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psnet.ahrq.gov/issue/coaching-program-improve-employee-engagement-culture-safety-and-patient-experience
April 05, 2013 - Study
A coaching program to improve employee engagement, culture of safety, and patient experience.
Citation Text:
Scheurer D, Coulter A, Harper K, et al. A coaching program to improve employee engagement, culture of safety, and patient experience. NEJM Catalyst. 2024;6(1):CAT.24.0225. d…
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psnet.ahrq.gov/issue/reimagining-healthcare-teams-leveraging-patient-clinician-ai-triad-improve-diagnostic-safety
September 13, 2023 - Book/Report
Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety.
Citation Text:
Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety. James C, Singh K, Valley TS, et al. Rockville, MD; Agency…
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psnet.ahrq.gov/node/60917/psn-pdf
September 16, 2020 - Impact of an obstetrical hospitalist program on the safety
events in a mid-sized obstetrical unit.
September 16, 2020
Decesare JZ, Bush SY, Morton AN. Impact of an obstetrical hospitalist program on the safety events in a
mid-sized obstetrical unit. J Patient Saf. 2020;16(3):e179-e181. doi:10.1097/pts.0000000000000…
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psnet.ahrq.gov/node/39098/psn-pdf
November 11, 2009 - Building team and technical competency for obstetric
emergencies: the mobile obstetric emergencies simulator
(MOES) system.
November 11, 2009
Deering S, Rosen MA, Salas E, et al. Building team and technical competency for obstetric emergencies:
the mobile obstetric emergencies simulator (MOES) system. Simul Health…
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psnet.ahrq.gov/innovation/project-nurture-engages-pregnant-people-substance-use-disorder-improves-maternal-and
September 23, 2024 - of Care
December 23, 2020
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Obstetrics
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psnet.ahrq.gov/issue/use-who-surgical-safety-checklist-trauma-and-orthopaedic-patients
August 30, 2017 - Study
Use of the WHO surgical safety checklist in trauma and orthopaedic patients.
Citation Text:
Sewell M, Adebibe M, Jayakumar P, et al. Use of the WHO surgical safety checklist in trauma and orthopaedic patients. Int Orthop. 2011;35(6):897-901. doi:10.1007/s00264-010-1112-7.
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psnet.ahrq.gov/issue/guidelines-prevention-diagnosis-and-treatment-ventilator-associated-pneumonia-vap-trauma
October 19, 2022 - Organizational Policy/Guidelines
Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (VAP) in the trauma patient.
Citation Text:
Minei JP, Nathens AB, West M, et al. Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (V…
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psnet.ahrq.gov/issue/increasing-use-smart-pump-drug-libraries-nurses-continuous-quality-improvement-project
September 09, 2020 - Commentary
Increasing the use of 'smart' pump drug libraries by nurses: a continuous quality improvement project.
Citation Text:
Harding AD. Increasing the use of 'smart' pump drug libraries by nurses: a continuous quality improvement project. Am J Nurs. 2012;112(1):26-37. doi:10.1097/…
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psnet.ahrq.gov/issue/medication-prescribing-errors-prehospital-setting-and-ed
September 13, 2017 - Study
Medication prescribing errors in the prehospital setting and in the ED.
Citation Text:
Lifshitz AE, Goldstein LH, Sharist M, et al. Medication prescribing errors in the prehospital setting and in the ED. Am J Emerg Med. 2012;30(5):726-31. doi:10.1016/j.ajem.2011.04.023.
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psnet.ahrq.gov/issue/using-simulation-identify-sources-medical-diagnostic-error-child-physical-abuse
January 12, 2022 - Study
Using simulation to identify sources of medical diagnostic error in child physical abuse.
Citation Text:
Anderst J, Nielsen-Parker M, Moffatt M, et al. Using simulation to identify sources of medical diagnostic error in child physical abuse. Child Abuse Negl. 2016;52:62-69. doi:10.…
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psnet.ahrq.gov/issue/impact-intensive-care-unit-discharge-time-patient-outcome
December 14, 2022 - Study
Impact of intensive care unit discharge time on patient outcome.
Citation Text:
Priestap FA, Martin CM. Impact of intensive care unit discharge time on patient outcome. Crit Care Med. 2006;34(12):2946-2951.
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psnet.ahrq.gov/issue/adverse-respiratory-events-anesthesia-closed-claims-analysis
February 10, 2011 - Study
Classic
Adverse respiratory events in anesthesia: a closed claims analysis.
Citation Text:
Caplan RA, Posner KL, Ward RJ, et al. Adverse respiratory events in anesthesia: a closed claims analysis. Anesthesiology. 1990;72(5):828-33.
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psnet.ahrq.gov/issue/popi-pediatrics-omission-prescriptions-and-inappropriate-prescriptions-development-tool
June 30, 2011 - Study
POPI (Pediatrics: Omission of Prescriptions and Inappropriate prescriptions): development of a tool to identify inappropriate prescribing.
Citation Text:
Prot-Labarthe S, Weil T, Angoulvant F, et al. POPI (Pediatrics: Omission of Prescriptions and Inappropriate prescriptions): deve…
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psnet.ahrq.gov/issue/inappropriate-medication-use-elderly-results-quality-improvement-project-99-primary-care
January 18, 2013 - Study
Inappropriate medication use in the elderly: results from a quality improvement project in 99 primary care practices.
Citation Text:
Wessell AM, Nietert PJ, Jenkins RG, et al. Inappropriate medication use in the elderly: Results from a quality improvement project in 99 primary ca…
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psnet.ahrq.gov/issue/understanding-cognitive-work-nursing-acute-care-environment
July 20, 2022 - Study
Understanding the cognitive work of nursing in the acute care environment.
Citation Text:
Potter P, Wolf L, Boxerman S, et al. Understanding the cognitive work of nursing in the acute care environment. J Nurs Adm. 2005;35(7-8):327-335. https://journals.lww.com/jonajournal/Abstract/…
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psnet.ahrq.gov/issue/effect-outcome-physician-judgments-appropriateness-care
June 23, 2015 - Review
Classic
Effect of outcome on physician judgments of appropriateness of care.
Citation Text:
Caplan RA, Posner KL, Cheney FW. Effect of outcome on physician judgments of appropriateness of care. JAMA. 1991;265(15):1957-60.
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psnet.ahrq.gov/issue/acquisition-critical-intraoperative-event-management-skills-novice-anesthesiology-residents
March 19, 2019 - Study
Acquisition of critical intraoperative event management skills in novice anesthesiology residents by using high-fidelity simulation-based training.
Citation Text:
Park C, Rochlen LR, Yaghmour E, et al. Acquisition of critical intraoperative event management skills in novice anest…
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psnet.ahrq.gov/issue/hospital-inpatient-nutrition-service-errors-and-patient-safety-interventions-scoping-review
January 01, 2000 - Review
Hospital inpatient nutrition service errors and patient safety interventions: a scoping review.
Citation Text:
Austria D, McConnell C, Pope C. Hospital inpatient nutrition service errors and patient safety interventions: a scoping review. J Patient Saf. 2024;20(4):272-278. doi:10.…
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psnet.ahrq.gov/issue/acute-stroke-chameleons-university-hospital-risk-factors-circumstances-and-outcomes
March 05, 2025 - Study
Acute stroke chameleons in a university hospital: risk factors, circumstances, and outcomes.
Citation Text:
Richoz B, Hugli O, Dami F, et al. Acute stroke chameleons in a university hospital: Risk factors, circumstances, and outcomes. Neurology. 2015;85(6):505-11. doi:10.1212/WNL.0…
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psnet.ahrq.gov/issue/scale-nature-preventability-and-causes-adverse-events-hospitalised-older-patients
July 26, 2011 - Study
Scale, nature, preventability and causes of adverse events in hospitalised older patients.
Citation Text:
Merten H, Zegers M, de Bruijne M, et al. Scale, nature, preventability and causes of adverse events in hospitalised older patients. Age Ageing. 2013;42(1):87-93. doi:10.1093/…