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psnet.ahrq.gov/issue/changes-medical-errors-after-implementation-handoff-program
April 24, 2018 - Study
Classic
Changes in medical errors after implementation of a handoff program.
Citation Text:
Starmer AJ, Spector ND, Srivastava R, et al. Changes in medical errors after implementation of a handoff program. New Engl J Med. 2014;371(19):1803-1812. doi:10.105…
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psnet.ahrq.gov/issue/medication-discrepancies-resident-sign-outs-and-their-potential-harm
March 28, 2011 - Study
Medication discrepancies in resident sign-outs and their potential to harm.
Citation Text:
Arora V, Kao J, Lovinger D, et al. Medication discrepancies in resident sign-outs and their potential to harm. J Gen Intern Med. 2007;22(12):1751-5.
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Format:
Goog…
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psnet.ahrq.gov/issue/using-consumer-engagement-strategies-improve-healthcare-safety-young-people-exploration
September 15, 2021 - Study
Using consumer engagement strategies to improve healthcare safety for young people: an exploration of the relevance and suitability of current approaches.
Citation Text:
Newman B, Joseph K, McDonald FEJ, et al. Using consumer engagement strategies to improve healthcare safety for y…
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psnet.ahrq.gov/issue/opinions-nurses-and-physicians-patient-family-and-visitor-activated-rapid-response-system-use
February 14, 2024 - Study
Opinions of nurses and physicians on a patient, family and visitor activated rapid response system in use across two hospital settings.
Citation Text:
King L, Minyaev S, Grantham H, et al. Opinions of nurses and physicians on a patient, family and visitor activated rapid response s…
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psnet.ahrq.gov/issue/effect-cognitive-aids-adherence-best-practice-treatment-deteriorating-surgical-patients
September 30, 2020 - Study
Effect of cognitive aids on adherence to best practice in the treatment of deteriorating surgical patients: a randomized clinical trial in a simulation setting.
Citation Text:
Koers L, van Haperen M, Meijer CGF, et al. Effect of Cognitive Aids on Adherence to Best Practice in the T…
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psnet.ahrq.gov/issue/detection-postoperative-respiratory-failure-how-predictive-agency-healthcare-research-and
January 13, 2010 - Study
Detection of postoperative respiratory failure: how predictive is the Agency for Healthcare Research and Quality's Patient Safety Indicator?
Citation Text:
Utter GH, Cuny J, Sama P, et al. Detection of postoperative respiratory failure: how predictive is the Agency for Healthcare…
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psnet.ahrq.gov/issue/missed-serious-neurologic-conditions-emergency-department-patients-discharged-nonspecific
April 08, 2018 - Study
Missed serious neurologic conditions in emergency department patients discharged with nonspecific diagnoses of headache or back pain.
Citation Text:
Dubosh NM, Edlow JA, Goto T, et al. Missed Serious Neurologic Conditions in Emergency Department Patients Discharged With Nonspecifi…
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psnet.ahrq.gov/issue/exploration-automated-approach-receiving-patient-feedback-after-outpatient-acute-care-visits
September 07, 2011 - Study
Exploration of an automated approach for receiving patient feedback after outpatient acute care visits.
Citation Text:
Berner ES, Ray MN, Panjamapirom A, et al. Exploration of an automated approach for receiving patient feedback after outpatient acute care visits. J Gen Intern Med.…
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psnet.ahrq.gov/issue/electronic-triggers-identify-delays-follow-mammography-harnessing-power-big-data-health-care
September 28, 2016 - Study
Electronic triggers to identify delays in follow-up of mammography: harnessing the power of big data in health care.
Citation Text:
Murphy DR, Meyer AND, Vaghani V, et al. Electronic Triggers to Identify Delays in Follow-Up of Mammography: Harnessing the Power of Big Data in Health…
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psnet.ahrq.gov/issue/systematic-review-literature-evaluation-handoff-tools-implications-research-and-practice
May 23, 2012 - Review
A systematic review of the literature on the evaluation of handoff tools: implications for research and practice.
Citation Text:
Abraham J, Kannampallil TG, Patel VL. A systematic review of the literature on the evaluation of handoff tools: implications for research and practice. …
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psnet.ahrq.gov/issue/ten-principles-more-conservative-care-full-diagnosis
August 04, 2021 - Commentary
Emerging Classic
Ten principles for more conservative, care-full diagnosis.
Citation Text:
Schiff G, Martin SA, Eidelman DH, et al. Ten Principles for More Conservative, Care-Full Diagnosis. Ann Intern Med. 2018;169(9):643-645. doi:10.7326/M18-1468.
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psnet.ahrq.gov/issue/patient-safety-and-sense-security-when-telemonitoring-chronic-conditions-home-views-patients
August 21, 2024 - Study
Patient safety and sense of security when telemonitoring chronic conditions at home: the views of patients and healthcare professionals - a qualitative study.
Citation Text:
Ekstedt M, Nordheim ES, Hellström A, et al. Patient safety and sense of security when telemonitoring chronic…
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psnet.ahrq.gov/issue/unsafe-care-residential-settings-older-adults-content-analysis-accreditation-reports
August 16, 2023 - Study
Unsafe care in residential settings for older adults. A content analysis of accreditation reports.
Citation Text:
Hibbert PD, Ash R, Molloy CJ, et al. Unsafe care in residential settings for older adults: a content analysis of accreditation reports. Int J Qual Health Care. 2023;35(…
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psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
February 01, 2023 - Study
Classic
Fall prevention in acute care hospitals: a randomized trial.
Citation Text:
Dykes PC, Carroll DL, Hurley A, et al. Fall prevention in acute care hospitals: a randomized trial. JAMA. 2010;304(17):1912-1918. doi:10.1001/jama.2010.1567.
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psnet.ahrq.gov/issue/role-knowledge-and-reasoning-processes-predictors-resident-physicians-susceptibility
March 18, 2020 - Study
Role of knowledge and reasoning processes as predictors of resident physicians' susceptibility to anchoring bias in diagnostic reasoning: a randomised controlled experiment.
Citation Text:
Mamede S, Zandbergen A, de Carvalho-Filho MA, et al. Role of knowledge and reasoning processe…
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psnet.ahrq.gov/issue/exploring-theory-barriers-and-enablers-patient-and-public-involvement-across-health-social
February 17, 2021 - Review
Classic
Exploring the theory, barriers and enablers for patient and public involvement across health, social care and patient safety: a systematic review of reviews.
Citation Text:
Ocloo J, Garfield S, Franklin BD, et al. Exploring the theory, barriers an…
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psnet.ahrq.gov/issue/artificial-intelligence-identifying-prevention-medication-incidents-causing-serious-or
March 11, 2020 - Study
Artificial intelligence for identifying the prevention of medication incidents causing serious or moderate harm: an analysis using incident reporters' views.
Citation Text:
Härkänen M, Haatainen K, Vehviläinen-Julkunen K, et al. Artificial intelligence for identifying the preventio…
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psnet.ahrq.gov/node/837324/psn-pdf
July 08, 2022 - A Statewide Collaborative to Support Vaginal Birth and
Reduce Unnecessary Cesarean Deliveries
July 8, 2022
https://psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary-
cesarean-deliveries
Summary
Started in response to rising maternal morbidity and mortality rates in …
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psnet.ahrq.gov/perspective/conversation-mary-dixon-woods-dphil
March 01, 2017 - In Conversation With… Mary Dixon-Woods, DPhil
March 1, 2017
Also Read an Essay
Citation Text:
In Conversation With… Mary Dixon-Woods, DPhil. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …
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psnet.ahrq.gov/node/36674/psn-pdf
January 18, 2011 - An intervention to enhance nursing staff teamwork and
engagement.
January 18, 2011
Kalisch BJ, Curley M, Stefanov S. An intervention to enhance nursing staff teamwork and engagement. J
Nurs Adm. 2007;37(2):77-84.
https://psnet.ahrq.gov/issue/intervention-enhance-nursing-staff-teamwork-and-engagement
The authors d…