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psnet.ahrq.gov/issue/executive-leadership-and-physician-well-being-nine-organizational-strategies-promote
September 26, 2018 - Review
Executive leadership and physician well-being: nine organizational strategies to promote engagement and reduce burnout.
Citation Text:
Shanafelt TD, Noseworthy JH. Executive Leadership and Physician Well-being: Nine Organizational Strategies to Promote Engagement and Reduce Burnou…
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psnet.ahrq.gov/issue/description-and-factors-associated-missed-nursing-care-acute-care-community-hospital
August 15, 2012 - Study
Emerging Classic
Description and factors associated with missed nursing care in an acute care community hospital.
Citation Text:
Duffy JR, Culp S, Padrutt T. Description and factors associated with missed nursing care in an acute care community hospital. J…
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psnet.ahrq.gov/issue/i-pass-mentored-implementation-handoff-curriculum-champion-training-materials
November 16, 2022 - Commentary
I-PASS mentored implementation handoff curriculum: champion training materials.
Citation Text:
O'Toole JK, Starmer AJ, Calaman S, et al. I-PASS Mentored Implementation Handoff Curriculum: Champion Training Materials. MedEdPORTAL. 2019;15:10794. doi:10.15766/mep_2374-8265.10794…
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psnet.ahrq.gov/issue/accuracy-computer-aided-diagnosis-melanoma-meta-analysis
June 26, 2019 - Review
Emerging Classic
Accuracy of computer-aided diagnosis of melanoma: a meta-analysis.
Citation Text:
Dick V, Sinz C, Mittlböck M, et al. Accuracy of Computer-Aided Diagnosis of Melanoma. JAMA Dermatol. 2019;155(11):1291-1299. doi:10.1001/jamadermatol.2019.1…
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psnet.ahrq.gov/issue/predictors-successful-implementation-preoperative-briefings-and-postoperative-debriefings
December 21, 2014 - Study
Predictors of successful implementation of preoperative briefings and postoperative debriefings after medical team training.
Citation Text:
Paull DE, Mazzia L, Izu BS, et al. Predictors of successful implementation of preoperative briefings and postoperative debriefings after medi…
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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/use-second-victim-experience-and-support-tool-svest-assess-impact-departmental-peer-support
December 23, 2020 - Study
Use of the Second Victim Experience and Support Tool (SVEST) to assess the impact of a departmental peer support program on anesthesia professionals' second victim experiences (SVEs) and perceptions of support two years after implementation.
Citation Text:
Use of the Second Victim …
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psnet.ahrq.gov/issue/development-and-evaluation-observational-tool-assessing-surgical-flow-disruptions-and-their
June 17, 2009 - Study
Development and evaluation of an observational tool for assessing surgical flow disruptions and their impact on surgical performance.
Citation Text:
Parker SEH, Laviana AA, Wadhera RK, et al. Development and evaluation of an observational tool for assessing surgical flow disruption…
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psnet.ahrq.gov/issue/medication-appropriateness-vulnerable-older-adults-healthy-skepticism-appropriate
October 04, 2023 - Review
Medication appropriateness in vulnerable older adults: healthy skepticism of appropriate polypharmacy.
Citation Text:
Fried TR, Mecca MC. Medication Appropriateness in Vulnerable Older Adults: Healthy Skepticism of Appropriate Polypharmacy. J Am Geriatr Soc. 2019;67(6):1123-1127. …
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psnet.ahrq.gov/issue/assessing-distractors-and-teamwork-during-surgery-developing-event-based-method-direct
February 19, 2020 - Study
Assessing distractors and teamwork during surgery: developing an event-based method for direct observation.
Citation Text:
Seelandt JC, Tschan F, Keller S, et al. Assessing distractors and teamwork during surgery: developing an event-based method for direct observation. BMJ Qual Sa…
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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/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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psnet.ahrq.gov/issue/principles-practice-embedding-clinical-reasoning-longitudinal-curriculum-theme-medical-school
September 09, 2020 - Commentary
From principles to practice: embedding clinical reasoning as a longitudinal curriculum theme in a medical school programme.
Citation Text:
Singh M, Collins L, Farrington R, et al. From principles to practice: embedding clinical reasoning as a longitudinal curriculum theme in a…
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psnet.ahrq.gov/issue/hospital-quality-review-spending-and-patient-safety-longitudinal-analysis-using-instrumental
December 21, 2022 - Study
Hospital quality-review spending and patient safety: a longitudinal analysis using instrumental variables.
Citation Text:
Dynan L, Smith RB. Hospital quality-review spending and patient safety: a longitudinal analysis using instrumental variables. Health Serv Outcomes Res Methodol.…
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psnet.ahrq.gov/issue/medication-complexity-medication-number-and-their-relationships-medication-discrepancies
November 16, 2022 - Study
Medication complexity, medication number, and their relationships to medication discrepancies.
Citation Text:
Patel CH, Zimmerman KM, Fonda JR, et al. Medication Complexity, Medication Number, and Their Relationships to Medication Discrepancies. Ann Pharmacother. 2016;50(7):534-40.…
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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/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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psnet.ahrq.gov/issue/focus-society-cardiovascular-anesthesiologists-initiative-improve-quality-and-safety
January 03, 2017 - Commentary
FOCUS: The Society of Cardiovascular Anesthesiologists' initiative to improve quality and safety in the cardiovascular operating room.
Citation Text:
Barbeito A, Lau WT, Weitzel N, et al. FOCUS: the Society of Cardiovascular Anesthesiologists' initiative to improve quality and…
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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/feedback-loop-failure-modes-medical-diagnosis-how-biases-can-emerge-and-be-reinforced
November 01, 2023 - Study
Feedback loop failure modes in medical diagnosis: how biases can emerge and be reinforced.
Citation Text:
Aikens RC, Chen JH, Baiocchi M, et al. Feedback loop failure modes in medical diagnosis: how biases can emerge and be reinforced. Med Decis Making. 2024;44(5):481-496. doi:10.1…