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psnet.ahrq.gov/perspective/conversation-withstephen-hines-phd-and-monika-haugstetter-mha-msn-rn-cphq-about
February 28, 2024 - In Conversation With...Stephen Hines, PhD and Monika Haugstetter, MHA, MSN, RN, CPHQ about TeamSTEPPS 3.0
Monika Haugstetter, MHA, MSN, RN, CPHQ; Stephen Hines, PhD | February 28, 2024
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In Conversation With..Stephen Hines, PhD an…
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psnet.ahrq.gov/perspective/revising-teamstepps-evolution-patient-safety-teamwork-training
February 28, 2024 - Revising TeamSTEPPS: The Evolution of Patient Safety Teamwork Training
Monika Haugstetter, MHA, MSN, RN, CPHQ; Stephen Hines, PhD; Zoe Sousane, BS; Sarah Mossburg, RN, PhD
| February 28, 2024
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psnet.ahrq.gov/issue/omissions-care-nursing-homes-uniform-definition-research-and-quality-improvement
August 01, 2012 - Commentary
Omissions of care in nursing homes: a uniform definition for research and quality improvement.
Citation Text:
Mangrum R, Stewart MD, Gifford DR, et al. Omissions of care in nursing homes: a uniform definition for research and quality improvement. J Am Med Dir Assoc. 2020;21(11…
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psnet.ahrq.gov/issue/predictors-and-triggers-incivility-within-healthcare-teams-systematic-review-literature
July 21, 2011 - Review
Predictors and triggers of incivility within healthcare teams: a systematic review of the literature.
Citation Text:
Keller S, Yule S, Zagarese V, et al. Predictors and triggers of incivility within healthcare teams: a systematic review of the literature. BMJ Open. 2020;10(6):e035…
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psnet.ahrq.gov/issue/disclosing-and-reporting-practice-errors-nurses-residential-long-term-care-settings
April 02, 2015 - Review
Disclosing and reporting practice errors by nurses in residential long-term care settings: a systematic review.
Citation Text:
Vaismoradi M, Vizcaya-Moreno F, Jordan S, et al. Disclosing and reporting practice errors by nurses in residential long-term care settings: a systematic r…
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psnet.ahrq.gov/issue/barriers-and-facilitators-implementing-interventions-reducing-avoidable-hospital-readmission
April 25, 2018 - Review
Barriers and facilitators to implementing interventions for reducing avoidable hospital readmission: systematic review of qualitative studies.
Citation Text:
Fu BQ, Zhong CCW, Wong CHL, et al. Barriers and facilitators to implementing interventions for reducing avoidable hospital …
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psnet.ahrq.gov/issue/i-am-not-doctor-you-physicians-attitudes-about-caring-people-disabilities
February 10, 2015 - Study
‘I am not the doctor for you’: physicians’ attitudes about caring for people with disabilities.
Citation Text:
Lagu T, Haywood C, Reimold KE, et al. ‘I am not the doctor for you’: physicians’ attitudes about caring for people with disabilities. Health Aff (Millwood). 2022;41(10):13…
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psnet.ahrq.gov/issue/effectiveness-and-efficiency-root-cause-analysis-medicine
July 11, 2012 - Commentary
Classic
Effectiveness and efficiency of root cause analysis in medicine.
Citation Text:
Wu AW. Effectiveness and Efficiency of Root Cause Analysis in Medicine. JAMA. 2008;299(6):685-687. doi:10.1001/jama.299.6.685.
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psnet.ahrq.gov/issue/nurse-burnout-and-patient-safety-satisfaction-and-quality-care-systematic-review-and-meta
November 18, 2016 - Review
Nurse burnout and patient safety, satisfaction, and quality of care: a systematic review and meta-analysis.
Citation Text:
Li LZ, Yang P, Singer SJ, et al. Nurse burnout and patient safety, satisfaction, and quality of care: a systematic review and meta-analysis. JAMA Netw Open. 2…
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psnet.ahrq.gov/issue/effect-electronic-sbar-communication-tool-documentation-acute-events-pediatric-intensive-care
August 12, 2015 - Study
The effect of an electronic SBAR communication tool on documentation of acute events in the pediatric intensive care unit.
Citation Text:
Panesar RS, Albert B, Messina C, et al. The Effect of an Electronic SBAR Communication Tool on Documentation of Acute Events in the Pediatric In…
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psnet.ahrq.gov/issue/root-cause-analysis-and-actions-prevention-medical-errors-quality-improvement-and-resident
October 19, 2016 - Commentary
Root cause analysis and actions for the prevention of medical errors: quality improvement and resident education.
Citation Text:
Charles R, Hood B, DeRosier JM, et al. Root Cause Analysis and Actions for the Prevention of Medical Errors: Quality Improvement and Resident Educat…
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psnet.ahrq.gov/issue/changing-and-sustaining-medical-students-knowledge-skills-and-attitudes-about-patient-safety
December 19, 2012 - Study
Changing and sustaining medical students' knowledge, skills, and attitudes about patient safety and medical fallibility.
Citation Text:
Madigosky WS, Headrick LA, Nelson K, et al. Changing and sustaining medical students' knowledge, skills, and attitudes about patient safety and …
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psnet.ahrq.gov/issue/use-technology-improve-adherence-surgical-safety-checklists-operating-room
December 03, 2014 - Study
Use of technology to improve the adherence to surgical safety checklists in the operating room.
Citation Text:
Pati AB, Mishra TS, Chappity P, et al. Use of technology to improve the adherence to surgical safety checklists in the operating room. Jt Comm J Qual Patient Saf. 2023;49(…
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psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking-and-performance
September 23, 2024 - Sustaining This Innovation
Keys to Sustaining This Innovation:
Ongoing practice integration at
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psnet.ahrq.gov/curated-library/organizational-learning
April 17, 2025 - artificial intelligence can be leveraged to advance diagnostic excellence, but that any meaningful integration
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psnet.ahrq.gov/issue/patient-safety-marginalised-groups-narrative-scoping-review
August 26, 2015 - Review
Patient safety in marginalised groups: a narrative scoping review
Citation Text:
Cheraghi-Sohi S, Panagioti M, Daker-White G, et al. Patient safety in marginalised groups: a narrative scoping review. Int J Equity Health. 2020;19(1):26. doi:10.1186/s12939-019-1103-2.
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psnet.ahrq.gov/issue/estimating-economic-cost-nurse-sensitive-adverse-events-amongst-patients-medical-and-surgical
July 11, 2018 - Study
Estimating the economic cost of nurse sensitive adverse events amongst patients in medical and surgical settings.
Citation Text:
Murphy A, Griffiths P, Duffield C, et al. Estimating the economic cost of nurse sensitive adverse events amongst patients in medical and surgical setting…
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psnet.ahrq.gov/issue/inadequate-hand-communication
April 02, 2015 - Sentinel Event Alerts
Inadequate hand-off communication.
Citation Text:
Inadequate hand-off communication. Sentinel event alert. 2017;58(58):1-6.
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psnet.ahrq.gov/issue/large-scale-observational-study-ai-based-patient-and-surgical-material-verification-system
August 27, 2012 - Study
Large-scale observational study of AI-based patient and surgical material verification system in ophthalmology: real-world evaluation in 37 529 cases.
Citation Text:
Tabuchi H, Ishitobi N, Deguchi H, et al. Large-scale observational study of AI-based patient and surgical material v…
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psnet.ahrq.gov/web-mm/perils-cross-coverage
September 22, 2010 - the electronic health record (EHR) or stand-alone electronic signout platforms (with or without EHR integration