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psnet.ahrq.gov/issue/health-implications-apologizing-after-adverse-event
October 05, 2015 - Commentary
The health implications of apologizing after an adverse event.
Citation Text:
Allan A, McKillop D. The health implications of apologizing after an adverse event. Int J Qual Health Care. 2010;22(2):126-31. doi:10.1093/intqhc/mzq001.
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psnet.ahrq.gov/issue/rules-and-guidelines-clinical-practice-qualitative-study-operating-theatres-doctors-and
January 06, 2018 - Study
Rules and guidelines in clinical practice: a qualitative study in operating theatres of doctors' and nurses' views.
Citation Text:
McDonald R. Rules and guidelines in clinical practice: a qualitative study in operating theatres of doctors' and nurses' views. Quality and Safety in…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-material-guide.html
May 01, 2017 - Material Use Guide - Patient and Family Engagement in the Surgical Environment Module
Overview
Defining Patient and Family Engagement and its Benefits
Slides 4-7
Patient and Family Expectations in the ASC
Slides 8-10
Barriers, Facilitators, and Motivators
Slides…
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psnet.ahrq.gov/issue/three-simple-rules-improve-medication-safety
March 11, 2020 - Commentary
Three simple rules to improve medication safety.
Citation Text:
Barba V. Three Simple Rules to Improve Medication Safety. J Patient Saf. 2016;12(3):171-2. doi:10.1097/PTS.0000000000000095.
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psnet.ahrq.gov/issue/safety-culture-includes-good-catches
August 21, 2024 - Commentary
Safety culture includes "good catches."
Citation Text:
Traynor K. Safety culture includes "good catches". Am J Health Syst Pharm. 2015;72(19):1597-1599. doi:10.2146/news150065.
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psnet.ahrq.gov/issue/variations-nursing-care-quality-across-hospitals
September 28, 2016 - Study
Variations in nursing care quality across hospitals.
Citation Text:
Lucero RJ, Lake ET, Aiken LH. Variations in nursing care quality across hospitals. J Adv Nurs. 2009;65(11):2299-310. doi:10.1111/j.1365-2648.2009.05090.x.
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psnet.ahrq.gov/issue/health-care-professionals-views-about-safety-maternity-services-qualitative-study
June 10, 2020 - Study
Health-care professionals' views about safety in maternity services: a qualitative study.
Citation Text:
Smith AHK, Dixon AL, Page LA. Health-care professionals' views about safety in maternity services: a qualitative study. Midwifery. 2009;25(1):21-31. doi:10.1016/j.midw.2008.11…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/pocket-card.html
May 01, 2017 - Appendix I. National Healthcare Safety Network (NHSN) Definition CAUTI Criteria Pocket Card
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Slide 1: Appendix I.
National Healthcare Safety Network (NHSN) Definition CAUTI Criteria Pocket Card
The National Healthcare Safety Network (NHSN) Definition CAU…
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psnet.ahrq.gov/issue/doctors-saved-her-life-she-didnt-want-them
November 02, 2016 - Newspaper/Magazine Article
Doctors saved her life. She didn’t want them to.
Citation Text:
Raphael K. Doctors saved her life. She didn’t want them to. New York Times. August 26, 2024;
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psnet.ahrq.gov/issue/changing-how-we-think-about-healthcare-improvement
October 09, 2024 - Commentary
Classic
Changing how we think about healthcare improvement.
Citation Text:
Braithwaite J. Changing how we think about healthcare improvement. BMJ. 2018;361:k2014. doi:10.1136/bmj.k2014.
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psnet.ahrq.gov/issue/observational-study-practice-during-transfer-patients-anaesthetic-room-operating-theatre
September 27, 2016 - Study
An observational study of practice during transfer of patients from anaesthetic room to operating theatre.
Citation Text:
Broom MA, Slater J, Ure DS. An observational study of practice during transfer of patients from anaesthetic room to operating theatre. Anaesthesia. 2006;61(10…
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psnet.ahrq.gov/issue/social-and-environmental-conditions-creating-fluctuating-agency-safety-two-urban-academic
August 12, 2019 - Study
Social and environmental conditions creating fluctuating agency for safety in two urban academic birth centers.
Citation Text:
Lyndon A. Social and environmental conditions creating fluctuating agency for safety in two urban academic birth centers. J Obstet Gynecol Neonatal Nurs…
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psnet.ahrq.gov/issue/using-standardized-or-checklists-and-creating-extended-time-out-checklists
February 15, 2011 - Commentary
Using standardized OR checklists and creating extended time-out checklists.
Citation Text:
Hey LA, Turner TC. Using Standardized OR Checklists and Creating Extended Time-Out Checklists. AORN J. 2016;104(3):248-53. doi:10.1016/j.aorn.2016.07.007.
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psnet.ahrq.gov/issue/patient-safety-when-are-we-too-old-operate
October 19, 2022 - Commentary
On patient safety: when are we too old to operate?
Citation Text:
Lee MJ. On Patient Safety: When Are We Too Old to Operate? Clin Orthop Relat Res. 2016;474(4):895-8. doi:10.1007/s11999-016-4722-6.
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psnet.ahrq.gov/issue/retractions-medical-literature-how-many-patients-are-put-risk-flawed-research
August 31, 2011 - Study
Retractions in the medical literature: how many patients are put at risk by flawed research?
Citation Text:
Steen G. Retractions in the medical literature: how many patients are put at risk by flawed research? J Med Ethics. 2011;37(11):688-92. doi:10.1136/jme.2011.043133.
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psnet.ahrq.gov/issue/measure-twice-cut-once
June 14, 2023 - Commentary
Measure twice, cut once.
Citation Text:
Atkinson WK. Measure twice, cut once. AORN J. 2013;98(1):77-80. doi:10.1016/j.aorn.2013.05.004.
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psnet.ahrq.gov/issue/2014-guide-state-adverse-event-reporting-systems
November 29, 2009 - Book/Report
2014 Guide to State Adverse Event Reporting Systems.
Citation Text:
2014 Guide to State Adverse Event Reporting Systems. Hanlon C, Sheedy K, Kniffin T, Rosenthal J. Portland, ME: National Academy for State Health Policy; 2015.
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digital.ahrq.gov/sites/default/files/docs/page/buildinghealthitresearchcapacity.pdf
December 01, 2012 - This includes supporting the next generation of
health IT researchers by funding health IT-focused … The
SEN noted particular interest in funding disserta-
tion research projects focused in one of three … Portfolio has supported six doctoral
candidates from a range of disciplines working on
health IT-focused … Analyses
focused on patient characteristics such as age, gender,
and race; hospital characteristics … A variety of additional health IT-focused dissertation
grants are currently ongoing and will continue
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024350-wernz-final-report-2018.pdf
January 01, 2018 - A study focused on small private practices estimates
that downtime costs are approximately $500 per … Few studies have focused on the impact of delays
in reporting of results, and even fewer studies have … We focused on door-to-doc time,
patient backlog, and arrival rate. … ED interviews
focused on physicians and nurses; laboratory sessions focused on technicians from the … The interviews focused on feedback from stakeholders
about their perceptions of downtime operations,
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023849-valdez-final-report-2018.pdf
January 01, 2018 - Consumer health IT developers, however, have
predominantly focused on the needs of a limited number … (15)
Context: This study focused on complementing and building upon existing design guidance from … The study focused on one form
(i.e., mobile health) and one functional domain (i.e., health information … Phase two focused on participants’ experiences engaging with the three mHealth
apps both in a lab (task … In particular, this study
focused on one form and one functional domain of consumer health IT, mHealth