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psnet.ahrq.gov/issue/motion-study-surgery
September 02, 2020 - The authors shadowed surgeons, who are described as "the most interesting of all mechanics," at hospitals
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psnet.ahrq.gov/issue/peer-training-using-cognitive-rehearsal-promote-culture-safety-health-care
November 16, 2022 - This paper described two interventions that effectively increased student nurses' self-efficacy in responding
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psnet.ahrq.gov/issue/endorsements-surgeon-punishment-and-patient-compensation-rested-and-sleep-restricted
September 23, 2020 - increased desire to punish the surgeons and provide greater financial compensation to the patients described
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psnet.ahrq.gov/issue/nursing-surveillance-concept-analysis
May 26, 2021 - antecedents (e.g., sufficient nurse education and staffing) associated with nursing surveillance are described
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psnet.ahrq.gov/issue/using-kotters-change-model-implementing-bedside-handoff-quality-improvement-project
September 23, 2020 - Change management has been described as a critical strategy to ensure safety improvements are sustained
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psnet.ahrq.gov/issue/association-between-opioid-prescribing-patterns-and-abuse-ophthalmology
April 12, 2019 - Perspective reviewed problematic prescribing practices that likely contribute to adverse events and described
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psnet.ahrq.gov/issue/high-reliability-and-i-pass-communication-tool
June 02, 2021 - This magazine article described how a 13-hospital health system used handoff standardization tools
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psnet.ahrq.gov/issue/whats-sound-managing-alarm-fatigue
April 26, 2023 - Alarm fatigue has been described as a contributor to interruptions and distractions in the hospital
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psnet.ahrq.gov/issue/higher-quality-care-and-patient-safety-associated-better-nicu-work-environments
October 19, 2022 - work environment as poor were more likely to report quality and safety problems, underscoring the well-described
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psnet.ahrq.gov/issue/using-simulation-identify-sources-medical-diagnostic-error-child-physical-abuse
January 12, 2022 - This study described the use of simulation cases to evaluate diagnostic errors of potential child
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psnet.ahrq.gov/issue/factors-affecting-medical-residents-decisions-work-after-call
October 19, 2022 - This study assessed which factors influence residents to take a post-call day (PCD) off as described
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psnet.ahrq.gov/issue/sleep-and-circadian-misalignment-hospitalist-review
July 15, 2020 - A PSNet perspective described how fatigue can affect physician performance.
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psnet.ahrq.gov/issue/teaching-medical-students-about-medical-errors-and-patient-safety-evaluation-required
June 08, 2022 - The patient safety curriculum described targeted third-year medical students with a 4-hour session
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psnet.ahrq.gov/issue/perceived-bullying-among-internal-medicine-residents
September 25, 2019 - Of these, many described burnout as the most common consequence.
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psnet.ahrq.gov/issue/safe-patients-smart-hospitals-how-one-doctors-checklist-can-help-us-change-health-care-inside
January 27, 2021 - checklists to reduce central line infections in more than 100 Michigan ICUs , a story also recently described
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psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates-and-preliminary-0
October 23, 2019 - A past WebM&M commentary highlighted the clinical significance of HACs and described an incident involving
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psnet.ahrq.gov/issue/safety-maturity-model-technology-induced-errors
June 15, 2022 - Five maturity levels, from ad hoc to formalized, are described.
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psnet.ahrq.gov/issue/surveys-patient-safety-culture
December 24, 2008 - 28, 2024
Rockville MD: Agency for Healthcare Research and Quality
Safety culture has been described
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psnet.ahrq.gov/node/45314/psn-pdf
September 01, 2018 - This observational study described the effect of implementing the
AHRQ Communication and Optimal Resolution
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psnet.ahrq.gov/node/46843/psn-pdf
June 21, 2018 - Researchers
conducted a retrospective chart review of primary care visits to assess how clinicians described