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psnet.ahrq.gov/issue/how-real-time-data-can-change-patient-safety-game
July 07, 2021 - Commentary
How real-time data can change the patient safety game.
Citation Text:
Diesing G. How real-time data can change the patient safety game. J AHIMA. 2020;July 1.
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psnet.ahrq.gov/issue/survey-use-time-out-protocols-emergency-medicine
November 30, 2012 - Study
A survey of the use of time-out protocols in emergency medicine.
Citation Text:
Kelly JJ, Farley HL, O'Cain C, et al. A survey of the use of time-out protocols in emergency medicine. Jt Comm J Qual Patient Saf. 2011;37(6):285-288.
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psnet.ahrq.gov/issue/learning-tragedy-julia-berg-story
October 28, 2020 - Commentary
Learning from tragedy: the Julia Berg story.
Citation Text:
Graber ML, Berg D, Jerde W, et al. Learning from tragedy: the Julia Berg story. Diagnosis (Berl). 2018;5(4):257-266. doi:10.1515/dx-2018-0067.
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psnet.ahrq.gov/issue/maturity-hospitals-quality-improvement-systems-associated-measures-quality-and-patient-safety
May 26, 2014 - Study
Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety?
Citation Text:
Groene O, Mora N, Thompson A, et al. Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety? B…
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psnet.ahrq.gov/issue/hand-communications
January 04, 2017 - Multi-use Website
Hand-off Communications.
Citation Text:
DeRosier JM, Stalhandske E, Bagian JP, et al. Using health care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system.
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psnet.ahrq.gov/issue/development-and-implementation-pediatric-patient-safety-program
September 27, 2010 - Commentary
Development and implementation of a pediatric patient safety program.
Citation Text:
Alton M, Frush K, Brandon D, et al. DEVELOPMENT AND IMPLEMENTATION OF A PEDIATRIC PATIENT SAFETY PROGRAM. Adv Neonatal Care. 2006;6(3):104-111. doi:10.1016/j.adnc.2006.02.003.
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psnet.ahrq.gov/issue/improving-patient-safety-patient-focused-high-reliability-team-training
January 07, 2011 - Commentary
Improving patient safety: patient-focused, high-reliability team training.
Citation Text:
McKeon LM, Cunningham PD, Oswaks JSD. Improving patient safety: patient-focused, high-reliability team training. J Nurs Care Qual. 2009;24(1):76-82. doi:10.1097/NCQ.0b013e31818f5595.
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psnet.ahrq.gov/issue/team-checkup-tool-evaluating-qi-team-activities-and-giving-feedback-senior-leaders
November 27, 2012 - Commentary
The Team Checkup Tool: evaluating QI team activities and giving feedback to senior leaders.
Citation Text:
Lubomski LH, Marsteller JA, Hsu Y-J, et al. The team checkup tool: evaluating QI team activities and giving feedback to senior leaders. Jt Comm J Qual Patient Saf. 2008;3…
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psnet.ahrq.gov/issue/view-world-through-different-lens-shadowing-another-provider
January 22, 2017 - Commentary
View the world through a different lens: shadowing another provider.
Citation Text:
Thompson DA, Holzmueller CG, Lubomski LH, et al. View the world through a different lens: shadowing another provider. Jt Comm J Qual Patient Saf. 2008;34(10):614-8, 561.
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psnet.ahrq.gov/issue/getting-boards-board-engaging-governing-boards-quality-and-safety
February 17, 2017 - Commentary
Getting boards on board: engaging governing boards in quality and safety.
Citation Text:
Conway JB. Getting boards on board: engaging governing boards in quality and safety. Jt Comm J Qual Saf. 2008;34(4):214-220.
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psnet.ahrq.gov/issue/high-reliability-emergency-response-teams-hospital-improving-quality-and-safety-using-situ
December 30, 2014 - Study
High-reliability emergency response teams in the hospital: improving quality and safety using in situ simulation training.
Citation Text:
Wheeler DS, Geis G, Mack EH, et al. High-reliability emergency response teams in the hospital: improving quality and safety using in situ simu…
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psnet.ahrq.gov/issue/operating-room-briefings-working-same-page
September 28, 2010 - Commentary
Operating room briefings: working on the same page.
Citation Text:
Makary MA, Holzmueller CG, Thompson DA, et al. Operating room briefings: working on the same page. Jt Comm J Qual Patient Saf. 2006;32(6):351-5.
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psnet.ahrq.gov/issue/hospital-ratings-guide-perplexed
June 01, 2011 - Commentary
Hospital ratings: a guide for the perplexed.
Citation Text:
Zuger A. Hospital ratings: a guide for the perplexed. JAMA. 2015;313(19):1911-2. doi:10.1001/jama.2015.5269.
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psnet.ahrq.gov/issue/pointing-fingers-verbosity-patient-safety-narratives-associated-attribution-blame
February 02, 2022 - Newspaper/Magazine Article
Pointing fingers: verbosity of patient safety narratives is associated with attribution of blame.
Citation Text:
Pointing fingers: verbosity of patient safety narratives is associated with attribution of blame. Ackerman RS, Patel SY, Costache M, et al. Ane…
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psnet.ahrq.gov/issue/identifying-vulnerabilities-communication-emergency-department
September 09, 2009 - Study
Identifying vulnerabilities in communication in the emergency department.
Citation Text:
Redfern E, Brown R, Vincent C. Identifying vulnerabilities in communication in the emergency department. Emerg Med J. 2009;26(9):653-7. doi:10.1136/emj.2008.065318.
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psnet.ahrq.gov/issue/changing-medical-malpractice-system-align-what-we-know-about-patient-safety-and-quality
September 20, 2012 - Commentary
Changing the medical malpractice system to align with what we know about patient safety and quality improvement.
Citation Text:
Sklar DP. Changing the Medical Malpractice System to Align With What We Know About Patient Safety and Quality Improvement. Acad Med. 2017;92(7):891-8…
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psnet.ahrq.gov/issue/assessment-latent-factors-contributing-error-addressing-surgical-pathology-error-wisely
September 01, 2012 - Study
Assessment of latent factors contributing to error: addressing surgical pathology error wisely.
Citation Text:
Smith ML, Raab SS. Assessment of Latent Factors Contributing to Error: Addressing Surgical Pathology Error Wisely. Arch Pathol Lab Med. 2011;135(11). doi:10.5858/arpa.2011…
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psnet.ahrq.gov/issue/using-staff-perceptions-patient-safety-tool-improving-safety-culture-pediatric-hospital
October 04, 2011 - Study
Using staff perceptions on patient safety as a tool for improving safety culture in a pediatric hospital system.
Citation Text:
Edwards PJ, Scott T, Richardson P, et al. Using Staff Perceptions on Patient Safety as a Tool for Improving Safety Culture in a Pediatric Hospital Syste…
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psnet.ahrq.gov/issue/impact-teamwork-improvement-training-communication-and-teamwork-climate-ambulatory
October 28, 2020 - Study
Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive health care.
Citation Text:
Dodge LE, Nippita S, Hacker MR, et al. Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive healt…
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psnet.ahrq.gov/issue/international-advocacy-education-and-safety
August 04, 2021 - Review
International advocacy for education and safety.
Citation Text:
McQueen KA, Malviya S, Gathuya ZN, et al. International advocacy for education and safety. Paediatr Anaesth. 2012;22(10):962-8. doi:10.1111/pan.12008.
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