors. Jt Comm J Qual Patient Saf. 2016;42(7):316…
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psnet.ahrq.gov/issue/pursuing-patient-safety-intersection-design-systems-engineering-and-health-care-delivery
June 25, 2018 - Commentary
Pursuing patient safety at the intersection of design, systems engineering, and health care delivery research: an ongoing assessment.
Citation Text:
Henriksen K, Rodrick D, Grace EN, et al. Pursuing Patient Safety at the Intersection of Design, Systems Engineering, and Health …
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psnet.ahrq.gov/issue/using-objective-structured-clinical-examination-test-adherence-joint-commission-national
September 26, 2012 - Study
Using an objective structured clinical examination to test adherence to Joint Commission National Patient Safety Goal–associated behaviors.
Citation Text:
Pernar LIM, Shaw T, Pozner CN, et al. Using an Objective Structured Clinical Examination to test adherence to Joint Commissio…
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www.ahrq.gov/news/newsroom/case-studies/201709.html
June 01, 2017 - St. Jude Children's Research Hospital Uses AHRQ Survey to Promote Patient Safety
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June 2017
St. Jude Children's Research Hospital uses AHRQ's Hospital Survey on Patient Safety Culture to obtain employee feedback on ways to improve medical care and safety for the approximately…
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psnet.ahrq.gov/issue/silence-can-be-dangerous-vignette-study-assess-healthcare-professionals-likelihood-speaking
September 17, 2014 - Study
Silence that can be dangerous: a vignette study to assess healthcare professionals' likelihood of speaking up about safety concerns.
Citation Text:
Schwappach DLB, Gehring K. Silence that can be dangerous: a vignette study to assess healthcare professionals' likelihood of speaking …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/023-optimizing-evc-one-pager.docx
October 01, 2024 - In the patient care environment, quality of cleaning is measured by which and what percentage of high-touch surfaces (HTSs) are adequately cleaned and disinfected. Below, the four most common methods of monitoring are discussed, including their pros and cons.
Observation1-3
· A supervisor or trained staff conducts visu…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/sustainability-scorecard.docx
January 01, 2017 - AHRQ Safety Program for Mechanically Ventilated Patients
Sustainability Scorecard
Instructions: This Sustainability Scorecard is a tool you can use to quickly assess your unit’s progress in applying the Comprehensive Unit-based Safety Program to the care of mechanically ventilated patients. For each question selec…
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www.ahrq.gov/hai/tools/mvp/sustainability/scorecard.html
January 01, 2017 - Sustainability Scorecard
AHRQ Safety Program for Mechanically Ventilated Patients
Instructions: This Sustainability Scorecard is a tool you can use to quickly assess your unit’s progress in applying the Comprehensive Unit-based Safety Program to the care of mechanically ventilated patients. For e…