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psnet.ahrq.gov/issue/psychometric-properties-hospital-survey-patient-safety-culture-findings-uk
March 22, 2023 - Study
Psychometric properties of the Hospital Survey on Patient Safety Culture: findings from the UK.
Citation Text:
Waterson P, Griffiths P, Stride C, et al. Psychometric properties of the Hospital Survey on Patient Safety Culture: findings from the UK. Qual Saf Health Care. 2010;19(5…
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psnet.ahrq.gov/issue/ashp-guidelines-perioperative-pharmacy-services
December 21, 2014 - Review
ASHP guidelines on perioperative pharmacy services.
Citation Text:
Bickham P, Golembiewski J, Meyer T, et al. ASHP guidelines on perioperative pharmacy services. Am J Health Syst Pharm. 2019;76(12):903-820. doi:10.1093/ajhp/zxz073.
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psnet.ahrq.gov/issue/senior-charge-nurses-leadership-behaviours-relation-hospital-ward-safety-mixed-method-study
December 06, 2010 - Study
Senior charge nurses' leadership behaviours in relation to hospital ward safety: a mixed method study.
Citation Text:
Agnew C, Flin R. Senior charge nurses' leadership behaviours in relation to hospital ward safety: a mixed method study. Int J Nurs Stud. 2014;51(5):768-80. doi:10.1…
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psnet.ahrq.gov/issue/impact-pharmacist-medication-reconciliation-patient-admission-veterans-affairs-medical-center
July 22, 2020 - Study
Impact of a pharmacist on medication reconciliation on patient admission to a Veterans Affairs Medical Center.
Citation Text:
Strunk LB, Matson AW, Steinke DT. Impact of a Pharmacist on Medication Reconciliation on Patient Admission to a Veterans Affairs Medical Center. Hosp Pharm.…
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psnet.ahrq.gov/issue/improving-medication-management-patients-effect-pharmacist-post-admission-ward-rounds
February 02, 2011 - Study
Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds.
Citation Text:
Fertleman M, Barnett N, Patel T. Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds. Qual Saf Health Care. 20…
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psnet.ahrq.gov/issue/idea-safety-training-improve-critical-thinking-individuals-and-teams
May 25, 2016 - Commentary
An IDEA: safety training to improve critical thinking by individuals and teams.
Citation Text:
Browne AM, Deutsch ES, Corwin K, et al. An IDEA: Safety Training to Improve Critical Thinking by Individuals and Teams. Am J Med Qual. 2019;34(6):569-576. doi:10.1177/106286061882068…
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psnet.ahrq.gov/issue/using-medicolegal-data-support-safe-medical-care-contributing-factor-coding-framework
April 03, 2024 - Commentary
Using medicolegal data to support safe medical care: a contributing factor coding framework.
Citation Text:
McCleery A, Devenny K, Ogilby C, et al. Using medicolegal data to support safe medical care: A contributing factor coding framework. J Healthc Risk Manag. 2019;38(4):11-…
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psnet.ahrq.gov/issue/social-capital-and-knowledge-sharing-effects-patient-safety
September 15, 2011 - Study
Social capital and knowledge sharing: effects on patient safety.
Citation Text:
Chang C-W, Huang H-C, Chiang C-Y, et al. Social capital and knowledge sharing: effects on patient safety. J Adv Nurs. 2012;68(8):1793-803. doi:10.1111/j.1365-2648.2011.05871.x.
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psnet.ahrq.gov/issue/bottom-approach-addressing-patient-care-and-differential-diagnosis-amidst-covid-19-response
May 05, 2021 - Commentary
A bottom-up approach addressing patient care and differential diagnosis amidst the Covid-19 response.
Citation Text:
Zolnikov T, Zolnikov TR. A bottom-up approach addressing patient care and differential diagnosis amidst the Covid-19 response. J Prim Care Community Health. 202…
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psnet.ahrq.gov/issue/relationship-between-safety-climate-and-safety-performance-review
February 03, 2021 - Review
The relationship between safety climate and safety performance: a review.
Citation Text:
Syed-Yahya SNN, Idris MA, Noblet AJ. The relationship between safety climate and safety performance: a review. J Safety Res. 2022;83:105-118. doi:10.1016/j.jsr.2022.08.008.
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psnet.ahrq.gov/issue/novel-process-audit-standardized-perioperative-handoff-protocols
June 27, 2018 - Commentary
A novel process audit for standardized perioperative handoff protocols.
Citation Text:
Pallekonda V, Scholl AT, McKelvey GM, et al. A Novel Process Audit for Standardized Perioperative Handoff Protocols. Jt Comm J Qual Patient Saf. 2017;43(11):611-618. doi:10.1016/j.jcjq.2017.…
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psnet.ahrq.gov/issue/insurers-care-transition-program-emphasizes-medication-reconciliation-reduces-readmissions
November 08, 2017 - Study
An insurer's care transition program emphasizes medication reconciliation, reduces readmissions and costs.
Citation Text:
Polinski JM, Moore JM, Kyrychenko P, et al. An Insurer's Care Transition Program Emphasizes Medication Reconciliation, Reduces Readmissions And Costs. Health Af…
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psnet.ahrq.gov/issue/untold-toll-pandemics-effects-patients-without-covid-19
August 02, 2015 - Commentary
Classic
The untold toll — the pandemic’s effects on patients without Covid-19.
Citation Text:
Rosenbaum L. The untold toll — the pandemic’s effects on patients without Covid-19. New Engl J Med. 2020;382(24):2368-2371. doi:10.1056/nejmms2009984.
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psnet.ahrq.gov/issue/assessment-programs-aimed-decrease-or-prevent-mistreatment-medical-trainees
November 15, 2018 - Review
Assessment of programs aimed to decrease or prevent mistreatment of medical trainees.
Citation Text:
Mazer LM, Bereknyei Merrell S, Hasty BN, et al. Assessment of Programs Aimed to Decrease or Prevent Mistreatment of Medical Trainees. JAMA Netw Open. 2018;1(3):e180870. doi:10.1001…
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psnet.ahrq.gov/issue/checklists-assessment-and-certification-clinical-procedural-skills-omit-essential
June 07, 2023 - Review
Checklists for assessment and certification of clinical procedural skills omit essential competencies: a systematic review.
Citation Text:
McKinley RK, Strand J, Ward L, et al. Checklists for assessment and certification of clinical procedural skills omit essential competencies: …
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psnet.ahrq.gov/node/836885/psn-pdf
May 16, 2022 - Management of Cardiac Arrest in Unconventional
Locations.
May 16, 2022
Agrawal G, Molla M. Management of Cardiac Arrest in Unconventional Locations. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/management-cardiac-arrest-unconventional-locations
The Case
Case #1: An 80-year-old man with history of Parkins…
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psnet.ahrq.gov/node/49527/psn-pdf
December 01, 2006 - Right Patient, Wrong Sample
December 1, 2006
Astion ML. Right Patient, Wrong Sample. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/right-patient-wrong-sample
The Case
A 54-year-old man was admitted to the hospital for preoperative evaluation and elective knee surgery. On
the morning of surgery, the patien…
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psnet.ahrq.gov/node/49506/psn-pdf
March 01, 2006 - The Wet Read
March 1, 2006
Arenson RL. The Wet Read. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/wet-read
Case Objectives
Appreciate the limitations of radiology resident emergency coverage.
Understand the rate of discrepancy between radiology resident preliminary reads and attending
radiologists' fina…
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psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking-and-performance
September 23, 2024 - ABCDEF Bundle + Data Literacy Training, Performance Measurement Tracking, and Performance Feedback
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February 28, 2024
Innovation
Conta…
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psnet.ahrq.gov/node/846170/psn-pdf
March 15, 2023 - Duplicate Therapies in Retail Pharmacy
March 15, 2023
Punatar N, Molla M, Lee S. Duplicate Therapies in Retail Pharmacy. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy
The Cases
Case 1: A middle-aged man with a past medical history of heart failure with reduced ejection f…