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psnet.ahrq.gov/perspective/conversation-withvineet-arora-md-ma
March 01, 2011 - more savvy thinking about how to do this research, we can also think about how to use that to more effectively
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psnet.ahrq.gov/node/35105/psn-pdf
June 22, 2009 - Evaluation of nationally mandated drug use reviews to
improve patient safety in nursing homes: a natural
experiment.
June 22, 2009
Briesacher B, Limcangco R, Simoni-Wastila L, et al. Evaluation of nationally mandated drug use reviews to
improve patient safety in nursing homes: a natural experiment. J Am Geriatr So…
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psnet.ahrq.gov/node/42248/psn-pdf
June 12, 2013 - Measuring handoff quality in labor and delivery:
development, validation, and application of the
Coordination of Handoff Effectiveness Questionnaire
(CHEQ).
June 12, 2013
Block M, Ehrenworth JF, Cuce VM, et al. Measuring handoff quality in labor and delivery: development,
validation, and application of the Coordi…
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psnet.ahrq.gov/node/41022/psn-pdf
December 21, 2011 - Key performance outcomes of patient safety curricula:
root cause analysis, failure mode and effects analysis,
and structured communications skills.
December 21, 2011
Fassett WE. Key performance outcomes of patient safety curricula: root cause analysis, failure mode and
effects analysis, and structured communicatio…
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psnet.ahrq.gov/node/837042/psn-pdf
April 04, 2022 - Leadership Response to a Sentinel Event: Respectful,
Effective Crisis Management.
April 4, 2022
Institute for Healthcare Improvement.
https://psnet.ahrq.gov/issue/leadership-response-sentinel-event-respectful-effective-crisis-management
Crisis management skills are valuable at both the organizational and clinical …
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psnet.ahrq.gov/node/45689/psn-pdf
January 25, 2018 - How to prevent burnout (maybe).
January 25, 2018
Dissanaike S. How to prevent burnout (maybe). Am J Surg. 2016;212(6):1251-1255.
doi:10.1016/j.amjsurg.2016.08.022.
https://psnet.ahrq.gov/issue/how-prevent-burnout-maybe
Burnout can affect the ability of individuals and teams to act safely. Originally delivered as a…
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psnet.ahrq.gov/node/49407/psn-pdf
July 01, 2003 - Bleeding Risk
July 1, 2003
Crowther MA. Bleeding Risk. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/bleeding-risk
The Case
A frail 78-year-old woman fell at home and fractured her left hip. Her past medical history included atrial
fibrillation, hypertension, coronary artery disease, and stroke. The surgi…
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psnet.ahrq.gov/web-mm/palliative-care-comfort-vs-harm
December 04, 2016 - SPOTLIGHT CASE
Palliative Care: Comfort vs. Harm
Citation Text:
Jox RJ. Palliative Care: Comfort vs. Harm. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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Format:
Google Scholar BibTeX EndN…
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psnet.ahrq.gov/node/33748/psn-pdf
April 01, 2013 - In Conversation With… Christopher P. Landrigan, MD,
MPH
April 1, 2013
In Conversation With… Christopher P. Landrigan, MD, MPH. PSNet [internet]. 2013.
https://psnet.ahrq.gov/perspective/conversation-christopher-p-landrigan-md-mph
Editor's note: Christopher P. Landrigan, MD, is Associate Professor of Medicine and …
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psnet.ahrq.gov/primer/duty-hours-and-patient-safety
June 15, 2024 - Duty Hours and Patient Safety
Citation Text:
Duty Hours and Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…
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psnet.ahrq.gov/issue/effect-diagnostic-accuracy-cognitive-reasoning-tools-workplace-setting-systematic-review-and
February 02, 2022 - Review
Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis.
Citation Text:
Staal J, Hooftman J, Gunput STG, et al. Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review…
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psnet.ahrq.gov/issue/medication-errors-electronic-prescribing-ep-two-views-same-picture
November 13, 2009 - Study
Medication errors with electronic prescribing (eP): two views of the same picture.
Citation Text:
Savage I, Cornford T, Klecun E, et al. Medication errors with electronic prescribing (eP): Two views of the same picture. BMC Health Serv Res. 2010;10:135. doi:10.1186/1472-6963-10-1…
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psnet.ahrq.gov/issue/horus-meets-nightingale-modern-age-how-nursing-communicates-pharmacy-hcit-era
July 10, 2008 - Study
Horus meets Nightingale in the modern age: how nursing communicates with pharmacy in HCIT era.
Citation Text:
Armstrong I, Cox MA. Horus meets Nightingale in the modern age: How nursing communicates with pharmacy in HCIT era. Stud Health Technol Inform. 2006;122:585-6.
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psnet.ahrq.gov/issue/systematic-review-team-training-health-care-ten-questions
September 11, 2016 - Review
A systematic review of team training in health care: ten questions.
Citation Text:
Marlow SL, Hughes A, Sonesh SC, et al. A Systematic Review of Team Training in Health Care: Ten Questions. Jt Comm J Qual Patient Saf. 2017;43(4):197-204. doi:10.1016/j.jcjq.2016.12.004.
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psnet.ahrq.gov/issue/human-factors-framework-and-study-effect-nursing-workload-patient-safety-and-employee-quality
May 16, 2012 - Study
A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life.
Citation Text:
Holden RJ, Scanlon MC, Patel NR, et al. A human factors framework and study of the effect of nursing workload on patient safety and employe…
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psnet.ahrq.gov/issue/requirements-implementing-just-culture-within-healthcare-organisations-integrative-review
October 31, 2014 - Review
Requirements for implementing a 'just culture' within healthcare organisations: an integrative review.
Citation Text:
Murray JS, Lee J, Larson S, et al. Requirements for implementing a ‘just culture’ within healthcare organisations: an integrative review. BMJ Open Qual. 2023;12(2)…
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psnet.ahrq.gov/issue/effect-multifaceted-clinical-pharmacist-intervention-medication-safety-after-hospitalization
April 28, 2021 - Study
Emerging Classic
Effect of a multifaceted clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk medications: a randomized clinical trial.
Citation Text:
Gurwitz JH, Kapoor A, Garber L, et al. Effect of …
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psnet.ahrq.gov/issue/prospective-hazard-and-improvement-analytic-approach-predicting-effectiveness-medication
December 04, 2013 - Study
A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions.
Citation Text:
Karnon J, McIntosh A, Dean JE, et al. A prospective hazard and improvement analytic approach to predicting the effectiveness of medication erro…
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psnet.ahrq.gov/issue/clinical-review-hospital-future-building-intelligent-environments-facilitate-safe-and
March 16, 2022 - Review
Clinical review: the hospital of the future—building intelligent environments to facilitate safe and effective acute care delivery.
Citation Text:
Pickering BW, Litell JM, Herasevich V, et al. Clinical review: the hospital of the future - building intelligent environments to faci…
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psnet.ahrq.gov/issue/implementation-safety-checklists-surgery-realist-synthesis-evidence
November 20, 2015 - Review
Implementation of safety checklists in surgery: a realist synthesis of evidence.
Citation Text:
Gillespie BM, Marshall AP. Implementation of safety checklists in surgery: a realist synthesis of evidence. Implement Sci. 2015;10:137. doi:10.1186/s13012-015-0319-9.
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