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psnet.ahrq.gov/issue/addressing-elephant-room-shame-resilience-seminar-medical-students
June 07, 2023 - Commentary
Addressing the elephant in the room: a shame resilience seminar for medical students.
Citation Text:
Bynum WE, Adams A, Edelman CE, et al. Addressing the Elephant in the Room: A Shame Resilience Seminar for Medical Students. Acad Med. 2019;94(8):1132-1136. doi:10.1097/ACM.0000…
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psnet.ahrq.gov/issue/adverse-events-and-near-misses-relating-information-management-hospital
December 29, 2014 - Study
Adverse events and near misses relating to information management in a hospital.
Citation Text:
Jylhä V, Bates DW, Saranto K. Adverse events and near misses relating to information management in a hospital. Health Inf Manag. 2016;45(2):55-63. doi:10.1177/1833358316641551.
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psnet.ahrq.gov/issue/psychometric-properties-hospital-survey-patient-safety-culture-dutch-hospitals
April 14, 2011 - Study
The psychometric properties of the 'Hospital Survey on Patient Safety Culture' in Dutch hospitals.
Citation Text:
Smits M, Christiaans-Dingelhoff I, Wagner C, et al. The psychometric properties of the 'Hospital Survey on Patient Safety Culture' in Dutch hospitals. BMC Health Serv…
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psnet.ahrq.gov/issue/do-hsmrs-really-measure-patient-safety
June 22, 2009 - Special or Theme Issue
Do HSMRs really measure patient safety?
Citation Text:
Do HSMRs really measure patient safety? Leatt P; Wen E; Sandoval C; Zelmer J; Webster G; Jarman B; McKinley J; Gibson D; Ardal S; Zahn C; Baker M; MacNaughton J; Flemming C; Bell R; Figler S; Brien SE; Gh…
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psnet.ahrq.gov/issue/comparative-performance-pediatric-weight-estimation-techniques-human-factor-errors-analysis
March 30, 2022 - Study
Comparative performance of pediatric weight estimation techniques: a human factor errors analysis.
Citation Text:
Abdel-Rahman SM, Jacobsen R, Watts JL, et al. Comparative performance of pediatric weight estimation techniques: a human factor errors analysis. Pediatr Emerg Care. 201…
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psnet.ahrq.gov/issue/reporting-medical-errors-improve-patient-safety-survey-physicians-teaching-hospitals
February 24, 2011 - Study
Reporting medical errors to improve patient safety: a survey of physicians in teaching hospitals.
Citation Text:
Kaldjian LC, Jones EW, Wu BJ, et al. Reporting medical errors to improve patient safety: a survey of physicians in teaching hospitals. Arch Intern Med. 2008;168(1):40-…
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psnet.ahrq.gov/issue/improving-medication-management-through-redesign-hospital-code-cart-medication-drawer
October 31, 2018 - Study
Improving medication management through the redesign of the hospital code cart medication drawer.
Citation Text:
Rousek JB, Hallbeck MS. Improving Medication Management Through the Redesign of the Hospital Code Cart Medication Drawer. Human Factors: The Journal of the Human Facto…
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psnet.ahrq.gov/issue/errors-and-omissions-hospital-prescriptions-survey-prescription-writing-hospital
April 13, 2022 - Study
Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital.
Citation Text:
Calligaris L, Panzera A, Arnoldo L, et al. Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital. BMC Clin Pharmacol. 2009;9:9. d…
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psnet.ahrq.gov/issue/impact-date-stamping-patient-safety-measurement-patients-undergoing-cabg-experience-ahrq
December 21, 2014 - Study
Impact of date stamping on patient safety measurement in patients undergoing CABG: experience with the AHRQ Patient Safety Indicators.
Citation Text:
Glance LG, Li Y, Osler T, et al. Impact of date stamping on patient safety measurement in patients undergoing CABG: experience wit…
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psnet.ahrq.gov/issue/utilizing-information-technology-mitigate-handoff-risks-caused-resident-work-hour
March 17, 2010 - Commentary
Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions.
Citation Text:
Bernstein J, MacCourt DC, Jacob DM, et al. Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions. Clin …
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psnet.ahrq.gov/issue/theoretical-framework-and-competency-based-approach-improving-handoffs
March 28, 2011 - Commentary
A theoretical framework and competency-based approach to improving handoffs.
Citation Text:
Arora VM, Johnson JK, Meltzer DO, et al. A theoretical framework and competency-based approach to improving handoffs. Qual Saf Health Care. 2008;17(1):11-4. doi:10.1136/qshc.2006.0189…
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psnet.ahrq.gov/issue/blending-evidence-and-innovation-improving-intershift-handoffs-multihospital-setting
September 23, 2017 - Commentary
Blending evidence and innovation: improving intershift handoffs in a multihospital setting.
Citation Text:
Thomas L, Donohue-Porter P. Blending evidence and innovation: improving intershift handoffs in a multihospital setting. J Nurs Care Qual. 2012;27(2):116-24. doi:10.1097…
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psnet.ahrq.gov/issue/how-do-black-serving-hospitals-perform-patient-safety-indicators-implications-national-public
February 18, 2011 - Study
How do black-serving hospitals perform on patient safety indicators?: Implications for national public reporting and pay-for-performance.
Citation Text:
Ly DP, López L, Isaac T, et al. How do black-serving hospitals perform on patient safety indicators? Implications for national …
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psnet.ahrq.gov/issue/communication-failures-patient-sign-out-and-suggestions-improvement-critical-incident
April 16, 2008 - Study
Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis.
Citation Text:
Arora VM, Johnson JK, Lovinger D, et al. Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis. Qual Saf Hea…
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psnet.ahrq.gov/issue/lost-translation-challenges-and-opportunities-physician-physician-communication-during
April 12, 2011 - Study
Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs.
Citation Text:
Solet DJ, Norvell M, Rutan GH, et al. Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoff…
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psnet.ahrq.gov/issue/listening-and-question-asking-behaviors-resident-and-nurse-handoff-conversations-prospective
June 27, 2018 - Study
Listening and question-asking behaviors in resident and nurse handoff conversations: a prospective observational study.
Citation Text:
Kannampallil TG, Abraham J. Listening and question-asking behaviors in resident and nurse handoff conversations: a prospective observational study.…
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psnet.ahrq.gov/issue/safe-use-electronic-health-records-and-health-information-technology-systems-trust-verify
August 02, 2015 - Study
Safe use of electronic health records and health information technology systems: trust but verify.
Citation Text:
Denham CR, Classen D, Swenson SJ, et al. Safe use of electronic health records and health information technology systems: trust but verify. J Patient Saf. 2013;9(4):17…
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psnet.ahrq.gov/issue/improving-weekend-out-hours-surgical-handover-woosh
May 27, 2011 - Commentary
Improving Weekend Out Of Hours Surgical Handover (WOOSH).
Citation Text:
Boyer M, Tappenden J, Peter M. Improving Weekend Out Of hours Surgical Handover (WOOSH). BMJ Qual Improv Rep. 2016;5(1):1-4. doi:10.1136/bmjquality.u209552.w4190.
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psnet.ahrq.gov/issue/what-learning-review-safety-literature-define-learning-incidents-accidents-and-disasters
December 17, 2010 - Review
What is learning? A review of the safety literature to define learning from incidents, accidents and disasters.
Citation Text:
Drupsteen L, Guldenmund FW. What Is Learning? A Review of the Safety Literature to Define Learning from Incidents, Accidents and Disasters. J Contingencie…
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psnet.ahrq.gov/issue/reducing-inappropriate-diagnostic-practice-through-education-and-decision-support
December 13, 2013 - Study
Reducing inappropriate diagnostic practice through education and decision support.
Citation Text:
Bairstow PJ, Persaud J, Mendelson R, et al. Reducing inappropriate diagnostic practice through education and decision support. Int J Qual Health Care. 2010;22(3):194-200. doi:10.1093…