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psnet.ahrq.gov/issue/leading-clinical-handover-improvement-change-strategy-implement-best-practices-acute-care
May 18, 2022 - Commentary
Leading clinical handover improvement: a change strategy to implement best practices in the acute care setting.
Citation Text:
Clarke CM, Persaud DD. Leading Clinical Handover Improvement. J Patient Saf. 2011;7(1):11-18. doi:10.1097/pts.0b013e31820c98a8.
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psnet.ahrq.gov/issue/creating-safer-operating-room-groups-team-dynamics-and-crew-resource-management-principles
June 11, 2008 - Review
Emerging Classic
Creating a safer operating room: groups, team dynamics and crew resource management principles.
Citation Text:
Wakeman D, Langham MR. Creating a safer operating room: Groups, team dynamics and crew resource management principles. Semin Pe…
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psnet.ahrq.gov/issue/obstetric-medical-emergency-teams-are-step-forward-maternal-safety
November 04, 2020 - Review
Obstetric medical emergency teams are a step forward in maternal safety!
Citation Text:
Al Kadri HMF. Obstetric medical emergency teams are a step forward in maternal safety!. J Emerg Trauma Shock. 2010;3(4):337-341. doi:10.4103/0974-2700.70755.
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psnet.ahrq.gov/issue/practical-approach-measure-quality-handwritten-medication-orders-tool-improvement
September 24, 2010 - Study
A practical approach to measure the quality of handwritten medication orders: a tool for improvement.
Citation Text:
Garbutt J, Milligan P, McNaughton C, et al. A Practical Approach to Measure the Quality of Handwritten Medication Orders. J Patient Saf. 2008;1(4). doi:10.1097/01.…
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psnet.ahrq.gov/issue/using-simulation-improve-patient-safety-dawn-new-era
October 29, 2017 - Commentary
Using simulation to improve patient safety: dawn of a new era.
Citation Text:
Cheng A, Grant V, Auerbach M. Using simulation to improve patient safety: dawn of a new era. JAMA Pediatr. 2015;169(5):419-20. doi:10.1001/jamapediatrics.2014.3817.
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psnet.ahrq.gov/issue/bringing-change-shift-report-bedside-patient-and-family-centered-approach
August 18, 2021 - Commentary
Bringing change-of-shift report to the bedside: a patient- and family-centered approach.
Citation Text:
Griffin T. Bringing change-of-shift report to the bedside: a patient- and family-centered approach. J Perinat Neonatal Nurs. 2010;24(4):348-355. doi:10.1097/JPN.0b013e3181f8…
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psnet.ahrq.gov/issue/safe-tables-collaborative-statewide-experience
April 12, 2011 - Commentary
The Safe Tables Collaborative: a statewide experience.
Citation Text:
Wagner CA, Cecchettini D, Fletcher J. The safe tables collaborative: a statewide experience. Jt Comm J Qual Patient Saf. 2011;37(5):206-10, 193.
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psnet.ahrq.gov/issue/role-nursing-surveillance-keeping-patients-safe
July 14, 2009 - Commentary
The role of nursing surveillance in keeping patients safe.
Citation Text:
Dresser S. The role of nursing surveillance in keeping patients safe. J Nurs Adm. 2012;42(7-8):361-368. doi:10.1097/NNA.0b013e3182619377.
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psnet.ahrq.gov/issue/innovative-collaborative-model-care-undiagnosed-complex-medical-conditions
November 21, 2021 - Commentary
An innovative collaborative model of care for undiagnosed complex medical conditions.
Citation Text:
Nageswaran S, Donoghue N, Mitchell A, et al. An Innovative Collaborative Model of Care for Undiagnosed Complex Medical Conditions. Pediatrics. 2017;139(5):e20163373. doi:10.154…
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psnet.ahrq.gov/issue/safe-medication-management-ambulatory-surgery-centers
December 14, 2016 - Commentary
Safe medication management at ambulatory surgery centers.
Citation Text:
Ubaldi K. Safe Medication Management at Ambulatory Surgery Centers. AORN J. 2019;109(4):435-442. doi:10.1002/aorn.12635.
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psnet.ahrq.gov/issue/one-hospitals-initiatives-encourage-safe-opioid-use
October 19, 2022 - Commentary
One hospital's initiatives to encourage safe opioid use.
Citation Text:
Surprise JK, Simpson MH. One Hospital's Initiatives to Encourage Safe Opioid Use. J Infus Nurs. 2015;38(4):278-83. doi:10.1097/NAN.0000000000000110.
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psnet.ahrq.gov/issue/supporting-patient-safety-and-clinical-pharmacy-services-collaborative
February 08, 2023 - Commentary
Supporting the Patient Safety and Clinical Pharmacy Services Collaborative.
Citation Text:
Mitchell JR. Supporting the patient safety and clinical pharmacy services collaborative. Am J Health Syst Pharm. 2012;69(14):1246-50. doi:10.2146/ajhp110558.
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psnet.ahrq.gov/issue/using-fault-trees-advance-understanding-diagnostic-errors
November 11, 2020 - Commentary
Using fault trees to advance understanding of diagnostic errors.
Citation Text:
Rogith D, Iyengar S, Singh H. Using Fault Trees to Advance Understanding of Diagnostic Errors. Jt Comm J Qual Patient Saf. 2017;43(11):598-605. doi:10.1016/j.jcjq.2017.06.007.
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psnet.ahrq.gov/issue/high-reliability-and-i-pass-communication-tool
June 02, 2021 - Newspaper/Magazine Article
High-reliability and the I-PASS communication tool.
Citation Text:
Clements K. High-reliability and the I-PASS communication tool. Nursing Management (Springhouse). 2017;48(3). doi:10.1097/01.numa.0000512897.68425.e5.
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psnet.ahrq.gov/issue/tangible-handoff-team-approach-advancing-structured-communication-labor-and-delivery
June 12, 2013 - Commentary
The tangible handoff: a team approach for advancing structured communication in labor and delivery.
Citation Text:
Block M, Ehrenworth JF, Cuce VM, et al. The tangible handoff: a team approach for advancing structured communication in labor and delivery. Jt Comm J Qual Patient…
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www.ahrq.gov/news/blog/ahrqviews/academy-health-2022-meeting.html
May 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders
AcademyHealth’s Annual Research Meeting: An Opportunity to Connect, Engage, and Inspire
MAY
31
2022
By
Robert Otto
Valdez,
Ph.D., M.H.S.A.
R. Valdez, Ph.D., M.H.S.A.
Health services researchers have AcademyHealth’s Annu…
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psnet.ahrq.gov/issue/exploring-causes-adverse-events-hospitals-and-potential-prevention-strategies
February 20, 2013 - Study
Exploring the causes of adverse events in hospitals and potential prevention strategies.
Citation Text:
Smits M, Zegers M, Groenewegen PP, et al. Exploring the causes of adverse events in hospitals and potential prevention strategies. BMJ Qual Saf. 2010;19(5). doi:10.1136/qshc.20…
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psnet.ahrq.gov/issue/coronavirus-pandemics-wider-health-care-crisis
June 21, 2016 - Newspaper/Magazine Article
The coronavirus pandemic’s wider health-care crisis.
Citation Text:
Khullar D. The coronavirus pandemic’s wider health-care crisis. New Yorker. 2020;Jun 29.
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-provisions-and-potential-opportunities
February 15, 2011 - Commentary
The Patient Safety and Quality Improvement Act of 2005: provisions and potential opportunities.
Citation Text:
Liang BA, Riley W, Rutherford W, et al. The Patient Safety and Quality Improvement Act of 2005: Provisions and Potential Opportunities. American Journal of Medical …
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psnet.ahrq.gov/issue/development-standardized-citywide-process-managing-smart-pump-drug-libraries
June 07, 2017 - Commentary
Development of a standardized, citywide process for managing smart-pump drug libraries.
Citation Text:
Walroth TA, Smallwood S, Arthur KJ, et al. Development of a standardized, citywide process for managing smart-pump drug libraries. Am J Health Syst Pharm. 2018;75(12):893-900…