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psnet.ahrq.gov/node/37155/psn-pdf
October 06, 2011 - Classification of adverse events occurring in a surgical
intensive care unit.
October 6, 2011
Frankel H, Sperry J, Kaplan L, et al. Classification of adverse events occurring in a surgical intensive care
unit. Am J Surg. 2007;194(3):328-32.
https://psnet.ahrq.gov/issue/classification-adverse-events-occurring-surgi…
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psnet.ahrq.gov/node/36759/psn-pdf
August 10, 2011 - Rates of new or missed colorectal cancers after
colonoscopy and their risk factors: a population-based
analysis.
August 10, 2011
Bressler B, Paszat LF, Chen Z, et al. Rates of new or missed colorectal cancers after colonoscopy and
their risk factors: a population-based analysis. Gastroenterology. 2007;132(1):96-10…
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psnet.ahrq.gov/node/36211/psn-pdf
February 13, 2008 - AORN Guidance Statement: Safe Medication Practices in
Perioperative Settings Across the Life Span.
February 13, 2008
AORN guidance statement: safe medication practices in perioperative settings across the life span. AORN
J. 2006;84(2):276-283.
https://psnet.ahrq.gov/issue/aorn-guidance-statement-safe-medication-pr…
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psnet.ahrq.gov/node/42263/psn-pdf
January 14, 2014 - The Quality and Safety Educators Academy: fulfilling an
unmet need for faculty development.
January 14, 2014
Myers JS, Tess A, Glasheen JJ, et al. The Quality and Safety Educators Academy: fulfilling an unmet need
for faculty development. Am J Med Qual. 2014;29(1):5-12. doi:10.1177/1062860613484082.
https://psnet.…
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psnet.ahrq.gov/node/38453/psn-pdf
January 02, 2017 - A multidisciplinary team approach to retained foreign
objects.
January 2, 2017
Cima RR, Kollengode A, Storsveen AS, et al. A multidisciplinary team approach to retained foreign objects.
Jt Comm J Qual Saf. 2009;35(3):123-132.
https://psnet.ahrq.gov/issue/multidisciplinary-team-approach-retained-foreign-objects
Th…
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psnet.ahrq.gov/node/60627/psn-pdf
June 24, 2020 - Second opinions improve healthcare outcomes and
reduce costs.
June 24, 2020
Hébert AR. Second opinions improve healthcare outcomes and reduce costs. Employee Benefit News.
2020;June 8.
https://psnet.ahrq.gov/issue/second-opinions-improve-healthcare-outcomes-and-reduce-costs
Second opinions are a strategy for redu…
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psnet.ahrq.gov/node/39556/psn-pdf
May 26, 2010 - Adherence to a medication safety protocol: current
practice for labeling medications and solutions on the
sterile field.
May 26, 2010
Brown-Brumfield D, DeLeon A. Adherence to a medication safety protocol: current practice for labeling
medications and solutions on the sterile field. AORN J. 2010;91(5):610-7. doi:1…
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psnet.ahrq.gov/node/45638/psn-pdf
January 01, 2019 - Measures to improve diagnostic safety in clinical practice.
November 2, 2016
Singh H, Graber ML, Hofer TP. Measures to Improve Diagnostic Safety in Clinical Practice. J Patient Saf.
2019;15(4):311-316. doi:10.1097/PTS.0000000000000338.
https://psnet.ahrq.gov/issue/measures-improve-diagnostic-safety-clinical-practic…
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psnet.ahrq.gov/node/43495/psn-pdf
December 15, 2014 - Disruptive behaviors among physicians.
December 15, 2014
Sanchez LT. Disruptive behaviors among physicians. JAMA. 2014;312(21):2209-2210.
doi:10.1001/jama.2014.10218.
https://psnet.ahrq.gov/issue/disruptive-behaviors-among-physicians
This commentary spotlights concerns about physicians with disruptive behaviors an…
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psnet.ahrq.gov/node/36204/psn-pdf
September 30, 2010 - Automated medication error studies with audit
supplementation were effectively designed and analyzed
by time series.
September 30, 2010
Shuster JJ, Winterstein AG. Automated medication error studies with audit supplementation were
effectively designed and analyzed by time series. J Clin Epidemiol. 2006;59(9).
doi…
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psnet.ahrq.gov/node/37658/psn-pdf
June 14, 2011 - Applying modern error theory to the problem of missed
injuries in trauma.
June 14, 2011
Clarke DL, Gouveia J, Thomson SR, et al. Applying modern error theory to the problem of missed injuries
in trauma. World J Surg. 2008;32(6):1176-82. doi:10.1007/s00268-008-9543-7.
https://psnet.ahrq.gov/issue/applying-modern-er…
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psnet.ahrq.gov/node/41745/psn-pdf
October 10, 2012 - Email for communicating results of diagnostic medical
investigations to patients.
October 10, 2012
Meyer B, Atherton H, Sawmynaden P, et al. Email for communicating results of diagnostic medical
investigations to patients. Cochrane Database of Systematic Reviews. 2012.
doi:10.1002/14651858.cd007980.pub2.
https://…
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psnet.ahrq.gov/node/44550/psn-pdf
September 30, 2015 - Infections associated with reprocessed flexible
bronchoscopes.
September 30, 2015
FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; September 17, 2015.
https://psnet.ahrq.gov/issue/infections-associated-reprocessed-flexible-bronchoscopes
Use of incompletely cleaned medical devices has b…
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psnet.ahrq.gov/node/36260/psn-pdf
May 27, 2011 - The effect of physicians' long-term use of CPOE on their
test management work practices.
May 27, 2011
Callen JL, Westbrook JI, Braithwaite J. The effect of physicians' long-term use of CPOE on their test
management work practices. J Am Med Inform Assoc. 2006;13(6):643-52.
https://psnet.ahrq.gov/issue/effect-physic…
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psnet.ahrq.gov/node/34941/psn-pdf
June 23, 2009 - Team types, perceived efficiency and team climate in
Swedish cross-professional teamwork.
June 23, 2009
Thylefors I, Persson O, Hellström D. Team types, perceived efficiency and team climate in Swedish cross-
professional teamwork. J Interprof Care. 2005;19(2):102-14.
https://psnet.ahrq.gov/issue/team-types-percei…
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digital.ahrq.gov/organization/university-illinois-urbana-champaign
January 01, 2023 - University of Illinois Urbana-Champaign
A Longitudinal Machine Learning Approach Providing Clinicians Timely Detection to Prevent Military Suicide
Description
This research will develop and validate a clinician-facing longitudinal risk-prediction tool using self-reported data …
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digital.ahrq.gov/organization/university-texas-austin
January 01, 2023 - University of Texas - Austin
Clinical Decision Support for Collaborative Diet Goal Setting in Primary Care
Description
The research developed and evaluated a user-centered clinical decision support tool for collaborative diet goal setting in the primary care setting, finding i…
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digital.ahrq.gov/location/usa-tx-austin
January 01, 2023 - USA, TX, Austin
Clinical Decision Support for Collaborative Diet Goal Setting in Primary Care
Description
The research developed and evaluated a user-centered clinical decision support tool for collaborative diet goal setting in the primary care setting, finding it feasible to…
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www.ahrq.gov/teamstepps-program/evidence-base/index.html
July 01, 2023 - TeamSTEPPS: Research/Evidence Base
TeamSTEPPS ® has been used by healthcare professionals across the United States. The research cataloged here describes some of the approaches used to implement TeamSTEPPS 3.0 in specific settings of care, as well as evaluation efforts to quantify or qualify the impact of us…
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psnet.ahrq.gov/node/836931/psn-pdf
April 13, 2022 - Quality Special Issue.
April 13, 2022
J Med Imaging Radiat Oncol. 2022;66(2):165-309.
https://psnet.ahrq.gov/issue/quality-special-issue
Improving patient safety related to radiology and radiation oncology is an ongoing priority. This special
issue explores themes related to radiology and radiation oncology, inclu…