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psnet.ahrq.gov/issue/dissecting-communication-barriers-healthcare-path-enhancing-communication-resiliency
July 12, 2023 - Commentary
Dissecting communication barriers in healthcare: a path to enhancing communication resiliency, reliability, and patient safety.
Citation Text:
Guttman OT, Lazzara EH, Keebler JR, et al. Dissecting Communication Barriers in Healthcare: A Path to Enhancing Communication Resilien…
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psnet.ahrq.gov/issue/developing-health-care-organizations-pursue-learning-and-exploration-diagnostic-excellence
October 28, 2020 - Commentary
Developing health care organizations that pursue learning and exploration of diagnostic excellence: an action plan.
Citation Text:
Singh H, Upadhyay DK, Torretti D. Developing Health Care Organizations That Pursue Learning and Exploration of Diagnostic Excellence: An Action Pl…
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psnet.ahrq.gov/issue/blink-or-think-can-further-reflection-improve-initial-diagnostic-impressions
November 28, 2012 - Study
Blink or think: can further reflection improve initial diagnostic impressions?
Citation Text:
Hess BJ, Lipner RS, Thompson V, et al. Blink or think: can further reflection improve initial diagnostic impressions? Acad Med. 2015;90(1):112-118. doi:10.1097/ACM.0000000000000550.
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psnet.ahrq.gov/issue/psychiatry-morbidity-and-mortality-rounds-implementation-and-impact
March 27, 2024 - Study
Psychiatry morbidity and mortality rounds: implementation and impact.
Citation Text:
Goldman S, Demaso DR, Kemler B. Psychiatry morbidity and mortality rounds: implementation and impact. Acad Psychiatry. 2009;33(5):383-8. doi:10.1176/appi.ap.33.5.383.
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psnet.ahrq.gov/issue/using-agency-healthcare-research-and-quality-patient-safety-indicators-targeting-nursing
April 03, 2017 - Study
Using the Agency for Healthcare Research and Quality Patient Safety Indicators for targeting nursing quality improvement.
Citation Text:
Zrelak PA, Utter GH, Sadeghi B, et al. Using the Agency for Healthcare Research and Quality patient safety indicators for targeting nursing qua…
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psnet.ahrq.gov/issue/implementation-standardized-postanesthesia-care-handoff-increases-information-transfer
February 03, 2011 - Study
Implementation of a standardized postanesthesia care handoff increases information transfer without increasing handoff duration.
Citation Text:
Caruso TJ, Marquez JL, Wu DS, et al. Implementation of a standardized postanesthesia care handoff increases information transfer without i…
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psnet.ahrq.gov/issue/nursing-crew-resource-management-follow-report-veterans-health-administration
September 27, 2016 - Commentary
Nursing crew resource management: a follow-up report from the Veterans Health Administration.
Citation Text:
Sculli GL, Fore AM, West P, et al. Nursing crew resource management: a follow-up report from the Veterans Health Administration. J Nurs Adm. 2013;43(3):122-6. doi:10.1…
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psnet.ahrq.gov/issue/vhas-movement-change-implementing-high-reliability-principles-and-practices
August 21, 2024 - Commentary
VHA's movement for change: implementing high-reliability principles and practices.
Citation Text:
Cox GR, Starr LM. VHA's movement for change: implementing high-reliability principles and practices. J Healthc Manag. 2023;68(3):151-157. doi:10.1097/jhm-d-23-00056.
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psnet.ahrq.gov/issue/proceed-reasonable-care-when-legal-principles-inform-training-prevent-harm-during-childbirth
July 24, 2013 - Commentary
Proceed with reasonable care: when legal principles inform training to prevent harm during the childbirth.
Citation Text:
Petrovic M, Nicholls J, Siassakos D. Proceed with reasonable care: when legal principles inform training to prevent harm during childbirth. Best Pract Res …
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psnet.ahrq.gov/issue/evaluation-design-and-structure-electronic-medication-labels-improve-patient-health-knowledge
October 16, 2024 - Review
Evaluation of the design and structure of electronic medication labels to improve patient health knowledge and safety: a systematic review.
Citation Text:
Saif S, Bui TTT, Srivastava G, et al. Evaluation of the design and structure of electronic medication labels to improve patien…
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psnet.ahrq.gov/issue/safe-implementation-standard-concentration-infusions-paediatric-intensive-care
June 17, 2014 - Study
Safe implementation of standard concentration infusions in paediatric intensive care.
Citation Text:
Arenas-López S, Stanley IM, Tunstell P, et al. Safe implementation of standard concentration infusions in paediatric intensive care. Journal of Pharmacy and Pharmacology. 2016;69(5)…
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psnet.ahrq.gov/issue/perspective-business-school-view-medical-interprofessional-rounds-transforming-rounding
November 23, 2016 - Study
Perspective: a business school view of medical interprofessional rounds: transforming rounding groups into rounding teams.
Citation Text:
Bharwani AM, Harris C, Southwick FS. Perspective: a business school view of medical interprofessional rounds: transforming rounding groups int…
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psnet.ahrq.gov/issue/understanding-test-results-follow-ambulatory-setting-analysis-multiple-perspectives
May 20, 2019 - Study
Understanding test results follow-up in the ambulatory setting: analysis of multiple perspectives.
Citation Text:
Ai A, Desai S, Shellman A, et al. Understanding Test Results Follow-Up in the Ambulatory Setting: Analysis of Multiple Perspectives. Jt Comm J Qual Patient Saf. 2018;44…
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psnet.ahrq.gov/issue/executive-leadership-and-physician-well-being-nine-organizational-strategies-promote
September 26, 2018 - Review
Executive leadership and physician well-being: nine organizational strategies to promote engagement and reduce burnout.
Citation Text:
Shanafelt TD, Noseworthy JH. Executive Leadership and Physician Well-being: Nine Organizational Strategies to Promote Engagement and Reduce Burnou…
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psnet.ahrq.gov/issue/tool-concise-analysis-patient-safety-incidents
August 09, 2018 - Study
A tool for the concise analysis of patient safety incidents.
Citation Text:
Pham JC, Hoffman C, Popescu I, et al. A Tool for the Concise Analysis of Patient Safety Incidents. Jt Comm J Qual Patient Saf. 2016;42(1):26-33.
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psnet.ahrq.gov/issue/speaking-patient-safety-and-staff-well-being-qualitative-study
November 16, 2016 - Study
'Speaking Up' for patient safety and staff well-being: a qualitative study.
Citation Text:
Delpino R, Lees-Deutsch L, Solanki B. ‘Speaking Up’ for patient safety and staff well-being: a qualitative study. BMJ Open Qual. 2023;12(2):e002047. doi:10.1136/bmjoq-2022-002047.
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psnet.ahrq.gov/issue/role-failure-mode-and-effects-analysis-health-care
December 22, 2021 - Newspaper/Magazine Article
The role of failure mode and effects analysis in health care.
Citation Text:
Fibuch E, Ahmed A. The role of failure mode and effects analysis in health care. Physician Exec. 2014;40(4):28-32.
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psnet.ahrq.gov/issue/safety-personal-partnering-patients-and-families-safest-care
January 06, 2015 - Book/Report
Safety Is Personal: Partnering With Patients and Families for the Safest Care.
Citation Text:
Safety Is Personal: Partnering With Patients and Families for the Safest Care. NPSF Lucian Leape Institute Roundtable on Consumer Engagement in Patient Safety. Boston, MA: National P…
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psnet.ahrq.gov/issue/patient-and-family-engagement-potential-approach-improving-patient-safety-systematic-review
February 17, 2021 - Review
Emerging Classic
Patient and family engagement as a potential approach for improving patient safety: a systematic review.
Citation Text:
Park M, Giap T-T-T. Patient and family engagement as a potential approach for improving patient safety: A systematic r…
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psnet.ahrq.gov/issue/impact-hospital-wide-hand-hygiene-initiative-healthcare-associated-infections-results
September 20, 2011 - Study
Impact of a hospital-wide hand hygiene initiative on healthcare-associated infections: results of an interrupted time series.
Citation Text:
Kirkland KB, Homa KA, Lasky RA, et al. Impact of a hospital-wide hand hygiene initiative on healthcare-associated infections: results of an i…