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psnet.ahrq.gov/issue/operational-measurement-diagnostic-safety-state-science-0
September 28, 2022 - Commentary
Emerging Classic
Operational measurement of diagnostic safety: state of the science.
Citation Text:
Singh H, Bradford A, Goeschel CA. Operational measurement of diagnostic safety: state of the science. Diagnosis (Berl). 2021;8(1):51-66. doi:10.1515/dx…
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psnet.ahrq.gov/issue/catch-killer-electronic-sepsis-alert-tools-reaching-fever-pitch
November 15, 2023 - Commentary
To catch a killer: electronic sepsis alert tools reaching a fever pitch?
Citation Text:
Ruppel H, Liu V. To catch a killer: electronic sepsis alert tools reaching a fever pitch? BMJ Qual Saf. 2019;28(9):693-696. doi:10.1136/bmjqs-2019-009463.
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psnet.ahrq.gov/issue/hospice-diagnosis-polypharmacy-teachable-moment
April 24, 2018 - Commentary
Hospice diagnosis: polypharmacy—a teachable moment.
Citation Text:
Larson CK, Kao H. Hospice Diagnosis: Polypharmacy: A Teachable Moment. JAMA Intern Med. 2015;175(11):1750-1751. doi:10.1001/jamainternmed.2015.5253.
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psnet.ahrq.gov/issue/department-veterans-affairs-chief-resident-quality-and-patient-safety-program-model-spread
September 05, 2018 - Commentary
Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: a model to spread change.
Citation Text:
Watts B, Paull DE, Williams LC, et al. Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: A Model to Spread Change. A…
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psnet.ahrq.gov/issue/surgical-programs-veterans-health-administration-maintain-briefing-and-debriefing-following
October 24, 2018 - Study
Surgical programs in the Veterans Health Administration maintain briefing and debriefing following medical team training.
Citation Text:
West P, Neily J, Warner L, et al. Surgical programs in the Veterans Health Administration maintain briefing and debriefing following medical team…
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psnet.ahrq.gov/issue/applying-requisite-imagination-safeguard-electronic-health-record-transitions
August 25, 2021 - Commentary
Applying requisite imagination to safeguard electronic health record transitions.
Citation Text:
Sittig DF, Lakhani P, Singh H. Applying requisite imagination to safeguard electronic health record transitions. J Am Med Inform Assoc. 2022;29(5):1014-1018. doi:10.1093/jamia/ocab…
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psnet.ahrq.gov/issue/time-rebalance-psychological-and-emotional-well-being-healthcare-workforce-foundation-patient
October 07, 2020 - Commentary
Time for a rebalance: psychological and emotional well-being in the healthcare workforce as the foundation for patient safety.
Citation Text:
Kirk K. Time for a rebalance: psychological and emotional well-being in the healthcare workforce as the foundation for patient safety. …
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psnet.ahrq.gov/issue/plans-are-worthless-planning-everything-advancing-patient-safety-better-managing-paradox
September 23, 2020 - Commentary
"Plans are worthless, but planning is everything": advancing patient safety by better managing the paradox of planning versus adaptation.
Citation Text:
Call RC, Espiritu SG, Barrows DA. “Plans are worthless, but planning is everything”: advancing patient safety by better mana…
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psnet.ahrq.gov/issue/veterans-affairs-shift-change-physician-physician-handoff-project
April 30, 2014 - Study
The Veterans Affairs shift change physician-to-physician handoff project.
Citation Text:
Anderson J, Shroff D, Curtis A, et al. The Veterans Affairs shift change physician-to-physician handoff project. Jt Comm J Qual Patient Saf. 2010;36(2):62-71.
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psnet.ahrq.gov/issue/meta-review-methods-measuring-and-monitoring-safety-primary-care
November 03, 2021 - Review
A meta-review of methods of measuring and monitoring safety in primary care.
Citation Text:
O’Connor P, Madden C, O’Dowd E, et al. A meta-review of methods of measuring and monitoring safety in primary care. Int J Qual Health Care. 2021;33(3):mzab117. doi:10.1093/intqhc/mzab117.
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psnet.ahrq.gov/issue/governing-quality-and-safety-healthcare-conceptual-framework
September 03, 2011 - Commentary
Governing the quality and safety of healthcare: a conceptual framework.
Citation Text:
Brown A, Dickinson H, Kelaher M. Governing the quality and safety of healthcare: A conceptual framework. Soc Sci Med. 2018;202:99-107. doi:10.1016/j.socscimed.2018.02.020.
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psnet.ahrq.gov/issue/using-trainee-failures-enhance-learning-qualitative-study-pediatric-hospitalists-allowing
December 14, 2022 - Study
Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure.
Citation Text:
Klasen JM, Beck J, Randall CL, et al. Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure. Acad Pe…
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psnet.ahrq.gov/issue/negative-behaviours-health-care-prevalence-and-strategies
May 01, 2024 - Study
Negative behaviours in health care: prevalence and strategies.
Citation Text:
Layne DM, Nemeth LS, Mueller M, et al. Negative behaviours in health care: Prevalence and strategies. J Nurs Manag. 2019;27(1):154-160. doi:10.1111/jonm.12660.
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psnet.ahrq.gov/issue/are-personal-health-records-phrs-facilitating-patient-safety-scoping-review
February 09, 2022 - Review
Are personal health records (PHRs) facilitating patient safety? A scoping review.
Citation Text:
Joseph AL, Monkman H, Kushniruk AW, et al. Are personal health records (PHRs) facilitating patient safety? A scoping review. Stud Health Technol Inform. 2022;2022:535-539. doi:10.3233/…
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psnet.ahrq.gov/issue/influence-perioperative-handoffs-complications-and-outcomes
October 14, 2020 - Commentary
Influence of perioperative handoffs on complications and outcomes.
Citation Text:
Burden AR, Potestio C, Pukenas E. Influence of perioperative handoffs on complications and outcomes. Adv Anesth. 2021;39:133-148. doi:10.1016/j.aan.2021.07.008.
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psnet.ahrq.gov/issue/patient-safety-primary-care-conceptual-meanings-health-care-team-and-patients
September 28, 2022 - Study
Patient safety in primary care: conceptual meanings to the health care team and patients.
Citation Text:
Lai AY. Patient safety in primary care: conceptual meanings to the health care team and patients. J Am Board Fam Med. 2020;33(5):754-764. doi:10.3122/jabfm.2020.05.200042.
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psnet.ahrq.gov/issue/clinical-progress-note-situation-awareness-clinical-deterioration-hospitalized-children
January 19, 2022 - Commentary
Clinical progress note: situation awareness for clinical deterioration in hospitalized children.
Citation Text:
Sosa T, Galligan MM, Brady PW. Clinical progress note: situation awareness for clinical deterioration in hospitalized children. J Hosp Med. 2022;17(3):199-202. doi:1…
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psnet.ahrq.gov/issue/danger-discharge-summaries-abbreviations-create-confusion-both-author-and-recipient
March 15, 2017 - Study
Danger in discharge summaries: abbreviations create confusion for both author and recipient.
Citation Text:
Coghlan A, Turner S, Coverdale S. Danger in discharge summaries: abbreviations create confusion for both author and recipient. Intern Med J. 2023;53(4):550-558. doi:10.1111/i…
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psnet.ahrq.gov/issue/crisis-management-surgical-wards-simulation-based-approach-enhancing-technical-teamwork-and
January 27, 2012 - Study
Crisis management on surgical wards: a simulation-based approach to enhancing technical, teamwork, and patient interaction skills.
Citation Text:
Arora S, Hull L, Fitzpatrick M, et al. Crisis management on surgical wards: a simulation-based approach to enhancing technical, teamwork…
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psnet.ahrq.gov/issue/measuring-patient-safety-medicare-patient-safety-monitoring-system-past-present-and-future
December 18, 2014 - Review
Measuring patient safety: the Medicare Patient Safety Monitoring System (past, present, and future).
Citation Text:
Classen D, Munier W, Verzier N, et al. Measuring Patient Safety: The Medicare Patient Safety Monitoring System (Past, Present, and Future). J Patient Saf. 2021;17(3)…