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psnet.ahrq.gov/perspective/context-intervention
August 05, 2020 - The Context Is the Intervention
Dr. John Øvretveit | October 1, 2011
View more articles from the same authors.
Citation Text:
Øvretveit J. The Context Is the Intervention. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department …
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psnet.ahrq.gov/node/33712/psn-pdf
June 01, 2011 - In Conversation with… Edward Tenner, PhD
June 1, 2011
In Conversation with… Edward Tenner, PhD. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/conversation-edward-tenner-phd
Editor's note: Edward Tenner is an independent writer, speaker, and consultant on technology and
culture. He received his PhD fro…
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psnet.ahrq.gov/node/49749/psn-pdf
December 01, 2015 - Hyperglycemia and Switching to Subcutaneous Insulin
December 1, 2015
Wetterneck TB. Hyperglycemia and Switching to Subcutaneous Insulin. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
The Case
A 47-year-old man with type 2 diabetes was admitted to the hospita…
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psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
August 14, 2024 - A positive safety culture has a significant impact on the residents’ care experiences as well as the … experiences of the staff, enabling greater transparency, better communication, and greater awareness
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psnet.ahrq.gov/node/866993/psn-pdf
October 30, 2024 - Past negative experiences in health care make people very hesitant to go
back. … Rates of adverse childhood experiences and adult trauma are
extremely high among people with SUDs.
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psnet.ahrq.gov/node/848110/psn-pdf
April 26, 2023 - A positive safety culture has a significant impact on the
residents’ care experiences as well as the … experiences of the staff, enabling greater transparency, better
communication, and greater awareness
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psnet.ahrq.gov/perspective/conversation-paul-mcgann-md
July 10, 2024 - My previous experiences, I would say especially at the Sticht Center on Aging at Wake Forest University
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psnet.ahrq.gov/node/33804/psn-pdf
March 03, 2016 - My
previous experiences, I would say especially at the Sticht Center on Aging at Wake Forest University
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psnet.ahrq.gov/node/45210/psn-pdf
September 27, 2016 - Increased risk of burnout for physicians and nurses
involved in a patient safety incident.
September 27, 2016
Van Gerven E, Elst TV, Vandenbroeck S, et al. Increased Risk of Burnout for Physicians and Nurses
Involved in a Patient Safety Incident. Med Care. 2016;54(10):937-943.
doi:10.1097/MLR.0000000000000582.
ht…
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psnet.ahrq.gov/node/44711/psn-pdf
September 21, 2016 - The well-defined pediatric ICU: active surveillance using
nonmedical personnel to capture less serious safety
events.
September 21, 2016
White WA, Kennedy K, Belgum HS, et al. The Well-Defined Pediatric ICU: Active Surveillance Using
Nonmedical Personnel to Capture Less Serious Safety Events. Jt Comm J Qual Patien…
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psnet.ahrq.gov/node/44064/psn-pdf
November 03, 2015 - The July effect: an analysis of never events in the
nationwide inpatient sample.
November 3, 2015
Wen T, Attenello FJ, Wu B, et al. The July effect: an analysis of never events in the nationwide inpatient
sample. J Hosp Med. 2015;10(7):432-438. doi:10.1002/jhm.2352.
https://psnet.ahrq.gov/issue/july-effect-analysi…
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psnet.ahrq.gov/node/37622/psn-pdf
May 26, 2011 - Effect of computer order entry on prevention of serious
medication errors in hospitalized children.
May 26, 2011
Walsh KE, Landrigan CP, Adams WG, et al. Effect of computer order entry on prevention of serious
medication errors in hospitalized children. Pediatrics. 2008;121(3):e421-e427. doi:10.1542/peds.2007-
022…
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psnet.ahrq.gov/node/47716/psn-pdf
June 26, 2019 - Magnitude and modifiers of the weekend effect in hospital
admissions: a systematic review and meta-analysis.
June 26, 2019
Chen Y-F, Armoiry X, Higenbottam C, et al. Magnitude and modifiers of the weekend effect in hospital
admissions: a systematic review and meta-analysis. BMJ Open. 2019;9(6):e025764. doi:10.1136/…
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psnet.ahrq.gov/node/37327/psn-pdf
March 03, 2011 - Patterns of technical error among surgical malpractice
claims: an analysis of strategies to prevent injury to
surgical patients.
March 3, 2011
Regenbogen SE, Greenberg CC, Studdert DM, et al. Patterns of technical error among surgical malpractice
claims: an analysis of strategies to prevent injury to surgical pati…
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psnet.ahrq.gov/node/42819/psn-pdf
October 31, 2014 - Implementing a national program to reduce catheter-
associated urinary tract infection: a quality improvement
collaboration of state hospital associations, academic
medical centers, professional societies, and
governmental agencies.
October 31, 2014
Fakih MG, George C, Edson B, et al. Implementing a national prog…
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psnet.ahrq.gov/node/45208/psn-pdf
April 22, 2017 - Cognitive tests predict real-world errors: the relationship
between drug name confusion rates in laboratory-based
memory and perception tests and corresponding error
rates in large pharmacy chains.
April 22, 2017
Schroeder SR, Salomon MM, Galanter W, et al. Cognitive tests predict real-world errors: the relationsh…
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psnet.ahrq.gov/node/43091/psn-pdf
May 30, 2014 - Development of a professionalism committee approach to
address unprofessional medical staff behavior at an
academic medical center.
May 30, 2014
Speck RM, Foster JJ, Mulhern VA, et al. Development of a professionalism committee approach to address
unprofessional medical staff behavior at an academic medical center…
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psnet.ahrq.gov/node/39839/psn-pdf
November 07, 2011 - The disparity of frontline clinical staff and managers'
perceptions of a quality and patient safety initiative.
November 7, 2011
Parand A, Burnett S, Benn J, et al. The disparity of frontline clinical staff and managers' perceptions of a
quality and patient safety initiative. J Eval Clin Pract. 2011;17(6):1184-90. …
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psnet.ahrq.gov/node/865514/psn-pdf
April 10, 2024 - Drug-drug interactions and actual harm to hospitalized
patients: a multicentre study examining the prevalence
pre- and post-electronic medication system
implementation.
April 10, 2024
Li L, Baker J, Quirk R, et al. Drug-drug interactions and actual harm to hospitalized patients: a multicentre
study examining the …
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psnet.ahrq.gov/node/844801/psn-pdf
January 01, 2021 - A mixed-methods study of challenges experienced by
clinical teams in measuring improvement.
September 11, 2019
Woodcock T, Liberati EG, Dixon-Woods M. A mixed-methods study of challenges experienced by clinical
teams in measuring improvement. BMJ Qual Saf. 2021;30(2):106-115. doi:10.1136/bmjqs-2018-009048.
https:/…