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psnet.ahrq.gov/node/837137/psn-pdf
May 18, 2022 - Exploring system features of primary care practices that
promote better providers' clinical work satisfaction: a
qualitative comparative analysis.
May 18, 2022
Liu L, Chien AT, Singer SJ. Exploring system features of primary care practices that promote better
providers’ clinical work satisfaction. Health Care Mana…
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psnet.ahrq.gov/issue/inadequate-outpatient-mental-health-triage-and-care-patient-chico-community-based-outpatient
November 29, 2023 - Book/Report
Inadequate Outpatient Mental Health Triage and Care of a Patient at the Chico Community-Based Outpatient Clinic in California.
Citation Text:
Inadequate Outpatient Mental Health Triage and Care of a Patient at the Chico Community-Based Outpatient Clinic in California. Washing…
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psnet.ahrq.gov/node/43015/psn-pdf
May 29, 2014 - Team-training in healthcare: a narrative synthesis of the
literature.
May 29, 2014
Weaver SJ, Dy SM, Rosen MA. Team-training in healthcare: a narrative synthesis of the literature. BMJ
Qual Saf. 2014;23(5):359-72. doi:10.1136/bmjqs-2013-001848.
https://psnet.ahrq.gov/issue/team-training-healthcare-narrative-synthe…
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psnet.ahrq.gov/issue/deficiencies-veterans-crisis-line-response-veteran-caller-who-died
September 30, 2020 - Book/Report
Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died.
Citation Text:
Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died. Washington, DC: Department of Veterans Affairs, Office of Inspector General; November 17, 2020. Repor…
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psnet.ahrq.gov/issue/care-and-oversight-deficiencies-related-multiple-homicides-louis-johnson-va-medical-center
February 10, 2021 - Book/Report
Care and Oversight Deficiencies Related to Multiple Homicides at the Louis A. Johnson VA Medical Center in Clarksburg, West Virginia.
Citation Text:
Care and Oversight Deficiencies Related to Multiple Homicides at the Louis A. Johnson VA Medical Center in Clarksburg, West Vir…
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psnet.ahrq.gov/issue/patient-outcomes-compared-between-admissions-coordinated-transfer-center-and-emergency
April 29, 2015 - Study
Patient outcomes compared between admissions coordinated by the transfer center and emergency department at a U.S. tertiary care hospital.
Citation Text:
Pagali SR, Ryu AJ, Fischer KM, et al. Patient outcomes compared between admissions coordinated by the transfer center and emerge…
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psnet.ahrq.gov/issue/clinical-risk-management-hospitals-strategy-central-coordination-and-dialogue-key-enablers
November 27, 2013 - Study
Clinical risk management in hospitals: strategy, central coordination and dialogue as key enablers.
Citation Text:
Briner M, Manser T, Kessler O. Clinical risk management in hospitals: strategy, central coordination and dialogue as key enablers. J Eval Clin Pract. 2013;19(2):363-…
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psnet.ahrq.gov/issue/recommendations-no-action-improving-effectiveness-quality-and-safety-recommendations
January 16, 2025 - Book/Report
Recommendations but no Action: Improving the Effectiveness of Quality and Safety Recommendations in Healthcare.
Citation Text:
Recommendations But No Action: Improving The Effectiveness Of Quality And Safety Recommendations In Healthcare. Dorset, UK: Health Services Safety In…
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psnet.ahrq.gov/node/42248/psn-pdf
June 12, 2013 - Measuring handoff quality in labor and delivery:
development, validation, and application of the
Coordination of Handoff Effectiveness Questionnaire
(CHEQ).
June 12, 2013
Block M, Ehrenworth JF, Cuce VM, et al. Measuring handoff quality in labor and delivery: development,
validation, and application of the Coordi…
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psnet.ahrq.gov/issue/deficient-care-patient-who-died-suicide-and-facility-leaders-response-charlie-norwood-va
November 29, 2023 - Book/Report
Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center in Augusta, Georgia.
Citation Text:
Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center …
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psnet.ahrq.gov/node/49742/psn-pdf
September 01, 2015 - A Fumbled Handoff to Inpatient Rehab
September 1, 2015
Ashcraft LE, Kahn JM. A Fumbled Handoff to Inpatient Rehab. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/fumbled-handoff-inpatient-rehab
The Case
An 18-year-old man with no significant past medical history sustained a traumatic brain injury after a mo…
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psnet.ahrq.gov/node/42618/psn-pdf
January 04, 2015 - Principles supporting dynamic clinical care teams: an
American College of Physicians position paper.
January 4, 2015
Doherty RB, Crowley RA, Physicians H and PPC of the AC of. Principles supporting dynamic clinical care
teams: an American College of Physicians position paper. Ann Intern Med. 2013;159(9):620-6.
doi…
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psnet.ahrq.gov/node/41169/psn-pdf
May 19, 2014 - Risk factors for patient-reported medical errors in eleven
countries.
May 19, 2014
Schwappach DLB. Risk factors for patient-reported medical errors in eleven countries. Health Expect.
2014;17(3):321-31. doi:10.1111/j.1369-7625.2011.00755.x.
https://psnet.ahrq.gov/issue/risk-factors-patient-reported-medical-errors-…
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psnet.ahrq.gov/issue/deficiencies-emergent-and-outpatient-care-patient-alcohol-use-disorder-richard-l-roudebush-va
July 13, 2022 - Book/Report
Deficiencies in Emergent and Outpatient Care of a Patient with Alcohol Use Disorder at the Richard L. Roudebush VA Medical Center in Indianapolis, Indiana.
Citation Text:
Deficiencies in Emergent and Outpatient Care of a Patient with Alcohol Use Disorder at the Richard L. Rou…
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psnet.ahrq.gov/issue/teamwork-and-patient-safety-dynamic-domains-healthcare-review-literature
May 29, 2013 - Review
Teamwork and patient safety in dynamic domains of healthcare: a review of the literature.
Citation Text:
Manser T. Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta Anaesthesiol Scand. 2009;53(2):143-51. doi:10.1111/j.1399-6576.2008.…
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psnet.ahrq.gov/node/42781/psn-pdf
December 04, 2013 - Communication in interdisciplinary teams: exploring
closed-loop communication during in situ trauma team
training.
December 4, 2013
Härgestam M, Lindkvist M, Brulin C, et al. Communication in interdisciplinary teams: exploring closed-loop
communication during in situ trauma team training. BMJ Open. 2013;3(10):e003…
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psnet.ahrq.gov/node/43585/psn-pdf
July 16, 2015 - At risk care plans: a way to reduce readmissions and
adverse events.
July 16, 2015
Bahle J, Majercik C, Ludwick R, et al. At Risk Care Plans: a way to reduce readmissions and adverse
events. J Nurs Care Qual. 2015;30(3):200-4. doi:10.1097/NCQ.0000000000000106.
https://psnet.ahrq.gov/issue/risk-care-plans-way-reduc…
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psnet.ahrq.gov/node/41532/psn-pdf
July 25, 2012 - Comparing the usability and reliability of a generic and a
domain-specific medical error taxonomy.
July 25, 2012
Taib IA, McIntosh AS, Caponecchia C, et al. Comparing the usability and reliability of a generic and a
domain-specific medical error taxonomy. Saf Sci. 2012;50(9):1801-1805. doi:10.1016/j.ssci.2012.03.02…
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psnet.ahrq.gov/issue/development-and-preliminary-testing-coordination-process-error-reporting-tool-cpert
May 25, 2016 - Study
Development and preliminary testing of the Coordination Process Error Reporting Tool (CPERT), a prospective clinical surveillance mechanism for teamwork errors in the pediatric cardiac ICU.
Citation Text:
Bates KE, Shea JA, Bird GL, et al. Development and Preliminary Testing of the…
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psnet.ahrq.gov/issue/clinical-uncertainty-primary-care-challenge-collaborative-engagement
December 23, 2008 - Book/Report
Clinical Uncertainty in Primary Care: The Challenge of Collaborative Engagement.
Citation Text:
Clinical Uncertainty In Primary Care. Springer New York; 2013. doi:10.1007/978-1-4614-6812-7.
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