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psnet.ahrq.gov/node/47849/psn-pdf
August 14, 2019 - The effect of external inspections on safety in acute
hospitals in the National Health Service in England: a
controlled interrupted time-series analysis.
August 14, 2019
Castro-Avila A, Bloor K, Thompson C. The effect of external inspections on safety in acute hospitals in the
National Health Service in England: A…
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psnet.ahrq.gov/node/40096/psn-pdf
December 22, 2010 - Enhancing communication in surgery through team
training interventions: a systematic literature review.
December 22, 2010
Gillespie BM, Chaboyer W, Murray P. Enhancing communication in surgery through team training
interventions: a systematic literature review. AORN J. 2010;92(6):642-57. doi:10.1016/j.aorn.2010.02.…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.182_slideshow.ppt
September 01, 2008 - More extensive work-up pursued to evaluate for atypical and fungal pneumonia revealed no culprit organism
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psnet.ahrq.gov/node/40365/psn-pdf
February 12, 2014 - Strategies for learning from failure.
February 12, 2014
Edmondson A. Strategies of learning from failure. Harv Bus Rev. 2011;89(4):48-55, 137.
https://psnet.ahrq.gov/issue/strategies-learning-failure
Failures are inevitable in any industry, especially in one as complex as health care. The ability to learn from
fai…
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psnet.ahrq.gov/about-psnet
September 01, 2015 - AHRQ PSNet Collection The AHRQ PSNet Collection comprises an extensive selection of resources relevant
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psnet.ahrq.gov/primer/checklists
September 15, 2024 - Successful implementation of a checklist requires extensive preparatory work to maximize safety culture
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psnet.ahrq.gov/curated-library/rapid-response-systems
September 15, 2024 - She underwent extensive surgery followed by a lengthy hospital stay.
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psnet.ahrq.gov/web-mm/navigating-chaos-fatal-iatrogenic-liver-injury-patient-admitted-leg-fractures
November 27, 2019 - The extensive mobilization required to visualize the injury is also counterproductive when perihepatic
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psnet.ahrq.gov/node/36668/psn-pdf
June 29, 2011 - Language proficiency and adverse events in US
hospitals: a pilot study.
June 29, 2011
Divi C, Koss RG, Schmaltz SP, et al. Language proficiency and adverse events in US hospitals: a pilot
study. Int J Qual Health Care. 2007;19(2):60-67. doi:10.1093/intqhc/mzl069.
https://psnet.ahrq.gov/issue/language-proficiency-a…
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psnet.ahrq.gov/node/36675/psn-pdf
January 18, 2011 - Target-focused medical emergency team training using a
human patient simulator: effects on behaviour and
attitude.
January 18, 2011
Wallin C-J, Meurling L, Hedman L, et al. Target-focused medical emergency team training using a human
patient simulator: effects on behaviour and attitude. Med Educ. 2007;41(2):173-80…
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psnet.ahrq.gov/node/34694/psn-pdf
February 10, 2011 - Computerized surveillance of adverse drug events in
hospital patients.
February 10, 2011
Classen DC, Pestotnik SL, Evans RS, et al. Computerized surveillance of adverse drug events in hospital
patients. JAMA. 1991;266(20):2847-51.
https://psnet.ahrq.gov/issue/computerized-surveillance-adverse-drug-events-hospital-…
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psnet.ahrq.gov/node/37640/psn-pdf
April 02, 2008 - An observational analysis of surgical team compliance
with perioperative safety practices after crew resource
management training.
April 2, 2008
France DJ, Leming-Lee S, Jackson T, et al. An observational analysis of surgical team compliance with
perioperative safety practices after crew resource management traini…
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psnet.ahrq.gov/web-mm/complications-vascular-access-procedures-patients-kidney-disease
November 15, 2023 - the clinical team did not identify the patient as at high risk for respiratory compromise despite his extensive … although there are certain factors, including infected fistulas, enlarged aneurysmal fistulas with extensive
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psnet.ahrq.gov/node/40839/psn-pdf
December 30, 2014 - How event reporting by US hospitals has changed from
2005 to 2009.
December 30, 2014
Farley DO, Haviland AM, Haas A, et al. How event reporting by US hospitals has changed from 2005 to
2009. BMJ Qual Saf. 2011;21(1). doi:10.1136/bmjqs-2011-000114.
https://psnet.ahrq.gov/issue/how-event-reporting-us-hospitals-has-c…
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psnet.ahrq.gov/web-mm/dressed-failure
September 01, 2011 - system and potential limitations in the new system; (ii) data mapping and migration when possible; (iii) extensive … Traditionally, the vast majority of physicians prefer documenting narrative or free text data, with extensive
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psnet.ahrq.gov/node/33645/psn-pdf
February 01, 2007 - Experienced clinicians have an extensive knowledge base, replete with
exemplars of problems, symptom … Feedback
Becoming an expert in any field requires extensive practice and feedback concerning one's performance
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psnet.ahrq.gov/web-mm/shortcuts-acetaminophen-induced-liver-failure
July 01, 2017 - the H1N1 pandemic.( 3 ) The combination of respiratory symptoms and fever should have prompted a more extensive … as consultation with the obstetrician or maternal–fetal medicine physician, may have prompted a more extensive
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psnet.ahrq.gov/node/33816/psn-pdf
October 01, 2016 - The extensive
customization that is a feature of many EHRs invites clinicians to record the same information … One is the extensive customization of EHRs that
leads to problematic nonstandardization.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.206_slideshow.ppt
October 01, 2009 - limited authority over attending MDs
Medical staff bylaws provide attendings with many rights, including extensive
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psnet.ahrq.gov/node/45277/psn-pdf
July 01, 2017 - Cultural transformation after implementation of crew
resource management: is it really possible?
July 1, 2017
Hefner JL, Hilligoss B, Knupp A, et al. Cultural Transformation After Implementation of Crew Resource
Management: Is It Really Possible? Am J Med Qual. 2017;32(4):384-390. doi:10.1177/1062860616655424.
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