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psnet.ahrq.gov/issue/home-medication-reviews-novel-approach-improving-patient-care-through-coordination-care
July 01, 2016 - Study
In-home medication reviews: a novel approach to improving patient care through coordination of care.
Citation Text:
Willis JS, Hoy RH, Jenkins WD. In-home medication reviews: a novel approach to improving patient care through coordination of care. J Community Health. 2011;36(6):1…
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psnet.ahrq.gov/issue/lost-mislabeled-and-mishandled-surgical-and-clinical-pathology-specimens-systematic-review
September 23, 2020 - Review
Lost, mislabeled, and mishandled surgical and clinical pathology specimens: a systematic review of published literature.
Citation Text:
Carmack HJ, Lazenby BS, Wilson KJ, et al. Lost, mislabeled, and mishandled surgical and clinical pathology specimens: a systematic review of publ…
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psnet.ahrq.gov/issue/idea-safety-training-improve-critical-thinking-individuals-and-teams
May 25, 2016 - Commentary
An IDEA: safety training to improve critical thinking by individuals and teams.
Citation Text:
Browne AM, Deutsch ES, Corwin K, et al. An IDEA: Safety Training to Improve Critical Thinking by Individuals and Teams. Am J Med Qual. 2019;34(6):569-576. doi:10.1177/106286061882068…
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psnet.ahrq.gov/issue/reliability-revised-notechs-scale-use-surgical-teams
April 11, 2009 - Study
Reliability of a revised NOTECHS scale for use in surgical teams.
Citation Text:
Sevdalis N, Davis R, Koutantji M, et al. Reliability of a revised NOTECHS scale for use in surgical teams. Am J Surg. 2008;196(2):184-90. doi:10.1016/j.amjsurg.2007.08.070.
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psnet.ahrq.gov/issue/post-event-debriefings-during-neonatal-care-why-are-we-not-doing-them-and-how-can-we-start
January 15, 2014 - Commentary
Post-event debriefings during neonatal care: why are we not doing them, and how can we start?
Citation Text:
Sawyer T, Loren D, Halamek LP. Post-event debriefings during neonatal care: why are we not doing them, and how can we start? J Perinatol. 2016;36(6):415-9. doi:10.1038/…
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psnet.ahrq.gov/issue/structuring-feedback-and-debriefing-achieve-mastery-learning-goals
September 02, 2020 - Study
Structuring feedback and debriefing to achieve mastery learning goals.
Citation Text:
Eppich W, Hunt EA, Duval-Arnould JM, et al. Structuring feedback and debriefing to achieve mastery learning goals. Acad Med. 2015;90(11):1501-8. doi:10.1097/ACM.0000000000000934.
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psnet.ahrq.gov/issue/impact-medical-emergency-team-resuscitation-practice-critical-care-nurses
December 01, 2008 - Study
The impact of the medical emergency team on the resuscitation practice of critical care nurses.
Citation Text:
Santiano N, Young L, Baramy LS, et al. The impact of the medical emergency team on the resuscitation practice of critical care nurses. BMJ Qual Saf. 2011;20(2):115-20. do…
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psnet.ahrq.gov/issue/spectrum-harm-associated-modern-medicine
July 26, 2023 - Commentary
The spectrum of harm associated with modern medicine.
Citation Text:
Schattner A. The spectrum of harm associated with modern medicine. J Gen Intern Med. 2022;37(3):664-667. doi:10.1007/s11606-021-06997-x.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/about-toolkit.html
May 01, 2017 - About the Toolkit Development
Toolkit To Reduce CAUTI and Other HAIs in Long-Term Care Facilities
The toolkit was developed based on the experiences of approximately 500 nursing homes across the country that participated in the AHRQ Safety Program for Long-Term Care: HAIs/CAUTI, a 3-year implementation projec…
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psnet.ahrq.gov/issue/improving-handoff-communications-critical-care-utilizing-simulation-based-training-toward
February 16, 2011 - Study
Improving handoff communications in critical care: utilizing simulation-based training toward process improvement in managing patient risk.
Citation Text:
Berkenstadt H, Haviv Y, Tuval A, et al. Improving handoff communications in critical care: utilizing simulation-based training …
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psnet.ahrq.gov/issue/general-practitioners-attitudes-toward-reporting-and-learning-adverse-events-results-survey
September 13, 2023 - Study
General practitioners' attitudes toward reporting and learning from adverse events: results from a survey.
Citation Text:
Mikkelsen TH, Sokolowski I, Olesen F. General practitioners' attitudes toward reporting and learning from adverse events: results from a survey. Scand J Prim …
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www.ahrq.gov/es/programs/index.html?page=0
January 01, 2016 - Digital Healthcare Research Advancing healthcare quality, safety, and effectiveness through the evolving digital healthcare ecosystem. More
PSNet Discover the latest literature, news, and expert commentary on patient safety topics. More
CAHPS The CAHPS program aims to advance our scientific …
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psnet.ahrq.gov/issue/epidemiology-adverse-events-air-medical-transport
July 03, 2014 - Study
Epidemiology of adverse events in air medical transport.
Citation Text:
MacDonald RD, Banks BA, Morrison M. Epidemiology of adverse events in air medical transport. Acad Emerg Med. 2008;15(10):923-931. doi:10.1111/j.1553-2712.2008.00241.x.
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psnet.ahrq.gov/issue/impact-pharmacotherapy-alerting-system-medication-errors
November 10, 2015 - Study
Impact of a pharmacotherapy alerting system on medication errors.
Citation Text:
Natali BJ, Varkey AC, Garey KW, et al. Impact of a pharmacotherapy alerting system on medication errors. American Journal of Health-System Pharmacy. 2012;70(1). doi:10.2146/ajhp120126.
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psnet.ahrq.gov/issue/preliminary-taxonomy-medical-errors-family-practice
April 08, 2011 - Study
Classic
A preliminary taxonomy of medical errors in family practice.
Citation Text:
Dovey S, Meyers DS, Phillips RL, et al. A preliminary taxonomy of medical errors in family practice. Qual Saf Health Care. 2002;11(3):233-8.
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psnet.ahrq.gov/issue/effect-systems-intervention-quality-and-safety-patient-handoffs-internal-medicine-residency
May 08, 2017 - Study
Effect of a systems intervention on the quality and safety of patient handoffs in an internal medicine residency program.
Citation Text:
Graham KL, Marcantonio ER, Huang GC, et al. Effect of a systems intervention on the quality and safety of patient handoffs in an internal medicin…
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psnet.ahrq.gov/issue/psychometric-properties-ahrq-community-pharmacy-survey-patient-safety-culture-factor-analysis
February 07, 2018 - Study
Psychometric properties of the AHRQ Community Pharmacy Survey on Patient Safety Culture: a factor analysis.
Citation Text:
Aboneh EA, Look KA, Stone JA, et al. Psychometric properties of the AHRQ Community Pharmacy Survey on Patient Safety Culture: a factor analysis. BMJ Qual Saf. …
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psnet.ahrq.gov/issue/theoretical-framework-and-competency-based-approach-improving-handoffs
March 28, 2011 - Commentary
A theoretical framework and competency-based approach to improving handoffs.
Citation Text:
Arora VM, Johnson JK, Meltzer DO, et al. A theoretical framework and competency-based approach to improving handoffs. Qual Saf Health Care. 2008;17(1):11-4. doi:10.1136/qshc.2006.0189…
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psnet.ahrq.gov/issue/antiretroviral-medication-prescribing-errors-are-common-hospitalization-hiv-infected-patients
September 08, 2016 - Study
Antiretroviral medication prescribing errors are common with hospitalization of HIV-infected patients.
Citation Text:
Commers T, Swindells S, Sayles H, et al. Antiretroviral medication prescribing errors are common with hospitalization of HIV-infected patients. J Antimicrob Chemo…
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psnet.ahrq.gov/issue/taking-patients-narratives-about-clinicians-anecdote-science
March 20, 2019 - Commentary
Taking patients' narratives about clinicians from anecdote to science.
Citation Text:
Schlesinger M, Grob R, Shaller D, et al. Taking Patients' Narratives about Clinicians from Anecdote to Science. New Engl J Med. 2015;373(7):675-679. doi:10.1056/NEJMsb1502361.
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