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psnet.ahrq.gov/issue/act-performance-exploring-residents-decision-making-processes-seek-help
October 13, 2021 - Study
An act of performance: exploring residents' decision-making processes to seek help.
Citation Text:
Jansen I, Stalmeijer RE, Silkens MEWM, et al. An act of performance: exploring residents’ decision‐making processes to seek help. Med Educ. 2021;55(6):758-767. doi:10.1111/medu.14465.…
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psnet.ahrq.gov/issue/misdiagnosis-emergency-department-time-system-solution
March 25, 2020 - Commentary
Misdiagnosis in the emergency department: time for a system solution.
Citation Text:
Edlow JA, Pronovost PJ. Misdiagnosis in the emergency department: time for a system solution. JAMA. 2023;329(8):631-632. doi:10.1001/jama.2023.0577.
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psnet.ahrq.gov/issue/root-cause-analysis-reported-patient-falls-ors-veterans-health-administration
January 17, 2019 - Commentary
Root cause analysis of reported patient falls in ORs in the Veterans Health Administration.
Citation Text:
Soncrant CM, Warner LJ, Neily J, et al. Root Cause Analysis of Reported Patient Falls in ORs in the Veterans Health Administration. AORN J. 2018;108(4):386-397. doi:10.10…
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psnet.ahrq.gov/issue/nursing-crew-resource-management-follow-report-veterans-health-administration
September 27, 2016 - Commentary
Nursing crew resource management: a follow-up report from the Veterans Health Administration.
Citation Text:
Sculli GL, Fore AM, West P, et al. Nursing crew resource management: a follow-up report from the Veterans Health Administration. J Nurs Adm. 2013;43(3):122-6. doi:10.1…
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psnet.ahrq.gov/issue/department-veterans-affairs-chief-resident-quality-and-patient-safety-program-model-spread
September 05, 2018 - Commentary
Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: a model to spread change.
Citation Text:
Watts B, Paull DE, Williams LC, et al. Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: A Model to Spread Change. A…
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digital.ahrq.gov/ahrq-funded-projects/2011-2013-workshop-health-it-and-economics/annual-summary/2012
January 01, 2013 - 2011-2013 Workshop on Health Information Technology and Economics - 2012
Project Name
2011-2013 Workshop on Health Information Technology and Economics
Principal Investigator
Agarwal, Ritu
Organization
University of Maryland
Funding Mechanism
PAR: HS09-257: AHRQ Gra…
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psnet.ahrq.gov/issue/crises-clinical-care-approach-management
March 23, 2011 - Commentary
Crises in clinical care: an approach to management.
Citation Text:
Runciman WB. Crises in clinical care: an approach to management. Quality and Safety in Health Care. 2005;14(3). doi:10.1136/qshc.2004.012856.
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psnet.ahrq.gov/issue/opportunities-diagnostic-improvement-among-pediatric-hospital-readmissions
August 30, 2023 - Study
Opportunities for diagnostic improvement among pediatric hospital readmissions.
Citation Text:
Congdon M, Rauch B, Carroll B, et al. Opportunities for diagnostic improvement among pediatric hospital readmissions. Hosp Pediatr. 2023;13(7):563-571. doi:10.1542/hpeds.2023-007157.
Co…
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psnet.ahrq.gov/issue/assessment-physician-sleep-and-wellness-burnout-and-clinically-significant-medical-errors
January 27, 2021 - Study
Classic
Assessment of physician sleep and wellness, burnout, and clinically significant medical errors.
Citation Text:
Trockel MT, Menon NK, Rowe SG, et al. Assessment of Physician Sleep and Wellness, Burnout, and Clinically Significant Medical Errors. JAM…
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psnet.ahrq.gov/issue/nursing-practice-hospitalised-older-people-safety-and-harm
April 24, 2018 - Review
Nursing practice with hospitalised older people: safety and harm.
Citation Text:
Dahlke SA, Hunter KF, Negrin K. Nursing practice with hospitalised older people: Safety and harm. Int J Older People Nurs. 2019;14(1):e12220. doi:10.1111/opn.12220.
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psnet.ahrq.gov/issue/diagnostic-reasoning-endangered-competency-internal-medicine-training
September 04, 2019 - Commentary
Diagnostic reasoning: an endangered competency in internal medicine training.
Citation Text:
Simpkin AL, Vyas JM, Armstrong KA. Diagnostic Reasoning: An Endangered Competency in Internal Medicine Training. Ann Intern Med. 2017;167(7):507-508. doi:10.7326/M17-0163.
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psnet.ahrq.gov/issue/national-partnership-maternal-safety-consensus-bundle-venous-thromboembolism
November 16, 2022 - Commentary
National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism.
Citation Text:
D'Alton ME, Friedman AM, Smiley RM, et al. National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. J Obstet Gynecol Neonatal Nurs. 2016;45(5):706-…
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psnet.ahrq.gov/issue/approaches-reducing-most-important-patient-errors-primary-health-care-patient-and
April 12, 2011 - Study
Approaches to reducing the most important patient errors in primary health-care: patient and professional perspectives.
Citation Text:
Buetow S, Kiata L, Liew T, et al. Approaches to reducing the most important patient errors in primary health-care: patient and professional persp…
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psnet.ahrq.gov/issue/patient-empowerment-and-multimodal-hand-hygiene-promotion-win-win-strategy
November 13, 2024 - Review
Patient empowerment and multimodal hand hygiene promotion: a win–win strategy.
Citation Text:
McGuckin M, Storr J, Longtin Y, et al. Patient empowerment and multimodal hand hygiene promotion: a win-win strategy. Am J Med Qual. 2011;26(1):10-7. doi:10.1177/1062860610373138.
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digital.ahrq.gov/ahrq-funded-projects/defining-barrierssolutions-collecting-quality-performance-measures/annual-summary/2009
January 01, 2009 - Defining Barriers/Solutions for Collecting Quality Performance - 2009
Project Name
Defining Barriers and Potential Solutions for Collecting and Reporting Quality Performance Measures in Primary Care Offices
Principal Investigator
Longo, Daniel
Organization
The Virginia Ambula…
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psnet.ahrq.gov/issue/development-and-evaluation-observational-tool-assessing-surgical-flow-disruptions-and-their
June 17, 2009 - Study
Development and evaluation of an observational tool for assessing surgical flow disruptions and their impact on surgical performance.
Citation Text:
Parker SEH, Laviana AA, Wadhera RK, et al. Development and evaluation of an observational tool for assessing surgical flow disruption…
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psnet.ahrq.gov/issue/patient-safety-primary-care-conceptual-meanings-health-care-team-and-patients
September 28, 2022 - Study
Patient safety in primary care: conceptual meanings to the health care team and patients.
Citation Text:
Lai AY. Patient safety in primary care: conceptual meanings to the health care team and patients. J Am Board Fam Med. 2020;33(5):754-764. doi:10.3122/jabfm.2020.05.200042.
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psnet.ahrq.gov/issue/informing-design-new-pragmatic-registry-stimulate-near-miss-reporting-ambulatory-care
January 12, 2011 - Review
Informing the design of a new pragmatic registry to stimulate near miss reporting in ambulatory care.
Citation Text:
Pfoh ER, Engineer L, Singh H, et al. Informing the Design of a New Pragmatic Registry to Stimulate Near Miss Reporting in Ambulatory Care. J Patient Saf. 2021;17(3)…
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psnet.ahrq.gov/issue/adverse-events-skilled-nursing-facilities-national-incidence-among-medicare-beneficiaries
February 15, 2017 - Book/Report
Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries.
Citation Text:
Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries. Levinson DR. Washington, DC: US Department of Health and Human Services…
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psnet.ahrq.gov/issue/many-faces-error-disclosure-common-set-elements-and-definition
December 16, 2009 - Study
Classic
The many faces of error disclosure: a common set of elements and a definition.
Citation Text:
Fein SP, Hilborne LH, Spiritus EM, et al. The many faces of error disclosure: a common set of elements and a definition. J Gen Intern Med. 2007;22(6):75…