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psnet.ahrq.gov/node/37226/psn-pdf
December 15, 2011 - Conducted at six pediatric outpatient practices, this
AHRQ-funded prospective cohort study evaluated
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psnet.ahrq.gov/node/45214/psn-pdf
July 13, 2016 - quality and safety as
areas of scholarship, and delineates how the impact of these activities should be evaluated
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psnet.ahrq.gov/node/36424/psn-pdf
January 07, 2008 - This study evaluated the psychometric
properties of a teamwork climate scale (the Safety Attitudes Questionnaire
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psnet.ahrq.gov/node/39638/psn-pdf
July 02, 2014 - This systematic review evaluated the published literature on existing safety and QI curricula, and found
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psnet.ahrq.gov/node/38014/psn-pdf
March 02, 2011 - A recent study evaluated using bar-coded surgical
sponges as a potential method of increasing the accuracy
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psnet.ahrq.gov/issue/i-had-no-idea-happened-electronic-feedback-clinical-reasoning-hospitalists
February 28, 2024 - This study evaluated satisfaction with an e-feedback system for hospitalists (focused on care escalation
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psnet.ahrq.gov/sites/default/files/2023-03/challenging_case_of_multiple_suicide_attempts_in_a_complex_patient_with_psychiatric_comorbidities.pdf
January 01, 2023 - of lorazepam to relieve anxiety.
5
Case Details (2)
• A consulting psychiatrist at the hospital evaluated … • The patient was discharged to her mother’s care the same day that she
was evaluated by the consulting … after her mother promised to
monitor the patient and control her medications until she could be re-
evaluated … • A consulting psychiatrist evaluated the patient but recommended sending
her home on a benzodiazepine
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psnet.ahrq.gov/node/845356/psn-pdf
March 29, 2023 - workspace obstacle course, and (4) instrument retrieval using role reversal – and
participants were evaluated
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psnet.ahrq.gov/issue/adverse-events-robotic-surgery-retrospective-study-14-years-fda-data
June 24, 2020 - Using an automated natural language processing tool, this retrospective study evaluated adverse events
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psnet.ahrq.gov/issue/impact-electronic-health-record-transition-chemotherapy-error-reporting
June 17, 2020 - This study evaluated trends in chemotherapy error reporting before and after EHR implementation.
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psnet.ahrq.gov/issue/structured-patient-handoff-internal-medicine-ward-cluster-randomized-control-trial
September 23, 2020 - This cluster-randomized trial evaluated the effectiveness of a standardized handoff process at preventing
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psnet.ahrq.gov/issue/evidence-base-us-joint-commission-hospital-accreditation-standards-cross-sectional-study
June 09, 2021 - Investigators evaluated the evidence base for 20 actionable standards issued by The Joint Commission
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psnet.ahrq.gov/issue/relationship-between-patient-safety-culture-and-patient-outcomes-systematic-review
March 11, 2020 - This systematic review evaluated the evidence linking safety culture and patient outcomes, including
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psnet.ahrq.gov/node/34713/psn-pdf
February 18, 2011 - Physician reviewers evaluated 1133 injury cases with respect to negligence, errors in management,
and
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psnet.ahrq.gov/node/36648/psn-pdf
January 18, 2011 - A prior study evaluated the quality
of safety culture measurement instruments and found that most had
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psnet.ahrq.gov/node/38100/psn-pdf
July 02, 2009 - One method of improving teamwork, crew resource
management training, has been extensively evaluated
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psnet.ahrq.gov/node/36409/psn-pdf
September 28, 2016 - multitasking-clinician-decision-making-and-cognitive-demand-during-and-after-
team-handoffs
This study evaluated
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psnet.ahrq.gov/node/44814/psn-pdf
February 24, 2018 - This systematic review analyzed 24
studies on alarm characteristics and 8 studies that evaluated interventions
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psnet.ahrq.gov/node/34067/psn-pdf
January 04, 2017 - does-full-disclosure-medical-errors-affect-malpractice-liability-jury-still-out
This comprehensive literature review evaluated
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psnet.ahrq.gov/node/36721/psn-pdf
May 05, 2010 - This systematic review
evaluated the ability of such triggers to accurately identify inpatients whose