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psnet.ahrq.gov/issue/teams-psychologists-helping-teams-evolution-science-team-training
February 26, 2020 - Commentary
Emerging Classic
Teams of psychologists helping teams: the evolution of the science of team training.
Citation Text:
Bisbey TM, Reyes DL, Traylor AM, et al. Teams of psychologists helping teams: The evolution of the science of team training. Am Psycho…
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www.ahrq.gov/news/newsroom/case-studies/ktcquips82.html
October 01, 2014 - Five Nebraska Hospitals Use AHRQ Toolkit to Improve Medication Reconciliation Across Care Settings
Search All Impact Case Studies
November 2011
Between January and September 2010, AHRQ partnered with seven Quality Improvement Organizations (QIOs) to deliver a series of onsite learning sessions and provider …
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psnet.ahrq.gov/issue/our-other-prescription-drug-problem
May 17, 2017 - Commentary
Our other prescription drug problem.
Citation Text:
Lembke A, Papac J, Humphreys K. Our Other Prescription Drug Problem. N Engl J Med. 2018;378(8):693-695. doi:10.1056/NEJMp1715050.
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psnet.ahrq.gov/issue/patient-safety-science-cardiothoracic-surgery-overview
October 03, 2017 - Commentary
Patient safety science in cardiothoracic surgery: an overview.
Citation Text:
Sanchez JA, Ferdinand FD, Fann J. Patient Safety Science in Cardiothoracic Surgery: An Overview. Ann Thorac Surg. 2016;101(2):426-33. doi:10.1016/j.athoracsur.2015.12.034.
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psnet.ahrq.gov/issue/hand-hygiene-deficiency-citations-nursing-homes
June 02, 2010 - Study
Hand hygiene deficiency citations in nursing homes.
Citation Text:
Castle NG, Wagner LM, Ferguson J, et al. Hand Hygiene Deficiency Citations in Nursing Homes. Journal of Applied Gerontology. 2012;33(1). doi:10.1177/0733464812449903.
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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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DOI Goo…
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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/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/team-training-implications-emergency-and-critical-care-pediatrics
May 18, 2016 - Review
Team training: implications for emergency and critical care pediatrics.
Citation Text:
Eppich W, Brannen M, Hunt EA. Team training: implications for emergency and critical care pediatrics. Curr Opin Pediatr. 2008;20(3):255-60. doi:10.1097/MOP.0b013e3282ffb3f3.
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psnet.ahrq.gov/issue/support-and-recovery-strategies-second-victims
January 19, 2022 - Commentary
Support and recovery strategies for second victims.
Citation Text:
Croke L. Support and recovery strategies for second victims. AORN J. 2024;119(2):7-10. doi:10.1002/aorn.14089.
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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/microanalysis-video-operating-room-underused-approach-patient-safety-research
January 22, 2014 - Study
Microanalysis of video from the operating room: an underused approach to patient safety research.
Citation Text:
Bezemer J, Cope A, Korkiakangas T, et al. Microanalysis of video from the operating room: an underused approach to patient safety research. BMJ Qual Saf. 2017;26(7):583-…
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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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