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psnet.ahrq.gov/node/49577/psn-pdf
January 01, 2009 - Are Two Insulin Pumps Better Than One?
January 1, 2009
Cook CB. Are Two Insulin Pumps Better Than One? PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/are-two-insulin-pumps-better-one
The Case
A 62-year-old man with type 1 diabetes mellitus was admitted to the hospital for coronary artery bypass
graft surge…
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psnet.ahrq.gov/issue/drug-healthcare-and-patient-safety
June 06, 2012 - Newsletter/Journal
Drug, Healthcare and Patient Safety.
Citation Text:
Drug, Healthcare and Patient Safety. Aparasu R, ed. Princeton, NJ: Dove Press. ISSN: 1179-1365.
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psnet.ahrq.gov/issue/team-performance-measurement-model-continuous-improvement
February 26, 2025 - Commentary
A team performance measurement model for continuous improvement.
Citation Text:
Çiçek MC, Köksal G, Özdemirel NE. A team performance measurement model for continuous improvement. Total Quality Management & Business Excellence. 2007;16(3). doi:10.1080/14783360500054129.
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psnet.ahrq.gov/node/838241/psn-pdf
October 05, 2022 - Social risk, health inequity, and patient safety.
October 5, 2022
Boisvert S. Social risk, health inequity, and patient safety. J Healthc Risk Manag. 2022;42(2):18-25.
doi:10.1002/jhrm.21519.
https://psnet.ahrq.gov/issue/social-risk-health-inequity-and-patient-safety
Social determinants of health (SDOH) are non-me…
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psnet.ahrq.gov/issue/risk-management-or-just-different-risk-national-survey-newborn-units-following-patient-safety
April 12, 2011 - Study
Risk management, or just a different risk: a national survey of newborn units following a patient safety alert.
Citation Text:
Freer Y. Risk management, or just a different risk? Archives of Disease in Childhood - Fetal and Neonatal Edition. 2006;91(5). doi:10.1136/adc.2005.08954…
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psnet.ahrq.gov/issue/what-influences-sustainment-and-nonsustainment-facilitation-activities-implementation
April 17, 2017 - Study
What influences sustainment and nonsustainment of facilitation activities in implementation? Analysis of organizational factors in hospitals implementing TeamSTEPPS.
Citation Text:
Baloh J, Zhu X, Ward MM. What influences sustainment and nonsustainment of facilitation activities in…
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psnet.ahrq.gov/issue/developing-medical-emergency-team-running-sheet-improve-clinical-handoff-and-documentation
June 26, 2024 - Study
Developing a medical emergency team running sheet to improve clinical handoff and documentation.
Citation Text:
Mardegan K, Heland M, Whitelock T, et al. Developing a medical emergency team running sheet to improve clinical handoff and documentation. Jt Comm J Qual Patient Saf. 2…
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psnet.ahrq.gov/issue/evidence-based-guidelines-fatigue-risk-management-emergency-medical-services
August 03, 2017 - Review
Evidence-based guidelines for fatigue risk management in emergency medical services.
Citation Text:
Patterson D, Higgins S, Van Dongen HPA, et al. Evidence-Based Guidelines for Fatigue Risk Management in Emergency Medical Services. Prehosp Emerg Care. 2018;22(sup1):89-101. doi:10.…
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psnet.ahrq.gov/issue/using-crew-resource-management-and-read-and-do-checklist-reduce-failure-rescue-events-step
November 04, 2020 - Study
Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a step-down unit.
Citation Text:
Young-Xu Y, Fore AM, Metcalf A, et al. Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a step-down …
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psnet.ahrq.gov/issue/nurses-discuss-bedside-handover-and-using-written-handover-sheets
January 24, 2018 - Study
Nurses discuss bedside handover and using written handover sheets.
Citation Text:
Johnson M, Cowin LS. Nurses discuss bedside handover and using written handover sheets. J Nurs Manag. 2013;21(1):121-9. doi:10.1111/j.1365-2834.2012.01438.x.
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psnet.ahrq.gov/issue/preventing-and-mitigating-radiology-system-failures-guide-disaster-planning
November 23, 2016 - Commentary
Preventing and mitigating radiology system failures: a guide to disaster planning.
Citation Text:
Gibney BT, Roberts JM, D'Ortenzio RM, et al. Preventing and mitigating radiology system failures: a guide to disaster planning. RadioGraphics. 2021;41(7):2111-2126. doi:10.1148/rg…
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psnet.ahrq.gov/issue/implementing-error-disclosure-coaching-model-multicenter-case-study
May 11, 2016 - Study
Implementing an error disclosure coaching model: a multicenter case study.
Citation Text:
White AA, Brock DM, McCotter PI, et al. Implementing an error disclosure coaching model: A multicenter case study. J Healthc Risk Manag. 2017;36(3):34-45. doi:10.1002/jhrm.21260.
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psnet.ahrq.gov/issue/enhance-patient-safety-identifying-and-minimizing-risk-exposures-affecting-nurse-practitioner
December 04, 2015 - Study
Enhance patient safety by identifying and minimizing risk exposures affecting nurse practitioner practice.
Citation Text:
Leigh J, Flynn J. Enhance patient safety by identifying and minimizing risk exposures affecting nurse practitioner practice. J Healthc Risk Manag. 2013;33(2):2…
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psnet.ahrq.gov/issue/ladder-based-safety-culture-assessments-inversely-predict-safety-outcomes
January 22, 2025 - Commentary
‘Ladder’-based safety culture assessments inversely predict safety outcomes.
Citation Text:
Boskeljon‐Horst L, Sillem S, Dekker SWA. ‘Ladder’‐based safety culture assessments inversely predict safety outcomes. J Contingencies Crisis Manag. 2022;31(3):372-391. doi:10.1111/1468-…
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psnet.ahrq.gov/issue/racial-and-ethnic-differences-emergency-department-pain-management-children-fractures
September 15, 2015 - Study
Racial and ethnic differences in emergency department pain management of children with fractures.
Citation Text:
Goyal MK, Johnson TJ, Chamberlain JM, et al. Racial and ethnic differences in emergency department pain management of children with fractures. Pediatrics. 2020;145(5):e2…
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psnet.ahrq.gov/issue/implementation-patient-safety-incident-management-system-viewed-doctors-nurses-and-allied
March 23, 2011 - Study
Implementation of a patient safety incident management system as viewed by doctors, nurses and allied health professionals.
Citation Text:
Travaglia J, Westbrook MT, Braithwaite J. Implementation of a patient safety incident management system as viewed by doctors, nurses and alli…
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psnet.ahrq.gov/issue/longitudinal-evaluation-programme-safety-culture-change-mental-health-service
January 24, 2018 - Study
Longitudinal evaluation of a programme for safety culture change in a mental health service.
Citation Text:
Dickens GL, Salamonson Y, Johnson A, et al. Longitudinal evaluation of a programme for safety culture change in a mental health service. J Nurs Manag. 2021;29(4):690-698. doi…
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psnet.ahrq.gov/issue/structural-empowerment-and-patient-safety-culture-among-registered-nurses-working-adult
January 23, 2008 - Study
Structural empowerment and patient safety culture among registered nurses working in adult critical care units.
Citation Text:
Armellino D, Griffin MTQ, Fitzpatrick JJ. Structural empowerment and patient safety culture among registered nurses working in adult critical care units.…
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psnet.ahrq.gov/issue/simulation-design-research-evaluating-safety-innovations-anaesthesia
February 25, 2009 - Study
A simulation design for research evaluating safety innovations in anaesthesia.
Citation Text:
Merry AF, Weller JM, Robinson BJ, et al. A simulation design for research evaluating safety innovations in anaesthesia*. Anaesthesia. 2008;63(12):1349-57. doi:10.1111/j.1365-2044.2008.…
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psnet.ahrq.gov/issue/patient-and-family-engagement-incident-investigations-exploring-hospital-manager-and-incident
November 04, 2020 - Study
Patient and family engagement in incident investigations: exploring hospital manager and incident investigators' experiences and challenges.
Citation Text:
Kok J, Leistikow I, Bal R. Patient and family engagement in incident investigations: exploring hospital manager and incident i…