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psnet.ahrq.gov/issue/pediatric-trainee-perspectives-decision-disclose-medical-errors
April 27, 2022 - Study
Pediatric trainee perspectives on the decision to disclose medical errors.
Citation Text:
Lin M, Horwitz LI, Gross RS, et al. Pediatric trainee perspectives on the decision to disclose medical errors. J Patient Saf. 2022;18(2):e470-e476. doi:10.1097/pts.0000000000000848.
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psnet.ahrq.gov/issue/how-providers-can-optimize-effective-and-safe-scribe-use-qualitative-study
November 18, 2020 - Study
How providers can optimize effective and safe scribe use: a qualitative study.
Citation Text:
Corby S, Ash JS, Florig ST, et al. How providers can optimize effective and safe scribe use: a qualitative study. J Gen Intern Med. 2023;38(9):2052-2058. doi:10.1007/s11606-022-07942-2.
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psnet.ahrq.gov/issue/new-2011-survey-patients-complex-care-needs-eleven-countries-finds-care-often-poorly
February 22, 2010 - Study
New 2011 survey of patients with complex care needs in eleven countries finds that care is often poorly coordinated.
Citation Text:
Schoen C, Osborn R, Squires D, et al. New 2011 survey of patients with complex care needs in eleven countries finds that care is often poorly coordi…
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psnet.ahrq.gov/issue/development-and-validation-taxonomy-adverse-handover-events-hospital-settings
March 05, 2014 - Study
Development and validation of a taxonomy of adverse handover events in hospital settings.
Citation Text:
Andersen HB, Siemsen IMD, Petersen LF, et al. Development and validation of a taxonomy of adverse handover events in hospital settings. Cognition, Technology & Work. 2014;17(1).…
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psnet.ahrq.gov/issue/role-assistant-nurse-implementing-who-surgical-safety-checklist-perception-and-perspectives
January 17, 2024 - Study
The role of an assistant nurse in implementing the WHO Surgical Safety Checklist: perception and perspectives.
Citation Text:
Ališić E, Krupić M, Alić J, et al. The role of an assistant nurse in implementing the WHO Surgical Safety Checklist: perception and perspectives. Cureus. 20…
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psnet.ahrq.gov/issue/influence-standardisation-and-task-load-team-coordination-patterns-during-anaesthesia
November 05, 2008 - Study
The influence of standardisation and task load on team coordination patterns during anaesthesia inductions.
Citation Text:
Zala-Mezö E, Wacker J, Künzle B, et al. The influence of standardisation and task load on team coordination patterns during anaesthesia inductions. Qual Saf …
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psnet.ahrq.gov/issue/call-bridge-across-silos-during-care-transitions
November 20, 2024 - Commentary
A call to bridge across silos during care transitions.
Citation Text:
Sheikh F, Gathecha E, Bellantoni M, et al. A Call to Bridge Across Silos during Care Transitions. Jt Comm J Qual Patient Saf. 2018;44(5):270-278. doi:10.1016/j.jcjq.2017.10.006.
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psnet.ahrq.gov/issue/relationship-staff-information-sharing-and-advice-networks-patient-safety-outcomes
June 22, 2011 - Study
Relationship of staff information sharing and advice networks to patient safety outcomes.
Citation Text:
Brewer BB, Carley KM, Benham-Hutchins MM, et al. Relationship of Staff Information Sharing and Advice Networks to Patient Safety Outcomes. J Nurs Adm. 2018;48(9):437-444. doi:10…
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psnet.ahrq.gov/issue/dynamic-risk-management-approach-reducing-harm-invasive-bedside-procedures-performed-during
April 13, 2022 - Commentary
A dynamic risk management approach for reducing harm from invasive bedside procedures performed during residency.
Citation Text:
Warm E, Ahmad Y, Kinnear B, et al. A dynamic risk management approach for reducing harm from invasive bedside procedures performed during residency.…
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psnet.ahrq.gov/issue/identifying-potential-patient-safety-issues-federal-electronic-health-record-surveillance
May 12, 2021 - Study
Identifying potential patient safety issues from the Federal Electronic Health Record Surveillance Program
Citation Text:
Pacheco TB, Hettinger AZ, Ratwani RM. Identifying Potential Patient Safety Issues From the Federal Electronic Health Record Surveillance Program. JAMA. 2019;322…
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psnet.ahrq.gov/issue/why-didnt-you-call-me-factors-junior-learners-consider-when-deciding-whether-call-their
July 14, 2021 - Study
Why didn't you call me? Factors junior learners consider when deciding whether to call their supervisor.
Citation Text:
Alibhai KM, Zabolotniuk TR, Raîche I, et al. Why didn't you call me? Factors junior learners consider when deciding whether to call their supervisor. J Surg Educ.…
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psnet.ahrq.gov/issue/surgical-ward-round-checklist-improving-patient-safety-and-clinical-documentation
March 17, 2021 - Study
The surgical ward round checklist: improving patient safety and clinical documentation.
Citation Text:
Krishnamohan N, Maitra I, Shetty VD. The surgical ward round checklist: improving patient safety and clinical documentation. J Multidiscip Healthc. 2019;12:789-794. doi:10.2147/JM…
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psnet.ahrq.gov/issue/department-anesthesiology-skilled-peer-support-program-outcomes-second-victim-perceptions
April 12, 2011 - Study
Department of anesthesiology skilled peer support program outcomes: second victim perceptions.
Citation Text:
Bursch B, Ziv K, Marchese S, et al. Department of anesthesiology skilled peer support program outcomes: second victim perceptions. Jt Comm J Qual Patient Saf. 2024;50(6):44…
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psnet.ahrq.gov/issue/prevalence-and-factors-associated-patient-nondisclosure-medically-relevant-information
May 31, 2017 - Study
Emerging Classic
Prevalence of and factors associated with patient nondisclosure of medically relevant information to clinicians.
Citation Text:
Levy AG, Scherer AM, Zikmund-Fisher BJ, et al. Prevalence of and Factors Associated With Patient Nondisclosure …
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apb.html
August 01, 2022 - Gap Analysis Facilitator's Guide: Appendix B
Gap Analysis Structured Interview Questions
The Gap Analysis Structured Interview Questions allow the facilitator to lead participants through a set of questions designed to elicit participant views on a variety of key policies and practices.
Leadership and Cul…
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www.ahrq.gov/teamstepps-program/evidence-base/education.html
June 01, 2023 - TeamSTEPPS Research/Evidence Base: Inter-Professional Education
Andersen P, Coverdale S, Kelly M, Forster S. Interprofessional simulation: Developing teamwork using a two-tiered debriefing approach. Clin Simul Nurs. 2018;20:15-23. doi: 10.1016/j.ecns.2018.04.003. PMID: 130262697.
Baker, M. J., & Durham, C. …
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psnet.ahrq.gov/issue/association-between-parent-comfort-english-and-adverse-events-among-hospitalized-children
June 29, 2022 - Study
Association between parent comfort with English and adverse events among hospitalized children.
Citation Text:
Khan A, Yin HS, Brach C, et al. Association between parent comfort with English and adverse events among hospitalized children. JAMA Pediatr. 2020;174(12):e203215. doi:10.…
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psnet.ahrq.gov/issue/safety-home-care-use-internet-video-calls-double-check-interventions
August 04, 2021 - Study
Safety for home care: the use of internet video calls to double-check interventions.
Citation Text:
Bradford N, Armfield NR, Young J, et al. Safety for home care: the use of internet video calls to double-check interventions. J Telemed Telecare. 2012;18(8):434-437. doi:10.1258/jtt…
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psnet.ahrq.gov/issue/call-action-next-steps-advance-diagnosis-education-health-professions
November 25, 2020 - Commentary
A call to action: next steps to advance diagnosis education in the health professions.
Citation Text:
Graber ML, Holmboe ES, Stanley J, et al. A call to action: next steps to advance diagnosis education in the health professions. Diagnosis (Berl). 2022;9(2):166-175. doi:10.151…
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psnet.ahrq.gov/issue/what-i-wish-id-known-how-experienced-physician-managers-diagnose-treat-and-prevent-disruptive
September 23, 2020 - Commentary
What I wish I’d known: how experienced physician managers diagnose, treat and prevent disruptive behaviour.
Citation Text:
Goodwin C, Haas S, Berry WR. What I wish I’d known: how experienced physician managers diagnose, treat and prevent disruptive behaviour. BMJ Lead. 2023;7(…