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psnet.ahrq.gov/node/46448/psn-pdf
September 27, 2017 - Simulation in Otolaryngology.
September 27, 2017
Malekzadeh S, ed. Otolaryngol Clin North Am. 2017;50(5):xv-xviii, 875-1036.
https://psnet.ahrq.gov/issue/simulation-otolaryngology
This special issue highlights areas in otolaryngology where simulation is being used to develop
multidisciplinary team-based approaches…
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psnet.ahrq.gov/node/33771/psn-pdf
August 22, 2014 - Beyond the Hospital: the New Frontier of Patient Safety
August 22, 2014
Plews-Ogan M. Beyond the Hospital: the New Frontier of Patient Safety. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
Perspective
The frontier of patient safety outside the hospital has y…
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psnet.ahrq.gov/perspective/conversation-shantanu-agrawal-md-mphil
February 26, 2025 - In Conversation With… Shantanu Agrawal, MD, MPhil
September 1, 2019
Citation Text:
In Conversation With… Shantanu Agrawal, MD, MPhil. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Co…
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psnet.ahrq.gov/sites/default/files/2023-06/under_pressure.pdf
January 01, 2023 - Microsoft PowerPoint - FINAL Spotlight Case_Under Pressure.pptx
Spotlight
Under Pressure: Tracheostomy Cuff Over Inflation
Leading to Tissue Necrosis and Cuff Rupture
Source and Credits
• This presentation is based on the June 2023 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm…
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psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor-college-medicine
February 26, 2025 - U.S. Department of Veterans Affairs Medical Center, Houston, TX, and Baylor College of Medicine Revised Safer Diagnosis (Safer Dx) Instrument
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January …
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psnet.ahrq.gov/issue/evaluating-new-rapid-response-team-np-led-versus-intensivist-led-comparisons
October 19, 2022 - Study
Evaluating a new rapid response team: NP-led versus intensivist-led comparisons.
Citation Text:
Scherr K, Wilson DM, Wagner J, et al. Evaluating a new rapid response team: NP-led versus intensivist-led comparisons. AACN Adv Crit Care. 2012;23(1):32-42. doi:10.1097/NCI.0b013e31824…
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psnet.ahrq.gov/issue/older-folks-hospitals-contributing-factors-and-recommendations-incident-prevention
April 13, 2022 - Study
Older folks in hospitals: the contributing factors and recommendations for incident prevention.
Citation Text:
Mansah M, Griffiths R, Fernandez R, et al. Older folks in hospitals: the contributing factors and recommendations for incident prevention. J Patient Saf. 2014;10(3):146-53…
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psnet.ahrq.gov/issue/application-global-trigger-tool-systematic-review
December 06, 2023 - Review
The application of the Global Trigger Tool: a systematic review.
Citation Text:
Hibbert PD, Molloy CJ, Hooper TD, et al. The application of the Global Trigger Tool: a systematic review. Int J Qual Health Care. 2016;28(6):640-649. doi:10.1093/intqhc/mzw115.
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psnet.ahrq.gov/issue/natural-language-processing-and-its-implications-future-medication-safety-narrative-review
December 21, 2014 - Review
Emerging Classic
Natural language processing and its implications for the future of medication safety: a narrative review of recent advances and challenges.
Citation Text:
Wong A, Plasek JM, Montecalvo SP, et al. Natural Language Processing and Its Implic…
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psnet.ahrq.gov/issue/measurement-patient-safety-systematic-review-reliability-and-validity-adverse-event-detection
November 16, 2016 - Review
Measurement of patient safety: a systematic review of the reliability and validity of adverse event detection with record review.
Citation Text:
Hanskamp-Sebregts M, Zegers M, Vincent CA, et al. Measurement of patient safety: a systematic review of the reliability and validity of …
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psnet.ahrq.gov/issue/business-case-quality-economic-analysis-michigan-keystone-patient-safety-program-icus
September 20, 2011 - Study
Classic
The business case for quality: economic analysis of the Michigan Keystone Patient Safety Program in ICUs.
Citation Text:
Waters HR, Korn R, Colantuoni E, et al. The business case for quality: economic analysis of the Michigan Keystone Patient Saf…
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psnet.ahrq.gov/issue/motivation-patient-engagement-patient-safety-multi-perspective-explorative-survey
June 17, 2020 - Study
Motivation for patient engagement in patient safety: a multi-perspective, explorative survey.
Citation Text:
Raab C, Gambashidze N, Brust L, et al. Motivation for patient engagement in patient safety: a multi-perspective, explorative survey. BMC Health Serv Res. 2024;24(1):1052. do…
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psnet.ahrq.gov/issue/pending-studies-hospital-discharge-pre-post-analysis-electronic-medical-record-tool-improve
September 16, 2020 - Study
Pending studies at hospital discharge: a pre-post analysis of an electronic medical record tool to improve communication at hospital discharge.
Citation Text:
Kantor MA, Evans KH, Shieh L. Pending studies at hospital discharge: a pre-post analysis of an electronic medical record to…
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psnet.ahrq.gov/issue/american-college-surgeons-committee-trauma-performance-improvement-and-patient-safety-program
September 23, 2020 - Study
American College of Surgeons' Committee on Trauma performance improvement and patient safety program: maximal impact in a mature trauma center.
Citation Text:
Sarkar B, Brunsvold ME, Cherry-Bukoweic JR, et al. American College of Surgeons' Committee on Trauma Performance Improvem…
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psnet.ahrq.gov/issue/increased-adherence-perioperative-safety-guidelines-associated-improved-patient-safety
April 05, 2023 - Study
Increased adherence to perioperative safety guidelines associated with improved patient safety outcomes: a stepped-wedge, cluster-randomised multicentre trial.
Citation Text:
Emond YEJJM, Calsbeek H, Peters YAS, et al. Increased adherence to perioperative safety guidelines associat…
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psnet.ahrq.gov/issue/advanced-practice-nurses-experiences-patient-safety-focus-group-study
March 06, 2024 - Study
Advanced practice nurses' experiences of patient safety: a focus group study.
Citation Text:
Glarcher M, Rihari-Thomas J, Duffield C, et al. Advanced practice nurses’ experiences of patient safety: a focus group study. Contemp Nurse. 2024;Epub Jun 11. doi:10.1080/10376178.2024.2363…
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psnet.ahrq.gov/issue/toward-learning-patient-safety-reporting-systems
January 02, 2017 - Study
Toward learning from patient safety reporting systems.
Citation Text:
Pronovost P, Thompson DA, Holzmueller CG, et al. Toward learning from patient safety reporting systems. J Crit Care. 2006;21(4):305-15.
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psnet.ahrq.gov/issue/failure-rescue-deteriorating-patients-systematic-review-root-causes-and-improvement
January 18, 2013 - Review
Emerging Classic
Failure to rescue deteriorating patients: a systematic review of root causes and improvement strategies.
Citation Text:
Burke JR, Downey C, Almoudaris AM. Failure to rescue deteriorating patients: a systematic review of root causes and im…
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psnet.ahrq.gov/issue/exploration-ward-based-nurses-perspectives-their-preparedness-recognize-clinical
December 14, 2022 - Review
Exploration of ward-based nurses' perspectives on their preparedness to recognize clinical deterioration: a scoping review.
Citation Text:
Mikhail J, King L. Exploration of ward-based nurses' perspectives on their preparedness to recognize clinical deterioration: a scoping review.…
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psnet.ahrq.gov/issue/effect-multispecialty-faculty-handoff-initiative-safety-culture-and-handoff-quality
March 10, 2019 - Study
Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality.
Citation Text:
Fitzgerald KM, Banerjee TR, Starmer AJ, et al. Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality. Pediatr Qual Saf. 2022;7(2):e539. …