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psnet.ahrq.gov/issue/family-initiated-dialogue-about-medications-during-family-centered-rounds
July 09, 2018 - Study
Family-initiated dialogue about medications during family-centered rounds.
Citation Text:
Benjamin JM, Cox E, Trapskin PJ, et al. Family-initiated dialogue about medications during family-centered rounds. Pediatrics. 2015;135(1):94-101. doi:10.1542/peds.2013-3885.
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psnet.ahrq.gov/issue/strategies-improving-family-engagement-during-family-centered-rounds
December 22, 2018 - Study
Strategies for improving family engagement during family-centered rounds.
Citation Text:
Kelly MM, Xie A, Carayon P, et al. Strategies for improving family engagement during family-centered rounds. J Hosp Med. 2013;8(4):201-7. doi:10.1002/jhm.2022.
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psnet.ahrq.gov/issue/tension-between-needing-improve-care-and-knowing-how-do-it
June 03, 2010 - Commentary
Classic
The tension between needing to improve care and knowing how to do it.
Citation Text:
Auerbach AD, Landefeld S, Shojania KG. The tension between needing to improve care and knowing how to do it. N Engl J Med. 2007;357(6):608-13.
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psnet.ahrq.gov/issue/implementing-peer-evaluation-handoffs-associations-experience-and-workload
February 19, 2013 - Study
Implementing peer evaluation of handoffs: associations with experience and workload.
Citation Text:
Arora V, Greenstein EA, Woodruff JN, et al. Implementing peer evaluation of handoffs: associations with experience and workload. J Hosp Med. 2013;8(3):132-6. doi:10.1002/jhm.2002. …
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psnet.ahrq.gov/issue/racial-and-ethnic-differences-emergency-department-pain-management-children-fractures
September 15, 2015 - Study
Racial and ethnic differences in emergency department pain management of children with fractures.
Citation Text:
Goyal MK, Johnson TJ, Chamberlain JM, et al. Racial and ethnic differences in emergency department pain management of children with fractures. Pediatrics. 2020;145(5):e2…
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psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2009-comparative-database-report
November 30, 2016 - Book/Report
Hospital Survey on Patient Safety Culture: 2009 Comparative Database Report.
Citation Text:
Hospital Survey on Patient Safety Culture: 2009 Comparative Database Report. Sorra J, Famloaro T, Dyer N, Nelson D, Khanna K. Rockville, MD: Agency for Healthcare Research and Qualit…
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psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2011-user-comparative-database-report
September 14, 2011 - Book/Report
Hospital Survey on Patient Safety Culture: 2011 User Comparative Database Report.
Citation Text:
Hospital Survey on Patient Safety Culture: 2011 User Comparative Database Report. Sorra J, Famolaro T, Dyer N, et al. Rockville, MD: Agency for Healthcare Research and Quality; Ap…
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psnet.ahrq.gov/issue/reducing-diagnostic-errors-why-now
July 28, 2014 - Commentary
Classic
Reducing diagnostic errors—why now?
Citation Text:
Khullar D, Jha AK, Jena AB. Reducing diagnostic errors--why now? N Engl J Med. 2015;373(26):2491-2493. doi:10.1056/NEJMp1508044.
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psnet.ahrq.gov/issue/relationship-between-nursing-work-environment-and-occurrence-reported-paediatric-medication
July 01, 2016 - Study
The relationship between the nursing work environment and the occurrence of reported paediatric medication administration errors: a pan Canadian study.
Citation Text:
Sears K, O'Brien-Pallas L, Stevens B, et al. The Relationship Between the Nursing Work Environment and the Occurr…
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psnet.ahrq.gov/issue/identifying-right-patient-nurse-and-consumer-perspectives-verifying-patient-identity-during
September 03, 2011 - Study
Identifying the 'right patient': nurse and consumer perspectives on verifying patient identity during medication administration.
Citation Text:
Kelly T, Roper C, Elsom S, et al. Identifying the 'right patient': nurse and consumer perspectives on verifying patient identity during …
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psnet.ahrq.gov/issue/survey-shows-least-some-physicians-are-not-always-open-or-honest-patients
February 10, 2015 - Study
Survey shows that at least some physicians are not always open or honest with patients.
Citation Text:
Iezzoni LI, Rao SR, DesRoches CM, et al. Survey Shows That At Least Some Physicians Are Not Always Open Or Honest With Patients. Health Aff (Millwood). 2012;31(2):383-391. doi:10.…
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psnet.ahrq.gov/web-mm/turn-other-cheek
October 26, 2010 - Outcome of 6 years of protocol use for preventing wrong site office surgery. … February 10, 2012
Outcome of 6 years of protocol use for preventing wrong site office … August 2, 2015
Outcome of 6 years of protocol use for preventing wrong site office surgery
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psnet.ahrq.gov/web-mm/refused-medication-error
November 01, 2005 - is problematic on many levels, this commentary focuses on the three likely causes of the unfortunate outcome … transfer can be discussed and improved upon.( 11 ) Several best practices might have led to a different outcome … overcome those barriers to effectively communicate.( 7 ) Such practices might have led to a better outcome
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psnet.ahrq.gov/node/49466/psn-pdf
October 14, 2004 - studies cite practitioner communication
skills as a factor in malpractice.(1,2) Furthermore, the tragic outcome … /psnet.ahrq.gov/web-mm/hard-swallow
https://psnet.ahrq.gov//#references
were made NPO pending the outcome … clinicians at the time, could have led to follow-up actions to mitigate or avert an
adverse patient outcome
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psnet.ahrq.gov/node/49833/psn-pdf
June 01, 2018 - challenges us to
review potential system and cognitive factors that could have contributed to this outcome … This case represents the treatment of a stroke mimic or misdiagnosis that contributed to an adverse
outcome … Association of outcome with early stroke treatment: pooled
analysis of ATLANTIS, ECASS, and NINDS rt-PA
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psnet.ahrq.gov/issue/testing-classification-model-emergency-department-errors
March 02, 2010 - October 26, 2010
EMS helicopter crashes: what influences fatal outcome?
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psnet.ahrq.gov/issue/leadership-challenge-staff-nurse-perceptions-after-organizational-teamstepps-initiative
May 11, 2016 - May 11, 2016
A human factors intervention in a hospital--evaluating the outcome of a
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psnet.ahrq.gov/issue/did-hospital-engagement-networks-actually-improve-care
July 18, 2016 - surgery using criteria validated from the adult population: justifying the need for pediatric-focused outcome
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psnet.ahrq.gov/issue/systems-analysis-critical-incidents-london-protocol
April 06, 2016 - June 28, 2017
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome
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psnet.ahrq.gov/issue/safety-inpatient-pediatric-otolaryngology-service-many-small-errors-few-adverse-events
October 27, 2010 - surgery using criteria validated from the adult population: justifying the need for pediatric-focused outcome