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psnet.ahrq.gov/issue/tangible-handoff-team-approach-advancing-structured-communication-labor-and-delivery
June 12, 2013 - Commentary
The tangible handoff: a team approach for advancing structured communication in … The tangible handoff: a team approach for advancing structured communication in labor and delivery. … March 27, 2024
Changes in prevalence of health care-associated infections in U.S. hospitals … September 18, 2024
Failure to rescue in neonatal care. … February 1, 2012
Challenges faced in providing safe care in rural perinatal settings.
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psnet.ahrq.gov/issue/teamwork-and-teamwork-training-healthcare
March 02, 2022 - Special or Theme Issue
Teamwork and Teamwork Training in Healthcare. … Citation Text:
Teamwork and Teamwork Training in Health care: An Integration and a Path Forward. … Attitudes Questionnaire in nursing and residential homes in the Netherlands. … March 3, 2010
New Vistas in Patient Safety and Simulation. … August 6, 2008
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Hospitals
Educators
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psnet.ahrq.gov/issue/quality-improvement-universal-protocol-use-office-based-gastrointestinal-procedure-units
November 16, 2022 - Commentary
Quality improvement: Universal Protocol use in office-based gastrointestinal … Quality improvement: universal protocol use in office-based gastrointestinal procedure units. … Quality improvement: universal protocol use in office-based gastrointestinal procedure units. … November 16, 2022
Reducing falls in hospitalized children and adolescents with cancer … in outpatient settings: clinical practice guideline.
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psnet.ahrq.gov/issue/characteristics-patients-misdiagnosed-alzheimers-disease-and-their-medication-use-analysis
June 16, 2011 - intensive care units in Michigan. … February 17, 2011
Improving handoffs in the emergency department. … July 13, 2010
Families as partners in hospital error and adverse event surveillance. … and awareness in US older adults. … August 13, 2014
5 most commonly misdiagnosed conditions in the ICU.
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psnet.ahrq.gov/issue/examining-markers-safety-homecare-using-international-classification-patient-safety
March 02, 2016 - Review
Examining markers of safety in homecare using the international classification … Examining markers of safety in homecare using the international classification for patient safety. … Examining markers of safety in homecare using the international classification for patient safety. … May 28, 2014
Client, caregiver, and provider perspectives of safety in palliative home … 16, 2022
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Related Resources
Interventions to prevent falls
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psnet.ahrq.gov/issue/physician-practice-patient-safety-assessment
April 24, 2018 - Use of a comprehensive patient safety tool in primary care practices. … This tool facilitates assessment of activities that support safe care in outpatient settings. … Use of a comprehensive patient safety tool in primary care practices. … use of 'exit strategies' in an electronic health records system. … July 20, 2009
Defining the critical role of nurses in diagnostic error prevention: a
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psnet.ahrq.gov/issue/standardized-sign-out-reduces-intern-perception-medical-errors-general-internal-medicine-ward
August 04, 2021 - in outpatient settings: clinical practice guideline. … October 13, 2018
Improving handoffs in the emergency department. … July 13, 2010
Education outcomes from a duty-hour flexibility trial in internal medicine … March 4, 2011
Medication discrepancies in resident sign-outs and their potential to harm … July 10, 2008
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General Hospitals
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psnet.ahrq.gov/issue/minimizing-surgical-error-incorporating-objective-assessment-surgical-education
January 12, 2022 - summarizes the current state of knowledge regarding surgical errors , and discusses patient safety in … 2022
Physician and nurse well-being and preferred interventions to address burnout in … hospital practice: factors associated with turnover, outcomes, and patient safety. … July 5, 2017
Medical errors in orthopaedics. … December 21, 2014
Error training: missing link in surgical education.
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psnet.ahrq.gov/issue/shifting-learning-curve
March 09, 2009 - describes how simulation can be used to promote patient safety by helping trainees develop skills in … March 9, 2009
Allocation of physician time in ambulatory practice: a time and motion … study in four specialties. … a multistate hospital network--13 academic medical centers, April-June 2020. … August 19, 2020
Delivering high reliability in maternity care: in situ simulation as
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psnet.ahrq.gov/issue/when-less-better-physicians-are-afraid-not-intervene
July 29, 2020 - July 29, 2020
A human right-based approach to dealing with adverse events in residential … September 11, 2024
Diagnostic discrepancies in the emergency department: a retrospective … August 14, 2024
Clinical decision support as a prevention tool for medication errors in … January 2, 2013
Confronting medical errors in oncology and disclosing them to cancer … June 21, 2006
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Hospitals
Ambulatory
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psnet.ahrq.gov/issue/thats-way-we-do-things-around-here-your-actions-speak-louder-words-when-it-comes-patient
December 19, 2018 - to affect clinician adoption of peers' professional or safety-related behaviors, including beliefs in … January 3, 2017
Diagnostic reliability in teledermatology: a systematic review and a … August 30, 2023
Seroprevalence of SARS-CoV-2 among frontline health care personnel in … a multistate hospital network--13 academic medical centers, April-June 2020. … September 13, 2017
Understanding patient and clinician reported nonroutine events in
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psnet.ahrq.gov/issue/using-simulation-improve-systems
May 29, 2014 - This review discusses the evolution of simulation use in both aviation and health care and highlights … The 2017 ACGME common work hour standards: promoting physician learning and professional development in … July 29, 2020
An effective program to reduce malpractice claims and payments in a large … June 7, 2016
Innovative teaching in situational awareness. … March 5, 2010
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Hospitals
Health Care
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psnet.ahrq.gov/issue/err-human-use-simulation-enhance-training-and-patient-safety-anaesthesia
January 18, 2023 - This review explores simulation in anesthesiology and the role of anesthetists in leading further innovation … real clinical environments in healthcare: a systematic review. … postgraduate training: an analysis of specialty curricula in the UK. … hospital practice: factors associated with turnover, outcomes, and patient safety. … January 4, 2012
Safety in Anaesthesia.
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psnet.ahrq.gov/issue/creating-highly-reliable-neonatal-intensive-care-unit-through-safer-systems-care
January 12, 2011 - Highlighting the value of applying high reliability principles in this setting, this review explores … how safety culture , teamwork, and learning from events are crucial for safety in neonatal intensive … January 12, 2022
Visual illusions in radiology: untrue perceptions in medical images … care unit in Thailand. … March 3, 2010
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Children's Hospitals
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psnet.ahrq.gov/issue/disclosure-patient-safety-incidents-comprehensive-review
November 10, 2010 - June 16, 2010
Patient safety in palliative care: a mixed-methods study of reports to … October 3, 2018
Association of diagnostic stewardship for blood cultures in critically … View More
Related Resources
Optimizing Pediatric Patient Safety in … August 15, 2016
Windows into Safety and Quality in Health Care 2008. … March 28, 2011
Adverse events in hospitals: the patient's point of view.
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psnet.ahrq.gov/issue/six-things-every-plastic-surgeon-needs-know-about-teamwork-training-and-checklists
September 07, 2016 - programs to improve safety in surgical settings. … hospitals and federally qualified health centers. … checklist useful in a broad practice? … February 21, 2015
Patient safety in the operating room—part 1 and part 2. … November 21, 2012
Patient safety in plastic surgery.
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psnet.ahrq.gov/issue/complexity-thinking-account-covid-19-pandemic-implications-systems-oriented-safety-management
February 07, 2024 - Download Citation
Related Resources From the Same Author(s)
Association of hospital … markup with preventable adverse events following pancreatic surgery in the United States. … December 23, 2020
Expanding frontiers of risk management: care safety in nursing home … September 30, 2020
Disaster ergonomics: human factors in COVID-19 pandemic emergency … July 1, 2020
Human factors considerations in using personal protective equipment in the
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psnet.ahrq.gov/issue/geometric-probability-distribution-modeling-error-risk-during-prescription-dispensing
December 24, 2008 - December 24, 2008
Dispensing errors and counseling quality in 100 pharmacies. … September 8, 2010
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … October 19, 2022
The problems of detecting medication errors in hospitals. … August 4, 2021
Does teamwork improve performance in the operating room? … March 21, 2017
Creating a fellowship curriculum in patient safety and quality.
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psnet.ahrq.gov/issue/tracking-virtual-slides-tool-study-diagnostic-error-histopathology
January 08, 2020 - Study
Tracking with virtual slides: a tool to study diagnostic error in histopathology … Tracking with virtual slides: a tool to study diagnostic error in histopathology. … Tracking with virtual slides: a tool to study diagnostic error in histopathology. … the out-of-hospital emergency care of children: a qualitative study. … April 16, 2014
Error tracking in a clinical biochemistry laboratory.
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psnet.ahrq.gov/issue/ahrq-funded-patient-safety-project-highlights-improving-healthcare-safety-engaging-patients
March 22, 2024 - Research has shown that involving patients , their families and caregivers, in the planning, delivery … collection of AHRQ-funded work includes summaries of 53 projects since 2000 that contributed to environments in … Efforts highlighted include those involving patients and families in activities designed to report … October 19, 2022
Diagnostic Errors in the Emergency Department: A Systematic Review. … August 19, 2020
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Researchers
Hospitals