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psnet.ahrq.gov/issue/necessary-leadership-skillsets-high-reliability-organization-framework-adoption-within-acute
March 23, 2022 - Study
The necessary leadership skillsets for the high-reliability organization framework adoption within acute healthcare organizations.
Citation Text:
Logan‐Athmer AL. The necessary leadership skillsets for the high‐reliability organization framework adoption within acute healthcare org…
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psnet.ahrq.gov/issue/education-next-frontier-patient-safety-longitudinal-resident-curriculum-diagnostic-error
January 16, 2019 - Commentary
Education for the next frontier in patient safety: a longitudinal resident curriculum on diagnostic error.
Citation Text:
Ruedinger E, Olson M, Yee J, et al. Education for the Next Frontier in Patient Safety: A Longitudinal Resident Curriculum on Diagnostic Error. Am J Med Qua…
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psnet.ahrq.gov/issue/artificial-intelligence-and-healthcare-journey-through-history-present-innovations-and-future
August 04, 2021 - Review
Artificial intelligence and healthcare: a journey through history, present innovations, and future possibilities.
Citation Text:
Hirani R, Noruzi K, Khuram H, et al. Artificial intelligence and healthcare: a journey through history, present innovations, and future possibilities. L…
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psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-comparison-two-common-risk-prioritisation-methods
September 09, 2015 - Study
Failure mode and effects analysis: a comparison of two common risk prioritisation methods.
Citation Text:
McElroy LM, Khorzad R, Nannicelli AP, et al. Failure mode and effects analysis: a comparison of two common risk prioritisation methods. BMJ Qual Saf. 2016;25(5):329-336. doi:10…
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psnet.ahrq.gov/issue/just-culture-foundation-staff-safety-perioperative-environment
June 09, 2021 - Commentary
Just culture: the foundation of staff safety in the perioperative environment.
Citation Text:
Fencl JL, Willoughby C, Jackson K. Just culture: the foundation of staff safety in the perioperative environment. AORN J. 2021;113(4):329-336. doi:10.1002/aorn.13352.
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psnet.ahrq.gov/issue/building-better-delivery-system-new-engineeringhealth-care-partnership
September 12, 2018 - Book/Report
Building a Better Delivery System: A New Engineering/Health Care Partnership.
Citation Text:
Building a Better Delivery System: A New Engineering/Health Care Partnership. Reid PP, Compton WD, Grossman JH, Fanjiang G, eds. Institute of Medicine, National Academy of Enginee…
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psnet.ahrq.gov/issue/identifying-patients-whose-symptoms-are-underrecognized-during-treatment-breast-radiotherapy
May 25, 2022 - Study
Identifying patients whose symptoms are underrecognized during treatment with breast radiotherapy.
Citation Text:
doi:10.1001/jamaoncol.2022.0114.
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psnet.ahrq.gov/issue/crossing-global-quality-chasm-improving-health-care-worldwide
June 15, 2011 - Book/Report
Classic
Crossing the Global Quality Chasm: Improving Health Care Worldwide.
Citation Text:
Crossing the Global Quality Chasm: Improving Health Care Worldwide. Committee on Improving the Quality of Health Care Globally. National Academies of Sciences,…
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psnet.ahrq.gov/issue/ethical-dilemma-missed-melanoma-what-tell-patient-and-other-providers
March 17, 2021 - Commentary
Ethical dilemma in missed melanoma: what to tell the patient and other providers.
Citation Text:
Vangipuram R, Horner ME, Menter A. Ethical dilemma in missed melanoma: What to tell the patient and other providers. J Am Acad Dermatol. 2017;76(2):365-367. doi:10.1016/j.jaad.2016…
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psnet.ahrq.gov/issue/executive-leadership-and-physician-well-being-nine-organizational-strategies-promote
September 26, 2018 - Review
Executive leadership and physician well-being: nine organizational strategies to promote engagement and reduce burnout.
Citation Text:
Shanafelt TD, Noseworthy JH. Executive Leadership and Physician Well-being: Nine Organizational Strategies to Promote Engagement and Reduce Burnou…
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psnet.ahrq.gov/issue/promoting-engagement-patients-and-families-reduce-adverse-events-acute-care-settings
July 02, 2014 - Review
Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic review.
Citation Text:
Berger ZD, Flickinger TE, Pfoh ER, et al. Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic …
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psnet.ahrq.gov/issue/improving-safety-and-quality-care-enhanced-teamwork-through-operating-room-briefings
May 11, 2019 - Commentary
Improving safety and quality of care with enhanced teamwork through operating room briefings.
Citation Text:
Hicks CW, Rosen MA, Hobson DB, et al. Improving safety and quality of care with enhanced teamwork through operating room briefings. JAMA Surg. 2014;149(8):863-8. doi:10…
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psnet.ahrq.gov/issue/current-surgical-instrument-labeling-techniques-may-increase-risk-unintentionally-retained
February 08, 2012 - Commentary
Current surgical instrument labeling techniques may increase the risk of unintentionally retained foreign objects: a hypothesis.
Citation Text:
Ipaktchi K, Kolnik A, Messina M, et al. Current surgical instrument labeling techniques may increase the risk of unintentionally ret…
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psnet.ahrq.gov/issue/patient-safety-room-horrors-novel-method-assess-medical-students-and-entering-residents
August 14, 2018 - Study
Patient safety room of horrors: a novel method to assess medical students and entering residents' ability to identify hazards of hospitalisation.
Citation Text:
Farnan JM, Gaffney S, Poston JT, et al. Patient safety room of horrors: a novel method to assess medical students and ent…
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psnet.ahrq.gov/issue/impact-pharmacist-led-discharge-medication-reconciliation-error-and-patient-harm-prevention
March 27, 2019 - Study
Impact of pharmacist-led discharge medication reconciliation on error and patient harm prevention at a large academic medical center.
Citation Text:
Zheng L, Pon T, Bajorek SA, et al. Impact of pharmacist‐led discharge medication reconciliation on error and patient harm prevention …
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psnet.ahrq.gov/issue/survey-suggests-disrespectful-behaviors-persist-healthcare-practitioners-speak-yet-again
February 23, 2022 - Newspaper/Magazine Article
Survey suggests disrespectful behaviors persist in healthcare: practitioners speak up (yet again) – Parts I and II.
Citation Text:
Survey suggests disrespectful behaviors persist in healthcare: practitioners speak up (yet again) – Parts I and II. ISMP Medicatio…
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psnet.ahrq.gov/issue/using-agency-healthcare-research-and-quality-patient-safety-indicators-targeting-nursing
April 03, 2017 - Study
Using the Agency for Healthcare Research and Quality Patient Safety Indicators for targeting nursing quality improvement.
Citation Text:
Zrelak PA, Utter GH, Sadeghi B, et al. Using the Agency for Healthcare Research and Quality patient safety indicators for targeting nursing qua…
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psnet.ahrq.gov/issue/neonatal-near-miss-audits-systematic-review-and-call-action
August 04, 2021 - Review
Neonatal near-miss audits: a systematic review and a call to action.
Citation Text:
Medeiros PB, Bailey C, Pollock D, et al. Neonatal near-miss audits: a systematic review and a call to action. BMC Pediatr. 2023;23(1):573. doi:10.1186/s12887-023-04383-6.
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psnet.ahrq.gov/issue/image-gently-step-lightly-promoting-radiation-safety-pediatric-interventional-radiology
August 20, 2018 - Commentary
Image Gently, Step Lightly: promoting radiation safety in pediatric interventional radiology.
Citation Text:
Sidhu M, Goske MJ, Connolly B, et al. Image Gently, Step Lightly: promoting radiation safety in pediatric interventional radiology. AJR Am J Roentgenol. 2010;195(4):W29…
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psnet.ahrq.gov/issue/association-simulation-training-rates-medical-malpractice-claims-among-obstetrician
December 02, 2020 - Study
Association of simulation training with rates of medical malpractice claims among obstetrician-gynecologists.
Citation Text:
Schaffer AC, Babayan A, Einbinder JS, et al. Association of simulation training with rates of medical malpractice claims among obstetrician-gynecologists. Ob…