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psnet.ahrq.gov/issue/emergency-department-crowding-canary-health-care-system
March 30, 2022 - Study
Emergency department crowding: the canary in the health care system.
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doi:10.1056/CAT.21.0217.
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psnet.ahrq.gov/issue/reducing-medical-errors-and-adverse-events
March 21, 2012 - Review
Reducing medical errors and adverse events.
Citation Text:
Pham JC, Aswani MS, Rosen MA, et al. Reducing medical errors and adverse events. Annu Rev Med. 2012;63:447-63. doi:10.1146/annurev-med-061410-121352.
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psnet.ahrq.gov/issue/patient-safety-lessons-learned
October 18, 2017 - Commentary
Patient safety: lessons learned.
Citation Text:
Bagian JP. Patient safety: lessons learned. Pediatr Radiol. 2006;36(4):287-90.
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psnet.ahrq.gov/issue/identifying-medication-errors-surgical-prescription-charts
April 17, 2024 - Study
Identifying medication errors in surgical prescription charts.
Citation Text:
Simons J. Identifying medication errors in surgical prescription charts. Paediatr Nurs. 2010;22(5):20-4.
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psnet.ahrq.gov/issue/mediation-skills-model-manage-disclosure-errors-and-adverse-events-patients
May 31, 2017 - Commentary
A mediation skills model to manage disclosure of errors and adverse events to patients.
Citation Text:
Liebman CB, Hyman CS. A Mediation Skills Model To Manage Disclosure Of Errors And Adverse Events To Patients. Health Aff (Millwood). 2004;23(4):22-32. doi:10.1377/hlthaff.2…
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psnet.ahrq.gov/issue/healthgrades-quality-study-fourth-annual-patient-safety-american-hospitals-study
January 04, 2017 - Book/Report
HealthGrades Quality Study: Fourth Annual Patient Safety in American Hospitals Study.
Citation Text:
HealthGrades Quality Study: Fourth Annual Patient Safety in American Hospitals Study. Denver, CO; Health Grades Inc; 2007.
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psnet.ahrq.gov/issue/does-simulation-improve-patient-safety-self-efficacy-competence-operational-performance-and
May 25, 2016 - Commentary
Does simulation improve patient safety?: self-efficacy, competence, operational performance, and patient safety.
Citation Text:
Nishisaki A, Keren R, Nadkarni V. Does simulation improve patient safety? Self-efficacy, competence, operational performance, and patient safety. A…
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psnet.ahrq.gov/issue/non-technical-skills-training-enhance-patient-safety
August 04, 2021 - Commentary
Non-technical skills training to enhance patient safety.
Citation Text:
Gordon M. Non-technical skills training to enhance patient safety. Clin Teach. 2013;10(3):170-5. doi:10.1111/j.1743-498X.2012.00640.x.
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psnet.ahrq.gov/issue/concept-shared-mental-models-healthcare-collaboration
November 29, 2017 - Commentary
The concept of shared mental models in healthcare collaboration.
Citation Text:
McComb SA, Simpson V. The concept of shared mental models in healthcare collaboration. J Adv Nurs. 2014;70(7):1479-88. doi:10.1111/jan.12307.
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psnet.ahrq.gov/issue/what-are-critical-success-factors-team-training-health-care
March 21, 2017 - Commentary
What are the critical success factors for team training in health care?
Citation Text:
Salas E, Almeida SA, Salisbury M, et al. What are the critical success factors for team training in health care? Jt Comm J Qual Patient Saf. 2009;35(8):398-405.
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psnet.ahrq.gov/issue/emerging-infections-contact-precautions-controversy
October 12, 2011 - Commentary
Emerging infections: the contact precautions controversy.
Citation Text:
Zastrow RL. Emerging infections: the contact precautions controversy. Am J Nurs. 2011;111(3):47-53. doi:10.1097/10.1097/01.NAJ.0000395242.14347.37.
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psnet.ahrq.gov/issue/senior-staff-safety-rounds-commitment-ensure-safety-top-priority
May 30, 2018 - Commentary
Senior staff safety rounds: a commitment to ensure safety is the top priority.
Citation Text:
Senior staff safety rounds: a commitment to ensure safety is the top priority. O'Connell RT, Ivy ME. NEJM Catalyst. May 1, 2018.
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psnet.ahrq.gov/issue/reevaluating-recovery-perceived-violations-and-preemptive-interventions-emergency-psychiatry
September 17, 2008 - Study
Reevaluating recovery: perceived violations and preemptive interventions on emergency psychiatry rounds.
Citation Text:
Cohen T, Blatter B, Almeida C, et al. Reevaluating recovery: perceived violations and preemptive interventions on emergency psychiatry rounds. J Am Med Inform A…
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psnet.ahrq.gov/issue/wrong-site-surgery-wrong-patient-invasive-procedures-outpatient-settings
June 09, 2021 - Book/Report
Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings.
Citation Text:
Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings. Farnborough, UK: Healthcare Safety Investigation Branch; June 2021.
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psnet.ahrq.gov/issue/canadian-quality-and-patient-safety-framework-health-and-social-services
December 09, 2020 - Multi-use Website
The Canadian Quality and Patient Safety Framework for Health and Social Services.
Citation Text:
The Canadian Quality and Patient Safety Framework for Health and Social Services. Canadian Patient Safety Institute and Health Standards Organization.
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psnet.ahrq.gov/issue/accuracies-diagnostic-methods-acute-appendicitis
September 06, 2017 - Study
Accuracies of diagnostic methods for acute appendicitis.
Citation Text:
Park JS, Jeong JH, Lee JI, et al. Accuracies of diagnostic methods for acute appendicitis. Am Surg. 2013;79(1):101-106.
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psnet.ahrq.gov/issue/national-voluntary-consensus-standards-patient-safety-measures-consensus-report
January 11, 2013 - Book/Report
National Voluntary Consensus Standards for Patient Safety Measures: A Consensus Report.
Citation Text:
National Voluntary Consensus Standards for Patient Safety Measures: A Consensus Report. Washington, DC: National Quality Forum; June 2012.
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psnet.ahrq.gov/issue/incidence-adverse-events-indian-health-service-hospitals
May 20, 2020 - Book/Report
Incidence of Adverse Events in Indian Health Service Hospitals.
Citation Text:
Incidence of Adverse Events in Indian Health Service Hospitals. Office of the Inspector General: Washington DC; December 2020. OIG report OEI-06-17-00530.
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psnet.ahrq.gov/issue/defending-never-event
February 14, 2017 - Commentary
Defending a "never event."
Citation Text:
Shepperd JR. Defending a "Never Event". J Healthc Risk Manag. 2017;37(1):17-22. doi:10.1002/jhrm.21277.
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psnet.ahrq.gov/issue/npsd-data-spotlight-patterns-fall-interventions
September 13, 2023 - Book/Report
NPSD Data Spotlight: Patterns of Fall Interventions.
Citation Text:
NPSD Data Spotlight: Patterns of Fall Interventions. Rockville, MD: Agency for Healthcare Research and Quality; September 2023. AHRQ Publication no. 23-0055.
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