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psnet.ahrq.gov/issue/standardized-handoff-simulation-promotes-recovery-auditory-distractions-resident-physicians
March 09, 2016 - Study
A standardized handoff simulation promotes recovery from auditory distractions in resident physicians.
Citation Text:
Matern LH, Farnan JM, Hirsch KW, et al. A Standardized Handoff Simulation Promotes Recovery From Auditory Distractions in Resident Physicians. Simul Healthc. 2018;1…
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psnet.ahrq.gov/issue/characterising-physician-listening-behaviour-during-hospitalist-handoffs-using-hear-checklist
March 11, 2013 - Study
Characterising physician listening behaviour during hospitalist handoffs using the HEAR checklist.
Citation Text:
Greenstein EA, Arora V, Staisiunas PG, et al. Characterising physician listening behaviour during hospitalist handoffs using the HEAR checklist. BMJ Qual Saf. 2013;22…
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psnet.ahrq.gov/issue/unfinished-nursing-care-missed-care-and-implicitly-rationed-care-state-science-review
May 08, 2024 - Review
Unfinished nursing care, missed care, and implicitly rationed care: state of the science review.
Citation Text:
Jones TL, Hamilton P, Murry N. Unfinished nursing care, missed care, and implicitly rationed care: State of the science review. Int J Nurs Stud. 2015;52(6):1121-1137. do…
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psnet.ahrq.gov/issue/randomised-controlled-trial-effect-continuous-electronic-physiological-monitoring-adverse
August 04, 2021 - Study
A randomised controlled trial of the effect of continuous electronic physiological monitoring on the adverse event rate in high risk medical and surgical patients.
Citation Text:
Watkinson PJ, Barber VS, Price JD, et al. A randomised controlled trial of the effect of continuous e…
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psnet.ahrq.gov/node/39608/psn-pdf
November 21, 2016 - Institute for Patient- and Family- Centered Care.
November 21, 2016
IPFFC. PO Box 6397, McLean, VA 22106.
https://psnet.ahrq.gov/issue/institute-patient-and-family-centered-care
This organization provides a variety of resources, including webinars and implementation tools, to engage
patients and their family membe…
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psnet.ahrq.gov/node/37068/psn-pdf
August 01, 2007 - Fallible medicine: responding to errors in emergency
care.
August 1, 2007
Whitehead S.
https://psnet.ahrq.gov/issue/fallible-medicine-responding-errors-emergency-care
The author, a paramedic, recounts his experience with an intubation error and discusses patient care
errors within the broader context of human err…
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psnet.ahrq.gov/node/837785/psn-pdf
August 05, 2022 - Emergence of Application-based Healthcare
August 5, 2022
Marvel FA, Dowell P, Mossburg SE. Emergence of Application-based Healthcare. PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/emergence-application-based-healthcare
Introduction
The demand for digital healthcare, including both telemedicine and hea…
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psnet.ahrq.gov/node/49395/psn-pdf
April 01, 2003 - Medication Overdose
April 1, 2003
Kaushal R. Medication Overdose. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/medication-overdose
The Case
A 15-year-old boy with end-stage AIDS was admitted to the pediatric ICU with mental status changes. He
was diagnosed with status epilepticus and started on a loading…
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psnet.ahrq.gov/node/49757/psn-pdf
April 01, 2016 - Situational Awareness and Patient Safety
April 1, 2016
Farnan JE. Situational Awareness and Patient Safety. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/situational-awareness-and-patient-safety
The Case
A 40-year-old woman with a history of cirrhosis and known esophageal varices was admitted to the hospit…
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psnet.ahrq.gov/node/36397/psn-pdf
December 22, 2010 - The day Joy died.
December 22, 2010
Brandeland GP. The day Joy died. Medical economics. 2006;83(20):50, 52-3.
https://psnet.ahrq.gov/issue/day-joy-died
This author shares his experience as a young physician dealing with the aftermath of a medical error and
how the incident affected his practice, his personal relat…
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psnet.ahrq.gov/node/36647/psn-pdf
February 14, 2007 - Patient safety: the patient's role.
February 14, 2007
Ford D. Patient safety: the patient's role. . World Hosp Health Serv. 2006;42(3):45-48.
https://psnet.ahrq.gov/issue/patient-safety-patients-role
The author shares his family's experience with medical error and provides recommendations for how
patients and fami…
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psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_intraoperative_awareness_during_rhinoplasty_slides_final.pptx
January 01, 2024 - Spotlight
Spotlight
Intraoperative Awareness during Rhinoplasty
1
Source and Credits
This presentation is based on the July 2024 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Christian Bohringer MBBS and Jaijeet Toor MD
AHRQ WebM&M Edit…
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psnet.ahrq.gov/perspective/update-safety-culture
January 22, 2020 - Recent evidence shows that roughly one in three hospitalized patients experiences an adverse event, and
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psnet.ahrq.gov/node/33638/psn-pdf
August 01, 2006 - His own life experiences, including
the death of a friend's child as a result of an anesthetic error
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psnet.ahrq.gov/web-mm/shake-well
September 01, 2006 - to the patient, thus increasing nurse efficiency while decreasing errors.( 3 ) Any time a patient experiences
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psnet.ahrq.gov/node/33834/psn-pdf
May 22, 2017 - Physician attitudes and experiences with Maryland's prescription drug
monitoring program (PDMP).
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psnet.ahrq.gov/node/33874/psn-pdf
February 01, 2019 - delivery is
undergoing a transformation aimed at achieving the Quadruple Aim of improving patients' experiences
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psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety
June 15, 2024 - Green Cross method in a postanaesthesia care unit: a qualitative study of the healthcare professionals' experiences
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psnet.ahrq.gov/curated-library/medicationdrug-errors
March 12, 2021 - The Institute for Safe Medication Practices' (ISMP) signature bi-weekly newsletter recounts actual experiences
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psnet.ahrq.gov/web-mm/outpatient-zebra
January 23, 2020 - These clinics must fit into a resident’s monthly rotations, which combine ambulatory and inpatient experiences