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psnet.ahrq.gov/issue/medical-team-training-applying-crew-resource-management-veterans-health-administration
April 30, 2014 - Study
Classic
Medical team training: applying crew resource management in the Veterans Health Administration.
Citation Text:
Dunn EJ, Mills PD, Neily J, et al. Medical team training: applying crew resource management in the Veterans Health Administration. Jt Com…
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psnet.ahrq.gov/issue/managing-interruptions-improve-diagnostic-decision-making-strategies-and-recommended-research
February 24, 2021 - Commentary
Managing interruptions to improve diagnostic decision-making: strategies and recommended research agenda.
Citation Text:
Sloane JF, Donkin C, Newell BR, et al. Managing interruptions to improve diagnostic decision-making: strategies and recommended research agenda. J Gen Inter…
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psnet.ahrq.gov/issue/what-i-wish-id-known-how-experienced-physician-managers-diagnose-treat-and-prevent-disruptive
September 23, 2020 - Commentary
What I wish I’d known: how experienced physician managers diagnose, treat and prevent disruptive behaviour.
Citation Text:
Goodwin C, Haas S, Berry WR. What I wish I’d known: how experienced physician managers diagnose, treat and prevent disruptive behaviour. BMJ Lead. 2023;7(…
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psnet.ahrq.gov/issue/nature-reported-safety-events-related-care-coordination-operating-room-setting-tertiary
May 11, 2022 - Study
The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center.
Citation Text:
Krishnan S, Wheeler KK, Pimentel MP, et al. The nature of reported safety events related to care coordination in the operating room setting …
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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/community-discharge-among-post-acute-nursing-home-residents-association-patient-safety
November 04, 2020 - Study
Community discharge among post-acute nursing home residents: an association with patient safety culture?
Citation Text:
Guo W, Li Y, Temkin-Greener H. Community discharge among post-acute nursing home residents: an association with patient safety culture? J Am Med Dir Assoc. 2021;2…
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psnet.ahrq.gov/issue/enabling-sustained-communication-patients-safe-and-effective-management-oral-chemotherapy
October 14, 2020 - Study
Enabling sustained communication with patients for safe and effective management of oral chemotherapy: a longitudinal ethnography.
Citation Text:
Mitchell G, Porter S, Manias E. Enabling sustained communication with patients for safe and effective management of oral chemotherapy: a…
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psnet.ahrq.gov/issue/covid-19-dark-side-and-sunny-side-patient-safety
August 05, 2020 - Commentary
COVID-19: the dark side and the sunny side for patient safety.
Citation Text:
Wu AW, Sax H, Letaief M, et al. COVID-19: the dark side and the sunny side for patient safety. J Patient Saf Risk Manag. 2020;25(4):137-141. doi:10.1177/2516043520957116.
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psnet.ahrq.gov/issue/review-medication-errors-are-new-or-likely-occur-more-frequently-electronic-medication
August 18, 2021 - Study
Review of medication errors that are new or likely to occur more frequently with electronic medication management systems.
Citation Text:
Van de Vreede M, McGrath A, de Clifford J. Review of medication errors that are new or likely to occur more frequently with electronic medicatio…
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psnet.ahrq.gov/issue/barriers-incident-reporting-behavior-among-nursing-staff-study-based-theory-planned-behavior
February 27, 2019 - Study
Barriers to incident-reporting behavior among nursing staff: a study based on the theory of planned behavior.
Citation Text:
Lee Y-H, Yang C-C, Chen T-T. Barriers to incident-reporting behavior among nursing staff: A study based on the theory of planned behavior. J Manag Organ. 201…
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digital.ahrq.gov/ahrq-funded-projects/hit-medication-safety-critical-access-hospitals
January 01, 2023 - HIT for Medication Safety in Critical Access Hospitals
Project Final Report ( PDF , 453.8 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ.…
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www.ahrq.gov/evidencenow/projects/index.html
November 01, 2024 - EvidenceNOW Projects
The EvidenceNOW initiative, one of AHRQ’s solutions for revitalizing the nation’s primary care system, uses a model of external support to help primary care practices implement the latest evidence into practice and improve their capacity for quality improvement. The EvidenceNOW model use…
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psnet.ahrq.gov/issue/improving-self-reported-empathy-and-communication-skills-through-harm-healthcare-response
March 09, 2022 - Study
Improving self-reported empathy and communication skills through harm in healthcare response training.
Citation Text:
Samuels A, Broome ME, McDonald TB, et al. Improving self-reported empathy and communication skills through harm in healthcare response training. J Patient Saf Risk …
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psnet.ahrq.gov/issue/creating-highly-reliable-health-care-how-reliability-enhancing-work-practices-affect-patient
January 12, 2022 - Study
Creating highly reliable health care: how reliability-enhancing work practices affect patient safety in hospitals.
Citation Text:
Vogus TJ, Iacobucci D. Creating Highly Reliable Health Care. ILR Review. 2016;69(4). doi:10.1177/0019793916642759.
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psnet.ahrq.gov/issue/organisational-strategies-implement-hospital-pressure-ulcer-prevention-programmes-findings
June 02, 2021 - Study
Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from a national survey.
Citation Text:
Soban LM, Kim L, Yuan AH, et al. Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from a national surv…
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psnet.ahrq.gov/issue/effect-workload-infection-risk-critically-ill-patients
March 02, 2011 - Study
Classic
The effect of workload on infection risk in critically ill patients.
Citation Text:
Hugonnet S, Chevrolet J-C, Pittet D. The effect of workload on infection risk in critically ill patients. Crit Care Med. 2007;35(1):76-81.
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psnet.ahrq.gov/issue/business-case-quality-case-studies-and-analysis
February 23, 2019 - Study
Classic
The business case for quality: case studies and an analysis.
Citation Text:
Leatherman S, Berwick DM, Iles D, et al. The business case for quality: case studies and an analysis. Health Aff (Millwood). 2003;22(2):17-30.
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…
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psnet.ahrq.gov/issue/whistleblowing-over-patient-safety-and-care-quality-review-literature
April 08, 2019 - Review
Emerging Classic
Whistleblowing over patient safety and care quality: a review of the literature.
Citation Text:
Blenkinsopp J, Snowden N, Mannion R, et al. Whistleblowing over patient safety and care quality: a review of the literature. J Health Org Mana…
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psnet.ahrq.gov/issue/chance-favors-only-prepared-mind-preparing-minds-systematically-reduce-hazards-testing
April 23, 2014 - Study
"Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process in primary care.
Citation Text:
Singh R, Hickner J, Mold J, et al. "Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testin…
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digital.ahrq.gov/sites/default/files/docs/resource/Timeline_at_a_glance_high_level_snapshot_on_the_progress.pdf
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