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psnet.ahrq.gov/node/36667/psn-pdf
April 14, 2011 - Effective healthcare teams require effective team
members: defining teamwork competencies.
April 14, 2011
Leggat SG. Effective healthcare teams require effective team members: defining teamwork competencies.
BMC Health Serv Res. 2007;7:17.
https://psnet.ahrq.gov/issue/effective-healthcare-teams-require-effective-t…
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psnet.ahrq.gov/node/40635/psn-pdf
October 31, 2011 - Changes in nursing practice: associations with responses
to and coping with errors.
October 31, 2011
Karga M, Kiekkas P, Aretha D, et al. Changes in nursing practice: associations with responses to and
coping with errors. J Clin Nurs. 2011;20(21-22):3246-55. doi:10.1111/j.1365-2702.2011.03772.x.
https://psnet.ahrq…
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psnet.ahrq.gov/node/38927/psn-pdf
June 28, 2011 - Application of lean thinking to health care: issues and
observations.
June 28, 2011
Joosten T, Bongers I, Janssen R. Application of lean thinking to health care: issues and observations.
International Journal for Quality in Health Care. 2009;21(5). doi:10.1093/intqhc/mzp036.
https://psnet.ahrq.gov/issue/applicatio…
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psnet.ahrq.gov/node/853981/psn-pdf
September 27, 2023 - Walking Out of a Hospital After Attempted Suicide
September 27, 2023
Bourgeois JA, Xiong G. Walking Out of a Hospital After Attempted Suicide. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/walking-out-hospital-after-attempted-suicide
The Case
A 42-year-old man with history of posttraumatic stress disorder …
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psnet.ahrq.gov/web-mm/hold-tpa
July 29, 2020 - Hold the tPA
Citation Text:
Fagan SC. Hold the tPA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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psnet.ahrq.gov/node/49772/psn-pdf
October 01, 2016 - Lapse in Antibiotics Leads to Sepsis
October 1, 2016
Levy MM. Lapse in Antibiotics Leads to Sepsis. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/lapse-antibiotics-leads-sepsis
The Case
A 34-year-old near-term pregnant woman presented to the emergency department (ED) with abdominal
pain, fevers, and short…
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psnet.ahrq.gov/node/49746/psn-pdf
October 01, 2015 - An Obstructed View
October 1, 2015
Carter J. An Obstructed View. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/obstructed-view
The Case
A 66-year-old man with a history of benign prostatic hyperplasia and obstructive sleep apnea presented to
the emergency department (ED) with subacute abdominal pain that …
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psnet.ahrq.gov/innovation/geisingers-outpatient-addiction-medicine-specialty-program-uses-data-driven-decision
October 30, 2024 - Geisinger’s Outpatient Addiction Medicine Specialty Program Uses Data-Driven Decision Making and MAT to Reduce Mortality Rates
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February 9, 2021
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psnet.ahrq.gov/node/40259/psn-pdf
December 04, 2016 - Successful remediation of patient safety incidents: a tale
of two medication errors.
December 4, 2016
Helmchen LA, Richards MR, McDonald TB. Successful remediation of patient safety incidents: a tale of two
medication errors. Health Care Manage Rev. 2011;36(2):114-123. doi:10.1097/HMR.0b013e318200f916.
https://psn…
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psnet.ahrq.gov/node/45721/psn-pdf
June 28, 2017 - Rude providers jeopardize patient safety. So stop it.
June 28, 2017
Thew J. HealthLeaders Media. June 14, 2017.
https://psnet.ahrq.gov/issue/rude-providers-jeopardize-patient-safety-so-stop-it
Rudeness can affect teamwork and hinder safe, transparent care. This news article reports on one
hospital's approach to ma…
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psnet.ahrq.gov/node/41254/psn-pdf
April 11, 2012 - The Daily Plan: including patients for safety's sake.
April 11, 2012
King BJ, Mills PD, Fore AM, et al. The Daily Plan®: Including patients for safety's sake. Nurs Manage.
2012;43(3):15-8. doi:10.1097/01.NUMA.0000412229.53136.3e.
https://psnet.ahrq.gov/issue/daily-plan-including-patients-safetys-sake
This study re…
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psnet.ahrq.gov/node/46463/psn-pdf
October 04, 2017 - Effectively leading for quality.
October 4, 2017
Lachman P, Nicklin W. Effectively leading for quality. Healthc Manage Forum. 2017;30(5):233-236.
doi:10.1177/0840470417706705.
https://psnet.ahrq.gov/issue/effectively-leading-quality
Hospital boards and executives can help drive safety improvement. This commentary …
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psnet.ahrq.gov/node/39155/psn-pdf
March 05, 2010 - Timing and interventions of emergency teams during the
MERIT study.
March 5, 2010
Flabouris A, Chen J, Hillman K, et al. Timing and interventions of emergency teams during the MERIT
study. Resuscitation. 2010;81(1):25-30. doi:10.1016/j.resuscitation.2009.09.025.
https://psnet.ahrq.gov/issue/timing-and-intervention…
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psnet.ahrq.gov/node/36832/psn-pdf
August 26, 2011 - The role of information technology in healthcare
communications, efficiency, and patient safety:
application and results.
August 26, 2011
Prince SB, Herrin DM. The role of information technology in healthcare communications, efficiency, and
patient safety: application and results. J Nurs Adm. 2007;37(4):184-7.
ht…
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psnet.ahrq.gov/node/36636/psn-pdf
January 14, 2011 - Nursing home administrators' opinions of the resident
safety culture in nursing homes.
January 14, 2011
Castle NG, Handler S, Engberg J, et al. Nursing home administrators' opinions of the resident safety
culture in nursing homes. Health Care Manage Rev. 2007;32(1):66-76.
https://psnet.ahrq.gov/issue/nursing-home-…
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psnet.ahrq.gov/node/50941/psn-pdf
February 26, 2020 - Can teamwork promote safety in organizations?
February 26, 2020
Salas E, Bisbey TM, Traylor AM, et al. Can teamwork promote safety in organizations? . Ann Rev Org
Psychol Org Behav. 2020;7(1):283-313. doi:10.1146/annurev-orgpsych-012119-045411.
https://psnet.ahrq.gov/issue/can-teamwork-promote-safety-organizations
…
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psnet.ahrq.gov/node/39522/psn-pdf
May 12, 2010 - Reporting trends in a regional medication error data-
sharing system.
May 12, 2010
Anderson J, Ramanujam R, Hensel DJ, et al. Reporting trends in a regional medication error data-sharing
system. Health Care Manag Sci. 2010;13(1):74-83.
https://psnet.ahrq.gov/issue/reporting-trends-regional-medication-error-data-sh…
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psnet.ahrq.gov/node/60690/psn-pdf
January 01, 2021 - A description of medical malpractice claims involving
advanced practice providers.
July 15, 2020
Myers LC, Sawicki D, Heard L, et al. A description of medical malpractice claims involving advanced
practice providers. J Healthc Risk Manag. 2021;40(3):8-16. doi:10.1002/jhrm.21412.
https://psnet.ahrq.gov/issue/descri…
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psnet.ahrq.gov/node/41331/psn-pdf
October 03, 2017 - Leading a highly visible hospital through a serious
reportable event.
October 3, 2017
Erickson JI. Leading a highly visible hospital through a serious reportable event. J Nurs Adm.
2012;42(3):131-3. doi:10.1097/NNA.0b013e31824808b6.
https://psnet.ahrq.gov/issue/leading-highly-visible-hospital-through-serious-repor…
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psnet.ahrq.gov/node/35395/psn-pdf
September 10, 2009 - Toward a theoretical approach to medical error reporting
system research and design.
September 10, 2009
Karsh B-T, Escoto KH, Beasley JW, et al. Toward a theoretical approach to medical error reporting system
research and design. Appl Ergon. 2006;37(3):283-95.
https://psnet.ahrq.gov/issue/toward-theoretical-approa…