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psnet.ahrq.gov/issue/are-clinical-instructors-preventing-or-provoking-adverse-events-involving-students
November 15, 2023 - Commentary
Are clinical instructors preventing or provoking adverse events involving students: a contemporary issue.
Citation Text:
Christensen L. Are clinical instructors preventing or provoking adverse events involving students: A contemporary issue. Nurse Educ Today. 2018;70:121-123. …
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psnet.ahrq.gov/issue/bedside-shift-report-improves-patient-safety-and-nurse-accountability
April 16, 2010 - Commentary
Bedside shift report improves patient safety and nurse accountability.
Citation Text:
Baker SJ. Bedside shift report improves patient safety and nurse accountability. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 201…
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psnet.ahrq.gov/issue/racial-ethnic-and-socioeconomic-disparities-estimates-ahrq-patient-safety-indicators
April 03, 2005 - Study
Racial, ethnic, and socioeconomic disparities in estimates of AHRQ patient safety indicators.
Citation Text:
Coffey RM, Andrews RM, Moy E. Racial, ethnic, and socioeconomic disparities in estimates of AHRQ patient safety indicators. Med Care. 2005;43(3 Suppl):I48-I57.
Copy Cita…
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psnet.ahrq.gov/issue/findings-naloxone-database-and-its-utilization-improve-safety-and-education-tertiary-care
April 12, 2023 - Study
Findings of a naloxone database and its utilization to improve safety and education in a tertiary care medical center.
Citation Text:
Rosenfeld DM, Betcher JA, Shah RA, et al. Findings of a Naloxone Database and its Utilization to Improve Safety and Education in a Tertiary Care Med…
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psnet.ahrq.gov/issue/necessary-leadership-skillsets-high-reliability-organization-framework-adoption-within-acute
March 23, 2022 - Study
The necessary leadership skillsets for the high-reliability organization framework adoption within acute healthcare organizations.
Citation Text:
Logan‐Athmer AL. The necessary leadership skillsets for the high‐reliability organization framework adoption within acute healthcare org…
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psnet.ahrq.gov/issue/michigan-health-hospital-association-keystone-obstetrics-statewide-collaborative-perinatal
February 10, 2015 - Study
Michigan Health & Hospital Association Keystone Obstetrics: a statewide collaborative for perinatal patient safety in Michigan.
Citation Text:
Simpson KR, Knox GE, Martin M, et al. Michigan Health & Hospital Association Keystone Obstetrics: A Statewide Collaborative for Perinatal…
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psnet.ahrq.gov/issue/clinicians-expectations-benefits-and-harms-treatments-screening-and-tests-systematic-review
May 05, 2021 - Review
Clinicians' expectations of the benefits and harms of treatments, screening, and tests: a systematic review.
Citation Text:
Hoffmann TC, Del Mar C. Clinicians' Expectations of the Benefits and Harms of Treatments, Screening, and Tests: A Systematic Review. JAMA Intern Med. 2017;17…
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psnet.ahrq.gov/issue/ability-intensive-care-units-maintain-zero-central-line-associated-bloodstream-infections
January 29, 2020 - Study
The ability of intensive care units to maintain zero central line–associated bloodstream infections.
Citation Text:
Lipitz-Snyderman A. The Ability of Intensive Care Units to Maintain Zero Central Line–Associated Bloodstream Infections. Arch Intern Med. 2011;171(9). doi:10.1001/a…
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psnet.ahrq.gov/issue/simulation-based-evaluation-methods-estimate-impact-adverse-event-hospital-length-stay
December 23, 2011 - Study
A simulation-based evaluation of methods to estimate the impact of an adverse event on hospital length of stay.
Citation Text:
Samore MH, Shen S, Greene T, et al. A simulation-based evaluation of methods to estimate the impact of an adverse event on hospital length of stay. Med C…
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psnet.ahrq.gov/issue/do-my-feelings-fit-diagnosis-avoiding-misdiagnoses-psychosomatic-consultation-services
March 18, 2020 - Study
Do my feelings fit the diagnosis? Avoiding misdiagnoses in psychosomatic consultation services.
Citation Text:
Seidl E, Seidl O. Do my feelings fit the diagnosis? Avoiding misdiagnoses in psychosomatic consultation services. J Healthc Risk Manag. 2021;41(2):9-17. doi:10.1002/jhrm.2…
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psnet.ahrq.gov/issue/patient-patient-involvement-strategies-diagnostic-error-mitigation
April 24, 2018 - Review
The patient is in: patient involvement strategies for diagnostic error mitigation.
Citation Text:
McDonald KM, Bryce CL, Graber ML. The patient is in: patient involvement strategies for diagnostic error mitigation. BMJ Qual Saf. 2013;22 Suppl 2:ii33-ii39. doi:10.1136/bmjqs-2012-…
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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