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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/phases.html
September 01, 2017 - Provide guidance about the team’s decision-making authority. … Be unclear about the team’s decision-making authority.
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www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-transcript.html
February 01, 2023 - Preventing CAUTI in the ICU Setting Facilitator’s Guide Transcript
Module 1: Overview
Slide 1
“Preventing CAUTI in the ICU Setting” is a four-module program designed for intensive care unit, or ICU, nurses to gain a sense of confidence and demonstrate competence in catheter-associated urinary tract infectio…
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psnet.ahrq.gov/web-mm/standard-deviations
January 01, 2006 - Decision-making capacity is defined by four criteria: (i) ability to communicate a choice, (ii) ability
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psnet.ahrq.gov/issue/systematic-review-psychological-literature-interruption-and-its-patient-safety-implications
September 24, 2016 - Review
Classic
A systematic review of the psychological literature on interruption and its patient safety implications.
Citation Text:
Li SYW, Magrabi F, Coiera E. A systematic review of the psychological literature on interruption and its patient safety implica…
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psnet.ahrq.gov/issue/patient-mediated-interventions-improve-professional-practice
April 25, 2016 - Review
Emerging Classic
Patient-mediated interventions to improve professional practice.
Citation Text:
Fønhus MS, Dalsbø TK, Johansen M, et al. Patient-mediated interventions to improve professional practice. Cochrane Database Syst Rev. 2018;9:CD012472. doi:10.…
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psnet.ahrq.gov/issue/ethnographic-study-classifying-and-accounting-risk-sharp-end-medical-wards
June 16, 2021 - Study
An ethnographic study of classifying and accounting for risk at the sharp end of medical wards.
Citation Text:
Dixon-Woods M, Suokas A, Pitchforth E, et al. An ethnographic study of classifying and accounting for risk at the sharp end of medical wards. Soc Sci Med. 2009;69(3):362…
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psnet.ahrq.gov/issue/intensive-care-medicine-2050-preventing-harm
November 25, 2020 - Commentary
Intensive care medicine in 2050: preventing harm.
Citation Text:
Beet C, Benoit D, Bion J. Intensive care medicine in 2050: preventing harm. Intensive Care Med. 2019;45(4):505-507. doi:10.1007/s00134-018-5353-z.
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DOI Google Scholar PubMed Bib…
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psnet.ahrq.gov/issue/review-modifiable-health-care-factors-contributing-inpatient-suicide-analysis-coroners
July 19, 2023 - Study
A review of modifiable health care factors contributing to inpatient suicide: an analysis of coroners' reports using the Human Factors Analysis and Classification System for Healthcare
Citation Text:
Sweeting P, Finlayson M, Hartz D. A review of modifiable health care factors contr…
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psnet.ahrq.gov/issue/whatever-you-cut-i-can-fix-it-clinical-supervisors-interview-accounts-allowing-trainee
November 24, 2021 - Study
'Whatever you cut, I can fix it': clinical supervisors' interview accounts of allowing trainee failure while guarding patient safety.
Citation Text:
Klasen JM, Driessen E, Teunissen PW, et al. ‘Whatever you cut, I can fix it’: clinical supervisors’ interview accounts of allowing t…
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psnet.ahrq.gov/issue/status-patient-safety-culture-community-pharmacy-settings-systematic-review
March 04, 2020 - Review
Status of patient safety culture in community pharmacy settings: a systematic review.
Citation Text:
Kwon K-E, Nam DR, Lee M-S, et al. Status of patient safety culture in community pharmacy settings: a systematic review. J Patient Saf. 2023;19(6):353-361. doi:10.1097/pts.000000000…
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psnet.ahrq.gov/issue/toxic-leadership-and-its-relationship-outcomes-nursing-workforce-and-patient-safety
January 17, 2024 - Review
Toxic leadership and its relationship with outcomes on the nursing workforce and patient safety: a systematic review.
Citation Text:
Labrague LJ. Toxic leadership and its relationship with outcomes on the nursing workforce and patient safety: a systematic review. Leadersh Health S…
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psnet.ahrq.gov/issue/challenging-authority-and-speaking-operating-room-environment-narrative-synthesis
December 13, 2017 - Review
Emerging Classic
Challenging authority and speaking up in the operating room environment: a narrative synthesis.
Citation Text:
Pattni N, Arzola C, Malavade A, et al. Challenging authority and speaking up in the operating room environment: a narrative syn…
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psnet.ahrq.gov/issue/clinical-reasoning-dire-times-analysis-cognitive-biases-clinical-cases-during-covid-19
February 09, 2022 - Study
Clinical reasoning in dire times- analysis of cognitive biases in clinical cases during the COVID-19 pandemic.
Citation Text:
Coen M, Sader J, Junod-Perron N, et al. Clinical reasoning in dire times- analysis of cognitive biases in clinical cases during the COVID-19 pandemic. Inter…
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www.ahrq.gov/talkingquality/distribute/media/decide-medium.html
September 01, 2019 - How To Decide on a Medium for a Health Care Quality Report
How do you figure out which medium is right for your reporting project? If at all possible, try to base this decision on research with your audience. For example, you could ask them how they get information now and how they would like to get it. Then yo…
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psnet.ahrq.gov/issue/abusive-supervision-and-its-relationship-nursing-workforce-and-patient-safety-outcomes
October 25, 2023 - Review
Abusive supervision and its relationship with nursing workforce and patient safety outcomes: a systematic review.
Citation Text:
Labrague LJ. Abusive supervision and its relationship with nursing workforce and patient safety outcomes: a systematic review. West J Nurs Res. 2023;46(…
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psnet.ahrq.gov/issue/stoppstart-criteria-potentially-inappropriate-prescribing-older-people-version-3
January 12, 2022 - Commentary
STOPP/START criteria for potentially inappropriate prescribing in older people: version 3.
Citation Text:
O’Mahony D, Cherubini A, Guiteras AR, et al. STOPP/START criteria for potentially inappropriate prescribing in older people: version 3. Eur Geriatr Med. 2023;14(4):625-632…
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psnet.ahrq.gov/issue/human-factors-and-ergonomics-patient-safety-practice
March 25, 2015 - Review
Human factors and ergonomics as a patient safety practice.
Citation Text:
Carayon P, Xie A, Kianfar S. Human factors and ergonomics as a patient safety practice. BMJ Qual Saf. 2014;23(3):196-205. doi:10.1136/bmjqs-2013-001812.
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DOI Google Schol…
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psnet.ahrq.gov/issue/hospital-initiated-transitional-care-interventions-patient-safety-strategy-systematic-review
August 12, 2014 - Review
Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review.
Citation Text:
Rennke S, Nguyen OK, Shoeb MH, et al. Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review. Ann Intern Med. 2013;15…
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psnet.ahrq.gov/issue/novel-analysis-clinically-relevant-diagnostic-errors-point-care-devices
June 21, 2016 - Study
Novel analysis of clinically relevant diagnostic errors in point-of-care devices.
Citation Text:
Shermock KM, Streiff MB, Pinto BL, et al. Novel analysis of clinically relevant diagnostic errors in point-of-care devices. J Thromb Haemost. 2011;9(9):1769-1775. doi:10.1111/j.1538-7…
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psnet.ahrq.gov/issue/implementing-human-factors-approach-rca2-tools-processes-and-strategies
July 21, 2021 - Study
Implementing a human factors approach to RCA(2) : tools, processes and strategies.
Citation Text:
Wiegmann DA, Wood LJ, Solomon DB, et al. Implementing a human factors approach to RCA(2) : tools, processes and strategies. J Healthc Risk Manag. 2021;41(1):31-46. doi:10.1002/jhrm.214…