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psnet.ahrq.gov/issue/association-household-opioid-availability-and-prescription-opioid-initiation-among-household
April 24, 2018 - Study
Association of household opioid availability and prescription opioid initiation among household members.
Citation Text:
Seamans MJ, Carey TS, Westreich DJ, et al. Association of Household Opioid Availability and Prescription Opioid Initiation Among Household Members. JAMA Intern Me…
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psnet.ahrq.gov/issue/patient-safety-incidents-home-hospice-care-experiences-hospice-interdisciplinary-team-members
February 15, 2011 - Study
Patient safety incidents in home hospice care: the experiences of hospice interdisciplinary team members.
Citation Text:
Smucker DR, Regan S, Elder NC, et al. Patient safety incidents in home hospice care: the experiences of hospice interdisciplinary team members. J Palliat Med. 20…
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psnet.ahrq.gov/issue/discrepant-perceptions-communication-teamwork-and-situation-awareness-among-surgical-team
August 12, 2020 - Study
Discrepant perceptions of communication, teamwork and situation awareness among surgical team members.
Citation Text:
Wauben LSGL, van Doorn CMD-, van Wijngaarden JDH, et al. Discrepant perceptions of communication, teamwork and situation awareness among surgical team members. In…
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psnet.ahrq.gov/issue/patient-mortality-during-unannounced-accreditation-surveys-us-hospitals
August 03, 2022 - principles in maintenance of certification: a qualitative analysis of American Board of Medical Specialties member
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psnet.ahrq.gov/innovation/catching-those-who-fall-through-cracks-integrating-follow-process-emergency-department
September 09, 2020 - then follows a standardized process for communicating the incidental finding to the patient or family member
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psnet.ahrq.gov/issue/predictors-gaps-patient-safety-and-quality-us-hospitals
December 23, 2020 - December 23, 2020
Exploring the relationship between contact frequency, leader-member
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psnet.ahrq.gov/node/45482/psn-pdf
September 14, 2016 - 'America's other drug problem': copious prescriptions for
hospitalized elderly.
September 14, 2016
Gorman A. Kaiser Health News. August 30, 2016.
https://psnet.ahrq.gov/issue/americas-other-drug-problem-copious-prescriptions-hospitalized-elderly
Older patients are particularly vulnerable to medication errors, as t…
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psnet.ahrq.gov/node/865884/psn-pdf
May 29, 2024 - Managing Complexity in Diagnosis: Life-threatening
Complications after Gastric Bypass Surgery.
May 29, 2024
Olson APJ. Managing Complexity in Diagnosis: Life-threatening Complications after Gastric Bypass
Surgery. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/managing-complexity-diagnosis-life-threatening-…
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psnet.ahrq.gov/node/49507/psn-pdf
April 01, 2006 - Any member of the crew is empowered to wave off a landing—judgments of safety trump
formal rank. … Bosk has declared that neither he, nor any immediate member of his family, has a
financial arrangement
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psnet.ahrq.gov/issue/communication-failures-operating-room-observational-classification-recurrent-types-and
April 06, 2011 - Study
Classic
Communication failures in the operating room: an observational classification of recurrent types and effects.
Citation Text:
Lingard L, Espin S, Whyte S, et al. Communication failures in the operating room: an observational classification of recu…
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psnet.ahrq.gov/node/33647/psn-pdf
March 01, 2007 - The Role of the Patient in Improving Patient Safety
March 1, 2007
Gibson R. The Role of the Patient in Improving Patient Safety. PSNet [internet]. 2007.
https://psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
Perspective
Patients have three roles in improving patient safety: helping to ensure thei…
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psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety
September 15, 2024 - May 11, 2016
Surgical team member assessment of the safety of surgery practice in 38
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psnet.ahrq.gov/node/50405/psn-pdf
October 02, 2019 - Nurses and patients: natural partners to advance patient
safety
October 2, 2019
Ricciardi R, Shofer M. Nurses and Patients: Natural Partners to Advance Patient Safety. J Nurs Care Qual.
2019;34(1):1-3. doi:10.1097/NCQ.0000000000000377.
https://psnet.ahrq.gov/issue/nurses-and-patients-natural-partners-advance-patie…
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psnet.ahrq.gov/node/49406/psn-pdf
June 01, 2003 - essence, we are witness to a
serious human factors problem in which the most immediately responsible member … references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
would alert any member
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psnet.ahrq.gov/web-mm/managing-complexity-diagnosis-life-threatening-complications-after-gastric-bypass-surgery
September 25, 2019 - SPOTLIGHT CASE
Managing Complexity in Diagnosis: Life-threatening Complications after Gastric Bypass Surgery.
Citation Text:
Olson APJ. Managing Complexity in Diagnosis: Life-threatening Complications after Gastric Bypass Surgery.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research …
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psnet.ahrq.gov/node/46491/psn-pdf
August 20, 2018 - A qualitative study of speaking out about patient safety
concerns in intensive care units.
August 20, 2018
Tarrant C, Leslie M, Bion J, et al. A qualitative study of speaking out about patient safety concerns in
intensive care units. Soc Sci Med. 2017;193:8-15. doi:10.1016/j.socscimed.2017.09.036.
https://psnet.ah…
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psnet.ahrq.gov/node/862124/psn-pdf
February 07, 2024 - The TeamSTEPPS for Improving Diagnosis Team
Assessment Tool: scale development and psychometric
evaluation.
February 7, 2024
Ali KJ, Goeschel CA, Eckroade MM, et al. The TeamSTEPPS for Improving Diagnosis Team Assessment
Tool: scale development and psychometric evaluation. Jt Comm J Qual Patient Saf. 2024;50(2):95…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.37_slideshow.ppt
November 01, 2003 - Spotlight Case [MONTH] 2003
Spotlight Case November 2003
The Missing Suction Tip
Source and Credits
This presentation is based on the Nov. 2003
AHRQ WebM&M Spotlight Case in Surgery
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Eric J. Thomas, MD,…
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psnet.ahrq.gov/web-mm/shake-well
September 01, 2006 - Because the healthcare organization had switched carbamazepine formulations at all its member hospitals … A cause was found and disseminated not only at that institution but also at other member hospitals.
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psnet.ahrq.gov/issue/mentoring-staff-members-patient-safety-leaders-clarian-safe-passage-program
January 10, 2011 - Commentary
Mentoring staff members as patient safety leaders: the Clarian Safe Passage Program.
Citation Text:
Rapala K. Mentoring staff members as patient safety leaders: the Clarian Safe Passage Program. Crit Care Nurs Clin North Am. 2005;17(2):121-126, ix.
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