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psnet.ahrq.gov/node/36227/psn-pdf
August 30, 2006 - Does crew resource management training work? An
update, an extension, and some critical needs.
August 30, 2006
Salas E, Wilson KA, Burke CS, et al. Does Crew Resource Management Training Work? An Update, an
Extension, and Some Critical Needs. Hum Factors. 2006;48(2):392-412.
doi:10.1518/001872006777724444.
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psnet.ahrq.gov/node/45103/psn-pdf
October 06, 2016 - Use of personal electronic devices by nurse anesthetists
and the effects on patient safety.
October 6, 2016
Snoots LR, Wands BA. Use of Personal Electronic Devices by Nurse Anesthetists and the Effects on
Patient Safety. AANA J. 2016;84(2):114-119.
https://psnet.ahrq.gov/issue/use-personal-electronic-devices-nurse…
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psnet.ahrq.gov/node/45973/psn-pdf
March 29, 2017 - Clinical perspective: creating an effective practice peer
review process—a primer.
March 29, 2017
Gandhi M, Louis FS, Wilson SH, et al. Clinical perspective: creating an effective practice peer review
process-a primer. Am J Obstet Gynecol. 2017;216(3):244-249. doi:10.1016/j.ajog.2016.11.1035.
https://psnet.ahrq.go…
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psnet.ahrq.gov/issue/medication-errors-recovered-emergency-department-pharmacists
December 31, 2014 - Study
Medication errors recovered by emergency department pharmacists.
Citation Text:
Rothschild JM, Churchill WW, Erickson A, et al. Medication errors recovered by emergency department pharmacists. Ann Emerg Med. 2010;55(6):513-21. doi:10.1016/j.annemergmed.2009.10.012.
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psnet.ahrq.gov/issue/interactive-effects-nurse-experienced-time-pressure-and-burnout-patient-safety-cross
September 23, 2009 - Study
Interactive effects of nurse-experienced time pressure and burnout on patient safety: a cross-sectional survey.
Citation Text:
Teng C-I, Shyu Y-IL, Chiou W-K, et al. Interactive effects of nurse-experienced time pressure and burnout on patient safety: a cross-sectional survey. Int…
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psnet.ahrq.gov/issue/effect-clinical-history-accuracy-electrocardiograph-interpretation-among-doctors-working
March 20, 2019 - Study
The effect of clinical history on accuracy of electrocardiograph interpretation among doctors working in emergency departments.
Citation Text:
Cruz MF, Edwards J, Dinh MM, et al. The effect of clinical history on accuracy of electrocardiograph interpretation among doctors working…
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psnet.ahrq.gov/issue/triangle-model-evaluating-effect-health-information-technology-healthcare-quality-and-safety
May 25, 2010 - Commentary
The Triangle Model for evaluating the effect of health information technology on healthcare quality and safety.
Citation Text:
Ancker JS, Kern LM, Abramson EL, et al. The Triangle Model for evaluating the effect of health information technology on healthcare quality and safety…
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psnet.ahrq.gov/issue/meta-analysis-surgical-safety-checklist-effects-teamwork-communication-morbidity-mortality
April 12, 2017 - Review
Meta-analysis of surgical safety checklist effects on teamwork, communication, morbidity, mortality, and safety.
Citation Text:
Lyons VE, Popejoy LL. Meta-analysis of surgical safety checklist effects on teamwork, communication, morbidity, mortality, and safety. West J Nurs Res.…
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psnet.ahrq.gov/issue/what-have-we-learnt-after-15-years-research-weekend-effect
December 02, 2020 - Commentary
What have we learnt after 15 years of research into the 'weekend effect'?
Citation Text:
Bray BD, Steventon A. What have we learnt after 15 years of research into the 'weekend effect'? BMJ Qual Saf. 2017;26(8):607-610. doi:10.1136/bmjqs-2016-005793.
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psnet.ahrq.gov/issue/health-literacy-and-quality-physician-patient-communication-during-hospitalization
April 05, 2013 - Study
Health literacy and the quality of physician–patient communication during hospitalization.
Citation Text:
Kripalani S, Jacobson TA, Mugalla IC, et al. Health literacy and the quality of physician-patient communication during hospitalization. J Hosp Med. 2010;5(5). doi:10.1002/jhm…
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psnet.ahrq.gov/issue/hand-communications
January 04, 2017 - Multi-use Website
Hand-off Communications.
Citation Text:
DeRosier JM, Stalhandske E, Bagian JP, et al. Using health care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system.
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psnet.ahrq.gov/issue/designing-safer-process-prevent-retained-surgical-sponges-healthcare-failure-mode-and-effect
April 27, 2019 - Study
Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis.
Citation Text:
Steelman VM, Cullen JJ. Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. AORN J. 2011;94(2):1…
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psnet.ahrq.gov/issue/university-michigan-quality-and-safety-academic-medical-center
November 13, 2024 - Commentary
University of Michigan: quality and safety in an academic medical center.
Citation Text:
Strong DL, Kin JM, Kratochwill EW, et al. University of Michigan: quality and safety in an academic medical center. Jt Comm J Qual Patient Saf. 2008;34(11):671-7.
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psnet.ahrq.gov/issue/effectiveness-toyota-process-redesign-reducing-thyroid-gland-fine-needle-aspiration-error
June 14, 2011 - Study
Effectiveness of Toyota process redesign in reducing thyroid gland fine-needle aspiration error.
Citation Text:
Raab SS, Grzybicki DM, Sudilovsky D, et al. Effectiveness of Toyota process redesign in reducing thyroid gland fine-needle aspiration error. Am J Clin Pathol. 2006;126(…
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psnet.ahrq.gov/issue/preventable-adverse-events-infants-hospitalized-bronchiolitis
April 11, 2011 - Study
Preventable adverse events in infants hospitalized with bronchiolitis.
Citation Text:
McBride SC, Chiang VW, Goldmann DA, et al. Preventable adverse events in infants hospitalized with bronchiolitis. Pediatrics. 2005;116(3):603-608. doi:10.1542/peds.2004-2387.
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psnet.ahrq.gov/perspective/conversation-david-urbach-md-msc
June 12, 2019 - In Conversation With… David Urbach, MD, MSc
April 1, 2015
Citation Text:
In Conversation With… David Urbach, MD, MSc. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/node/33747/psn-pdf
March 01, 2013 - The Literature on Health Care Simulation Education: What
Does It Show?
March 1, 2013
Cook DA. The Literature on Health Care Simulation Education: What Does It Show? PSNet [internet].
2013.
https://psnet.ahrq.gov/perspective/literature-health-care-simulation-education-what-does-it-show
Perspective
The education o…
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psnet.ahrq.gov/issue/reducing-unacceptable-missed-doses-pharmacy-assistant-supported-medicine-administration
June 07, 2023 - Study
Reducing unacceptable missed doses: pharmacy assistant–supported medicine administration.
Citation Text:
Baqir W, Jones K, Horsley W, et al. Reducing unacceptable missed doses: pharmacy assistant-supported medicine administration. Int J Pharm Pract. 2015;23(5):327-332. doi:10.1111/…
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psnet.ahrq.gov/issue/mortality-risks-associated-emergency-admissions-during-weekends-and-public-holidays-analysis
September 02, 2020 - Study
Classic
Mortality risks associated with emergency admissions during weekends and public holidays: an analysis of electronic health records.
Citation Text:
Walker S, Mason A, Quan P, et al. Mortality risks associated with emergency admissions during weekend…
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psnet.ahrq.gov/issue/effect-health-information-exchange-recognition-medication-discrepancies-interrupted-when-data
November 16, 2022 - Study
Effect of health information exchange on recognition of medication discrepancies is interrupted when data charges are introduced: results of a cluster-randomized controlled trial.
Citation Text:
Boockvar K, Ho W, Pruskowski J, et al. Effect of health information exchange on recogni…