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  1. psnet.ahrq.gov/issue/surgical-safety-checklist-and-teamwork-coaching-tools-study-inter-rater-reliability
    May 11, 2016 - Study The surgical safety checklist and teamwork coaching tools: a study of inter-rater reliability. Citation Text: Huang LC, Conley D, Lipsitz S, et al. The Surgical Safety Checklist and Teamwork Coaching Tools: a study of inter-rater reliability. BMJ Qual Saf. 2014;23(8):639-50. doi:10…
  2. psnet.ahrq.gov/issue/clinical-triggers-and-vital-signs-influencing-crisis-acknowledgment-and-calls-help
    June 15, 2012 - Study Clinical triggers and vital signs influencing crisis acknowledgment and calls for help by anesthesiologists: a simulation-based observational study. Citation Text: Matern LH, Gardner R, Rudolph JW, et al. Clinical triggers and vital signs influencing crisis acknowledgment and calls…
  3. psnet.ahrq.gov/issue/disclosing-clinical-adverse-events-patients-can-practice-inform-policy
    September 29, 2017 - Study Disclosing clinical adverse events to patients: can practice inform policy? Citation Text: Sorensen R, Iedema R, Piper D, et al. Disclosing clinical adverse events to patients: can practice inform policy? Health Expect. 2010;13(2):148-59. doi:10.1111/j.1369-7625.2009.00569.x. Cop…
  4. psnet.ahrq.gov/issue/empirically-derived-taxonomy-factors-affecting-physicians-willingness-disclose-medical-errors
    February 15, 2011 - Review An empirically derived taxonomy of factors affecting physicians' willingness to disclose medical errors. Citation Text: Kaldjian LC, Jones EW, Rosenthal GE, et al. An empirically derived taxonomy of factors affecting physicians’ willingness to disclose medical errors. J Gen Inter…
  5. psnet.ahrq.gov/issue/when-surgical-colleague-makes-error
    December 21, 2014 - Commentary When a surgical colleague makes an error. Citation Text: Antiel RM, Blinman TA, Rentea RM, et al. When a Surgical Colleague Makes an Error. Pediatrics. 2016;137(3):e20153828. doi:10.1542/peds.2015-3828. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…
  6. psnet.ahrq.gov/issue/developing-appreciation-patient-safety-analysis-interprofessional-student-experiences-health
    July 24, 2024 - Study Developing an appreciation of patient safety: analysis of interprofessional student experiences with health mentors. Citation Text: Langlois S. Developing an appreciation of patient safety: analysis of interprofessional student experiences with health mentors. Perspect Med Educ. 20…
  7. www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/table2.html
    August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events Table 2. Key features of ideal consumer reporting systems from stakeholder interviews Previous Page Next Page Table of Contents Designing Consumer Reporting Systems for Patient Safety Events Executive Summary Chapter 1. Background …
  8. psnet.ahrq.gov/issue/mind-sentinel-applying-patient-safety-paradigms-clinician-well-being
    October 19, 2022 - Commentary Mind the sentinel - applying patient-safety paradigms to clinician well-being. Citation Text: Humikowski CA. Mind the sentinel - applying patient-safety paradigms to clinician well-being. N Engl J Med. 2024;391(20):1870-1872. doi:10.1056/nejmp2406074. Copy Citation Forma…
  9. psnet.ahrq.gov/issue/patient-safety-where-aim-when-zero-harm-not-target-case-learning-and-resilience
    February 01, 2023 - Commentary Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. Citation Text: Stockwell DC, Kayes DC, Thomas EJ. Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. J Patient Saf. 2022;18(5):e877-…
  10. digital.ahrq.gov/health-care-theme/transitions-care
    January 01, 2023 - Transitions in Care Scalable Digital Communication Intervention to Support Older Adults and Care Partners Transitioning Home After Major Surgery Description This research will develop and evaluate the Perioperative Optimization of Senior Health (myPOSH) mobile application that…
  11. psnet.ahrq.gov/issue/understanding-link-between-burnout-and-sub-optimal-care-why-should-healthcare-education-be
    August 03, 2022 - Review Understanding the link between burnout and sub-optimal care: why should healthcare education be interested in employee silence? Citation Text: Montgomery A, Lainidi O. Understanding the link between burnout and sub-optimal care: why should healthcare education be interested in emp…
  12. psnet.ahrq.gov/issue/tiered-daily-huddles-power-teamwork-managing-large-healthcare-organisations
    December 09, 2020 - Commentary Tiered daily huddles: the power of teamwork in managing large healthcare organisations. Citation Text: Mihaljevic T. Tiered daily huddles: the power of teamwork in managing large healthcare organisations. BMJ Qual Saf. 2020;29(12):1050-1052. doi:10.1136/bmjqs-2019-010575. Co…
  13. psnet.ahrq.gov/issue/crisis-health-care-call-action-physician-burnout
    February 05, 2014 - Book/Report A Crisis in Health Care: A Call to Action on Physician Burnout. Citation Text: A Crisis in Health Care: A Call to Action on Physician Burnout. Jha AK, Iliff AR, Chaoui AA, et al. Waltham, MA: Massachusetts Medical Society, Massachusetts Health and Hospital Association, Harvar…
  14. psnet.ahrq.gov/issue/preventing-medication-errors-pediatric-anesthesia-systematic-scoping-review
    January 26, 2022 - Review Preventing medication errors in pediatric anesthesia: a systematic scoping review. Citation Text: Shawahna R, Jaber M, Jumaa E, et al. Preventing medication errors in pediatric anesthesia: a systematic scoping review. J Patient Saf. 2022;18(7):e1047-e1060. doi:10.1097/pts.00000000…
  15. psnet.ahrq.gov/issue/identifying-patients-whose-symptoms-are-underrecognized-during-treatment-breast-radiotherapy
    May 25, 2022 - Study Identifying patients whose symptoms are underrecognized during treatment with breast radiotherapy. Citation Text: doi:10.1001/jamaoncol.2022.0114. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …
  16. 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/…
  17. www.ahrq.gov/teamstepps-program/evidence-base/hospital.html
    June 01, 2023 - TeamSTEPPS Research/Evidence Base: Hospital Baloh J, Zhu X, Ward MM. What influences sustainment and nonsustainment of facilitation activities in implementation? Analysis of organizational factors in hospitals implementing TeamSTEPPS. Med Care Res Rev. 2021;78(2):146-56. Epub 2019/05/17. doi: 10.1177/10775587…
  18. psnet.ahrq.gov/issue/review-verbal-order-policies-acute-care-hospitals
    January 03, 2017 - Study A review of verbal order policies in acute care hospitals. Citation Text: Wakefield DS, Wakefield BJ, Despins L, et al. A review of verbal order policies in acute care hospitals. Jt Comm J Qual Patient Saf. 2012;38(1):24-33. Copy Citation Format: Google Scholar PubMed…
  19. psnet.ahrq.gov/issue/association-between-physician-burnout-and-self-reported-errors-meta-analysis
    July 19, 2017 - Review Association between physician burnout and self-reported errors: meta-analysis. Citation Text: Owoc J, Mańczak M, Jabłońska M, et al. Association between physician burnout and self-reported errors: meta-analysis. J Patient Saf. 2022;18(1):e180-e188. doi:10.1097/pts.0000000000000724…
  20. psnet.ahrq.gov/issue/violations-behavioral-practices-revealed-closed-claims-reviews
    August 26, 2011 - Study Violations of behavioral practices revealed in closed claims reviews. Citation Text: Griffen FD, Stephens LS, Alexander JB, et al. Violations of behavioral practices revealed in closed claims reviews. Ann Surg. 2008;248(3):468-474. doi:10.1097/sla.0b013e318185e196. Copy Citatio…