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psnet.ahrq.gov/node/37946/psn-pdf
June 10, 2010 - Patient comprehension of emergency department care
and instructions: are patients aware of when they do not
understand?
June 10, 2010
Engel KG, Heisler M, Smith DM, et al. Patient comprehension of emergency department care and
instructions: are patients aware of when they do not understand? Ann Emerg Med. 2009;53(…
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psnet.ahrq.gov/node/40263/psn-pdf
March 02, 2011 - Trauma resuscitation errors and computer-assisted
decision support.
March 2, 2011
FitzGerald M, Cameron P, Mackenzie CF, et al. Trauma resuscitation errors and computer-assisted
decision support. Arch Surg. 2011;146(2):218-25. doi:10.1001/archsurg.2010.333.
https://psnet.ahrq.gov/issue/trauma-resuscitation-errors-…
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psnet.ahrq.gov/node/854823/psn-pdf
October 25, 2023 - Safety of office-based lens surgery: U.S. multicenter
study
October 25, 2023
Kugler LJ, Kapeles MJ, Durrie DS. Safety of office-based lens surgery: U.S. multicenter study. J Cataract
Refract Surg. 2023;49(9):907-911. doi:10.1097/j.jcrs.0000000000001231.
https://psnet.ahrq.gov/issue/safety-office-based-lens-surgery…
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psnet.ahrq.gov/node/854635/psn-pdf
January 01, 2024 - CheckPOINT: a simple tool to measure Surgical Safety
Checklist implementation fidelity.
October 18, 2023
Moyal-Smith R, Etheridge JC, Turley N, et al. CheckPOINT: a simple tool to measure Surgical Safety
Checklist implementation fidelity. BMJ Qual Saf. 2024;33(4):223-231. doi:10.1136/bmjqs-2023-016030.
https://psn…
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psnet.ahrq.gov/node/48114/psn-pdf
July 17, 2019 - Opportunities for improvement in nursing homes:
variance of six patient safety climate factor scores across
nursing homes and wards—assessed by the Safety
Attitudes Questionnaire.
July 17, 2019
Deilkås ECT, Hofoss D, Husebo BS, et al. Opportunities for improvement in nursing homes: Variance of six
patient safety …
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psnet.ahrq.gov/node/46412/psn-pdf
October 11, 2017 - Team-based care: the changing face of cardiothoracic
surgery.
October 11, 2017
Crawford TC, Conte J, Sanchez JA. Team-Based Care: The Changing Face of Cardiothoracic Surgery.
Surg Clin North Am. 2017;97(4):801-810. doi:10.1016/j.suc.2017.03.003.
https://psnet.ahrq.gov/issue/team-based-care-changing-face-cardiothor…
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psnet.ahrq.gov/node/837846/psn-pdf
August 17, 2022 - Quality measures for patients at risk of adverse outcomes
in the Veterans Health Administration: expert panel
recommendations.
August 17, 2022
Chang ET, Newberry S, Rubenstein LV, et al. Quality Measures for Patients at Risk of Adverse Outcomes
in the Veterans Health Administration. JAMA Network Open. 2022;5(8):e2…
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psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit
June 01, 2005 - Diagnostic Failure: The Growing Deficit
Citation Text:
Chang R, Flanders S. Diagnostic Failure: The Growing Deficit. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
Google Scholar BibTeX EndNo…
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psnet.ahrq.gov/node/49704/psn-pdf
March 01, 2014 - Late Anemia Following Rh Disease in a Newborn
March 1, 2014
Newman TB, Maisels JM. Late Anemia Following Rh Disease in a Newborn. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/late-anemia-following-rh-disease-newborn
The Case
A full-term neonate was delivered uneventfully to an Rh-negative woman who had re…
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psnet.ahrq.gov/web-mm/not-miscarriage
June 01, 2005 - Not a Miscarriage
Citation Text:
Learman LA. Not a Miscarriage. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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Format:
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…
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psnet.ahrq.gov/node/36648/psn-pdf
January 18, 2011 - The Safety Organizing Scale: development and validation
of a behavioral measure of safety culture in hospital
nursing units.
January 18, 2011
Vogus TJ, Sutcliffe K. The Safety Organizing Scale: development and validation of a behavioral measure of
safety culture in hospital nursing units. Med Care. 2007;45(1):46-5…
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psnet.ahrq.gov/node/45335/psn-pdf
August 10, 2016 - The Feasibility of Determining the Effectiveness and Cost-
effectiveness of Medication Organisation Devices
Compared with Usual Care for Older People in a
Community Setting: Systematic Review, Stakeholder
Focus Groups and Feasibility RCT.
August 10, 2016
Bhattacharya D, Aldus CF, Barton G, et al. Health Tech…
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psnet.ahrq.gov/node/73652/psn-pdf
September 01, 2021 - Dimensions of safety culture: a systematic review of
quantitative, qualitative and mixed methods for assessing
safety culture in hospitals.
September 1, 2021
Churruca K, Ellis LA, Pomare C, et al. Dimensions of safety culture: a systematic review of quantitative,
qualitative and mixed methods for assessing safety …
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psnet.ahrq.gov/node/46351/psn-pdf
December 19, 2017 - Intraoperative surgical performance measurement and
outcomes: choose your tools carefully.
December 19, 2017
Aggarwal R. Intraoperative Surgical Performance Measurement and Outcomes: Choose Your Tools
Carefully. JAMA Surg. 2017;152(11):995-996. doi:10.1001/jamasurg.2017.0837.
https://psnet.ahrq.gov/issue/intraoper…
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psnet.ahrq.gov/node/42400/psn-pdf
July 10, 2013 - Development and reliability of the explicit professional
oral communication observation tool to quantify the use
of non-technical skills in healthcare.
July 10, 2013
Kemper PF, van Noord I, de Bruijne M, et al. Development and reliability of the explicit professional oral
communication observation tool to quantify…
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psnet.ahrq.gov/node/43543/psn-pdf
November 05, 2014 - A patient safety approach to setting pass/fail standards
for basic procedural skills checklists.
November 5, 2014
Yudkowsky R, Tumuluru S, Casey P, et al. A patient safety approach to setting pass/fail standards for basic
procedural skills checklists. Simul Healthc. 2014;9(5):277-82. doi:10.1097/SIH.000000000000004…
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psnet.ahrq.gov/node/47523/psn-pdf
December 05, 2018 - Developing standardized "receiver-driven" handoffs
between referring providers and the emergency
department: results of a multidisciplinary needs
assessment.
December 5, 2018
Huth K, Stack AM, Chi G, et al. Developing Standardized "Receiver-Driven" Handoffs Between Referring
Providers and the Emergency Department…
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psnet.ahrq.gov/node/859340/psn-pdf
December 20, 2023 - Validation and use of the Second Victim Experience and
Support Tool questionnaire: a scoping review.
December 20, 2023
Dato Md Yusof YJ, Ng QX, Teoh SE, et al. Validation and use of the Second Victim Experience and
Support Tool questionnaire: a scoping review. Public Health. 2023;223:183-192.
doi:10.1016/j.puhe.20…
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psnet.ahrq.gov/node/60301/psn-pdf
January 01, 2021 - Association of surgical resident wellness with medical
errors and patient outcomes.
May 6, 2020
Hewitt DB, Ellis RJ, Chung JW, et al. Association of surgical resident wellness with medical errors and
patient outcomes. Ann Surg. 2021;274(2):396-402. doi:10.1097/sla.0000000000003909.
https://psnet.ahrq.gov/issue/ass…
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psnet.ahrq.gov/node/72856/psn-pdf
March 17, 2021 - The fusion of incident learning and failure mode and
effects analysis for data-driven patient safety
improvements.
March 17, 2021
Paradis KC, Naheedy KW, Matuszak MM, et al. The fusion of incident learning and failure mode and
effects analysis for data-driven patient safety improvements. Pract Radiat Oncol. 2020;1…