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psnet.ahrq.gov/issue/communicating-coordinating-and-cooperating-when-lives-depend-it-tips-teamwork
January 03, 2017 - Commentary
Communicating, coordinating, and cooperating when lives depend on it: tips for teamwork.
Citation Text:
Salas E, Wilson K, Murphy CE, et al. Communicating, coordinating, and cooperating when lives depend on it: tips for teamwork. Jt Comm J Qual Patient Saf. 2008;34(6):333-41. …
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psnet.ahrq.gov/issue/why-your-teamstepps-program-may-not-be-working
February 14, 2024 - Commentary
Why your TeamSTEPPS program may not be working.
Citation Text:
Clapper TC, Ng GM. Why Your TeamSTEPPS™ Program May Not Be Working. Clin Simul Nurs. 2012;9(8). doi:10.1016/j.ecns.2012.03.007.
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psnet.ahrq.gov/issue/patient-safety-and-quality-surgery
August 26, 2011 - Commentary
Patient safety and quality in surgery.
Citation Text:
McCafferty MH, Polk HC. Patient safety and quality in surgery. Surg Clin North Am. 2007;87(4):867-81, vii.
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psnet.ahrq.gov/issue/medicines-related-harm-elderly-post-hospital-discharge
February 07, 2024 - Commentary
Medicines-related harm in the elderly post-hospital discharge.
Citation Text:
Medicines-related harm in the elderly post-hospital discharge. Cheong V-L, Tomlinson J, Khan S, et al. Prescriber. 2019;30:29-34.
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psnet.ahrq.gov/issue/subtherapeutic-heparin-infusions-your-organization-risk-bypassing-soft-low-dose-alerts
November 18, 2020 - Newspaper/Magazine Article
Subtherapeutic heparin infusions: is your organization at risk of bypassing soft low-dose alerts?
Citation Text:
Subtherapeutic heparin infusions: is your organization at risk of bypassing soft low-dose alerts? ISMP Medication Safety Alert! Acute Care Edition. …
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psnet.ahrq.gov/issue/philosophy-science-and-diagnostic-process
April 24, 2018 - Commentary
Philosophy of science and the diagnostic process.
Citation Text:
Willis BH, Beebee H, Lasserson DS. Philosophy of science and the diagnostic process. Fam Pract. 2013;30(5):501-5. doi:10.1093/fampra/cmt031.
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psnet.ahrq.gov/issue/roundtable-public-policy-affecting-patient-safety
June 15, 2016 - Commentary
Roundtable on public policy affecting patient safety.
Citation Text:
Crane RM, Raymond B. Roundtable on Public Policy Affecting Patient Safety. J Patient Saf. 2011;7(1):5-10. doi:10.1097/pts.0b013e31820c98cd.
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psnet.ahrq.gov/issue/establishing-simulation-center-surgical-skills-what-do-and-how-do-it
January 18, 2012 - Meeting/Conference Proceedings
Establishing a simulation center for surgical skills: what to do and how to do it.
Citation Text:
Haluck RS, Satava RM, Fried G, et al. Establishing a simulation center for surgical skills: what to do and how to do it.
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psnet.ahrq.gov/issue/otolaryngologists-responses-errors-and-adverse-events
October 27, 2010 - Study
Otolaryngologists' responses to errors and adverse events.
Citation Text:
Lander LI, Connor JA, Shah RK, et al. Otolaryngologists' responses to errors and adverse events. Laryngoscope. 2006;116(7):1114-20.
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psnet.ahrq.gov/issue/time-prefilled-syringes-everywhere
July 13, 2010 - Commentary
Time for prefilled syringes - everywhere.
Citation Text:
Whitaker DK, Lomas JP. Time for prefilled syringes – everywhere. Anaesthesia. 2024;79(2):119-122. doi:10.1111/anae.16181.
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psnet.ahrq.gov/issue/implementing-met-based-rrs-toronto-general-hospital
January 11, 2017 - Commentary
Implementing an MET-based RRS at Toronto General Hospital.
Citation Text:
Warner MB, Reynolds SF. Implementing an MET-based RRS at Toronto General Hospital. Jt Comm J Qual Patient Saf. 2008;34(1):57-9, 1.
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psnet.ahrq.gov/issue/hazards-diagnosis
April 06, 2022 - Commentary
The hazards of diagnosis.
Citation Text:
Schattner A, Magazanik N, Haran M. The hazards of diagnosis. QJM. 2010;103(8):583-7. doi:10.1093/qjmed/hcq080.
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www.ahrq.gov/ncepcr/research/care-coordination/pcmh/define.html
August 01, 2022 - Defining the PCMH
The medical home model holds promise as a way to improve health care in America by transforming how primary care is organized and delivered. Building on the work of a large and growing community, the Agency for Healthcare Research and Quality (AHRQ) defines a medical home not simply as a place…
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psnet.ahrq.gov/issue/randomized-field-study-leadership-walkrounds-based-intervention
May 24, 2016 - Book/Report
A Randomized Field Study of a Leadership WalkRounds-Based Intervention.
Citation Text:
A Randomized Field Study of a Leadership WalkRounds-Based Intervention. Tucker AL, Singer SJ. Cambridge, MA: Harvard Business School; June 25, 2012. HBS Working Paper No. 12-113.
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psnet.ahrq.gov/issue/enhanced-time-out-improved-communication-process
October 19, 2022 - Commentary
Enhanced time out: an improved communication process.
Citation Text:
Nelson PE. Enhanced Time Out: An Improved Communication Process. AORN J. 2017;105(6):564-570. doi:10.1016/j.aorn.2017.03.014.
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psnet.ahrq.gov/issue/language-barriers-prescriptions-patients-limited-english-proficiency-survey-pharmacies
September 23, 2020 - Study
Language barriers to prescriptions for patients with limited English proficiency: a survey of pharmacies.
Citation Text:
Bradshaw M, Tomany-Korman S, Flores G. Language barriers to prescriptions for patients with limited English proficiency: a survey of pharmacies. Pediatrics. 20…
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psnet.ahrq.gov/issue/gossypiboma-tales-lost-sponges-and-lessons-learned
March 24, 2021 - Study
Gossypiboma: tales of lost sponges and lessons learned.
Citation Text:
McIntyre LK. Gossypiboma. Archives of Surgery. 2010;145(8). doi:10.1001/archsurg.2010.152.
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psnet.ahrq.gov/issue/nhs-hospitals-employ-safety-experts-tackle-thousands-avoidable-mistakes
June 07, 2023 - Newspaper/Magazine Article
NHS hospitals to employ safety experts to tackle thousands of avoidable mistakes.
Citation Text:
Lintern S. NHS hospitals to employ safety experts to tackle thousands of avoidable mistakes. Independent. December 25, 2019;
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psnet.ahrq.gov/issue/implementation-patient-safety-rounds-childrens-hospital
October 19, 2022 - Commentary
Implementation of patient safety rounds in a children's hospital.
Citation Text:
Yee PL, Edwards ML, Dixon JL, et al. Implementation of patient safety rounds in a children's hospital. Nurs Adm Q. 2009;33(1):48-53. doi:10.1097/01.NAQ.0000343348.93537.41.
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psnet.ahrq.gov/issue/creating-culture-safety-emergency-department-value-teamwork-training
October 14, 2020 - Study
Creating a culture of safety in the emergency department: the value of teamwork training.
Citation Text:
Jones F, Podila P, Powers C. Creating a culture of safety in the emergency department: the value of teamwork training. J Nurs Adm. 2013;43(4):194-200. doi:10.1097/NNA.0b013e318…