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psnet.ahrq.gov/issue/teaching-smart-people-learn
September 05, 2012 - Study
Classic
Teaching smart people how to learn.
Citation Text:
Teaching smart people how to learn. Argyris C. Harvard Business Review. 1991:69(May-June):99+.
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psnet.ahrq.gov/issue/gossypiboma-tales-lost-sponges-and-lessons-learned
March 24, 2021 - Study
Gossypiboma: tales of lost sponges and lessons learned.
Citation Text:
McIntyre LK. Gossypiboma. Archives of Surgery. 2010;145(8). doi:10.1001/archsurg.2010.152.
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psnet.ahrq.gov/issue/instrument-readiness-important-link-patient-safety
January 05, 2011 - Commentary
Instrument readiness: an important link to patient safety.
Citation Text:
McNamara SA. Instrument readiness: an important link to patient safety. AORN J. 2011;93(1):160-4. doi:10.1016/j.aorn.2010.09.027.
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psnet.ahrq.gov/issue/delivering-quality-health-services-global-imperative-universal-health-coverage
July 20, 2011 - Book/Report
Classic
Delivering Quality Health Services: A Global Imperative for Universal Health Coverage.
Citation Text:
Delivering Quality Health Services: A Global Imperative for Universal Health Coverage. Geneva, Switzerland: World Health Organization; July …
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psnet.ahrq.gov/issue/workplace-violence-and-its-effects-patient-safety
January 19, 2011 - Commentary
Workplace violence and its effects on patient safety.
Citation Text:
McNamara SA. Workplace violence and its effects on patient safety. AORN J. 2010;92(6):677-82. doi:10.1016/j.aorn.2010.07.012.
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psnet.ahrq.gov/issue/using-technology-promote-perinatal-patient-safety
January 27, 2021 - Commentary
Using technology to promote perinatal patient safety.
Citation Text:
McCartney PR. Using technology to promote perinatal patient safety. J Obstet Gynecol Neonatal Nurs. 2006;35(3):424-31.
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psnet.ahrq.gov/issue/patient-harm-general-surgery-prospective-study
November 16, 2022 - Study
Patient harm in general surgery--a prospective study.
Citation Text:
Kaul AK, McCulloch PG. Patient Harm in General Surgery-A Prospective Study. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e318030c2ec.
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psnet.ahrq.gov/issue/underdiagnosis-hypertension-children-and-adolescents
January 04, 2012 - Study
Underdiagnosis of hypertension in children and adolescents.
Citation Text:
Hansen M, Gunn PW, Kaelber DC. Underdiagnosis of hypertension in children and adolescents. JAMA. 2007;298(8):874-9.
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psnet.ahrq.gov/issue/medical-error-leads-tragedy-how-do-we-inform-patient
April 08, 2018 - Commentary
A medical error leads to tragedy: how do we inform the patient?
Citation Text:
Baumrucker SJ. A medical error leads to tragedy: how do we inform the patient? Am J Hosp Palliat Care. 2006;23(5):417-21.
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psnet.ahrq.gov/issue/evaluating-effectiveness-health-care-teams
September 20, 2023 - Review
Evaluating the effectiveness of health care teams.
Citation Text:
Mickan SM. Evaluating the effectiveness of health care teams. Aust Health Rev. 2005;29(2):211-7.
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psnet.ahrq.gov/issue/renewal-surgical-quality-and-safety-initiatives-multispecialty-challenge
March 03, 2011 - Commentary
Renewal of surgical quality and safety initiatives: a multispecialty challenge.
Citation Text:
Polk HC. Renewal of surgical quality and safety initiatives: a multispecialty challenge. Mayo Clin Proc. 2006;81(3):345-52.
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psnet.ahrq.gov/issue/getting-havarti-moving-toward-patient-safety-obstetrics
October 19, 2022 - Commentary
Getting to havarti: moving toward patient safety in obstetrics.
Citation Text:
Veltman LL. Getting to havarti: moving toward patient safety in obstetrics. Obstet Gynecol. 2007;110(5):1146-1150.
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psnet.ahrq.gov/issue/hand-communication-requisite-perioperative-patient-safety
October 19, 2022 - Commentary
Hand-off communication: a requisite for perioperative patient safety.
Citation Text:
Amato-Vealey EJ, Barba MP, Vealey RJ. Hand-off communication: a requisite for perioperative patient safety. AORN J. 2008;88(5):763-770; quiz 771-4.
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psnet.ahrq.gov/perspective/cultural-competence-and-patient-safety
December 27, 2019 - This is a module that can be implemented as a stand-alone program or in combination with the complete
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psnet.ahrq.gov/innovation/michigan-hospital-medicine-safety-consortium-hms-finds-infectious-diseases-id-physician
July 23, 2024 - Date First Implemented
2013
Problem Addressed
Use of peripherally
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psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
February 26, 2025 - designed in a way that you could say, “Of these components of a complex intervention, three must be implemented
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psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
February 26, 2025 - designed in a way that you could say, “Of these components of a complex intervention, three must be implemented
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psnet.ahrq.gov/node/37153/psn-pdf
October 06, 2011 - The effect of a rapid response team on major clinical
outcome measures in a community hospital.
October 6, 2011
Dacey MJ, Mirza ER, Wilcox V, et al. The effect of a rapid response team on major clinical outcome
measures in a community hospital. Crit Care Med. 2007;35(9):2076-82.
https://psnet.ahrq.gov/issue/effect…
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psnet.ahrq.gov/node/46194/psn-pdf
September 22, 2017 - Mobilising or standing still? A narrative review of Surgical
Safety Checklist knowledge as developed in 25 highly
cited papers from 2009 to 2016.
September 22, 2017
Mitchell B, Cristancho S, Nyhof BB, et al. Mobilising or standing still?A narrative review of Surgical Safety
Checklist knowledge as developed in 25 h…
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psnet.ahrq.gov/node/867636/psn-pdf
February 26, 2025 - Early experience of peer advocate program: using quality
improvement to optimize behavioral and communication
disconnect in the operating room.
February 26, 2025
Eckhouse SR, Huston M, Smith ER, et al. Early experience of peer advocate program: using quality
improvement to optimize behavioral and communication dis…