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psnet.ahrq.gov/issue/theory-driven-longitudinal-evaluation-impact-team-training-safety-culture-24-hospitals
October 16, 2019 - Study
A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals.
Citation Text:
Jones KJ, Skinner AM, High R, et al. A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals. BMJ Qual Saf. 20…
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psnet.ahrq.gov/issue/risk-management-extreme-honesty-may-be-best-policy
January 04, 2017 - Study
Classic
Risk management: extreme honesty may be the best policy.
Citation Text:
Kraman SS, Hamm G. Risk management: extreme honesty may be the best policy. Ann Intern Med. 1999;131(12):963-967.
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psnet.ahrq.gov/issue/dealing-unforeseen-complexity-or-role-heedful-interrelating-medical-teams
July 06, 2011 - Study
Dealing with unforeseen complexity in the OR: the role of heedful interrelating in medical teams.
Citation Text:
Schraagen JM. Dealing with unforeseen complexity in the OR: the role of heedful interrelating in medical teams. Theor Issues Ergon Sci. 2011;12(3). doi:10.1080/1464536…
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psnet.ahrq.gov/issue/lack-patient-knowledge-regarding-hospital-medications
September 20, 2006 - Study
Lack of patient knowledge regarding hospital medications.
Citation Text:
Lack of patient knowledge regarding hospital medications.
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psnet.ahrq.gov/issue/how-improve-change-shift-handovers-and-collaborative-grounding-and-what-role-does-electronic
June 29, 2022 - Review
How to improve change of shift handovers and collaborative grounding and what role does the electronic patient record system play? Results of a systematic literature review.
Citation Text:
Flemming D, Hübner U. How to improve change of shift handovers and collaborative grounding …
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psnet.ahrq.gov/issue/towards-common-framework-support-decision-making-high-risk-low-time-environments
November 16, 2022 - Commentary
Towards a common framework to support decision-making in high-risk, low-time environments.
Citation Text:
Launder D, Penney G. Towards a common framework to support decision‐making in high‐risk, low‐time environments. J Contin Crisis Manag. 2023;31(4):862-876. doi:10.1111/1468…
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psnet.ahrq.gov/issue/optimizing-transitions-care-reduce-rehospitalizations
November 04, 2015 - Review
Optimizing transitions of care to reduce rehospitalizations.
Citation Text:
Li J, Young R, Williams M. Optimizing transitions of care to reduce rehospitalizations. Cleve Clin J Med. 2014;81(5):312-20. doi:10.3949/ccjm.81a.13106.
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psnet.ahrq.gov/issue/ward-round-template-enhancing-patient-safety-ward-rounds
April 19, 2023 - Commentary
Ward round template: enhancing patient safety on ward rounds.
Citation Text:
Gilliland N, Catherwood N, Chen S, et al. Ward round template: enhancing patient safety on ward rounds. BMJ Open Qual. 2018;7(2):e000170. doi:10.1136/bmjoq-2017-000170.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20141022_cg/3_julie_susi.pdf
April 01, 2014 - Achieving Excellence Across All CG-CAHPS Core Measures: Lessons from Top-Performing Medical Practices
Mercy Hospital
Fore River Campus
Portland, Maine
23
Breast Care Specialists of Maine
A two-surgeon practice, we take pride in offering
timely, accurate consultation and treatment for
benign and malignant …
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psnet.ahrq.gov/issue/cognitive-performance-altering-effects-electronic-medical-records-application-human-factors
May 16, 2012 - Study
Cognitive performance-altering effects of electronic medical records: an application of the human factors paradigm for patient safety.
Citation Text:
Holden RJ. Cognitive performance-altering effects of electronic medical records: An application of the human factors paradigm for …
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psnet.ahrq.gov/issue/look-alike-sound-alike-drugs-review-include-look-alike-packaging-additional-safety-check
March 24, 2021 - Study
Look-alike, sound-alike drugs review: include look-alike packaging as an additional safety check.
Citation Text:
McCoy LK. Look-alike, sound-alike drugs review: include look-alike packaging as an additional safety check. Jt Comm J Qual Patient Saf. 2005;31(1):47-53.
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psnet.ahrq.gov/issue/case-study-research-view-complexity-science
January 03, 2017 - Commentary
Case study research: the view from complexity science.
Citation Text:
Anderson RA, Crabtree B, Steele DJ, et al. Case study research: the view from complexity science. Qual Health Res. 2005;15(5):669-85.
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psnet.ahrq.gov/issue/perceived-value-ward-based-pharmacists-perspective-physicians-and-nurses
February 15, 2011 - Study
Perceived value of ward-based pharmacists from the perspective of physicians and nurses.
Citation Text:
Gillespie U, Mörlin C, Hammarlund-Udenaes M, et al. Perceived value of ward-based pharmacists from the perspective of physicians and nurses. Int J Clin Pharm. 2012;34(1):127-35…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150917/ron_hay-slides.pdf
January 01, 2015 - Introducing the New CAHPS Clinician & Group Survey 3.0
www.cahps.ahrq.gov
CAHPS Research Directions
• Impact of Shortening CG-CAHPS Survey
• Simplifying CG-CAHPS Item Wording
• Effect of Incentives on Response Rates
• Alternative Modes of Data Collection
• Differences in Extreme Response Tendencies
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psnet.ahrq.gov/issue/artificial-intelligence-can-be-regulated-using-current-patient-safety-procedures-and
March 06, 2019 - Commentary
Artificial intelligence can be regulated using current patient safety procedures and infrastructure in hospitals.
Citation Text:
Fleisher LA, Economou-Zavlanos NJ. Artificial intelligence can be regulated using current patient safety procedures and infrastructure in hospitals.…
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psnet.ahrq.gov/issue/balancing-patient-centered-and-safe-pain-care-nonsurgical-inpatients-clinical-and-managerial
March 12, 2025 - Study
Balancing patient-centered and safe pain care for nonsurgical inpatients: clinical and managerial perspectives.
Citation Text:
Mazurenko O, Andraka-Christou BT, Bair MJ, et al. Balancing Patient-Centered and Safe Pain Care for Nonsurgical Inpatients: Clinical and Managerial Perspec…
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psnet.ahrq.gov/issue/incoming-interns-recognize-inadequate-physical-examination-cause-patient-harm
July 20, 2022 - Study
Incoming interns recognize inadequate physical examination as a cause of patient harm.
Citation Text:
Russo S, Berg K, Davis JJ, et al. Incoming interns recognize inadequate physical examination as a cause of patient harm. J Med Educ Curric Dev. 2020;7:238212052092899. doi:10.1177/…
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psnet.ahrq.gov/issue/patient-and-clinician-experiences-uncertainty-diagnostic-process-current-understanding-and
March 11, 2020 - Commentary
Patient and clinician experiences of uncertainty in the diagnostic process: current understanding and future directions.
Citation Text:
Meyer AND, Giardina TD, Khawaja L, et al. Patient and clinician experiences of uncertainty in the diagnostic process: current understanding a…
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psnet.ahrq.gov/issue/partnering-prevent-falls-using-multimodal-multidisciplinary-team
June 22, 2010 - Commentary
Partnering to prevent falls: using a multimodal multidisciplinary team.
Citation Text:
Volz TM, Swaim J. Partnering to prevent falls: using a multimodal multidisciplinary team. J Nurs Adm. 2013;43(6):336-41. doi:10.1097/NNA.0b013e3182942c5a.
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psnet.ahrq.gov/issue/optimizing-pediatric-patient-safety-emergency-care-setting
March 15, 2023 - Organizational Policy/Guidelines
Optimizing Pediatric Patient Safety in the Emergency Care Setting.
Citation Text:
Joseph MM, Mahajan P, Snow SK, et al. Optimizing Pediatric Patient Safety in the Emergency Care Setting. Pediatrics. 2022;150(5):e2022059673. doi:10.1542/peds.2022-059673.
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