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psnet.ahrq.gov/node/845360/psn-pdf
March 29, 2023 - Demonstrating the value of a standardized cognitive
assessment tool through the use of interprofessional
rapid safety rounds.
March 29, 2023
Hayes M, Wheeling D, Kaul-Connolly S. Demonstrating the value of a standardized cognitive assessment
tool through the use of interprofessional rapid safety rounds. J Nurs Car…
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psnet.ahrq.gov/node/33594/psn-pdf
November 18, 2021 - Multiple debriefing frameworks, scripts, and tools are available to assist leaders with planning and
implementing
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psnet.ahrq.gov/perspective/conversation-christopher-p-landrigan-md-mph
April 01, 2013 - Likewise, in terms of improving teamwork and handoffs and implementing work hour changes, while there
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psnet.ahrq.gov/issue/improved-safety-culture-and-teamwork-climate-are-associated-decreases-patient-harm-and
January 15, 2014 - Study
Classic
Improved safety culture and teamwork climate are associated with decreases in patient harm and hospital mortality across a hospital system.
Citation Text:
Berry JC, Davis JT, Bartman T, et al. Improved Safety Culture and Teamwork Climate Are Associ…
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psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error
February 12, 2020 - Commentary
Shaping systems for better behavioral choices: lessons learned from a fatal medication error.
Citation Text:
Smetzer JL, Baker C, Byrne FD, et al. Shaping systems for better behavioral choices: lessons learned from a fatal medication error. Jt Comm J Qual Patient Saf. 2010;36(…
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psnet.ahrq.gov/issue/alternative-strategy-studying-adverse-events-medical-care
June 03, 2020 - Study
Classic
An alternative strategy for studying adverse events in medical care.
Citation Text:
Andrews LB, Stocking C, Krizek T, et al. An alternative strategy for studying adverse events in medical care. Lancet. 1997;349(9048):309-13.
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Fo…
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psnet.ahrq.gov/issue/reporting-and-using-near-miss-events-improve-patient-safety-diverse-primary-care-practices
June 22, 2011 - Study
Reporting and using near-miss events to improve patient safety in diverse primary care practices: a collaborative approach to learning from our mistakes.
Citation Text:
Crane S, Sloane PD, Elder NC, et al. Reporting and Using Near-miss Events to Improve Patient Safety in Diverse Pr…
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psnet.ahrq.gov/issue/automating-detection-diagnostic-error-infectious-diseases-using-machine-learning
October 09, 2024 - Study
Automating detection of diagnostic error of infectious diseases using machine learning.
Citation Text:
Peterson KS, Chapman AB, Widanagamaachchi W, et al. Automating detection of diagnostic error of infectious diseases using machine learning. PLOS Digit Health. 2024;3(6):e0000528. …
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psnet.ahrq.gov/issue/responding-clinicians-who-fail-follow-patient-safety-practices-perceptions-physicians-nurses
February 24, 2011 - Study
Responding to clinicians who fail to follow patient safety practices: perceptions of physicians, nurses, trainees, and patients.
Citation Text:
Driver TH, Katz PP, Trupin L, et al. Responding to clinicians who fail to follow patient safety practices: perceptions of physicians, nu…
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psnet.ahrq.gov/issue/development-instrument-measure-seniors-patient-safety-health-beliefs-seniors-empowerment-and
February 15, 2011 - Study
Development of an instrument to measure seniors' patient safety health beliefs: the Seniors Empowerment and Advocacy in Patient Safety (SEAPS) survey.
Citation Text:
Elder NC, Regan SL, Pallerla H, et al. Development of an instrument to measure seniors’ patient safety health beli…
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psnet.ahrq.gov/issue/impact-agency-healthcare-research-and-qualitys-safety-program-perinatal-care
April 04, 2018 - Study
Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care.
Citation Text:
Kahwati LC, Sorensen A, Teixeira-Poit S, et al. Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care. Jt Comm J Qual Patient Saf. 201…
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psnet.ahrq.gov/issue/use-maternal-early-warning-trigger-tool-reduces-maternal-morbidity
September 27, 2017 - Study
Use of maternal early warning trigger tool reduces maternal morbidity.
Citation Text:
Shields LE, Wiesner S, Klein C, et al. Use of Maternal Early Warning Trigger tool reduces maternal morbidity. Am J Obstet Gynecol. 2016;214(4):527.e1-527.e6. doi:10.1016/j.ajog.2016.01.154.
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psnet.ahrq.gov/issue/examining-effect-quality-improvement-initiatives-decreasing-racial-disparities-maternal
May 11, 2022 - Study
Examining the effect of quality improvement initiatives on decreasing racial disparities in maternal morbidity.
Citation Text:
Davidson C, Denning S, Thorp K, et al. Examining the effect of quality improvement initiatives on decreasing racial disparities in maternal morbidity. BMJ …
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psnet.ahrq.gov/issue/diagnostic-accuracy-gps-when-using-early-intervention-decision-support-system-high-fidelity
April 03, 2018 - Study
Diagnostic accuracy of GPs when using an early-intervention decision support system: a high-fidelity simulation.
Citation Text:
Kostopoulou O, Porat T, Corrigan D, et al. Diagnostic accuracy of GPs when using an early-intervention decision support system: a high-fidelity simulation…
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psnet.ahrq.gov/issue/developing-high-value-care-programme-bottom-programme-faculty-resident-improvement-projects
December 16, 2020 - Study
Developing a high value care programme from the bottom up: a programme of faculty-resident improvement projects targeting harmful or unnecessary care.
Citation Text:
Stinnett-Donnelly JM, Stevens PG, Hood VL. Developing a high value care programme from the bottom up: a programme of…
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psnet.ahrq.gov/issue/patient-engagement-inpatient-setting-systematic-review
November 02, 2018 - Review
Patient engagement in the inpatient setting: a systematic review.
Citation Text:
Prey JE, Woollen J, Wilcox L, et al. Patient engagement in the inpatient setting: a systematic review. J Am Med Inform Assoc. 2014;21(4):742-750. doi:10.1136/amiajnl-2013-002141.
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F…
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psnet.ahrq.gov/issue/safety-attitudes-questionnaire-psychometric-properties-benchmarking-data-and-emerging
June 16, 2011 - Study
Classic
The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research.
Citation Text:
Sexton JB, Helmreich RL, Neilands TB, et al. The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and…
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psnet.ahrq.gov/issue/standardizing-patient-safety-event-reporting-between-care-delivered-or-purchased-veterans
June 26, 2024 - Study
Standardizing patient safety event reporting between care delivered or purchased by the Veterans Health Administration (VHA).
Citation Text:
Rosen AK, Beilstein-Wedel E, Chan J, et al. Standardizing patient safety event reporting between care delivered or purchased by the Veterans …
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psnet.ahrq.gov/issue/associations-between-double-checking-and-medication-administration-errors-direct
January 18, 2023 - Study
Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients.
Citation Text:
Westbrook JI, Li L, Raban MZ, et al. Associations between double-checking and medication administration errors: a direct observational st…
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psnet.ahrq.gov/issue/effects-crew-resource-management-teamwork-and-safety-climate-veterans-health-administration
December 11, 2024 - Study
The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facilities.
Citation Text:
Schwartz ME, Welsh DE, Paull DE, et al. The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facil…