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  1. Is failure mode and effect analysis reliable? | PSNet

    psnet.ahrq.gov/issue/failure-mode-and-effect-analysis-reliable
    August 15, 2012 - Study Is failure mode and effect analysis reliable? Citation Text: Shebl NA, Franklin BD, Barber N. Is failure mode and effect analysis reliable? J Patient Saf. 2009;5(2):86-94. doi:10.1097/PTS.0b013e3181a6f040. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

  2. SBAR: a shared mental model for improving communication between clinicians. | PSNet

    psnet.ahrq.gov/issue/sbar-shared-mental-model-improving-communication-between-clinicians
    January 02, 2017 - Study SBAR: a shared mental model for improving communication between clinicians. Citation Text: Haig KM, Sutton S, Whittington J. SBAR: a shared mental model for improving communication between clinicians. Jt Comm J Qual Patient Saf. 2006;32(3):167-75. Copy Citation Format: …

  3. Quantifying and monitoring overdiagnosis in cancer screening: a systematic review of methods. | PSNet

    psnet.ahrq.gov/issue/quantifying-and-monitoring-overdiagnosis-cancer-screening-systematic-review-methods
    September 15, 2021 - Review Quantifying and monitoring overdiagnosis in cancer screening: a systematic review of methods. Citation Text: Carter JL, Coletti RJ, Harris RP. Quantifying and monitoring overdiagnosis in cancer screening: a systematic review of methods. BMJ. 2015;350:g7773. doi:10.1136/bmj.g7773. …

  4. Patient safety in psychiatric inpatient care: a literature review. | PSNet

    psnet.ahrq.gov/issue/patient-safety-psychiatric-inpatient-care-literature-review
    September 27, 2017 - Review Patient safety in psychiatric inpatient care: a literature review. Citation Text: Kanerva A, Lammintakanen J, Kivinen T. Patient safety in psychiatric inpatient care: a literature review. J Psychiatr Ment Health Nurs. 2013;20(6):541-8. doi:10.1111/j.1365-2850.2012.01949.x. Co…

  5. Strategy 4: IDEA Discharge Planning (Tool 3) (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.pdf
    January 01, 2010 - Strategy 4: IDEA Discharge Planning (Tool 3) Guide to Patient and Family Engagement :: 1 Improving Discharge Outcomes with Patients and Families Evidence for engaging patients and families in discharge planning Nearly 20 percent of patients experience an adverse event within 30 days of discharge.1,2 Re…

  6. The cost of nurse-sensitive adverse events. | PSNet

    psnet.ahrq.gov/issue/cost-nurse-sensitive-adverse-events
    June 16, 2021 - Study The cost of nurse-sensitive adverse events. Citation Text: Pappas SH. The cost of nurse-sensitive adverse events. J Nurs Adm. 2008;38(5):230-236. doi:10.1097/01.NNA.0000312770.19481.ce. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …

  7. Characteristics of quality and patient safety curricula in major teaching hospitals. | PSNet

    psnet.ahrq.gov/issue/characteristics-quality-and-patient-safety-curricula-major-teaching-hospitals
    February 16, 2011 - Study Characteristics of quality and patient safety curricula in major teaching hospitals. Citation Text: Pingleton SK, Davis DA, Dickler RM. Characteristics of quality and patient safety curricula in major teaching hospitals. Am J Med Qual. 2010;25(4):305-11. doi:10.1177/1062860610367…

  8. Preventing medication errors in the information age. | PSNet

    psnet.ahrq.gov/issue/preventing-medication-errors-information-age
    February 15, 2023 - Commentary Preventing medication errors in the information age. Citation Text: Godshall M, Riehl M. Preventing medication errors in the information age. Nursing (Brux). 2018;48(9):56-58. doi:10.1097/01.NURSE.0000544230.51598.38. Copy Citation Format: DOI Google Scholar PubM…

  9. Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals. | PSNet

    psnet.ahrq.gov/issue/nosocomial-infection-deficit-reduction-act-and-incentives-hospitals
    September 14, 2011 - Commentary Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals. Citation Text: Graves N, McGowan JE. Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals. JAMA. 2008;300(13):1577-9. doi:10.1001/jama.300.13.1577. Copy Citation For…

  10. Advocate Health Care: a systemwide approach to quality and safety. | PSNet

    psnet.ahrq.gov/issue/advocate-health-care-systemwide-approach-quality-and-safety
    July 19, 2023 - Commentary Advocate Health Care: a systemwide approach to quality and safety. Citation Text: Willeumier D. Advocate health care: a systemwide approach to quality and safety. Jt Comm J Qual Patient Saf. 2004;30(10):559-566. Copy Citation Format: Google Scholar PubMed BibTeX …

  11. Six things every plastic surgeon needs to know about teamwork training and checklists. | PSNet

    psnet.ahrq.gov/issue/six-things-every-plastic-surgeon-needs-know-about-teamwork-training-and-checklists
    September 07, 2016 - Image/Poster Six things every plastic surgeon needs to know about teamwork training and checklists. Citation Text: Harden SW. Six things every plastic surgeon needs to know about teamwork training and checklists. Aesthet Surg J. 2013;33(3):443-8. doi:10.1177/1090820X13477417. Copy Ci…

  12. Surgical complications: disclosing adverse events and medical errors. | PSNet

    psnet.ahrq.gov/issue/surgical-complications-disclosing-adverse-events-and-medical-errors
    September 23, 2020 - Commentary Surgical complications: disclosing adverse events and medical errors. Citation Text: Wang AS, Eisen DB. Surgical complications: disclosing adverse events and medical errors. J Am Acad Dermatol. 2013;68(1):144-6. doi:10.1016/j.jaad.2012.09.008. Copy Citation Format: …

  13. Hospitals often ignore policies on using qualified medical interpreters. | PSNet

    psnet.ahrq.gov/issue/hospitals-often-ignore-policies-using-qualified-medical-interpreters
    April 22, 2016 - Newspaper/Magazine Article Hospitals often ignore policies on using qualified medical interpreters. Citation Text: Rice S. Language liabilities. To avoid errors, hospitals urged to use qualified interpreters for patients with limited English. Modern healthcare. 2014;44(35):16-8, 20. Co…

  14. Nil per os orders for imaging: a teachable moment. | PSNet

    psnet.ahrq.gov/issue/nil-os-orders-imaging-teachable-moment
    November 13, 2024 - Commentary Nil per os orders for imaging: a teachable moment. Citation Text: Wickerham AL, Schultz EJ, Lewine EB. Nil per Os Orders for Imaging: A Teachable Moment. JAMA Intern Med. 2017;177(11):1670-1671. doi:10.1001/jamainternmed.2017.3943. Copy Citation Format: DOI Googl…

  15. Creating a Health Information Exchange Application to Provide Fast Access to Patient Data in Emergency Department Settings | Digital Healthcare Research

    digital.ahrq.gov/2020-year-review/research-summary/creating-health-information-exchange-application-provide-fast-access-patient-data-emergency
    January 01, 2020 - Creating a Health Information Exchange Application to Provide Fast Access to Patient Data in Emergency Department Settings Integrating health information exchange (HIE) data directly into electronic health records has the potential to improve delivery of care and patient outcomes, as well as increase clinician sati…

  16. Preventive Care | Digital Healthcare Research

    digital.ahrq.gov/type-care/preventive-care
    January 01, 2023 - Preventive Care A Longitudinal Machine Learning Approach Providing Clinicians Timely Detection to Prevent Military Suicide Description This research will develop and validate a clinician-facing longitudinal risk-prediction tool using self-reported data from US military service…

  17. Assessing the Evidence Base for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria. | PSNet

    psnet.ahrq.gov/issue/assessing-evidence-base-context-sensitive-effectiveness-and-safety-patient-safety-practices
    December 24, 2008 - Press Release/Announcement Assessing the Evidence Base for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria. Citation Text: Assessing the Evidence Base for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Crit…

  18. Clinical Summary: Screening for HIV Infection (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/WJE2r5v4CHc9dMZ4GT7dnT
    Clinical Summary: Screening for HIV Infection Clinical Summary: Screening for HIV Infection Population Adolescents and adults aged 15 to 65 years Pregnant Persons Recommendation Screen for HIV infection. Grade: A Screen for HIV infection. Grade: A Risk Assessment Although all adolesc…

  19. Assessing and improving safety climate in a large cohort of intensive care units. | PSNet

    psnet.ahrq.gov/issue/assessing-and-improving-safety-climate-large-cohort-intensive-care-units
    September 20, 2011 - Study Assessing and improving safety climate in a large cohort of intensive care units. Citation Text: Sexton B, Berenholtz SM, Goeschel CA, et al. Assessing and improving safety climate in a large cohort of intensive care units. Crit Care Med. 2011;39(5):934-9. doi:10.1097/CCM.0b013e3…

  20. Invited article: Managing disruptive physician behavior: impact on staff relationships and patient care. | PSNet

    psnet.ahrq.gov/issue/invited-article-managing-disruptive-physician-behavior-impact-staff-relationships-and-patient
    February 03, 2010 - Study Invited article: Managing disruptive physician behavior: impact on staff relationships and patient care. Citation Text: Rosenstein AH, O'Daniel M. Invited article: Managing disruptive physician behavior: impact on staff relationships and patient care. Neurology. 2008;70(17):1564-…
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