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psnet.ahrq.gov/issue/association-between-implementation-medical-team-training-program-and-surgical-morbidity
July 03, 2014 - Study
Association between implementation of a medical team training program and surgical morbidity.
Citation Text:
Young-Xu Y, Neily J, Mills PD, et al. Association between implementation of a medical team training program and surgical morbidity. Arch Surg. 2011;146(12):1368-73. doi:10.1…
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psnet.ahrq.gov/node/38743/psn-pdf
January 03, 2017 - Refocusing the lens: patient safety in ambulatory chronic
disease care.
January 3, 2017
Sarkar U, Wachter R, Schroeder SA, et al. Refocusing the lens: patient safety in ambulatory chronic
disease care. Jt Comm J Qual Patient Saf. 2009;35(7):377-83, 341.
https://psnet.ahrq.gov/issue/refocusing-lens-patient-safety-a…
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psnet.ahrq.gov/node/73985/psn-pdf
October 20, 2021 - The effects of three consecutive 12-hour shifts on
cognition, sleepiness, and domains of nursing
performance in day and night shift nurses: a quasi-
experimental study.
October 20, 2021
James L, Elkins-Brown N, Wilson M, et al. The effects of three consecutive 12-hour shifts on cognition,
sleepiness, and domains …
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psnet.ahrq.gov/node/844549/psn-pdf
February 15, 2023 - Preventable harm because of outpatient medication
errors among children with leukemia and lymphoma: a
multisite longitudinal assessment.
February 15, 2023
Wong CI, Vannatta K, Gilleland Marchak J, et al. Preventable harm because of outpatient medication errors
among children with leukemia and lymphoma: a multisite…
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psnet.ahrq.gov/node/73134/psn-pdf
April 14, 2021 - Management and patient safety of complex elderly
patients in primary care during the COVID-19 pandemic in
the UK-Qualitative assessment.
April 14, 2021
Alboksmaty A, Kumar S, Parekh R, et al. Management and patient safety of complex elderly patients in
primary care during the COVID-19 pandemic in the UK - qualitat…
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psnet.ahrq.gov/perspective/conversation-richard-platt-md-msc
October 01, 2016 - and somehow if those databases got merged with a patient presenting with fever rather than these dual assessments
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psnet.ahrq.gov/node/838855/psn-pdf
October 27, 2022 - False Assumptions Result in a Missed Pneumothorax
after Bronchoscopy with Transbronchial Biopsy.
October 27, 2022
Kuhn BT, Chau-Etchepare F. False Assumptions Result in a Missed Pneumothorax after Bronchoscopy
with Transbronchial Biopsy. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/false-assumptions-resul…
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psnet.ahrq.gov/node/49633/psn-pdf
September 01, 2011 - The Safety and Quality of Long Term Care
September 1, 2011
Vogelsmeier AA. The Safety and Quality of Long Term Care. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
Case Objectives
Identify commonly reported adverse events in long-term care.
Identify two to three challenges…
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psnet.ahrq.gov/node/847934/psn-pdf
April 26, 2023 - Patient Safety Indicators
April 26, 2023
Tokareva I, Romano P. Patient Safety Indicators. PSNet [internet]. 2023.
https://psnet.ahrq.gov/primer/patient-safety-indicators
Background
Over the past 25 years, policymakers and providers, payers, and purchasers of health care have
increasingly focused attention on pati…
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psnet.ahrq.gov/node/74853/psn-pdf
February 24, 2022 - The Top Six: standardized safety practices in U.S. Army
Medical Department treatment facilities worldwide.
February 24, 2022
Hartstein B, Munante M, Toor PA. The Top Six: Standardized safety practices in U.S. Army Medical
Department treatment facilities worldwide. NEJM Catal Innov Care Deliv. 2022;3(2):e1-e20.
doi…
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psnet.ahrq.gov/node/47115/psn-pdf
August 15, 2018 - Adverse events in hospitalized pediatric patients.
August 15, 2018
Stockwell DC, Landrigan CP, Toomey SL, et al. Adverse Events in Hospitalized Pediatric Patients.
Pediatrics. 2018;142(2):e20173360. doi:10.1542/peds.2017-3360.
https://psnet.ahrq.gov/issue/adverse-events-hospitalized-pediatric-patients
This study u…
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psnet.ahrq.gov/node/42396/psn-pdf
July 31, 2013 - Developing and implementing a standardized process for
Global Trigger Tool application across a large health
system.
July 31, 2013
Garrett PR, Sammer C, Nelson A, et al. Developing and implementing a standardized process for global
trigger tool application across a large health system. Jt Comm J Qual Saf. 2013;39(…
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psnet.ahrq.gov/node/45681/psn-pdf
January 25, 2017 - Economic evaluation of quality improvement
interventions for bloodstream infections related to central
catheters: a systematic review.
January 25, 2017
Nuckols TK, Keeler E, Morton SC, et al. Economic Evaluation of Quality Improvement Interventions for
Bloodstream Infections Related to Central Catheters: A Systema…
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psnet.ahrq.gov/issue/assessing-patients-perceptions-safety-culture-hospital-setting-development-and-initial
June 09, 2021 - Study
Assessing patients' perceptions of safety culture in the hospital setting: development and initial evaluation of the patients' perceptions of safety culture scale.
Citation Text:
Monaca C, Bestmann B, Kattein M, et al. Assessing Patients' Perceptions of Safety Culture in the Hospit…
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psnet.ahrq.gov/issue/impact-comprehensive-unit-based-safety-program-cusp-safety-culture-surgical-inpatient-unit
January 03, 2017 - Study
Impact of the Comprehensive Unit-Based Safety Program (CUSP) on safety culture in a surgical inpatient unit.
Citation Text:
Timmel J, Kent P, Holzmueller CG, et al. Impact of the Comprehensive Unit-based Safety Program (CUSP) on safety culture in a surgical inpatient unit. Jt Comm …
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psnet.ahrq.gov/issue/handoff-protocol-cardiovascular-operating-room-cardiac-icu-associated-improvements-care
December 09, 2020 - Study
A handoff protocol from the cardiovascular operating room to cardiac ICU is associated with improvements in care beyond the immediate postoperative period.
Citation Text:
Kaufmnan J, Twite M, Barrett C, et al. A handoff protocol from the cardiovascular operating room to cardiac I…
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psnet.ahrq.gov/issue/can-electronic-prescribing-system-detect-doctors-who-are-more-likely-make-serious-prescribing
June 30, 2011 - Study
Can an electronic prescribing system detect doctors who are more likely to make a serious prescribing error?
Citation Text:
Coleman JJ, Hemming K, Nightingale PG, et al. Can an electronic prescribing system detect doctors who are more likely to make a serious prescribing error? J…
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psnet.ahrq.gov/issue/unscheduled-radiologic-examination-orders-electronic-health-record-novel-resource-targeting
March 30, 2022 - Study
Unscheduled radiologic examination orders in the electronic health record: a novel resource for targeting ambulatory diagnostic errors in radiology.
Citation Text:
Lacson R, Healey MJ, Cochon LR, et al. Unscheduled Radiologic Examination Orders in the Electronic Health Record: A No…
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psnet.ahrq.gov/issue/simulating-quality-centralized-quality-improvement-and-patient-safety-simulation-curriculum
January 03, 2017 - Study
Simulating for quality: a centralized quality improvement and patient safety simulation curriculum for residents and fellows.
Citation Text:
Luty JT, Oldham H, Smeraglio A, et al. Simulating for quality: a centralized quality improvement and patient safety simulation curriculum for…
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psnet.ahrq.gov/issue/psychological-impact-and-recovery-after-involvement-patient-safety-incident-repeated-measures
September 19, 2016 - Study
Psychological impact and recovery after involvement in a patient safety incident: a repeated measures analysis.
Citation Text:
Van Gerven E, Bruyneel L, Panella M, et al. Psychological impact and recovery after involvement in a patient safety incident: a repeated measures analysis.…