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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43603/psn-pdf
    October 15, 2014 - coaching-improve-quality-communication-during-briefings-and-debriefings Communication failures have been identified
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36536/psn-pdf
    January 10, 2011 - physician-perception The investigators conducted surveys and literature review to explore how family physicians identified
  3. psnet.ahrq.gov/web-mm/mark-my-tooth
    June 01, 2014 - Whatever its cause, once the error is identified, the surgeon should disclose the error and arrange for … The company identified internal communication problems in the surgeon's office and with the referring … Unfortunately, no clear trends were identified that would help reduce the number of wrong-site surgeries … Final Thoughts If a wrong tooth is extracted, regardless of whether the error was identified immediately
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41782/psn-pdf
    October 31, 2012 - nature of quality improvement and patient safety activities within academic departments of medicine and identified
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42089/psn-pdf
    March 06, 2013 - A recent systematic review identified promising strategies for improving continuity of care at discharge
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38702/psn-pdf
    June 10, 2009 - https://psnet.ahrq.gov/issue/exploratory-study-measuring-verbal-order-content-and-context This study identified
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40064/psn-pdf
    July 08, 2013 - Transforming Healthcare hand hygiene initiative utilized techniques to examine hand hygiene processes and identified
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43415/psn-pdf
    September 10, 2014 - a large-scale quality improvement effort to reduce readmissions and adverse events after discharge identified
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37312/psn-pdf
    January 05, 2012 - better assess the risks facing community-based patients and discovered that the most frequent risks identified
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36676/psn-pdf
    March 04, 2011 - outcomes-surgical The investigators surveyed patients regarding the coordination of their postdischarge care and identified
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38226/psn-pdf
    February 18, 2011 - This critical incident study identified themes that contributed to residents' professional development
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35282/psn-pdf
    May 27, 2011 - The authors identified problems related to screen results, usability, training, and others.
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38656/psn-pdf
    May 27, 2009 - The authors discuss methods, such as checklists, that could be used to address the safety issues identified
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41396/psn-pdf
    May 23, 2012 - This analysis of paper-based signouts used by nurses and physicians in a cardiac intensive care unit identified
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46241/psn-pdf
    January 30, 2018 - review of quality and safety practices for oral chemotherapy found that telephone calls from nurses identified
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38641/psn-pdf
    September 02, 2009 - assessing-value-electronic-prescribing-ambulatory-care-focus-group-study Focus groups with primary care physicians identified
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39440/psn-pdf
    September 19, 2016 - and failure to prevent patient harm (such as suicide attempts) were among the common types of errors identified
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42506/psn-pdf
    August 28, 2013 - foundations-teaching-surgeons-address-contributions-systems-operating- room-team-conflict This study identified
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39934/psn-pdf
    October 30, 2010 - identifying-causes-adverse-events-detected-automated-trigger-tool-through- depth-analysis In this study, investigators identified
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43887/psn-pdf
    April 08, 2018 - most common sources of error were clinician knowledge gaps, which accounted for nearly half of all identified

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