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psnet.ahrq.gov/issue/preventing-potential-patient-harm-through-clinical-content-interventions-during-oncology
October 30, 2024 - Study
Preventing potential patient harm through clinical content interventions during oncology clinical trial implementation.
Citation Text:
Loo VC, Kim S, Johnson LM, et al. Preventing potential patient harm through clinical content interventions during oncology clinical trial implement…
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psnet.ahrq.gov/issue/elective-surgical-patients-narratives-hospitalization-co-construction-safety
May 29, 2012 - Study
Elective surgical patients' narratives of hospitalization: the co-construction of safety.
Citation Text:
DOHERTY CAROLE, Saunders MNK. Elective surgical patients' narratives of hospitalization: the co-construction of safety. Soc Sci Med. 2013;98:29-36. doi:10.1016/j.socscimed.2013…
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psnet.ahrq.gov/issue/opportunities-improve-informed-consent-ahrq-training-modules
December 31, 2014 - Study
Opportunities to improve informed consent with AHRQ training modules.
Citation Text:
Shoemaker SJ, Brach C, Edwards A, et al. Opportunities to Improve Informed Consent with AHRQ Training Modules. Jt Comm J Qual Patient Saf. 2018;44(6):343-352. doi:10.1016/j.jcjq.2017.11.010.
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psnet.ahrq.gov/issue/am-i-safe-here-improving-patients-perceptions-safety-hospitals
June 25, 2010 - Study
Am I safe here? Improving patients' perceptions of safety in hospitals.
Citation Text:
Wolosin RJ, Vercler L, Matthews JL. Am I safe here?: improving patients' perceptions of safety in hospitals. J Nurs Care Qual. 2006;21(1):30-40.
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psnet.ahrq.gov/issue/framing-clinical-information-affects-physicians-diagnostic-accuracy
November 02, 2011 - Study
Framing of clinical information affects physicians' diagnostic accuracy.
Citation Text:
Popovich I, Szecket N, Nahill A. Framing of clinical information affects physicians' diagnostic accuracy. Emerg Med J. 2019;36(10):589-594. doi:10.1136/emermed-2019-208409.
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F…
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psnet.ahrq.gov/issue/interruptions-wild-development-sociotechnical-systems-model-interruptions-emergency
August 31, 2016 - Review
Interruptions in the wild: development of a sociotechnical systems model of interruptions in the emergency department through a systematic review.
Citation Text:
Werner N, Holden RJ. Interruptions in the wild: Development of a sociotechnical systems model of interruptions in the e…
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psnet.ahrq.gov/issue/ahrq-communication-and-optimal-resolution-candor-toolkit
May 25, 2016 - Toolkit
AHRQ Communication and Optimal Resolution (CANDOR) Toolkit.
Citation Text:
AHRQ Communication and Optimal Resolution (CANDOR) Toolkit. Rockville, MD: Agency for Healthcare Research and Quality; May 2016.
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psnet.ahrq.gov/node/49688/psn-pdf
August 21, 2013 - Discharge Instructions in the PACU: Who Remembers?
August 21, 2013
Engel KG. Discharge Instructions in the PACU: Who Remembers? PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/discharge-instructions-pacu-who-remembers
The Case
A 42-year-old woman was diagnosed with a torn anterior cruciate ligament (ACL) in …
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psnet.ahrq.gov/issue/assessing-patient-work-system-factors-medication-management-during-transition-care-among
July 20, 2022 - Study
Assessing patient work system factors for medication management during transition of care among older adults: an observational study.
Citation Text:
Xiao Y, Hsu Y-J, Hannum SM, et al. Assessing patient work system factors for medication management during transition of care among ol…
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psnet.ahrq.gov/web-mm/room-without-orders
September 01, 2011 - SPOTLIGHT CASE
A Room Without Orders
Citation Text:
Vogelsmeier A, Despins L. A Room Without Orders. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/issue/efficiency-and-safety-speech-recognition-documentation-electronic-health-record
February 14, 2024 - Study
Efficiency and safety of speech recognition for documentation in the electronic health record.
Citation Text:
Hodgson T, Magrabi F, Coiera E. Efficiency and safety of speech recognition for documentation in the electronic health record. J Am Med Inform Assoc. 2017;24(6):1127-1133. …
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psnet.ahrq.gov/issue/does-checklist-reduce-number-errors-made-nurse-assembled-discharge-prescriptions
March 24, 2019 - Study
Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions?
Citation Text:
Byrne C, Sierra H, Tolhurst R. Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions? Br J Nurs. 2017;26(8):464-467. doi:10.12968/bjon…
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psnet.ahrq.gov/node/50778/psn-pdf
January 08, 2020 - A mixed methods study examining teamwork shared
mental models of interprofessional teams during hospital
discharge.
January 8, 2020
Manges K, Groves PS, Farag A, et al. A mixed methods study examining teamwork shared mental models
of interprofessional teams during hospital discharge. BMJ Qual Saf. 2020;29(6):499-5…
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psnet.ahrq.gov/node/49750/psn-pdf
January 01, 2016 - A Room Without Orders
January 1, 2016
Vogelsmeier A, Despins L. A Room Without Orders. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/room-without-orders
Case Objectives
Review a common process for planned direct hospital admissions.
Describe challenges of prioritizing day-to-day patient care activities wi…
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psnet.ahrq.gov/node/40513/psn-pdf
June 08, 2011 - "Sign right here and you're good to go": a content
analysis of audiotaped emergency department discharge
instructions.
June 8, 2011
Vashi A, Rhodes K. "Sign right here and you're good to go": a content analysis of audiotaped emergency
department discharge instructions. Ann Emerg Med. 2011;57(4):315-322.e1.
doi:10…
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psnet.ahrq.gov/node/43329/psn-pdf
July 09, 2014 - Facilitating a safe transition from the pediatric emergency
department to home with a post-discharge phone call: a
quality-improvement initiative to improve patient safety.
July 9, 2014
Bucaro PJ, Black E. Facilitating a safe transition from the pediatric emergency department to home with a
post-discharge phone ca…
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psnet.ahrq.gov/issue/transition-care-hospitalized-elderly-patients-development-discharge-checklist-hospitalists
November 16, 2022 - Commentary
Transition of care for hospitalized elderly patients—development of a discharge checklist for hospitalists.
Citation Text:
Halasyamani L, Kripalani S, Coleman E, et al. Transition of care for hospitalized elderly patients—Development of a discharge checklist for hospitalists…
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psnet.ahrq.gov/issue/identifying-barriers-and-opportunities-telehealth-implementation-amidst-covid-19-pandemic
July 07, 2021 - Commentary
Identifying barriers to and opportunities for telehealth implementation amidst the COVID-19 pandemic by using a human factors approach: a leap into the future of health care delivery?
Citation Text:
Zhang T, Mosier J, Subbian V. Identifying barriers to and opportunities for te…
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psnet.ahrq.gov/issue/family-participation-during-intensive-care-unit-rounds-goals-and-expectations-parents-and
June 12, 2019 - Study
Family participation during intensive care unit rounds: goals and expectations of parents and health care providers in a tertiary pediatric intensive care unit.
Citation Text:
Stickney CA, Ziniel SI, Brett MS, et al. Family participation during intensive care unit rounds: goals and…
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psnet.ahrq.gov/issue/visual-illusions-radiology-untrue-perceptions-medical-images-and-their-implications
July 06, 2022 - Commentary
Visual illusions in radiology: untrue perceptions in medical images and their implications for diagnostic accuracy.
Citation Text:
Alexander RG, Yazdanie F, Waite S, et al. Visual illusions in radiology: untrue perceptions in medical images and their implications for diagnosti…