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psnet.ahrq.gov/issue/nursing-home-survey-patient-safety-culture-2011-user-comparative-database-report
November 30, 2016 - Book/Report
Nursing Home Survey on Patient Safety Culture: 2011 User Comparative Database Report.
Citation Text:
Nursing Home Survey on Patient Safety Culture: 2011 User Comparative Database Report. Sorra J, Famolaro T, Dyer N, Khanna K, Nelson D. Rockville, MD: Agency for Healthcare…
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psnet.ahrq.gov/issue/decisions-about-critical-events-device-related-scenarios-function-expertise
January 02, 2017 - Study
Decisions about critical events in device-related scenarios as a function of expertise.
Citation Text:
Laxmisan A, Malhotra S, Keselman A, et al. Decisions about critical events in device-related scenarios as a function of expertise. J Biomed Inform. 2005;38(3):200-12.
Copy Citat…
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psnet.ahrq.gov/issue/advancing-future-patient-safety-oncology-implications-patient-safety-education-cancer-care
December 21, 2014 - Commentary
Advancing the future of patient safety in oncology: implications of patient safety education on cancer care delivery.
Citation Text:
James TA, Goedde M, Bertsch T, et al. Advancing the Future of Patient Safety in Oncology: Implications of Patient Safety Education on Cancer Car…
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psnet.ahrq.gov/issue/surveillance-medical-device-related-hazards-and-adverse-events-hospitalized-patients
March 11, 2011 - Study
Classic
Surveillance of medical device-related hazards and adverse events in hospitalized patients.
Citation Text:
Samore MH, Evans S, Lassen A, et al. Surveillance of medical device-related hazards and adverse events in hospitalized patients. JAMA. 2004;2…
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psnet.ahrq.gov/issue/patient-safety-medical-imaging-joint-paper-european-society-radiology-esr-and-european
September 30, 2010 - Commentary
Patient safety in medical imaging: a joint paper of the European Society of Radiology (ESR) and the European Federation of Radiographer Societies (EFRS).
Citation Text:
Radiology ES of, Societies EF of R. Patient Safety in Medical Imaging: a joint paper of the European Society…
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psnet.ahrq.gov/issue/interprofessional-model-speaking-behaviour-healthcare-professionals-qualitative-study
December 21, 2017 - Study
Interprofessional model on speaking up behaviour in healthcare professionals: a qualitative study.
Citation Text:
Umoren R, Kim S, Gray MM, et al. Interprofessional model on speaking up behaviour in healthcare professionals: a qualitative study. BMJ Lead. 2022;6(1):15-19. doi:10.11…
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psnet.ahrq.gov/issue/effects-racial-bias-pulse-oximetry-children-and-how-address-algorithmic-bias-clinical
May 08, 2017 - Commentary
Effects of racial bias in pulse oximetry on children and how to address algorithmic bias in clinical medicine.
Citation Text:
Gray KD, Subramaniam HL, Huang ES. Effects of racial bias in pulse oximetry on children and how to address algorithmic bias in clinical medicine. JAMA …
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psnet.ahrq.gov/issue/medication-safety-moving-illusion-reality
July 29, 2020 - Multicenter development, implementation, and patient safety impacts of a simulation-based module
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psnet.ahrq.gov/web-mm/dropping-new-lows
December 18, 2024 - The exam could be combined with a live lecture or built as an online module focusing on main inpatient … The HGR is a continuing education initiative comprised of a four-module seminar series focused on best
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psnet.ahrq.gov/issue/ahrq-nursing-home-survey-patient-safety-culture-2014-user-comparative-database-report
May 11, 2016 - Book/Report
AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative Database Report.
Citation Text:
AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative Database Report. Sorra J, Famolaro T, Yount N, Burns W, Liu H, Shyy M. Rockville, MD: Agency for…
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psnet.ahrq.gov/issue/indication-specific-opioid-prescribing-us-patients-medicaid-or-private-insurance-2017
August 02, 2017 - Study
Indication-specific opioid prescribing for US patients with Medicaid or private Insurance, 2017
Citation Text:
Mikosz CA, Zhang K, Haegerich TM, et al. Indication-specific opioid prescribing for US patients with Medicaid or private Insurance, 2017. JAMA Netw Open. 2020;3(5). doi:10…
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psnet.ahrq.gov/issue/identifying-patient-and-practice-characteristics-associated-patient-reported-experiences
April 25, 2018 - Study
Identifying patient and practice characteristics associated with patient-reported experiences of safety problems and harm: a cross-sectional study using a multilevel modelling approach.
Citation Text:
Ricci-Cabello I, Reeves D, Bell BG, et al. Identifying patient and practice chara…
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psnet.ahrq.gov/issue/impact-online-education-intern-behaviour-around-joint-commission-national-patient-safety
September 30, 2012 - Study
Impact of online education on intern behaviour around Joint Commission national patient safety goals: a randomised trial.
Citation Text:
Shaw T, Pernar LI, Peyre S, et al. Impact of online education on intern behaviour around joint commission national patient safety goals: a rand…
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psnet.ahrq.gov/issue/reduction-medication-errors-hospitals-due-adoption-computerized-provider-order-entry-systems
June 13, 2018 - Review
Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems.
Citation Text:
Radley DC, Wasserman MR, Olsho LE, et al. Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems. J Am Med Inf…
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psnet.ahrq.gov/node/72614/psn-pdf
March 01, 2021 - structured communication,
teamwork and situational awareness/leadership techniques as part of each didactic module
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psnet.ahrq.gov/node/49758/psn-pdf
April 01, 2016 - The exam could be combined with a live lecture or built as an online module focusing
on main inpatient … The HGR is a continuing education initiative comprised of a four-module seminar series focused on
best
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psnet.ahrq.gov/node/49727/psn-pdf
March 01, 2015 - Critical Opportunity Lost
March 1, 2015
Genzen JR, Signorelli HN. Critical Opportunity Lost. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/critical-opportunity-lost
The Case
A 55-year-old woman presented to the emergency department (ED) with new onset chest pain. She
reported eating a heavy dinner the pre…
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psnet.ahrq.gov/home
August 04, 2021 - Promoting Patient Safety.
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AHRQ’s Patient Safety Network (PSNet) features a collection of the latest news and resources on patient safety, innovations and toolkits , opportunities for free CME and trainings . The p…
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psnet.ahrq.gov/web-mm/waiting-too-long
February 01, 2013 - Computerized realistic simulation: a teaching module for crisis management in radiology.
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psnet.ahrq.gov/web-mm/written-signout-it-only-works-if-you-use-right-one
April 24, 2018 - skills (using TeamSTEPPS) as well the I-PASS handoff mnemonic, role-plays and simulations, a learning module