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psnet.ahrq.gov/issue/using-change-model-reduce-risk-surgical-site-infection
June 06, 2018 - Commentary
Using a change model to reduce the risk of surgical site infection.
Citation Text:
Burden M. Using a change model to reduce the risk of surgical site infection. Br J Nurs. 2016;25(17):949-955.
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psnet.ahrq.gov/issue/handoff-not-telegram-understanding-patient-co-constructed
September 03, 2014 - Commentary
A handoff is not a telegram: an understanding of the patient is co-constructed.
Citation Text:
Cohen MD, Hilligoss B, Amaral ACK-B. A handoff is not a telegram: an understanding of the patient is co-constructed. Crit Care. 2012;16(1):303. doi:10.1186/cc10536.
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psnet.ahrq.gov/issue/creating-fellowship-curriculum-patient-safety-and-quality
September 09, 2020 - Commentary
Creating a fellowship curriculum in patient safety and quality.
Citation Text:
Abookire SA, Gandhi TK, Kachalia A, et al. Creating a Fellowship Curriculum in Patient Safety and Quality. Am J Med Qual. 2016;31(1):27-30. doi:10.1177/1062860614549012.
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psnet.ahrq.gov/issue/overdiagnosis-primary-care-framing-problem-and-finding-solutions
November 01, 2017 - Review
Emerging Classic
Overdiagnosis in primary care: framing the problem and finding solutions.
Citation Text:
Kale MS, Korenstein D. Overdiagnosis in primary care: framing the problem and finding solutions. BMJ. 2018;362:k2820. doi:10.1136/bmj.k2820.
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psnet.ahrq.gov/issue/narrativizing-errors-care-critical-incident-reporting-clinical-practice
September 06, 2017 - Commentary
Narrativizing errors of care: critical incident reporting in clinical practice.
Citation Text:
Iedema R, Flabouris A, Grant S, et al. Narrativizing errors of care: critical incident reporting in clinical practice. Soc Sci Med. 2006;62(1):134-44.
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psnet.ahrq.gov/issue/multi-tiered-approach-safety-education
January 31, 2018 - Commentary
A multi-tiered approach to safety education.
Citation Text:
Oates K, Sammut J, Kennedy P. A multi-tiered approach to safety education. Clin Teach. 2013;10(4):214-8. doi:10.1111/tct.12037.
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psnet.ahrq.gov/issue/exploring-performance-obstacles-intensive-care-nurses
March 11, 2020 - Study
Exploring performance obstacles of intensive care nurses.
Citation Text:
Gurses AP, Carayon P. Exploring performance obstacles of intensive care nurses. Appl Ergon. 2009;40(3):509-18. doi:10.1016/j.apergo.2008.09.003.
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psnet.ahrq.gov/issue/drug-shortages-effect-parenteral-nutrition-therapy
June 20, 2018 - Review
Drug shortages: effect on parenteral nutrition therapy.
Citation Text:
Holcombe B, Mattox TW, Plogsted S. Drug Shortages: Effect on Parenteral Nutrition Therapy. Nutr Clin Pract. 2018;33(1):53-61. doi:10.1002/ncp.10052.
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psnet.ahrq.gov/issue/implementing-handoff-communication
August 25, 2010 - Commentary
Implementing handoff communication.
Citation Text:
Ardoin KB, Broussard L. Implementing handoff communication. J Nurses Staff Dev. 2011;27(3):128-35. doi:10.1097/NND.0b013e318217b3dd.
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psnet.ahrq.gov/issue/patients-attitudes-towards-patient-involvement-safety-interventions-results-two-exploratory
July 06, 2012 - Study
Patients' attitudes towards patient involvement in safety interventions: results of two exploratory studies.
Citation Text:
Davis R, Sevdalis N, Pinto A, et al. Patients' attitudes towards patient involvement in safety interventions: results of two exploratory studies. Health Exp…
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psnet.ahrq.gov/issue/hret-patient-safety-leadership-fellowship-role-community-patient-safety
July 14, 2010 - Commentary
HRET Patient Safety Leadership Fellowship: The role of "community" in patient safety.
Citation Text:
Leonhardt KK. HRET Patient Safety Leadership Fellowship. Am J Med Qual. 2010;25(3):192-196. doi:10.1177/1062860609357469.
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psnet.ahrq.gov/issue/misdiagnosis-and-missed-diagnoses-foster-and-adopted-children-prenatal-alcohol-exposure
June 27, 2018 - Study
Misdiagnosis and missed diagnoses in foster and adopted children with prenatal alcohol exposure.
Citation Text:
Chasnoff IJ, Wells AM, King L. Misdiagnosis and missed diagnoses in foster and adopted children with prenatal alcohol exposure. Pediatrics. 2015;135(2):264-70. doi:10.154…
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psnet.ahrq.gov/issue/bullying-junior-doctors-prevails-irish-health-system-bitter-reality
July 15, 2020 - Study
Bullying of junior doctors prevails in Irish health system: a bitter reality.
Citation Text:
Cheema S, Ahmad K, Giri SK, et al. Bullying of junior doctors prevails in Irish health system: a bitter reality. Ir Med J. 2005;98(9):274-275.
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psnet.ahrq.gov/issue/medical-simulation-gets-real
June 14, 2023 - Newspaper/Magazine Article
Medical simulation gets real.
Citation Text:
Voelker R. Medical Simulation Gets Real. JAMA. 2009;302(20). doi:10.1001/jama.2009.1677.
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psnet.ahrq.gov/issue/va-health-care-steps-taken-improve-practitioner-screening-facility-compliance-screening
September 28, 2010 - Government Resource
VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility Compliance with Screening Requirements is Poor.
Citation Text:
VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility Compliance with Screening Requirements is Poor. W…
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psnet.ahrq.gov/issue/patients-role-patient-safety
May 01, 2024 - Review
The patient's role in patient safety.
Citation Text:
Corina I, Abram M, Halperin D. The patient's role in patient safety. Obstet Gynecol Clin North Am. 2019;46(2):215-225. doi:10.1016/j.ogc.2019.01.004.
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psnet.ahrq.gov/issue/through-patients-eyes-understanding-and-promoting-patient-centered-care
October 04, 2006 - Book/Report
Classic
Through the Patient’s Eyes: Understanding and Promoting Patient-Centered Care.
Citation Text:
Through the Patient’s Eyes: Understanding and Promoting Patient-Centered Care. Gerteis M, Edgman-Levitan S, Daley J, et al. San Francisco: Jossey-Ba…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.239_slideshow.ppt
May 01, 2011 - providers have made
Patients would likely still desire full disclosure under these circumstances
The culture
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psnet.ahrq.gov/node/33608/psn-pdf
February 01, 2024 - consistently safe access and equitable care, for all women
regardless of systemic or provider unconscious belief … ://psnet.ahrq.gov/issue/respectful-maternity-care-dissemination-and-implementation-perinatal-safety-culture-improve … AHRQ’s Safety Program for Perinatal Care (SPPC)
takes an overarching approach to improving safety culture … Failure to rescue, communication, and safety Culture. Clin Obstet Gynecol.
2019;62(3):507-517.
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psnet.ahrq.gov/node/49849/psn-pdf
January 01, 2019 - a growth area.(22)
Additional ways to improve patient safety in psychiatry would be to enhance the culture … and mortality conferences are uncommon in psychiatry.(23) Moreover,
error reporting systems—and the culture … Identifying and reducing medication errors in
psychiatry: creating a culture of safety through the use