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psnet.ahrq.gov/issue/clinical-faculty-taking-lead-teaching-quality-improvement-and-patient-safety
July 01, 2017 - Commentary
Clinical faculty: taking the lead in teaching quality improvement and patient safety.
Citation Text:
Davis NL, Davis DA, Rayburn WF. Clinical faculty: taking the lead in teaching quality improvement and patient safety. Am J Obstet Gynecol. 2014;211(3):215-215.e1. doi:10.1016/j…
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psnet.ahrq.gov/issue/innovation-and-teamwork-introducing-multidisciplinary-team-ward-rounds
May 25, 2022 - Newspaper/Magazine Article
Innovation and teamwork: introducing multidisciplinary team ward rounds.
Citation Text:
Moroney N, Knowles C. Innovation and teamwork: introducing multidisciplinary team ward rounds. Nursing management (Harrow, London, England : 1994). 2006;13(1):28-31.
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psnet.ahrq.gov/issue/improving-diagnosis-health-care-next-imperative-patient-safety
July 15, 2015 - Commentary
Classic
Improving diagnosis in health care—the next imperative for patient safety.
Citation Text:
Singh H, Graber ML. Improving Diagnosis in Health Care--The Next Imperative for Patient Safety. New Engl J Med. 2015;373(26):2493-2495. doi:10.1056/NEJMp…
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psnet.ahrq.gov/issue/improving-patient-safety-ed-waiting-room
January 07, 2011 - Commentary
Improving patient safety in the ED waiting room.
Citation Text:
Blank FSJ, Santoro J, Maynard AM, et al. Improving patient safety in the ED waiting room. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 2007;33(4):331-5…
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psnet.ahrq.gov/issue/randomized-experimental-study-assess-effect-language-medical-students-anxiety-due-uncertainty
September 04, 2019 - Study
A randomized experimental study to assess the effect of language on medical students' anxiety due to uncertainty.
Citation Text:
Simpkin AL, Murphy Z, Armstrong KA. A randomized experimental study to assess the effect of language on medical students' anxiety due to uncertainty. Dia…
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psnet.ahrq.gov/issue/high-reliability-and-i-pass-communication-tool
June 02, 2021 - Newspaper/Magazine Article
High-reliability and the I-PASS communication tool.
Citation Text:
Clements K. High-reliability and the I-PASS communication tool. Nursing Management (Springhouse). 2017;48(3). doi:10.1097/01.numa.0000512897.68425.e5.
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psnet.ahrq.gov/issue/tangible-handoff-team-approach-advancing-structured-communication-labor-and-delivery
June 12, 2013 - Commentary
The tangible handoff: a team approach for advancing structured communication in labor and delivery.
Citation Text:
Block M, Ehrenworth JF, Cuce VM, et al. The tangible handoff: a team approach for advancing structured communication in labor and delivery. Jt Comm J Qual Patient…
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-provisions-and-potential-opportunities
February 15, 2011 - Commentary
The Patient Safety and Quality Improvement Act of 2005: provisions and potential opportunities.
Citation Text:
Liang BA, Riley W, Rutherford W, et al. The Patient Safety and Quality Improvement Act of 2005: Provisions and Potential Opportunities. American Journal of Medical …
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psnet.ahrq.gov/issue/development-standardized-citywide-process-managing-smart-pump-drug-libraries
June 07, 2017 - Commentary
Development of a standardized, citywide process for managing smart-pump drug libraries.
Citation Text:
Walroth TA, Smallwood S, Arthur KJ, et al. Development of a standardized, citywide process for managing smart-pump drug libraries. Am J Health Syst Pharm. 2018;75(12):893-900…
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psnet.ahrq.gov/issue/redesigning-rounds-icu-standardizing-key-elements-improves-interdisciplinary-communication
April 17, 2024 - Study
Redesigning rounds in the ICU: standardizing key elements improves interdisciplinary communication.
Citation Text:
O'Brien A, O'Reilly K, Dechen T, et al. Redesigning Rounds in the ICU: Standardizing Key Elements Improves Interdisciplinary Communication. Jt Comm J Qual Patient Saf.…
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psnet.ahrq.gov/issue/creating-safety-culture-childrens-and-womens-health-centre-british-columbia
June 03, 2020 - Commentary
Creating a safety culture at the Children's and Women's Health Centre of British Columbia.
Citation Text:
Verschoor KN, Taylor A, Northway TL, et al. Creating a safety culture at the Children's and Women's Health Centre of British Columbia. J Pediatr Nurs. 2007;22(1):81-6.
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psnet.ahrq.gov/issue/resilience-healthcare-and-clinical-handover
August 19, 2009 - Commentary
Resilience in healthcare and clinical handover.
Citation Text:
Jeffcott SA, Ibrahim JE, Cameron PA. Resilience in healthcare and clinical handover. Qual Saf Health Care. 2009;18(4):256-60. doi:10.1136/qshc.2008.030163.
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psnet.ahrq.gov/issue/very-public-failure-lessons-quality-improvement-healthcare-organisations-bristol-royal
April 08, 2011 - Commentary
A very public failure: lessons for quality improvement in healthcare organisations from the Bristol Royal Infirmary.
Citation Text:
Walshe K, Offen N. A very public failure: lessons for quality improvement in healthcare organisations from the Bristol Royal Infirmary. Qual Heal…
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www.ahrq.gov/sites/default/files/wysiwyg/sdm/share-approach/share-conversation-starters.pdf
October 01, 2024 - The SHARE Approach: Conversation Starters
The SHARE Approach:
Conversation Starters
The SHARE Approach provides five elements to guide shared decision-making
discussions with patients. These can be used in any order, and you may need to use
some of the elements multiple times to reach a decision with your…
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psnet.ahrq.gov/issue/whats-sound-managing-alarm-fatigue
April 26, 2023 - Newspaper/Magazine Article
What's that sound? Managing alarm fatigue.
Citation Text:
George TP, Martin V. Whatʼs that sound? Managing alarm fatigue. Nursing Made Incredibly Easy!. 2014;12(5). doi:10.1097/01.nme.0000452689.19763.3f.
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psnet.ahrq.gov/issue/patient-who-falls-its-always-trade
February 17, 2011 - Commentary
The patient who falls: "It's always a trade-off."
Citation Text:
Tinetti ME, Kumar C. The patient who falls: "It's always a trade-off". JAMA. 2010;303(3):258-66. doi:10.1001/jama.2009.2024.
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psnet.ahrq.gov/issue/value-inking-breast-cores-reduce-specimen-mix
January 14, 2011 - Study
The value of inking breast cores to reduce specimen mix-up.
Citation Text:
Renshaw AA, Kish R, Gould EW. The value of inking breast cores to reduce specimen mix-up. Am J Clin Pathol. 2007;127(2):271-2.
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psnet.ahrq.gov/issue/words-drug-highest-frequency-dispensing-errors
March 04, 2015 - Commentary
Words: the "drug" with the highest frequency of dispensing errors.
Citation Text:
Lamba S. Words: the "drug" with the highest frequency of dispensing errors. Acad Emerg Med. 2011;18(1):93-5. doi:10.1111/j.1553-2712.2010.00965.x.
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www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/rule.html
May 01, 2023 - Tool: Two-Challenge Rule
The Two-Challenge Rule is another tool used to facilitate team members' speaking up. It was developed to manage conflict when team members’ perception of a situation differs. Human factor experts developed the rule to help airline captains prevent disasters when otherwise excellent deci…
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psnet.ahrq.gov/issue/structural-iatrogenesis-43-year-old-man-opioid-misuse
September 04, 2016 - Commentary
Structural iatrogenesis—a 43-year-old man with "opioid misuse."
Citation Text:
Stonington S, Coffa D. Structural Iatrogenesis - A 43-Year-Old Man with "Opioid Misuse". N Engl J Med. 2019;380(8):701-704. doi:10.1056/NEJMp1811473.
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