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psnet.ahrq.gov/issue/clinical-supervisors-are-they-key-making-care-safer
June 26, 2019 - Commentary
Clinical supervisors: are they the key to making care safer?
Citation Text:
Walton M, Barraclough B. Clinical supervisors: are they the key to making care safer? BMJ Qual Saf. 2013;22(8):609-12. doi:10.1136/bmjqs-2012-001637.
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psnet.ahrq.gov/issue/ahrq-communication-and-optimal-resolution-candor-toolkit
May 25, 2016 - Toolkit
AHRQ Communication and Optimal Resolution (CANDOR) Toolkit.
Citation Text:
AHRQ Communication and Optimal Resolution (CANDOR) Toolkit. Rockville, MD: Agency for Healthcare Research and Quality; May 2016.
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psnet.ahrq.gov/issue/nearing-zeroreducing-grade-c-medication-errors
October 05, 2022 - Commentary
Nearing zero...reducing grade C medication errors.
Citation Text:
Cockerham J, Figueroa-Altmann A, Foxen C, et al. Nearing zero..reducing grade C medication errors. Nurs Manage. 2014;45(7):26-31. doi:10.1097/01.NUMA.0000451033.38845.d3.
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psnet.ahrq.gov/issue/three-perspectives-changes-resident-work-environment-and-duty-hours
September 02, 2020 - Commentary
Three perspectives on changes in resident work environment and duty hours.
Citation Text:
Three perspectives on changes in resident work environment and duty hours. Bilimoria KY, Meyers MO, Mouawad NJ, et al. JAMA Surg. 2017;152(10):903-908.
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psnet.ahrq.gov/issue/utility-and-assessment-non-technical-skills-rapid-response-systems-and-medical-emergency
June 22, 2009 - Review
Utility and assessment of non-technical skills for rapid response systems and medical emergency teams.
Citation Text:
Chalwin RP, Flabouris A. Utility and assessment of non-technical skills for rapid response systems and medical emergency teams. Intern Med J. 2013;43(9):962-9. d…
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psnet.ahrq.gov/issue/deprescribing-clinical-improvement-focus
April 08, 2011 - Study
Deprescribing as a clinical improvement focus.
Citation Text:
Dharmarajan TS, Choi H, Hossain N, et al. Deprescribing as a Clinical Improvement Focus. J Am Med Dir Assoc. 2020;21(3):355-360. doi:10.1016/j.jamda.2019.08.031.
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psnet.ahrq.gov/issue/girl-who-died-twice-every-patients-nightmare-libby-zion-case-and-hidden-hazards-hospitals
May 09, 2018 - Book/Report
Classic
The Girl Who Died Twice: Every Patient's Nightmare: the Libby Zion Case and the Hidden Hazards of Hospitals.
Citation Text:
The Girl Who Died Twice: Every Patient's Nightmare: the Libby Zion Case and the Hidden Hazards of Hospitals. Robins NS…
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psnet.ahrq.gov/issue/utilizing-improvement-science-methods-improve-physician-compliance-proper-hand-hygiene
April 13, 2011 - Study
Utilizing improvement science methods to improve physician compliance with proper hand hygiene.
Citation Text:
White CM, Statile AM, Conway PH, et al. Utilizing improvement science methods to improve physician compliance with proper hand hygiene. Pediatrics. 2012;129(4):e1042-50.…
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psnet.ahrq.gov/issue/incidence-and-nature-prescribing-and-medication-administration-errors-paediatric-inpatients
July 08, 2008 - Study
The incidence and nature of prescribing and medication administration errors in paediatric inpatients.
Citation Text:
Ghaleb M, Barber N, Franklin BD, et al. The incidence and nature of prescribing and medication administration errors in paediatric inpatients. Arch Dis Child. 201…
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psnet.ahrq.gov/perspective/conversation-withjames-l-reinertsen-md
August 01, 2007 - In Conversation with...James L. Reinertsen, MD
August 1, 2007
Also Read an Essay
Citation Text:
In Conversation with..James L. Reinertsen, MD. PSNet [internet]. 2007.In Conversation with...James L. Reinertsen, MD. PSNet [internet]. Rockville (MD): Agency for Heal…
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psnet.ahrq.gov/node/46766/psn-pdf
January 17, 2018 - What hinders the uptake of computerized decision
support systems in hospitals? A qualitative study and
framework for implementation.
January 17, 2018
Liberati EG, Ruggiero F, Galuppo L, et al. What hinders the uptake of computerized decision support
systems in hospitals? A qualitative study and framework for imple…
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psnet.ahrq.gov/node/36364/psn-pdf
February 14, 2017 - National surveillance of emergency department visits for
outpatient adverse drug events.
February 14, 2017
Budnitz DS, Pollock DA, Weidenbach KN, et al. National surveillance of emergency department visits for
outpatient adverse drug events. JAMA. 2006;296(15):1858-66.
https://psnet.ahrq.gov/issue/national-surveil…
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psnet.ahrq.gov/issue/african-partnerships-patient-safety
April 30, 2024 - Multi-use Website
African Partnerships for Patient Safety.
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November 11, 2009
This Web site establishes a forum for hospitals in E…
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psnet.ahrq.gov/node/44847/psn-pdf
May 09, 2017 - Preventability and causes of readmissions in a national
cohort of general medicine patients.
May 9, 2017
Auerbach AD, Kripalani S, Vasilevskis EE, et al. Preventability and Causes of Readmissions in a National
Cohort of General Medicine Patients. JAMA Intern Med. 2016;176(4):484-93.
doi:10.1001/jamainternmed.2015.…
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psnet.ahrq.gov/node/73707/psn-pdf
September 15, 2021 - Inpatient telemedicine and new models of care during
COVID-19: hospital design strategies to enhance patient
and staff safety.
September 15, 2021
Pilosof NP, Barrett M, Oborn E, et al. Inpatient telemedicine and new models of care during COVID-19:
hospital design strategies to enhance patient and staff safety. Int…
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psnet.ahrq.gov/node/46545/psn-pdf
March 27, 2018 - Safety culture and mortality after acute myocardial
infarction: a study of Medicare beneficiaries at 171
hospitals.
March 27, 2018
Shahian DM, Liu X, Rossi LP, et al. Safety Culture and Mortality after Acute Myocardial Infarction: A Study
of Medicare Beneficiaries at 171 Hospitals. Health Serv Res. 2018;53(2):608-…
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psnet.ahrq.gov/node/866246/psn-pdf
July 10, 2024 - "They say they listen. But do they really listen?": A
qualitative study of hospital doctors' experiences of
organisational deafness, disconnect and denial.
July 10, 2024
Creese J, Byrne JP, Conway E, et al. “They say they listen. But do they really listen?”: A qualitative study of
hospital doctors’ experiences of …
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psnet.ahrq.gov/node/39063/psn-pdf
December 17, 2009 - Safety and risk management interventions in hospitals: a
systematic review of the literature.
December 17, 2009
Dückers M, Faber M, Cruijsberg J, et al. Safety and risk management interventions in hospitals: a
systematic review of the literature. Med Care Res Rev. 2009;66(6 Suppl):90S-119S.
doi:10.1177/10775587093…
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psnet.ahrq.gov/node/847544/psn-pdf
April 12, 2023 - A nationwide study of the "July Effect" concerning
postpartum hemorrhage and its risk factors at teaching
hospitals across the United States.
April 12, 2023
Shahin Z, Shah GH, Apenteng BA, et al. A nationwide study of the "July Effect" concerning postpartum
hemorrhage and its risk factors at teaching hospitals acr…
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psnet.ahrq.gov/node/45435/psn-pdf
August 24, 2016 - Pharmacist–physician communications in a highly
computerised hospital: sign-off and action of electronic
review messages.
August 24, 2016
Pontefract SK, Hodson J, Marriott JF, et al. Pharmacist-Physician Communications in a Highly
Computerised Hospital: Sign-Off and Action of Electronic Review Messages. PLoS One.
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