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psnet.ahrq.gov/issue/graduate-medical-education-and-patient-safety-busy-and-occasionally-hazardous-intersection
March 02, 2011 - Commentary
Classic
Graduate medical education and patient safety: a busy--and occasionally hazardous--intersection.
Citation Text:
Shojania KG, Fletcher KE, Saint S. Graduate medical education and patient safety: a busy--and occasionally hazardous--intersectio…
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psnet.ahrq.gov/issue/dosing-errors-made-paramedics-during-pediatric-patient-simulations-after-implementation-state
August 25, 2021 - Study
Dosing errors made by paramedics during pediatric patient simulations after implementation of a state-wide pediatric drug dosing reference.
Citation Text:
Hoyle JD, Ekblad G, Hover T, et al. Dosing Errors Made by Paramedics During Pediatric Patient Simulations After Implementation …
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psnet.ahrq.gov/issue/interunit-handoffs-emergency-department-inpatient-care-cross-sectional-survey-physicians
September 23, 2020 - Study
Interunit handoffs from emergency department to inpatient care: a cross-sectional survey of physicians at a university medical center.
Citation Text:
Smith CJ, Britigan DH, Lyden E, et al. Interunit handoffs from emergency department to inpatient care: A cross-sectional survey of p…
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psnet.ahrq.gov/issue/tying-loose-ends-discharging-patients-unresolved-medical-issues
February 24, 2011 - Study
Tying up loose ends: discharging patients with unresolved medical issues.
Citation Text:
Moore C, McGinn T, Halm E. Tying up loose ends: discharging patients with unresolved medical issues. Arch Intern Med. 2007;167(12):1305-11.
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psnet.ahrq.gov/issue/mr-smiths-been-our-problem-child-today-anticipatory-management-communication-amc-va-end-shift
January 22, 2016 - Study
"Mr Smith's been our problem child today...": anticipatory management communication (AMC) in VA end-of-shift medicine and nursing handoffs.
Citation Text:
Bergman AA, Flanagan ME, Ebright PR, et al. "Mr Smith's been our problem child today…": anticipatory management communication (…
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psnet.ahrq.gov/issue/reduced-duty-hours-model-senior-internal-medicine-residents-qualitative-analysis-residents
June 25, 2014 - Study
A reduced duty hours model for senior internal medicine residents: a qualitative analysis of residents' experiences and perceptions.
Citation Text:
Mathew R, Gundy S, Ulic D, et al. A Reduced Duty Hours Model for Senior Internal Medicine Residents: A Qualitative Analysis of Residen…
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psnet.ahrq.gov/issue/trainees-perceptions-patient-safety-practices-recounting-failures-supervision
September 20, 2011 - Study
Trainees' perceptions of patient safety practices: recounting failures of supervision.
Citation Text:
Ross PT, McMyler ET, Anderson SG, et al. Trainees' perceptions of patient safety practices: recounting failures of supervision. Jt Comm J Qual Patient Saf. 2011;37(2):88-95.
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psnet.ahrq.gov/issue/residency-schedule-burnout-and-patient-care-among-first-year-residents
December 21, 2014 - Study
Residency schedule, burnout and patient care among first-year residents.
Citation Text:
Block L, Wu AW, Feldman LS, et al. Residency schedule, burnout and patient care among first-year residents. Postgrad Med J. 2013;89(1055):495-500. doi:10.1136/postgradmedj-2012-131743.
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psnet.ahrq.gov/issue/new-evidence-based-estimate-patient-harms-associated-hospital-care
October 19, 2022 - Review
A new, evidence-based estimate of patient harms associated with hospital care.
Citation Text:
James JT. A new, evidence-based estimate of patient harms associated with hospital care. J Patient Saf. 2013;9(3):122-128. doi:10.1097/PTS.0b013e3182948a69.
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psnet.ahrq.gov/issue/changing-working-while-sick-culture
March 14, 2018 - Commentary
Changing the "working while sick" culture.
Citation Text:
Tanksley AL, Wolfson RK, Arora V. Changing the "Working While Sick" Culture: Promoting Fitness for Duty in Health Care. JAMA. 2016;315(6):603-4. doi:10.1001/jama.2016.0094.
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www.ahrq.gov/teamstepps-program/evidence-base/emergency.html
June 01, 2023 - TeamSTEPPS Research/Evidence Base: Emergency Care
Alsabri M, Boudi Z, Lauque D, Dias RD, Whelan JS, Ostlundh L, Alinier G, Onyeji C, Michel P, Liu SW, Jr Camargo CA, Lindner T, Slagman A, Bates DW, Tazarourte K, Singer SJ, Toussi A, Grossman S, Bellou A. Impact of teamwork and communication training interventio…
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psnet.ahrq.gov/issue/pending-studies-hospital-discharge-pre-post-analysis-electronic-medical-record-tool-improve
September 16, 2020 - Study
Pending studies at hospital discharge: a pre-post analysis of an electronic medical record tool to improve communication at hospital discharge.
Citation Text:
Kantor MA, Evans KH, Shieh L. Pending studies at hospital discharge: a pre-post analysis of an electronic medical record to…
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psnet.ahrq.gov/issue/use-strategies-high-reliability-organisations-patient-hand-resident-physicians-practical
July 02, 2014 - Study
Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical implications.
Citation Text:
Philibert I. Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical implications. Qu…
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psnet.ahrq.gov/issue/duty-hours-quality-care-and-patient-safety-general-surgery-resident-perceptions
July 02, 2014 - Study
Duty hours, quality of care, and patient safety: general surgery resident perceptions.
Citation Text:
Borman KR, Jones AT, Shea JA. Duty hours, quality of care, and patient safety: general surgery resident perceptions. J Am Coll Surg. 2012;215(1):70-7; discussion 77-9. doi:10.101…
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psnet.ahrq.gov/issue/use-situ-simulation-investigate-latent-safety-threats-prior-opening-new-emergency-department
January 20, 2021 - Study
Use of in-situ simulation to investigate latent safety threats prior to opening a new emergency department.
Citation Text:
Medwid K, Smith SW, Gang M. Use of in-situ simulation to investigate latent safety threats prior to opening a new emergency department. Safety Sci. 2015;77:19-…
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www.ahrq.gov/sites/default/files/2024-02/pittman-report.pdf
January 01, 2024 - Final Progress Report: Four Safety Strategies: A Symposium on Implementation
Four Safety Strategies: A Symposium on Implementation
Principal Investigator: Mary A. Pittman, Dr.P.H.
Project Team: Allan Frankel, M.D., Partners HealthCare System
Tejal Gandhi, M.D., Brigham & Women’s Hospital
Sarah Grillo
Peter…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/9wQe2jWWHmor43TRBjtz3Q
February 01, 2009 - Screening for Skin Cancer: U.S. Preventive Services Task Force Recommendation Statement
Clinical Guidelines Annals of Internal Medicine
Screening for Skin Cancer: U.S. Preventive Services Task Force
Recommendation Statement
U.S. Preventive Services Task Force*
Description: Update of the 2001 U.S. Preventive S…
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digital.ahrq.gov/ahrq-funded-projects/cognitive-engineering-complex-decisionmaking-problem-solving-acute-care/citation/human
January 01, 2023 - Human factors design in the clinical environment: development and assessment of an interface for visualizing emergency medicine clinician workload.
Citation
Benda H, Blumenthal J, Hettinger AZ, et al. Human factors design in the clinical environment: development and assessment of an interface for vis…
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psnet.ahrq.gov/node/41784/psn-pdf
November 30, 2012 - Procedural safety in emergency care: a conceptual model
and recommendations.
November 30, 2012
Pines JM, Kelly JJ, Meisl H, et al. Procedural safety in emergency care: a conceptual model and
recommendations. Jt Comm J Qual Patient Saf. 2012;38(11):516-526.
https://psnet.ahrq.gov/issue/procedural-safety-emergency-c…
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/system/pfcasestudies/fillmore.pdf
August 01, 2014 - c
Case Studies
of EXEMPLARY PRIMARY CARE PRACTICE FACILITATION
TRAINING PROGRAMS
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
The PCM Portfolio graphic element is intended to be closely aligned with AHRQ's overall brand, …