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psnet.ahrq.gov/issue/uncharted-territory-measuring-costs-diagnostic-errors-outside-medical-record
September 20, 2011 - Study
Uncharted territory: measuring costs of diagnostic errors outside the medical record.
Citation Text:
Schwartz A, Weiner SJ, Weaver FM, et al. Uncharted territory: measuring costs of diagnostic errors outside the medical record. BMJ Qual Saf. 2012;21(11):918-24. doi:10.1136/bmjqs-…
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psnet.ahrq.gov/issue/stressful-intensive-care-unit-medical-crises-how-individual-responses-impact-team-performance
May 26, 2010 - Study
Stressful intensive care unit medical crises: how individual responses impact on team performance.
Citation Text:
Piquette D, Reeves S, LeBlanc VR. Stressful intensive care unit medical crises: How individual responses impact on team performance. Crit Care Med. 2009;37(4):1251-12…
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psnet.ahrq.gov/issue/sensemaking-safety-and-cooperative-work-intensive-care-unit
September 29, 2010 - Study
Sensemaking, safety, and cooperative work in the intensive care unit.
Citation Text:
Albolino S, Cook RI, O’Connor M. Sensemaking, safety, and cooperative work in the intensive care unit. Cog Tech Work. 2006;9(3):131-137. doi:10.1007/s10111-006-0057-5.
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psnet.ahrq.gov/issue/can-structured-checklist-prevent-problems-laparoscopic-equipment
August 10, 2016 - Study
Can a structured checklist prevent problems with laparoscopic equipment?
Citation Text:
Verdaasdonk EGG, Stassen LPS, Hoffmann WF, et al. Can a structured checklist prevent problems with laparoscopic equipment? Surg Endosc. 2008;22(10):2238-43. doi:10.1007/s00464-008-0029-3.
Co…
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psnet.ahrq.gov/issue/sleep-sleepiness-fatigue-and-performance-12-hour-shift-nurses
July 22, 2010 - Study
Sleep, sleepiness, fatigue, and performance of 12-hour–shift nurses.
Citation Text:
Geiger-Brown J, Rogers VE, Trinkoff AM, et al. Sleep, Sleepiness, Fatigue, and Performance of 12-Hour-Shift Nurses. Chronobiol Int. 2012;29(2). doi:10.3109/07420528.2011.645752.
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psnet.ahrq.gov/issue/reflection-and-analysis-how-pharmacy-students-learn-communicate-about-medication-errors
April 12, 2011 - Study
Reflection and analysis of how pharmacy students learn to communicate about medication errors.
Citation Text:
Noland CM, Rickles NM. Reflection and analysis of how pharmacy students learn to communicate about medication errors. Health Commun. 2009;24(4):351-60. doi:10.1080/104102…
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psnet.ahrq.gov/issue/development-medical-checklists-improved-quality-patient-care
March 23, 2011 - Review
Development of medical checklists for improved quality of patient care.
Citation Text:
Hales B, Terblanche M, Fowler R, et al. Development of medical checklists for improved quality of patient care. International Journal for Quality in Health Care. 2007;20(1). doi:10.1093/intqhc…
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psnet.ahrq.gov/issue/educational-intervention-contextualizing-patient-care-and-medical-students-abilities-probe
March 02, 2016 - Study
An educational intervention for contextualizing patient care and medical students' abilities to probe for contextual issues in simulated patients.
Citation Text:
Schwartz A, Weiner SJ, Harris IB, et al. An educational intervention for contextualizing patient care and medical studen…
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psnet.ahrq.gov/issue/common-predictors-nurse-reported-quality-care-and-patient-safety
March 20, 2019 - Study
Common predictors of nurse-reported quality of care and patient safety.
Citation Text:
Stimpfel AW, Djukic M, Brewer CS, et al. Common predictors of nurse-reported quality of care and patient safety. Health Care Manage Rev. 2019;44(1):57-66. doi:10.1097/HMR.0000000000000155.
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psnet.ahrq.gov/issue/pharmacy-led-medication-reconciliation-programmes-hospital-transitions-systematic-review-and
April 18, 2018 - Review
Pharmacy-led medication reconciliation programmes at hospital transitions: a systematic review and meta-analysis.
Citation Text:
Mekonnen AB, McLachlan AJ, Brien J-AE. Pharmacy-led medication reconciliation programmes at hospital transitions: a systematic review and meta-analysis.…
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psnet.ahrq.gov/issue/managing-diagnostic-uncertainty-primary-care-systematic-critical-review
February 15, 2017 - Review
Managing diagnostic uncertainty in primary care: a systematic critical review.
Citation Text:
Alam R, Cheraghi-Sohi S, Panagioti M, et al. Managing diagnostic uncertainty in primary care: a systematic critical review. BMC Fam Pract. 2017;18(1):79. doi:10.1186/s12875-017-0650-0.
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psnet.ahrq.gov/issue/comprehensive-patient-safety-program-can-significantly-reduce-preventable-harm-associated
October 27, 2010 - Study
A comprehensive patient safety program can significantly reduce preventable harm, associated costs, and hospital mortality.
Citation Text:
Brilli RJ, McClead RE, Crandall W, et al. A comprehensive patient safety program can significantly reduce preventable harm, associated costs,…
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psnet.ahrq.gov/web-mm/volume-too-low-and-out
July 01, 2017 - SPOTLIGHT CASE
Volume Too Low: In and Out
Citation Text:
Miller MR. Volume Too Low: In and Out . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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psnet.ahrq.gov/node/49651/psn-pdf
May 01, 2012 - The Perils of Cross Coverage
May 1, 2012
Farnan JM, Arora V. The Perils of Cross Coverage. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/perils-cross-coverage
Case Objectives
Explain the recently instituted ACGME duty hour regulations for 2011 as they pertain to handoffs and
care transitions.
Describe ed…
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psnet.ahrq.gov/issue/medical-office-survey-patient-safety-culture-2018-user-database-report
April 22, 2018 - Book/Report
Medical Office Survey on Patient Safety Culture: 2018 User Database Report.
Citation Text:
Medical Office Survey on Patient Safety Culture: 2018 User Database Report. Famolaro T, Yount N, Hare R, et al. Rockville, MD: Agency for Healthcare Research and Quality; April 2018. AH…
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psnet.ahrq.gov/issue/quest-eliminate-intrathecal-vincristine-errors-40-year-journey
September 15, 2010 - Commentary
The quest to eliminate intrathecal vincristine errors: a 40-year journey.
Citation Text:
Noble DJ, Donaldson LJ. The quest to eliminate intrathecal vincristine errors: a 40-year journey. Qual Saf Health Care. 2010;19(4):323-326. doi:10.1136/qshc.2008.030874.
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psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2018-user-database-report
May 02, 2018 - Book/Report
Hospital Survey on Patient Safety Culture: 2018 User Database Report.
Citation Text:
Hospital Survey on Patient Safety Culture: 2018 User Database Report. Famolaro T, Yount N, Hare, R, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2018. AHRQ Publicat…
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psnet.ahrq.gov/issue/systems-thinking-and-incivility-nursing-practice-integrative-review
December 18, 2017 - Review
Classic
Systems thinking and incivility in nursing practice: an integrative review.
Citation Text:
Phillips JM, Stalter AM, Winegardner S, et al. Systems thinking and incivility in nursing practice: An integrative review. Nurs Forum. 2018;2018(3):286-298.…
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psnet.ahrq.gov/issue/integrating-teamwork-clinician-occupational-well-being-and-patient-safety-development
February 14, 2017 - Review
Integrating teamwork, clinician occupational well-being and patient safety—development of a conceptual framework based on a systematic review.
Citation Text:
Welp A, Manser T. Integrating teamwork, clinician occupational well-being and patient safety - development of a conceptual …
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psnet.ahrq.gov/issue/errors-nurse-led-triage-observational-study
August 20, 2018 - Study
Errors in nurse-led triage: an observational study.
Citation Text:
Ausserhofer D, Zaboli A, Pfeifer N, et al. Errors in nurse-led triage: an observational study. Int J Nurs Stud. 2020;113:103788. doi:10.1016/j.ijnurstu.2020.103788.
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