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psnet.ahrq.gov/node/60946/psn-pdf
September 23, 2020 - Systems thinking for managing COVID-19 in health care
systems: seven key messages.
September 23, 2020
Phillips JM, Stalter AM. Systems thinking for managing COVID-19 in health care systems: seven key
messages. J Contin Educ Nurs. 2020;51(9):402-411. doi:10.3928/00220124-20200812-05.
https://psnet.ahrq.gov/issue/sy…
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psnet.ahrq.gov/node/73963/psn-pdf
October 13, 2021 - Patient perceptions of safety in primary care: a qualitative
study to inform care.
October 13, 2021
Lasser EC, Heughan JA-A, Lai AY, et al. Patient perceptions of safety in primary care: a qualitative study to
inform care. Curr Med Res Opin. 2021;37(11):1991-1999. doi:10.1080/03007995.2021.1976736.
https://psnet.a…
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psnet.ahrq.gov/node/41701/psn-pdf
September 26, 2019 - The CUSP Method
September 26, 2019
The CUSP Method.
https://psnet.ahrq.gov/issue/cusp-method
The Comprehensive Unit-based Safety Program (CUSP), originally developed at Johns Hopkins Hospital
by Dr. Peter Pronovost and colleagues, has been instrumental in driving patient safety improvement in
several landmark pat…
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psnet.ahrq.gov/node/852460/psn-pdf
August 16, 2023 - Toolkits To Reduce Hypertension in Pregnancy and
Obstetric Hemorrhage.
August 16, 2023
Rockville, MD: Agency for Healthcare Research and Quality; July 2023.
https://psnet.ahrq.gov/issue/toolkits-reduce-hypertension-pregnancy-and-obstetric-hemorrhage
Obstetric hemorrhage and severe high blood pressure during pregna…
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psnet.ahrq.gov/node/851060/psn-pdf
June 28, 2023 - An integrative systematic review of employee silence and
voice in healthcare: what are we really measuring.
June 28, 2023
Lainidi O, Jendeby MK, Montgomery A, et al. An integrative systematic review of employee silence and
voice in healthcare: what are we really measuring? Front Psychiatry. 2023;14:111579.
doi:10.…
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digital.ahrq.gov/location/usa-mt-billings
January 01, 2023 - USA, MT, Billings
Evaluation of Effectiveness of a Health Information Technology-Based Care Transition Information Transfer System
Description
This project developed, implemented, and evaluated a care transition information transfer system to improve provider-to-provider commu…
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psnet.ahrq.gov/node/854386/psn-pdf
January 01, 2024 - Caregivers' perspectives on ethical challenges and
patient safety in tele-palliative care: an integrative review.
October 11, 2023
Schuessler N, Glarcher M. Caregivers' perspectives on ethical challenges and patient safety in tele-
palliative care: an integrative review. J Hosp Palliat Nurs. 2024;26(1):e1-e12.
doi…
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psnet.ahrq.gov/node/74755/psn-pdf
February 09, 2022 - Proceed with reasonable care: when legal principles
inform training to prevent harm during the childbirth.
February 9, 2022
Petrovic M, Nicholls J, Siassakos D. Proceed with reasonable care: when legal principles inform training to
prevent harm during childbirth. Best Pract Res Clin Obstet Gynaecol. 2022;80:105-113…
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psnet.ahrq.gov/node/39859/psn-pdf
November 21, 2016 - Experience with family activation of rapid response
teams.
November 21, 2016
Bogert S, Ferrell C, Rutledge DN. Experience with family activation of rapid response teams. Medsurg
Nurs. 2010;19(4):215-22; quiz 223.
https://psnet.ahrq.gov/issue/experience-family-activation-rapid-response-teams
The central tenet behi…
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psnet.ahrq.gov/node/847536/psn-pdf
April 12, 2023 - Racism and electronic health records (EHRs):
perspectives for research and practice.
April 12, 2023
Emani S, Rodriguez JA, Bates DW. Racism and electronic health records (EHRs): perspectives for
research and practice. J Am Med Inform Assoc. 2023;30(5):995-999. doi:10.1093/jamia/ocad023.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/74746/psn-pdf
February 09, 2022 - Medication errors' causes analysis in home care setting: a
systematic review.
February 9, 2022
Dionisi S, Di Simone E, Liquori G, et al. Medication errors' causes analysis in home care setting: A
systematic review. Public Health Nurs. 2022;39(4):876-897. doi:10.1111/phn.13037.
https://psnet.ahrq.gov/issue/medicati…
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psnet.ahrq.gov/node/73575/psn-pdf
August 04, 2021 - Unlocking Solutions in Imaging: Working Together to
Learn from Failings in the NHS.
August 4, 2021
Manchester, UK: Parliamentary and Health Service Ombudsman; 2021. ISBN 9781528627016.
https://psnet.ahrq.gov/issue/unlocking-solutions-imaging-working-together-learn-failings-nhs
Lack of appropriate follow up o…
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psnet.ahrq.gov/node/46597/psn-pdf
November 01, 2017 - A novel process audit for standardized perioperative
handoff protocols.
November 1, 2017
Pallekonda V, Scholl AT, McKelvey GM, et al. A Novel Process Audit for Standardized Perioperative
Handoff Protocols. Jt Comm J Qual Patient Saf. 2017;43(11):611-618. doi:10.1016/j.jcjq.2017.04.011.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/47039/psn-pdf
September 12, 2018 - Overdiagnosis in primary care: framing the problem and
finding solutions.
September 12, 2018
Kale MS, Korenstein D. Overdiagnosis in primary care: framing the problem and finding solutions. BMJ.
2018;362:k2820. doi:10.1136/bmj.k2820.
https://psnet.ahrq.gov/issue/overdiagnosis-primary-care-framing-problem-and-findi…
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psnet.ahrq.gov/node/43903/psn-pdf
April 21, 2015 - Crisis management on surgical wards: a simulation-based
approach to enhancing technical, teamwork, and patient
interaction skills.
April 21, 2015
Arora S, Hull L, Fitzpatrick M, et al. Crisis management on surgical wards: a simulation-based approach to
enhancing technical, teamwork, and patient interaction skills.…
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psnet.ahrq.gov/node/847726/psn-pdf
January 01, 2024 - Systematic review of clinical debriefing tools: attributes
and evidence for use.
April 19, 2023
Phillips EC, Smith SE, Tallentire VR, et al. Systematic review of clinical debriefing tools: attributes and
evidence for use. BMJ Qual Saf. 2024;33(3):187-198. doi:10.1136/bmjqs-2022-015464.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/839324/psn-pdf
November 02, 2022 - The impact of COVID-19 workflow changes on radiation
oncology incident reporting.
November 2, 2022
Volpini ME, Lekx?Toniolo K, Mahon R, et al. The impact of COVID?19 workflow changes on radiation
oncology incident reporting. J Appl Clin Med Phys. 2022;23(11):e13742. doi:10.1002/acm2.13742.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/840144/psn-pdf
November 16, 2022 - Dedicated teams to optimize quality and safety of
surgery: a systematic review.
November 16, 2022
Lentz CM, De Lind Van Wijngaarden RAF, Willeboordse F, et al. Dedicated teams to optimize quality and
safety of surgery: a systematic review. Int J Qual Health Care. 2022;34(4):mzac078.
doi:10.1093/intqhc/mzac078.
ht…
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psnet.ahrq.gov/node/45140/psn-pdf
November 28, 2016 - Surrogate decision makers' perspectives on preventable
breakdowns in care among critically ill patients: a
qualitative study.
November 28, 2016
Fisher K, Ahmad S, Jackson M, et al. Surrogate decision makers' perspectives on preventable breakdowns
in care among critically ill patients: A qualitative study. Patient …
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psnet.ahrq.gov/node/44395/psn-pdf
August 12, 2015 - How well do health professionals interpret diagnostic
information? A systematic review.
August 12, 2015
Whiting PF, Davenport C, Jameson C, et al. How well do health professionals interpret diagnostic
information? A systematic review. BMJ Open. 2015;5(7):e008155. doi:10.1136/bmjopen-2015-008155.
https://psnet.ahrq…