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psnet.ahrq.gov/node/46741/psn-pdf
June 07, 2018 - Suffering in silence: medical error and its impact on
health care providers.
June 7, 2018
Robertson JJ, Long B. Suffering in Silence: Medical Error and its Impact on Health Care Providers. J
Emerg Med. 2018;54(4). doi:10.1016/j.jemermed.2017.12.001.
https://psnet.ahrq.gov/issue/suffering-silence-medical-error-and-…
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psnet.ahrq.gov/node/45736/psn-pdf
February 01, 2017 - Disruptive behaviour in the perioperative setting: a
contemporary review.
February 1, 2017
Villafranca A, Hamlin C, Enns S, et al. Disruptive behaviour in the perioperative setting: a contemporary
review. Canadian J Anaesth. 2017;64(2):128-140. doi:10.1007/s12630-016-0784-x.
https://psnet.ahrq.gov/issue/disruptive…
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psnet.ahrq.gov/node/43836/psn-pdf
March 11, 2015 - Hospital organisation, management, and structure for
prevention of health-care-associated infection: a
systematic review and expert consensus.
March 11, 2015
Zingg W, Holmes A, Dettenkofer M, et al. Hospital organisation, management, and structure for prevention
of health-care-associated infection: a systematic re…
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psnet.ahrq.gov/node/47205/psn-pdf
July 25, 2018 - Teamwork and Teamwork Training in Healthcare.
July 25, 2018
Teamwork and Teamwork Training in Health care: An Integration and a Path Forward. Buljac-Samardzic M,
Dekker-van Doorn C, Maynard MT, eds. Group Org Manag. 2018;43(3):351-527.
doi:10.1177/1059601118774669.
https://psnet.ahrq.gov/issue/teamwork-and-teamwor…
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www.ahrq.gov/antibiotic-use/ambulatory-care/best-practices/uti.html
September 01, 2022 - Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections
After viewing or presenting this presentation, viewers will be able to—
Distinguish asymptomatic bacteriuria (ASB) from a urinary tract infection (UTI).
Discuss indications for sending urine cultures. …
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psnet.ahrq.gov/node/47130/psn-pdf
October 10, 2018 - Are clinical instructors preventing or provoking adverse
events involving students: a contemporary issue.
October 10, 2018
Christensen L. Are clinical instructors preventing or provoking adverse events involving students: A
contemporary issue. Nurse Educ Today. 2018;70:121-123. doi:10.1016/j.nedt.2018.08.024.
http…
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psnet.ahrq.gov/node/846148/psn-pdf
March 15, 2023 - Near-miss events detected using the emergency
department trigger tool.
March 15, 2023
Griffey RT, Schneider RM, Todorov AA. Near-miss events detected using the emergency department
trigger tool. J Patient Saf. 2023;19(2):59-66. doi:10.1097/pts.0000000000001092.
https://psnet.ahrq.gov/issue/near-miss-events-detecte…
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psnet.ahrq.gov/node/61051/psn-pdf
October 21, 2020 - Safety investigations from across the pond: deep learning
from England’s Healthcare Safety Investigation Branch
(HSIB).
October 21, 2020
ISMP Medication Safety Alert! Acute Care Edition. October 8, 2020;25(20):1-4
https://psnet.ahrq.gov/issue/safety-investigations-across-pond-deep-learning-englands-healthcare-safe…
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psnet.ahrq.gov/node/44647/psn-pdf
November 18, 2015 - An organisation without a memory: a qualitative study of
hospital staff perceptions on reporting and organisational
learning for patient safety.
November 18, 2015
Sujan M. An organisation without a memory: A qualitative study of hospital staff perceptions on reporting
and organisational learning for patient safety…
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psnet.ahrq.gov/node/73965/psn-pdf
October 13, 2021 - Association of simulation training with rates of medical
malpractice claims among obstetrician-gynecologists.
October 13, 2021
Schaffer AC, Babayan A, Einbinder JS, et al. Association of simulation training with rates of medical
malpractice claims among obstetrician-gynecologists. Obstet Gynecol. 2021;138(2):246-25…
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psnet.ahrq.gov/node/73889/psn-pdf
September 29, 2021 - Australian hospital leaders on the provision of safe care:
implications for safety I and safety II.
September 29, 2021
Leggat SG, Balding C, Bish M. Perspectives of Australian hospital leaders on the provision of safe care:
implications for safety I and safety II. J Health Org Manag. 2021;35(5):550-560. doi:10.1108…
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psnet.ahrq.gov/node/45430/psn-pdf
September 28, 2016 - Understanding and responding when things go wrong:
key principles for primary care educators.
September 28, 2016
McNab D, Bowie P, Ross A, et al. Understanding and responding when things go wrong: key principles for
primary care educators. Educ Prim Care. 2016;27(4):258-66. doi:10.1080/14739879.2016.1205959.
https…
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psnet.ahrq.gov/node/36529/psn-pdf
August 09, 2011 - 5 Million Lives Campaign.
August 9, 2011
Institute for Healthcare Improvement; IHI
https://psnet.ahrq.gov/issue/5-million-lives-campaign
The Institute for Healthcare Improvement's 100,000 Lives Campaign successfully engaged more than
3,000 US hospitals in a coordinated effort to reduce preventable inpatient deaths…
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psnet.ahrq.gov/node/34839/psn-pdf
April 06, 2011 - Communication failures in the operating room: an
observational classification of recurrent types and
effects.
April 6, 2011
Lingard L, Espin S, Whyte S, et al. Communication failures in the operating room: an observational
classification of recurrent types and effects. Qual Saf Health Care. 2004;13(5):330-4.
http…
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psnet.ahrq.gov/node/44795/psn-pdf
June 29, 2016 - Human factors in healthcare: welcome progress, but still
scratching the surface.
June 29, 2016
Waterson P, Catchpole K. Human factors in healthcare: welcome progress, but still scratching the surface.
BMJ Qual Saf. 2016;25(7):480-4. doi:10.1136/bmjqs-2015-005074.
https://psnet.ahrq.gov/issue/human-factors-healthca…
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psnet.ahrq.gov/node/47294/psn-pdf
November 19, 2018 - 2017 John M. Eisenberg Patient Safety and Quality
Awards.
November 19, 2018
Jt Comm J Qual Patient Saf. 2018;44(7):373-400.
https://psnet.ahrq.gov/issue/2017-john-m-eisenberg-patient-safety-and-quality-awards
The Eisenberg Award honors individuals and organizations who have made unique and sustained
contributions…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-6.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 3.6. Organizational Goals of Lean
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central H…
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www.ahrq.gov/evidencenow/tools/train-medical-assitant.html
November 01, 2018 - How to Train Medical Assistants for Expanded Roles: Webinar
Resource: Video: Medical Assistants: Empowering and Effectively using crucial members of your patient care team – Part 2 (http://www.screencast.com/users/chsresults/folders/HVH%20Maintenance%20Videos/media/aba50466-3f29-4ed8-b11b-3a39ec3bc07e)
In al…
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psnet.ahrq.gov/node/44311/psn-pdf
May 19, 2019 - A Patient Safety Rounds pilot program at clinics affiliated
with a large research and education institution.
May 19, 2019
Savely SM, Muraca PW, Eller MF, et al. A Patient Safety Rounds Pilot Program at Clinics Affiliated With a
Large Research and Education Institution. J Patient Saf. 2019;15(2):90-96.
doi:10.1097/…
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psnet.ahrq.gov/node/44708/psn-pdf
January 27, 2016 - Discrepancies between in-home interviews and electronic
medical records on regularly used drugs among home
care clients.
January 27, 2016
Tiihonen M, Nykänen I, Ahonen R, et al. Discrepancies between in-home interviews and electronic medical
records on regularly used drugs among home care clients. Pharmacoepidemio…