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psnet.ahrq.gov/issue/instituting-culture-professionalism-establishment-center-professionalism-and-peer-support
March 03, 2011 - Commentary
Instituting a culture of professionalism: the establishment of a Center for Professionalism and Peer Support.
Citation Text:
Shapiro J, Whittemore A, Tsen LC. Instituting a culture of professionalism: the establishment of a center for professionalism and peer support. Jt Comm …
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psnet.ahrq.gov/issue/preventable-harm-index-effective-motivator-facilitate-drive-zero
January 15, 2014 - Commentary
The Preventable Harm Index: an effective motivator to facilitate the drive to zero.
Citation Text:
Brilli RJ, McClead RE, Davis T, et al. The Preventable Harm Index: an effective motivator to facilitate the drive to zero. J Pediatr. 2010;157(4):681-3. doi:10.1016/j.jpeds.201…
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psnet.ahrq.gov/issue/race-differences-malpractice-event-database-large-healthcare-system
December 15, 2021 - Study
Race differences in a malpractice event database in a large healthcare system.
Citation Text:
Thomas AD, Pandit C, Krevat S. Race differences in a malpractice event database in a large healthcare system. J Patient Saf. 2023;19(2):67-70. doi:10.1097/pts.0000000000001090.
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psnet.ahrq.gov/issue/allowing-failure-educational-purposes-postgraduate-clinical-training-narrative-review
February 08, 2023 - Review
Allowing failure for educational purposes in postgraduate clinical training: a narrative review.
Citation Text:
Klasen JM, Lingard LA. Allowing failure for educational purposes in postgraduate clinical training: A narrative review. Med Teach. 2019;41(11):1263-1269. doi:10.1080/014…
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psnet.ahrq.gov/issue/new-perspective-blame-culture-experimental-study
July 10, 2013 - Study
A new perspective on blame culture: an experimental study.
Citation Text:
Gorini A, Miglioretti M, Pravettoni G. A new perspective on blame culture: an experimental study. J Eval Clin Pract. 2012;18(3):671-5. doi:10.1111/j.1365-2753.2012.01831.x.
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psnet.ahrq.gov/issue/preventing-and-mitigating-radiology-system-failures-guide-disaster-planning
November 23, 2016 - Commentary
Preventing and mitigating radiology system failures: a guide to disaster planning.
Citation Text:
Gibney BT, Roberts JM, D'Ortenzio RM, et al. Preventing and mitigating radiology system failures: a guide to disaster planning. RadioGraphics. 2021;41(7):2111-2126. doi:10.1148/rg…
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psnet.ahrq.gov/issue/sbar-mm-feasible-reliable-and-valid-tool-assess-quality-surgical-morbidity-and-mortality
July 02, 2014 - Study
SBAR M&M: a feasible, reliable, and valid tool to assess the quality of, surgical morbidity and mortality conference presentations.
Citation Text:
Mitchell EL, Lee DY, Arora S, et al. SBAR M&M: a feasible, reliable, and valid tool to assess the quality of, surgical morbidity and …
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psnet.ahrq.gov/issue/mandatory-influenza-vaccination-health-care-workers-new-standard-care-matter-patient-safety
September 13, 2023 - Commentary
Mandatory influenza vaccination for health care workers as the new standard of care: a matter of patient safety and nonmaleficent practice.
Citation Text:
Cortes-Penfield N. Mandatory influenza vaccination for health care workers as the new standard of care: a matter of patien…
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psnet.ahrq.gov/issue/impact-participation-california-healthcare-associated-infection-prevention-initiative
September 28, 2011 - Study
Impact of participation in the California Healthcare-Associated Infection Prevention Initiative on adoption and implementation of evidence-based practices for patient safety and health care–associated infection rates in a cohort of acute care general hospitals.
Citation Text:
Hal…
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psnet.ahrq.gov/issue/who-makes-prescribing-decisions-hospital-inpatients-observational-study
January 30, 2013 - Study
Who makes prescribing decisions in hospital inpatients? An observational study.
Citation Text:
Ross S, Hamilton L, Ryan C, et al. Who makes prescribing decisions in hospital inpatients? An observational study. Postgrad Med J. 2012;88(1043):507-10. doi:10.1136/postgradmedj-2011-13…
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psnet.ahrq.gov/issue/discrepant-perceptions-communication-teamwork-and-situation-awareness-among-surgical-team
August 12, 2020 - Study
Discrepant perceptions of communication, teamwork and situation awareness among surgical team members.
Citation Text:
Wauben LSGL, van Doorn CMD-, van Wijngaarden JDH, et al. Discrepant perceptions of communication, teamwork and situation awareness among surgical team members. In…
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psnet.ahrq.gov/issue/creating-culture-caregiver-support
May 18, 2022 - Newspaper/Magazine Article
Creating a culture of caregiver support.
Citation Text:
Gold KJ, Andrew LB, Goldman EB, et al. “I would never want to have a mental health diagnosis on my record”: A survey of female physicians on mental health diagnosis, treatment, and reporting. General Hospi…
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psnet.ahrq.gov/issue/exclusion-residents-surgery-intensive-care-team-communication-qualitative-study
December 04, 2015 - Study
Exclusion of residents from surgery-intensive care team communication: a qualitative study.
Citation Text:
Conn LG, Haas B, Rubenfeld GD, et al. Exclusion of Residents From Surgery-Intensive Care Team Communication: A Qualitative Study. J Surg Educ. 2016;73(4):639-47. doi:10.1016/j…
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psnet.ahrq.gov/issue/evidence-review-conducted-agency-healthcare-research-and-quality-safety-program-improving
June 21, 2015 - Review
Evidence review conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery: focus on anesthesiology for colorectal surgery.
Citation Text:
Ban KA, Gibbons MM, Ko CY, et al. Evidence Review Conducted for the Agency for Heal…
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psnet.ahrq.gov/issue/switch-safety-perioperative-hand-tools
October 18, 2023 - Commentary
SWITCH for safety: perioperative hand-off tools.
Citation Text:
Johnson F, Logsdon P, Fournier K, et al. SWITCH for safety: Perioperative hand-off tools. AORN J. 2013;98(5):494-504; quiz 505-7. doi:10.1016/j.aorn.2013.08.016.
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psnet.ahrq.gov/issue/validity-ahrq-patient-safety-indicators-derived-icd-10-hospital-discharge-abstract-data-chart
October 30, 2024 - Study
Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge abstract data (chart review study).
Citation Text:
Quan H, Eastwood C, Cunningham CT, et al. Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge abstract data (chart re…
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psnet.ahrq.gov/issue/prioritising-prevention-medication-handling-errors
October 22, 2008 - Study
Prioritising the prevention of medication handling errors.
Citation Text:
Bertsche T, Niemann D, Mayer Y, et al. Prioritising the prevention of medication handling errors. Pharm World Sci. 2008;30(6):907-15. doi:10.1007/s11096-008-9250-3.
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psnet.ahrq.gov/issue/overview-use-and-implementation-checklists-surgical-specialities-systematic-review
July 31, 2013 - Review
An overview of the use and implementation of checklists in surgical specialities - a systematic review.
Citation Text:
Patel J, Ahmed K, Guru KA, et al. An overview of the use and implementation of checklists in surgical specialities - a systematic review. Int J Surg. 2014;12(12):…
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psnet.ahrq.gov/issue/safe-day-call-reducing-silos-health-care-through-frontline-risk-assessment
May 25, 2016 - Commentary
The safe day call: reducing silos in health care through frontline risk assessment.
Citation Text:
Paterson C, Miller K, Benden M, et al. The Safe Day Call: Reducing Silos in Health Care Through Frontline Risk Assessment. Jt Comm J Qual Patient Saf. 2014;40(10):476-481.
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psnet.ahrq.gov/issue/lost-translation-challenges-and-opportunities-physician-physician-communication-during
April 12, 2011 - Study
Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs.
Citation Text:
Solet DJ, Norvell M, Rutan GH, et al. Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoff…