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psnet.ahrq.gov/issue/good-catch-kiddo-enhancing-patient-safety-pediatric-emergency-department-through-simulation
January 03, 2017 - Study
"Good catch, Kiddo"--enhancing patient safety in the pediatric emergency department through simulation.
Citation Text:
Shaikh U, Natale JAE, Till DA, et al. "Good catch, Kiddo"--enhancing patient safety in the pediatric emergency department through simulation. Pediatr Emerg Care. 2…
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psnet.ahrq.gov/issue/fatigue-risk-management-impact-anesthesiology-residents-work-schedules-job-performance-and
November 03, 2010 - Commentary
Fatigue risk management: the impact of anesthesiology residents' work schedules on job performance and a review of potential countermeasures.
Citation Text:
Wong LR, Flynn-Evans E, Ruskin KJ. Fatigue Risk Management: The Impact of Anesthesiology Residents' Work Schedules on Jo…
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psnet.ahrq.gov/issue/hospital-night-organizational-design-provides-safer-care-night
November 16, 2022 - Study
Hospital at night: an organizational design that provides safer care at night.
Citation Text:
Hamilton-Fairley D, Coakley J, Moss F. Hospital at night: an organizational design that provides safer care at night. BMC Med Edu. 2014;14(Suppl 1):S17. doi:10.1186/1472-6920-14-S1-S17.
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psnet.ahrq.gov/issue/integrative-review-fatigue-among-nurses-acute-care-settings
June 01, 2022 - Review
An integrative review: fatigue among nurses in acute care settings.
Citation Text:
Smith-Miller CA, Shaw-Kokot J, Curro B, et al. An integrative review: fatigue among nurses in acute care settings. J Nurs Adm. 2014;44(9):487-94. doi:10.1097/NNA.0000000000000104.
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psnet.ahrq.gov/issue/changing-working-while-sick-culture
March 14, 2018 - Commentary
Changing the "working while sick" culture.
Citation Text:
Tanksley AL, Wolfson RK, Arora V. Changing the "Working While Sick" Culture: Promoting Fitness for Duty in Health Care. JAMA. 2016;315(6):603-4. doi:10.1001/jama.2016.0094.
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psnet.ahrq.gov/issue/persistent-opioid-use-among-pediatric-patients-after-surgery
January 29, 2020 - Study
Classic
Persistent opioid use among pediatric patients after surgery.
Citation Text:
Harbaugh CM, Lee JS, Hu HM, et al. Persistent Opioid Use Among Pediatric Patients After Surgery. Pediatrics. 2018;141(1):e20172439. doi:10.1542/peds.2017-2439.
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psnet.ahrq.gov/issue/rapid-response-teams-patient-safety-practice-failure-rescue
January 26, 2022 - Commentary
Rapid response teams as a patient safety practice for failure to rescue.
Citation Text:
Fischer CP, Bilimoria KY, Ghaferi AA. Rapid Response Teams as a Patient Safety Practice for Failure to Rescue. JAMA. 2021;326(2):179-180. doi:10.1001/jama.2021.7510.
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psnet.ahrq.gov/issue/making-communication-and-resolution-programmes-mission-critical-healthcare-organisations
September 09, 2020 - Commentary
Making communication and resolution programmes mission critical in healthcare organisations.
Citation Text:
Gallagher TH, Boothman RC, Schweitzer L, et al. Making communication and resolution programmes mission critical in healthcare organisations. BMJ Qual Saf. 2020;29(11):87…
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psnet.ahrq.gov/issue/another-medical-malpractice-crisis-try-something-different
November 11, 2020 - Commentary
Another medical malpractice crisis?: Try something different.
Citation Text:
Sage WM, Boothman RC, Gallagher TH. Another medical malpractice crisis?: Try something different. JAMA. 2020;324(14):1395-1396. doi:10.1001/jama.2020.16557.
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psnet.ahrq.gov/issue/barriers-and-enablers-affecting-patient-engagement-managing-medications-within-specialty
December 12, 2014 - Study
Barriers and enablers affecting patient engagement in managing medications within specialty hospital settings.
Citation Text:
Manias E, Rixon S, Williams A, et al. Barriers and enablers affecting patient engagement in managing medications within specialty hospital settings. Health …
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psnet.ahrq.gov/issue/trainee-autonomy-and-patient-safety
November 03, 2021 - Commentary
Trainee autonomy and patient safety.
Citation Text:
George BC, Dunnington GL, DaRosa DA. Trainee autonomy and patient safety. Ann Surg. 2018;267(5):820-822. doi:10.1097/SLA.0000000000002599.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML En…
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psnet.ahrq.gov/issue/impact-clinical-pharmacy-admission-medication-reconciliation-program-medication-errors-high
August 30, 2017 - Study
Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk" patients.
Citation Text:
Buckley MS, Harinstein LM, Clark KB, et al. Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "hig…
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psnet.ahrq.gov/issue/framework-engaging-physicians-quality-and-safety
July 10, 2008 - Study
Classic
A framework for engaging physicians in quality and safety.
Citation Text:
Taitz JM, Lee TH, Sequist TD. A framework for engaging physicians in quality and safety. BMJ Qual Saf. 2012;21(9):722-728. doi:10.1136/bmjqs-2011-000167.
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psnet.ahrq.gov/issue/err-human-report-and-patient-safety-literature
November 16, 2022 - Review
The "To Err Is Human Report" and the patient safety literature.
Citation Text:
Stelfox HT, Palmisani S, Scurlock C, et al. The "To Err is Human" report and the patient safety literature. Qual Saf Health Care. 2006;15(3):174-8.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-1.html
July 01, 2023 - Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety
Introduction
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Table of Contents
Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety
Introduction
The Patient-Clinician Dy…
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psnet.ahrq.gov/issue/psychiatry-morbidity-and-mortality-incident-reporting-tool-increases-psychiatrist
March 10, 2021 - Study
The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events.
Citation Text:
Kroll DS, Shellman AD, Gitlin DF. The Psychiatry Morbidity and Mortality Incident Reporting Tool Increases Psychiatrist Participation in R…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/diverticulitis-one-page.docx
November 01, 2019 - Diverticulitis
Diverticulitis
Diagnosis
· Abdominal pain (usually left lower quadrant, ~90%), low-grade fever (~90%)
· Diagnostic testing: computed tomography (CT) scan of abdomen for diagnosis and complications (e.g., abscess, perforation)
· Microbiology: Escherichia coli, Klebsiella pneumoniae, Ba…
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psnet.ahrq.gov/issue/medication-reconciliation-failures-children-and-young-adults-chronic-disease-during-intensive
June 22, 2022 - Study
Medication reconciliation failures in children and young adults with chronic disease during intensive and intermediate care.
Citation Text:
DeCourcey DD, Silverman M, Chang E, et al. Medication reconciliation failures in children and young adults with chronic disease during intensi…
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psnet.ahrq.gov/issue/race-differences-reported-harmful-patient-safety-events-healthcare-system-high-reliability
March 01, 2023 - Study
Race differences in reported harmful patient safety events in healthcare system high reliability organizations.
Citation Text:
Thomas AD, Pandit C, Krevat SA. Race Differences in Reported Harmful Patient Safety Events in Healthcare System High Reliability Organizations. J Patient S…
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psnet.ahrq.gov/issue/effects-patient-environment-and-medication-related-factors-high-alert-medication-incidents
January 22, 2016 - Study
Effects of patient-, environment- and medication-related factors on high-alert medication incidents.
Citation Text:
Manias E, Williams A, Liew D, et al. Effects of patient-, environment- and medication-related factors on high-alert medication incidents. Int J Qual Health Care. 2014…