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psnet.ahrq.gov/node/40671/psn-pdf
September 03, 2011 - Twelve best practices for team training evaluation in
health care.
September 3, 2011
Weaver SJ, Salas E, King HB. Twelve best practices for team training evaluation in health care. Jt Comm J
Qual Patient Saf. 2011;37(8):341-9.
https://psnet.ahrq.gov/issue/twelve-best-practices-team-training-evaluation-health-care
…
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psnet.ahrq.gov/node/36022/psn-pdf
July 10, 2008 - Reducing warfarin medication interactions: an interrupted
time series evaluation.
July 10, 2008
Feldstein AC, Smith DH, Perrin N, et al. Reducing warfarin medication interactions: an interrupted time
series evaluation. Arch Intern Med. 2006;166(9):1009-15.
https://psnet.ahrq.gov/issue/reducing-warfarin-medication-…
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psnet.ahrq.gov/node/42070/psn-pdf
March 11, 2013 - Implementing peer evaluation of handoffs: associations
with experience and workload.
March 11, 2013
Arora V, Greenstein EA, Woodruff JN, et al. Implementing peer evaluation of handoffs: associations with
experience and workload. J Hosp Med. 2013;8(3):132-6. doi:10.1002/jhm.2002.
https://psnet.ahrq.gov/issue/implem…
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psnet.ahrq.gov/node/36814/psn-pdf
March 28, 2011 - Medication errors in paediatric care: a systematic review
of epidemiology and an evaluation of evidence supporting
reduction strategy recommendations.
March 28, 2011
Miller MR, Robinson K, Lubomski LH, et al. Medication errors in paediatric care: a systematic review of
epidemiology and an evaluation of evidence su…
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psnet.ahrq.gov/node/34949/psn-pdf
June 23, 2009 - A randomized, controlled trial evaluating the impact of a
computerized rounding and sign-out system on continuity
of care and resident work hours.
June 23, 2009
Van Eaton EG, Horvath KD, Lober WB, et al. A randomized, controlled trial evaluating the impact of a
computerized rounding and sign-out system on continui…
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psnet.ahrq.gov/node/38079/psn-pdf
February 15, 2011 - Development and evaluation of the Institute for
Healthcare Improvement global trigger tool.
February 15, 2011
Classen DC, Lloyd RC, Provost LP, et al. Development and Evaluation of the Institute for Healthcare
Improvement Global Trigger Tool. J Patient Saf. 2008;4(3). doi:10.1097/pts.0b013e318183a475.
https://psne…
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psnet.ahrq.gov/node/34087/psn-pdf
June 16, 2011 - Evaluation of the culture of safety: survey of clinicians
and managers in an academic medical center.
June 16, 2011
Pronovost PJ, Weast B, Holzmueller CG, et al. Evaluation of the culture of safety: survey of clinicians and
managers in an academic medical center. Qual Saf Health Care. 2003;12(6):405-10.
https://ps…
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psnet.ahrq.gov/node/38192/psn-pdf
November 05, 2008 - Evaluation of critical incidents in general surgery.
November 5, 2008
Zingg U, Zala-Mezoe E, Kuenzle B, et al. Evaluation of critical incidents in general surgery. Br J Surg.
2008;95(11):1420-5. doi:10.1002/bjs.6296.
https://psnet.ahrq.gov/issue/evaluation-critical-incidents-general-surgery
This study developed an…
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psnet.ahrq.gov/node/37064/psn-pdf
October 03, 2011 - Crisis resource management: evaluating outcomes of a
multidisciplinary team.
October 3, 2011
Jankouskas T, Bush MC, Murray B, et al. Crisis resource management: evaluating outcomes of a
multidisciplinary team. Simul Healthc. 2007;2(2):96-101. doi:10.1097/SIH.0b013e31805d8b0d.
https://psnet.ahrq.gov/issue/crisis-re…
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psnet.ahrq.gov/node/36868/psn-pdf
August 29, 2011 - Quali-quantitative analysis: a new model for evaluation of
unusual cases in hospital performance?
August 29, 2011
Bell E. Quali-quantitative analysis: a new model for evaluation of unusual cases in hospital performance?
Aust Health Rev. 2007;31 Suppl 1:S86-97.
https://psnet.ahrq.gov/issue/quali-quantitative-analys…
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psnet.ahrq.gov/node/37256/psn-pdf
July 28, 2010 - Evaluating physician performance at individualizing care:
a pilot study tracking contextual errors in medical
decision making.
July 28, 2010
Weiner SJ, Schwartz A, Yudkowsky R, et al. Evaluating physician performance at individualizing care: a
pilot study tracking contextual errors in medical decision making. Med …
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psnet.ahrq.gov/node/37533/psn-pdf
April 22, 2011 - Systematic evaluation of errors occurring during the
preparation of intravenous medication.
April 22, 2011
Parshuram CS, To T, Seto W, et al. Systematic evaluation of errors occurring during the preparation of
intravenous medication. CMAJ. 2008;178(1):42-8. doi:10.1503/cmaj.061743.
https://psnet.ahrq.gov/issue/sys…
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psnet.ahrq.gov/node/39376/psn-pdf
March 17, 2010 - Evaluation of inpatient admissions and potential
antimicrobial and analgesic dosing errors in overweight
children.
March 17, 2010
Miller JL, Johnson PN, Harrison DL, et al. Evaluation of inpatient admissions and potential antimicrobial
and analgesic dosing errors in overweight children. Ann Pharmacother. 2010;44(1…
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psnet.ahrq.gov/node/37962/psn-pdf
September 12, 2016 - Exploratory analyses of the "failure to rescue" measure:
evaluation through medical record review.
September 12, 2016
Talsma AN, Bahl V, Campbell D. Exploratory analyses of the "failure to rescue" measure: evaluation
through medical record review. J Nurs Care Qual. 2008;23(3):202-210.
doi:10.1097/01.NCQ.0000324583…
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psnet.ahrq.gov/node/37115/psn-pdf
October 04, 2011 - Evaluation of an anonymous system to report medical
errors in pediatric inpatients.
October 4, 2011
Taylor JA, Brownstein D, Klein EJ, et al. Evaluation of an anonymous system to report medical errors in
pediatric inpatients. J Hosp Med. 2007;2(4):226-33.
https://psnet.ahrq.gov/issue/evaluation-anonymous-system-re…
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psnet.ahrq.gov/node/38713/psn-pdf
June 17, 2009 - Development and pilot evaluation of a preoperative
briefing protocol for cardiovascular surgery.
June 17, 2009
Henrickson SE, Wadhera RK, Elbardissi AW, et al. Development and pilot evaluation of a preoperative
briefing protocol for cardiovascular surgery. J Am Coll Surg. 2009;208(6):1115-23.
doi:10.1016/j.jamcoll…
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psnet.ahrq.gov/node/36279/psn-pdf
May 27, 2011 - Evaluation of laboratory monitoring alerts within a
computerized physician order entry system for
medication orders.
May 27, 2011
Palen TE, Raebel MA, Lyons E, et al. Evaluation of laboratory monitoring alerts within a computerized
physician order entry system for medication orders. Am J Manag Care. 2006;12(7):389…
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psnet.ahrq.gov/node/44494/psn-pdf
June 21, 2016 - Electronic trigger-based intervention to reduce delays in
diagnostic evaluation for cancer: a cluster randomized
controlled trial.
June 21, 2016
Murphy DR, Wu L, Thomas EJ, et al. Electronic Trigger-Based Intervention to Reduce Delays in Diagnostic
Evaluation for Cancer: A Cluster Randomized Controlled Trial. J Cl…
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psnet.ahrq.gov/node/49482/psn-pdf
May 01, 2005 - Pregnant With Danger
May 1, 2005
Pearlman MD, Desmond JS. Pregnant With Danger. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/pregnant-danger
The Case
A 35-year-old woman, 38 weeks pregnant, presented to the emergency department (ED) in the middle of
the night complaining of left leg pain. She also had so…
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psnet.ahrq.gov/node/43959/psn-pdf
September 01, 2016 - Evaluation of an automated surveillance system using
trigger alerts to prevent adverse drug events in the
intensive care unit and general ward.
September 1, 2016
DiPoto JP, Buckley MS, Kane-Gill SL. Evaluation of an automated surveillance system using trigger alerts
to prevent adverse drug events in the intensive …