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psnet.ahrq.gov/issue/initiative-improve-management-clinically-significant-test-results-large-health-care-network
November 26, 2014 - Study
An initiative to improve the management of clinically significant test results in a large health care network.
Citation Text:
Roy CL, Rothschild JM, Dighe AS, et al. An initiative to improve the management of clinically significant test results in a large health care network. Jt …
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psnet.ahrq.gov/issue/err-system-comparison-methodologies-investigation-adverse-outcomes-healthcare
January 26, 2022 - Commentary
To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare.
Citation Text:
Isherwood P, Waterson P. To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare. J Patient Saf Risk Manag. 2…
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psnet.ahrq.gov/issue/inpatient-suicide-general-hospital
May 27, 2020 - Study
Inpatient suicide in a general hospital.
Citation Text:
Cheng I-C, Hu F-C, Tseng M-CM. Inpatient suicide in a general hospital. Gen Hosp Psychiatry. 2009;31(2):110-5. doi:10.1016/j.genhosppsych.2008.12.008.
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psnet.ahrq.gov/issue/flight-deck-bedside-core-aviation-concepts-applied-acute-care-physical-therapist-practice-and
December 14, 2022 - Commentary
From the flight deck to the bedside: core aviation concepts applied to acute care physical therapist practice and education.
Citation Text:
Shoemaker MJ, Collins SM. From the flight deck to the bedside: core aviation concepts applied to acute care physical therapist practice a…
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psnet.ahrq.gov/issue/leadership-behaviors-attitudes-and-characteristics-support-culture-safety
August 03, 2022 - Study
Leadership behaviors, attitudes and characteristics to support a culture of safety.
Citation Text:
Montminy SL. Leadership behaviors, attitudes and characteristics to support a culture of safety. J Healthc Risk Manag. 2022;42(2):31-38. doi:10.1002/jhrm.21521.
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psnet.ahrq.gov/issue/engaging-front-line-tapping-hospital-wide-quality-and-safety-initiatives
March 20, 2019 - Commentary
Engaging the front line: tapping into hospital-wide quality and safety initiatives.
Citation Text:
Wolpaw J, Schwengel D, Hensley N, et al. Engaging the Front Line: Tapping into Hospital-Wide Quality and Safety Initiatives. J Cardiothorac Vasc Anesth. 2018;32(1):522-533. doi:1…
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psnet.ahrq.gov/issue/developing-critical-approach-patient-and-public-involvement-patient-safety-nhs-learning
February 20, 2019 - Commentary
Developing a 'critical' approach to patient and public involvement in patient safety in the NHS: learning lessons from other parts of the public sector?
Citation Text:
Ocloo JE, Fulop NJ. Developing a 'critical' approach to patient and public involvement in patient safety in…
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psnet.ahrq.gov/issue/associations-between-safety-culture-and-employee-engagement-over-time-retrospective-analysis
July 01, 2017 - Study
Associations between safety culture and employee engagement over time: a retrospective analysis.
Citation Text:
Biddison ELD, Paine LA, Murakami P, et al. Associations between safety culture and employee engagement over time: a retrospective analysis. BMJ Qual Saf. 2016;25(1):31-7.…
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psnet.ahrq.gov/issue/intervention-improve-transitions-nicu-ambulatory-care-quasi-experimental-study
December 30, 2014 - Study
An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study.
Citation Text:
Moyer VA, Papile L-A, Eichenwald E, et al. An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study. BMJ Qual Saf. 2014;23(12):e3. …
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psnet.ahrq.gov/issue/evolution-anesthesia-patient-safety-movement-america-lessons-learned-and-considerations
September 14, 2022 - Commentary
The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and considerations to promote further improvement in patient safety.
Citation Text:
Warner MA, Warner ME. The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and…
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psnet.ahrq.gov/issue/residency-training-handoffs-survey-program-directors-psychiatry
January 01, 2019 - Study
Residency training in handoffs: a survey of program directors in psychiatry.
Citation Text:
Arbuckle MR, Reardon CL, Young JQ. Residency training in handoffs: a survey of program directors in psychiatry. Acad Psychiatry. 2015;39(2):132-8. doi:10.1007/s40596-014-0167-y.
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psnet.ahrq.gov/issue/national-estimates-adverse-events-during-nonpsychiatric-hospitalizations-persons
August 09, 2017 - Study
National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia.
Citation Text:
Khaykin E, Ford DE, Pronovost P, et al. National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia. Gen Hosp …
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psnet.ahrq.gov/issue/improving-resident-education-and-patient-safety-method-balance-initial-caseloads-academic
January 27, 2016 - Study
Improving resident education and patient safety: a method to balance initial caseloads at academic year-end transfer.
Citation Text:
Young JQ, Niehaus B, Lieu SC, et al. Improving resident education and patient safety: a method to balance initial caseloads at academic year-end tran…
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psnet.ahrq.gov/issue/safety-skills-training-surgeons-half-day-intervention-improves-knowledge-attitudes-and
September 26, 2012 - Study
Safety skills training for surgeons: a half-day intervention improves knowledge, attitudes and awareness of patient safety.
Citation Text:
Arora S, Sevdalis N, Ahmed M, et al. Safety skills training for surgeons: A half-day intervention improves knowledge, attitudes and awareness…
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psnet.ahrq.gov/issue/current-state-diagnostic-safety-implications-research-practice-and-policy
August 07, 2024 - Book/Report
Current State of Diagnostic Safety: Implications for Research, Practice, and Policy.
Citation Text:
Current State of Diagnostic Safety: Implications for Research, Practice, and Policy. Khan S, Cholankeril R, Sloane J, et al. Rockville, MD: Agency for Healthcare Research and Q…
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psnet.ahrq.gov/issue/filling-gap-simulation-based-crisis-resource-management-training-emergency-medicine-residents
March 19, 2018 - Commentary
Filling the gap: simulation-based crisis resource management training for emergency medicine residents.
Citation Text:
Parsons JR, Crichlow A, Ponnuru S, et al. Filling the gap: simulation-based crisis resource management training for emergency medicine residents. West J Emerg…
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psnet.ahrq.gov/issue/failure-medication-delivery-system-how-disclosure-and-systems-investigation-improve-patient
April 03, 2005 - Commentary
A failure in the medication delivery system-how disclosure and systems investigation improve patient safety.
Citation Text:
Lucas SR, Pollak E, Makowski C. A failure in the medication delivery system—how disclosure and systems investigation improve patient safety. J Healthc Ri…
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psnet.ahrq.gov/issue/medication-safety-acute-care-australia-where-are-we-now-part-2-review-strategies-and
January 04, 2010 - Review
Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008.
Citation Text:
Semple SJ, Roughead EE. Medication safety in acute care in Australia: where are we now? Part 2: a review of stra…
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psnet.ahrq.gov/issue/trust-verify-five-approaches-ensure-safe-medical-apps
September 27, 2023 - Commentary
'Trust but verify'—five approaches to ensure safe medical apps.
Citation Text:
Wicks P, Chiauzzi E. 'Trust but verify'--five approaches to ensure safe medical apps. BMC Med. 2015;13:205. doi:10.1186/s12916-015-0451-z.
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psnet.ahrq.gov/issue/tasks-processes-case-changing-health-information-technology-improve-health-care
February 10, 2015 - Commentary
From tasks to processes: the case for changing health information technology to improve health care.
Citation Text:
Walker JM, Carayon P. From tasks to processes: the case for changing health information technology to improve health care. Health Aff (Millwood). 2009;28(2):467-…