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psnet.ahrq.gov/issue/establishing-rapid-response-team-rrt-academic-hospital-one-years-experience
September 28, 2010 - Study
Establishing a rapid response team (RRT) in an academic hospital: one year's experience.
Citation Text:
King E, Horvath R, Shulkin DJ. Establishing a rapid response team (RRT) in an academic hospital: One year's experience. J Hosp Med. 2006;1(5). doi:10.1002/jhm.114.
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psnet.ahrq.gov/issue/simulation-based-adverse-event-reporting-system-development-and-feasibility
July 08, 2020 - Study
Simulation based adverse event reporting system: development and feasibility.
Citation Text:
Mckay M, Sanko JS. Simulation Based Adverse Event Reporting System: Development and Feasibility. Clin Simul Nurs. 2014;10(5). doi:10.1016/j.ecns.2013.12.005.
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psnet.ahrq.gov/issue/teaching-medical-error-disclosure-residents-using-patient-centered-simulation-training
October 19, 2022 - Study
Teaching medical error disclosure to residents using patient-centered simulation training.
Citation Text:
Sukalich S, Elliott JO, Ruffner G. Teaching medical error disclosure to residents using patient-centered simulation training. Acad Med. 2014;89(1):136-43. doi:10.1097/ACM.000…
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psnet.ahrq.gov/issue/recurring-problem-retained-swabs-and-instruments
June 19, 2019 - Review
The recurring problem of retained swabs and instruments.
Citation Text:
Mahran MA, Toeima E, Morris EP. The recurring problem of retained swabs and instruments. Best Pract Res Clin Obstet Gynaecol. 2013;27(4):489-95. doi:10.1016/j.bpobgyn.2013.03.001.
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psnet.ahrq.gov/issue/importance-preparation-doctors-handovers-acute-medical-assessment-unit-hierarchical-task
March 02, 2011 - Study
The importance of preparation for doctors' handovers in an acute medical assessment unit: a hierarchical task analysis.
Citation Text:
Raduma-Tomàs MA, Flin R, Yule S, et al. The importance of preparation for doctors' handovers in an acute medical assessment unit: a hierarchical …
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psnet.ahrq.gov/issue/portable-advanced-medical-simulation-new-emergency-department-testing-and-orientation
September 23, 2020 - Commentary
Portable advanced medical simulation for new emergency department testing and orientation.
Citation Text:
Kobayashi L, Shapiro MJ, Sucov A, et al. Portable advanced medical simulation for new emergency department testing and orientation. Acad Emerg Med. 2006;13(6):691-5.
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psnet.ahrq.gov/issue/acute-care-patients-discuss-patient-role-patient-safety
October 12, 2011 - Study
Acute care patients discuss the patient role in patient safety.
Citation Text:
Rathert C, Huddleston N, Pak Y. Acute care patients discuss the patient role in patient safety. Health Care Manage Rev. 2011;36(2):134-144. doi:10.1097/HMR.0b013e318208cd31.
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psnet.ahrq.gov/issue/resident-led-institutional-patient-safety-and-quality-improvement-process
November 16, 2022 - Study
A resident-led institutional patient safety and quality improvement process.
Citation Text:
Stueven J, Sklar DP, Kaloostian P, et al. A resident-led institutional patient safety and quality improvement process. Am J Med Qual. 2012;27(5):369-76. doi:10.1177/1062860611429387.
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psnet.ahrq.gov/issue/effective-perioperative-communication-enhance-patient-care
March 17, 2015 - Commentary
Effective perioperative communication to enhance patient care.
Citation Text:
Garrett H. Effective Perioperative Communication to Enhance Patient Care. AORN J. 2016;104(2):111-20. doi:10.1016/j.aorn.2016.06.001.
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psnet.ahrq.gov/issue/nursing-and-patient-safety-operating-room
November 03, 2010 - Study
Nursing and patient safety in the operating room.
Citation Text:
Alfredsdottir H, Bjornsdottir K. Nursing and patient safety in the operating room. J Adv Nurs. 2010;61(1):29-37. doi:10.1111/j.1365-2648.2007.04462.x.
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digital.ahrq.gov/sites/default/files/docs/page/Systems%20Analysis,%20Change%20and%20Implementation%20Theories%20Group%20Report%20Day%201.pdf
September 21, 2009 - Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Systems Analysis, Change and Implementation Theories Group Report Day 1
Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop
Monday, September 21, 2009 Systems Analysis, Change and
Implementa…
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psnet.ahrq.gov/issue/natural-history-retained-surgical-items-supports-need-team-training-early-recognition-and
January 18, 2013 - Study
Natural history of retained surgical items supports the need for team training, early recognition, and prompt retrieval.
Citation Text:
Stawicki P, Cook CH, Anderson HL, et al. Natural history of retained surgical items supports the need for team training, early recognition, and pr…
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psnet.ahrq.gov/issue/new-professionalism-surgical-residents-duty-hours-restrictions-and-shift-transitions
October 19, 2022 - Study
A new professionalism? Surgical residents, duty hours restrictions, and shift transitions.
Citation Text:
Coverdill JE, Carbonell AM, Fryer J, et al. A new professionalism? Surgical residents, duty hours restrictions, and shift transitions. Acad Med. 2010;85(10 Suppl):S72-5. doi:1…
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psnet.ahrq.gov/issue/annotated-bibliography-understanding-ambulatory-care-practices-context-patient-safety-and
March 02, 2010 - Commentary
Annotated bibliography: an update to: "Understanding ambulatory care practices in the context of patient safety and quality improvement."
Citation Text:
Kumar PR, Nash DB. Annotated Bibliography: An Update to “Understanding Ambulatory Care Practices in the Context of Patient S…
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psnet.ahrq.gov/issue/strategic-work-arounds-accommodate-new-technology-case-smart-pumps-hospital-care
July 14, 2010 - Study
Strategic work-arounds to accommodate new technology: the case of smart pumps in hospital care.
Citation Text:
McAlearney AS, Vrontos J, Schneider PJ, et al. Strategic Work-Arounds to Accommodate New Technology. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000242987.93789.63.
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psnet.ahrq.gov/issue/artificial-intelligence-systems-complex-decision-making-acute-care-medicine-review
March 16, 2011 - Review
Emerging Classic
Artificial intelligence systems for complex decision-making in acute care medicine: a review.
Citation Text:
Lynn LA. Artificial intelligence systems for complex decision-making in acute care medicine: a review. Patient Saf Surg. 2019;13:…
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psnet.ahrq.gov/issue/getting-message-quality-improvement-initiative-reduce-pages-sent-wrong-physician
April 30, 2014 - Study
Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician.
Citation Text:
Wong BM, Cheung M, Dharamshi H, et al. Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician. BMJ Qual Saf. 2012;21(10):85…
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psnet.ahrq.gov/issue/risk-mitigation-large-scale-systems-lessons-high-reliability-organizations
January 30, 2019 - Commentary
Classic
Risk mitigation in large scale systems: lessons from high reliability organizations.
Citation Text:
Risk mitigation in large scale systems: lessons from high reliability organizations. Grabowski M, Roberts K. Calif Manag Rev. 1997;39(4):152-16…
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psnet.ahrq.gov/issue/organisational-failure-rethinking-whistleblowing-tomorrows-doctors
May 18, 2022 - Commentary
Organisational failure: rethinking whistleblowing for tomorrow's doctors.
Citation Text:
Taylor DJ, Goodwin D. Organisational failure: rethinking whistleblowing for tomorrow’s doctors. J Med Ethics. 2022;48(10):672-677. doi:10.1136/jme-2022-108328.
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digital.ahrq.gov/health-care-theme/shared-decision-making
January 01, 2023 - Shared Decision Making
LabGenie: A Patient-Engagement Tool to Aid Older Adults' Understanding of Lab Test Results
Description
The study will create, implement, and test a patient-centric web app to support older adults with chronic conditions in comprehending, managing, and ac…