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psnet.ahrq.gov/issue/using-safety-culture-results-guide-merger-four-general-practices-uk
February 01, 2023 - Study
Using safety culture results to guide the merger of four general practices in the UK.
Citation Text:
Lockwood AM, Proulx J, Hill M, et al. Using safety culture results to guide the merger of four general practices in the UK. BMJ Open Qual. 2020;9(1):e000860. doi:10.1136/bmjoq-2019-…
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psnet.ahrq.gov/issue/displaying-radiation-exposure-and-cost-information-order-entry-outpatient-diagnostic-imaging
August 04, 2015 - Study
Displaying radiation exposure and cost information at order entry for outpatient diagnostic imaging: a strategy to inform clinician ordering.
Citation Text:
Kruger JF, Chen AH, Rybkin A, et al. Displaying radiation exposure and cost information at order entry for outpatient diagnos…
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psnet.ahrq.gov/issue/struggling-invent-high-reliability-organizations-health-care-settings-insights-field
October 02, 2019 - Study
Struggling to invent high-reliability organizations in health care settings: insights from the field.
Citation Text:
Dixon NM, Shofer M. Struggling to invent high-reliability organizations in health care settings: Insights from the field. Health Serv Res. 2006;41(4 Pt 2):1618-32.…
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psnet.ahrq.gov/issue/towards-reduction-medication-errors-orthopedics-and-spinal-surgery-outcomes-using-pharmacist
January 30, 2008 - Study
Towards the reduction of medication errors in orthopedics and spinal surgery: outcomes using a pharmacist-led approach.
Citation Text:
Weiner BK, Venarske J, Yu M, et al. Towards the reduction of medication errors in orthopedics and spinal surgery: outcomes using a pharmacist-led…
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psnet.ahrq.gov/issue/how-health-care-complexity-leads-cooperation-and-affects-autonomy-health-care-professionals
October 27, 2021 - Study
How health care complexity leads to cooperation and affects the autonomy of health care professionals.
Citation Text:
Molleman E, Broekhuis M, Stoffels R, et al. How health care complexity leads to cooperation and affects the autonomy of health care professionals. Health Care Ana…
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psnet.ahrq.gov/issue/charges-and-lengths-stay-attributable-adverse-patient-care-events-using-pediatric-specific
January 04, 2021 - Study
Charges and lengths of stay attributable to adverse patient-care events using pediatric-specific quality indicators: a multicenter study of freestanding children's hospitals.
Citation Text:
Kronman MP, Hall M, Slonim A, et al. Charges and lengths of stay attributable to adverse p…
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psnet.ahrq.gov/issue/abusive-supervision-systematic-review-and-fundamental-rethink
May 18, 2022 - Review
Abusive supervision: a systematic review and fundamental rethink.
Citation Text:
Fischer T, Tian AW, Lee A, et al. Abusive supervision: a systematic review and fundamental rethink. The Leadership Q. 2021;32(6):101540. doi:10.1016/j.leaqua.2021.101540.
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psnet.ahrq.gov/issue/variation-safety-culture-dimensions-within-and-between-us-and-swiss-hospital-units
October 08, 2013 - Study
Variation in safety culture dimensions within and between US and Swiss Hospital units: an exploratory study.
Citation Text:
Schwendimann R, Zimmermann N, Küng K, et al. Variation in safety culture dimensions within and between US and Swiss Hospital Units: an exploratory study. BM…
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psnet.ahrq.gov/issue/barriers-implementation-checklists-office-based-procedural-setting
February 18, 2019 - Study
Barriers to the implementation of checklists in the office-based procedural setting.
Citation Text:
Shapiro FE, Fernando RJ, Urman RD. Barriers to the implementation of checklists in the office-based procedural setting. J Healthc Risk Manag. 2014;33(4):35-43. doi:10.1002/jhrm.21141…
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psnet.ahrq.gov/issue/shepherding-change-how-market-healthcare-providers-and-public-policy-can-deliver-quality-care
July 20, 2022 - Commentary
Shepherding change: how the market, healthcare providers, and public policy can deliver quality care for the 21st century.
Citation Text:
Kennedy P, Pronovost P. Shepherding change: how the market, healthcare providers, and public policy can deliver quality care for the 21st…
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psnet.ahrq.gov/issue/establishing-multi-institutional-quality-and-patient-safety-consortium-collaboration-across
June 24, 2009 - Commentary
Establishing a multi-institutional quality and patient safety consortium: collaboration across affiliates in a community-based medical school.
Citation Text:
Hillman E, Paul J, Neustadt M, et al. Establishing a multi-institutional quality and patient safety consortium: collab…
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psnet.ahrq.gov/issue/use-quality-indicators-compare-point-care-testing-errors-neonatal-unit-and-errors-stat
December 02, 2020 - Study
Use of quality indicators to compare point-of-care testing errors in a neonatal unit and errors in a STAT central laboratory.
Citation Text:
Cantero M, Redondo M, Martín E, et al. Use of quality indicators to compare point-of-care testing errors in a neonatal unit and errors in a S…
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psnet.ahrq.gov/issue/designing-critical-care-nurse-led-rapid-response-team-using-only-available-resources-6-years
December 21, 2014 - Study
Designing a critical care nurse–led rapid response team using only available resources: 6 years later.
Citation Text:
Mitchell A, Schatz M, Francis H. Designing a critical care nurse-led rapid response team using only available resources: 6 years later. Crit Care Nurse. 2014;34(3):…
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psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
July 23, 2024 - Reducing Preventable Patient Harm Due to Retained Surgical Items: The RSI Bundle
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May 29, 2024
View more articles from the same authors.
Inno…
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psnet.ahrq.gov/node/863649/psn-pdf
February 28, 2024 - In Conversation With...Stephen Hines, PhD and Monika
Haugstetter, MHA, MSN, RN, CPHQ about TeamSTEPPS
3.0
February 28, 2024
In Conversation With..Stephen Hines, PhD and Monika Haugstetter, MHA, MSN, RN, CPHQ about
TeamSTEPPS 3.0. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/conversation-withstephen-…
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psnet.ahrq.gov/node/60329/psn-pdf
May 14, 2020 - In Conversation With... Joel Willis, DO, PA, MA, MPhiL
and Neal Sikka, MD
May 14, 2020
In Conversation With.. Joel Willis, DO, PA, MA, MPhiL and Neal Sikka, MD. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/conversation-joel-willis-do-pa-ma-mphil-and-neal-sikka-md
Editor’s note: Joel Willis, DO, PA, M…
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psnet.ahrq.gov/node/33594/psn-pdf
November 18, 2021 - identifying lessons learned and
applying those lessons to future situations11
For those interested in developing
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psnet.ahrq.gov/web-mm/transfusion-overload
September 23, 2020 - Interestingly, pre-treatment with a diuretic has not been shown to protect patients from developing either
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psnet.ahrq.gov/node/60865/psn-pdf
August 31, 2020 - Those are the two journeys – (1) developing a culture of healing and (2) the use of
Lean Six Sigma to
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psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety
August 31, 2020 - ensure regular dissemination of consistent information, reorganizing and redeploying clinical staff, and developing