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psnet.ahrq.gov/issue/checklist-usage-decreases-critical-task-omissions-when-training-residents-separate-simulated
July 18, 2014 - Study
Checklist usage decreases critical task omissions when training residents to separate from simulated cardiopulmonary bypass.
Citation Text:
Petrik EW, Ho D, Elahi M, et al. Checklist usage decreases critical task omissions when training residents to separate from simulated cardiopu…
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psnet.ahrq.gov/issue/medical-students-experiences-perceptions-and-management-second-victim-interview-study
March 05, 2014 - Study
Medical students' experiences, perceptions, and management of second victim: an interview study.
Citation Text:
Krogh TB, Mielke-Christensen A, Madsen MD, et al. Medical students’ experiences, perceptions, and management of second victim: an interview study. BMC Med Educ. 2023;23(1…
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psnet.ahrq.gov/issue/readiness-organisational-change-among-general-practice-staff
April 24, 2018 - Study
Readiness for organisational change among general practice staff.
Citation Text:
Christl B, Harris MF, Jayasinghe UW, et al. Readiness for organisational change among general practice staff. Qual Saf Health Care. 2010;19(5):e12. doi:10.1136/qshc.2009.033373.
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psnet.ahrq.gov/issue/explainable-artificial-intelligence-safe-intraoperative-decision-support
October 13, 2015 - Commentary
Explainable artificial intelligence for safe intraoperative decision support.
Citation Text:
Gordon L, Grantcharov T, Rudzicz F. Explainable Artificial Intelligence for Safe Intraoperative Decision Support. JAMA Surg. 2019. doi:10.1001/jamasurg.2019.2821.
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psnet.ahrq.gov/issue/team-training-healthcare-narrative-synthesis-literature
July 02, 2014 - Review
Team-training in healthcare: a narrative synthesis of the literature.
Citation Text:
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.
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psnet.ahrq.gov/issue/human-factors-and-ergonomics-and-quality-improvement-science-integrating-approaches-safety
December 06, 2013 - Commentary
Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare.
Citation Text:
Hignett S, Jones EL, Miller D, et al. Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare. BM…
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psnet.ahrq.gov/issue/learning-incidents-healthcare-journey-not-arrival-matters
June 12, 2024 - Commentary
Learning from incidents in healthcare: the journey, not the arrival, matters.
Citation Text:
Leistikow I, Mulder S, Vesseur J, et al. Learning from incidents in healthcare: the journey, not the arrival, matters. BMJ Qual Saf. 2017;26(3):252-256. doi:10.1136/bmjqs-2015-004853. …
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psnet.ahrq.gov/issue/how-safety-climate-measured-review-and-evaluation
January 26, 2022 - Review
How is safety climate measured? A review and evaluation.
Citation Text:
Shea T, De Cieri H, Vu T, et al. How is safety climate measured? A review and evaluation. Safety Sci. 2021;143:105413. doi:10.1016/j.ssci.2021.105413.
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psnet.ahrq.gov/issue/triggers-bundles-protocols-and-checklists-what-every-maternal-care-provider-needs-know
October 19, 2022 - Review
Triggers, bundles, protocols, and checklists—what every maternal care provider needs to know.
Citation Text:
Arora KS, Shields LE, Grobman WA, et al. Triggers, bundles, protocols, and checklists--what every maternal care provider needs to know. Am J Obstet Gynecol. 2016;214(4):444…
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psnet.ahrq.gov/issue/dementia-and-risk-adverse-warfarin-related-events-nursing-home-setting
February 23, 2011 - Study
Dementia and risk of adverse warfarin-related events in the nursing home setting.
Citation Text:
Tjia J, Field T, Mazor KM, et al. Dementia and risk of adverse warfarin-related events in the nursing home setting. Am J Geriatr Pharmacother. 2012;10(5):323-30. doi:10.1016/j.amjopha…
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www.ahrq.gov/news/newsroom/case-studies/201413.html
August 01, 2014 - CUSP Helps University of Wisconsin Hospital and Clinics Reduce Healthcare-Associated Infections
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August 2014
One year after implementing AHRQ's Comprehensive Unit-based Safety Program (CUSP), the University of Wisconsin Hospital and Clinics (UWHC) was awarded the 2013 Partnersh…
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psnet.ahrq.gov/issue/validation-teamwork-perceptions-measure-increase-patient-safety
March 20, 2014 - Study
Validation of a teamwork perceptions measure to increase patient safety.
Citation Text:
Keebler JR, Dietz AS, Lazzara EH, et al. Validation of a teamwork perceptions measure to increase patient safety. BMJ Qual Saf. 2014;23(9):718-26. doi:10.1136/bmjqs-2013-001942.
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psnet.ahrq.gov/issue/improving-quality-and-safety-care-medical-ward-review-and-synthesis-evidence-base
November 03, 2015 - Review
Improving the quality and safety of care on the medical ward: a review and synthesis of the evidence base.
Citation Text:
Pannick S, Beveridge I, Wachter R, et al. Improving the quality and safety of care on the medical ward: A review and synthesis of the evidence base. Eur J Inte…
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psnet.ahrq.gov/issue/psychological-safety-and-hierarchy-operating-room-debriefing-reflexive-thematic-analysis
March 06, 2024 - Study
Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis.
Citation Text:
McElroy C, Skegg E, Mudgway M, et al. Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis. J Surg Res. 2023;295:567-573. doi:10.1016…
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psnet.ahrq.gov/issue/there-july-phenomenon-pediatric-neurosurgery-teaching-hospitals
May 23, 2018 - Study
Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals?
Citation Text:
Smith ER, Butler WE, Barker FG. Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals? J Neurosurg. 2006;105(3 Suppl):169-76.
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psnet.ahrq.gov/issue/things-we-carry-scope-and-impact-second-victim-syndrome
November 12, 2014 - Commentary
The things we carry: the scope and impact of second victim syndrome.
Citation Text:
Nosanov L, Elseth AJ, Maxwell J, et al. The things we carry: the scope and impact of second victim syndrome. Am J Surg. 2023;226(5):726-728. doi:10.1016/j.amjsurg.2023.06.035.
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psnet.ahrq.gov/issue/racial-and-ethnic-harm-patient-care-patient-safety-issue
October 21, 2020 - Commentary
Racial and ethnic harm in patient care is a patient safety issue.
Citation Text:
Rosario N, Kiles TM, M. Jewell T'B, et al. Racial and ethnic harm in patient care is a patient safety issue. Res Social Adm Pharm. 2024;20(7):670-677. doi:10.1016/j.sapharm.2024.04.012.
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psnet.ahrq.gov/issue/comparative-resident-site-visit-project-novel-approach-implementing-programmatic-change-duty
July 19, 2023 - Study
A comparative resident site visit project: a novel approach for implementing programmatic change in the duty hours era.
Citation Text:
Crowley MJ, Barkauskas CE, Srygley D, et al. A comparative resident site visit project: a novel approach for implementing programmatic change in t…
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psnet.ahrq.gov/issue/medical-costs-alzheimers-disease-misdiagnosis-among-us-medicare-beneficiaries
August 20, 2018 - Study
Medical costs of Alzheimer's disease misdiagnosis among US Medicare beneficiaries.
Citation Text:
Hunter CA, Kirson NY, Desai U, et al. Medical costs of Alzheimer's disease misdiagnosis among US Medicare beneficiaries. Alzheimers Dement. 2015;11(8):887-95. doi:10.1016/j.jalz.2015.0…
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psnet.ahrq.gov/issue/cognitive-errors-detected-anaesthesiology-literature-review-and-pilot-study
November 21, 2012 - Study
Cognitive errors detected in anaesthesiology: a literature review and pilot study.
Citation Text:
Stiegler MP, Neelankavil JP, Canales C, et al. Cognitive errors detected in anaesthesiology: a literature review and pilot study. Br J Anaesth. 2012;108(2):229-35. doi:10.1093/bja/ae…