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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.152_slideshow.ppt
June 01, 2007 - Spotlight Case [MONTH] 2003
Spotlight Case June 2007
Beeline to Spine
Source and Credits
This presentation is based on June 2007
AHRQ WebM&M Spotlight Case
See full article at http://webmm.ahrq.gov
CME credit is available online
Commentary by: Gerald W. Smetana, MD, Harvard Medical School, Beth Israel D…
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psnet.ahrq.gov/node/36614/psn-pdf
January 14, 2011 - Development and evaluation of a 1-day interclerkship
program for medical students on medical errors and
patient safety.
January 14, 2011
Moskowitz E, Veloski J, Fields SK, et al. Development and evaluation of a 1-day interclerkship program for
medical students on medical errors and patient safety. Am J Med Qual. 2…
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psnet.ahrq.gov/node/38861/psn-pdf
August 26, 2009 - Survey evaluation of the National Patient Safety Agency’s
Root Cause Analysis training programme in England and
Wales: knowledge, beliefs and reported practices.
August 26, 2009
Wallace LM, Spurgeon P, Adams S, et al. Survey evaluation of the National Patient Safety Agency's Root
Cause Analysis training programme …
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psnet.ahrq.gov/node/44818/psn-pdf
February 24, 2018 - Economic evaluation of interventions for prevention of
hospital acquired infections: a systematic review.
February 24, 2018
Arefian H, Vogel M, Kwetkat A, et al. Economic Evaluation of Interventions for Prevention of Hospital
Acquired Infections: A Systematic Review. PLoS One. 2016;11(1):e0146381.
doi:10.1371/jour…
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psnet.ahrq.gov/node/44257/psn-pdf
November 06, 2015 - A systems approach to evaluating ionizing radiation: six
focus areas to improve quality, efficiency, and patient
safety.
November 6, 2015
Perlin JB, Mower L, Bushe C. A systems approach to evaluating ionizing radiation: six focus areas to
improve quality, efficiency, and patient safety. J Healthc Qual. 2015;37(3):…
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psnet.ahrq.gov/node/43085/psn-pdf
March 26, 2014 - A prospective study to evaluate awareness about
medication errors amongst health-care personnel
representing North, East, West Regions of India.
March 26, 2014
Sewal RK, Singh PK, Prakash A, et al. A prospective study to evaluate awareness about medication errors
amongst health-care personnel representing North, E…
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psnet.ahrq.gov/node/47607/psn-pdf
February 13, 2019 - Infection prevention in long-term care: re-evaluating the
system using a human factors engineering approach.
February 13, 2019
Katz MJ, Gurses AP. Infection prevention in long-term care: re-evaluating the system using a human
factors engineering approach. Infect Control Hosp Epidemiol. 2019;40(1):95-99. doi:10.1017…
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psnet.ahrq.gov/node/47536/psn-pdf
March 09, 2019 - Evaluation of wound photography for remote
postoperative assessment of surgical site infections.
March 9, 2019
Broman KK, Gaskill CE, Faqih A, et al. Evaluation of Wound Photography for Remote Postoperative
Assessment of Surgical Site Infections. JAMA Surg. 2019;154(2):117-124.
doi:10.1001/jamasurg.2018.3861.
htt…
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psnet.ahrq.gov/node/40410/psn-pdf
May 11, 2011 - Evaluation of the role of the critical care pharmacist in
identifying and avoiding or minimizing significant
drug–drug interactions in medical intensive care patients.
May 11, 2011
Rivkin A, Yin H. Evaluation of the role of the critical care pharmacist in identifying and avoiding or
minimizing significant drug-dru…
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psnet.ahrq.gov/node/40045/psn-pdf
May 25, 2011 - Evaluation of an evidence-based, nurse-driven checklist
to prevent hospital-acquired catheter-associated urinary
tract infections in intensive care units.
May 25, 2011
Fuchs MA, Sexton DJ, Thornlow D, et al. Evaluation of an evidence-based, nurse-driven checklist to
prevent hospital-acquired catheter-associated ur…
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psnet.ahrq.gov/node/38069/psn-pdf
March 10, 2011 - Evaluating clinical decision support systems: monitoring
CPOE order check override rates in the Department of
Veterans Affairs' computerized patient record system.
March 10, 2011
Lin C-P, Payne TH, Nichol P, et al. Evaluating clinical decision support systems: monitoring CPOE order
check override rates in the Depa…
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psnet.ahrq.gov/node/44092/psn-pdf
November 16, 2015 - Does lean management improve patient safety culture?
An extensive evaluation of safety culture in a
radiotherapy institute.
November 16, 2015
Simons P, Houben R, Vlayen A, et al. Does lean management improve patient safety culture? An extensive
evaluation of safety culture in a radiotherapy institute. Eur J Oncol …
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psnet.ahrq.gov/node/37784/psn-pdf
May 27, 2011 - A risk analysis method to evaluate the impact of a
Computerized Provider Order Entry system on patient
safety.
May 27, 2011
Bonnabry P, Despont-Gros C, Grauser D, et al. A risk analysis method to evaluate the impact of a
computerized provider order entry system on patient safety. J Am Med Inform Assoc. 2008;15(4):…
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psnet.ahrq.gov/node/35328/psn-pdf
May 19, 2015 - Applicability of Healthcare Failure Mode and Effects
Analysis to healthcare epidemiology: evaluation of the
sterilization and use of surgical instruments.
May 19, 2015
Weinstein RA, Linkin DR, Sausman C, et al. Applicability of Healthcare Failure Mode and Effects Analysis
to Healthcare Epidemiology: Evaluation of …
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psnet.ahrq.gov/node/43993/psn-pdf
November 29, 2017 - An evaluation of shared mental models and mutual trust
on general medical units: implications for collaboration,
teamwork, and patient safety.
November 29, 2017
McComb SA, Lemaster M, Henneman EA, et al. An Evaluation of Shared Mental Models and Mutual Trust
on General Medical Units: Implications for Collaboration…
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psnet.ahrq.gov/node/42249/psn-pdf
May 08, 2013 - Is detection of adverse events affected by record review
methodology? An evaluation of the "Harvard Medical
Practice Study" method and the "Global Trigger Tool."
May 8, 2013
Unbeck M, Schildmeijer K, Henriksson P, et al. Is detection of adverse events affected by record review
methodology? an evaluation of the "Ha…
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psnet.ahrq.gov/node/34997/psn-pdf
June 22, 2009 - Evaluating the effectiveness of health care teams.
June 22, 2009
Mickan SM. Evaluating the effectiveness of health care teams. Aust Health Rev. 2005;29(2):211-7.
https://psnet.ahrq.gov/issue/evaluating-effectiveness-health-care-teams
In this review, the author summarizes the benefits of effective teamwork in health…
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psnet.ahrq.gov/node/38031/psn-pdf
September 03, 2008 - Development and evaluation of a required patient safety
course.
September 3, 2008
Sukkari SR, Sasich LD, Tuttle DA, et al. Development and evaluation of a required patient safety course.
Am J Pharm Educ. 2008;72(3):65.
https://psnet.ahrq.gov/issue/development-and-evaluation-required-patient-safety-course
This ar…
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psnet.ahrq.gov/node/40701/psn-pdf
August 17, 2011 - Evaluating safety and competency at the bedside.
August 17, 2011
Kaplan T, Pilcher J. Evaluating safety and competency at the bedside. J Nurses Staff Dev. 2011;27(4):187-
90. doi:10.1097/NND.0b013e3182236634.
https://psnet.ahrq.gov/issue/evaluating-safety-and-competency-bedside
This article describes an intensive …
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psnet.ahrq.gov/node/36866/psn-pdf
August 31, 2011 - Evaluating teamwork in a simulated obstetric
environment.
August 31, 2011
Morgan PJ, Pittini R, Regehr G, et al. Evaluating teamwork in a simulated obstetric environment.
Anesthesiology. 2007;106(5):907-915.
https://psnet.ahrq.gov/issue/evaluating-teamwork-simulated-obstetric-environment
The investigators used tw…