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psnet.ahrq.gov/issue/perceived-factors-associated-sustained-improvement-following-participation-multicenter
November 20, 2019 - Study
Perceived factors associated with sustained improvement following participation in a multicenter quality improvement collaborative.
Citation Text:
Stone S, Lee HC, Sharek PJ. Perceived Factors Associated with Sustained Improvement Following Participation in a Multicenter Quality Im…
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psnet.ahrq.gov/issue/optimizing-patient-safety-clinical-trials-improving-transitions-care
October 16, 2024 - Study
Optimizing patient safety in clinical trials by improving transitions of care.
Citation Text:
Nair SC, Satish KP, Al Maini M, et al. Optimizing patient safety in clinical trials by improving transitions of care. Jt Comm J Qual Patient Saf. 2020;46(4). doi:10.1016/j.jcjq.2020.01.001…
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psnet.ahrq.gov/issue/states-targeting-reduction-infections-engagement-strive
June 12, 2024 - Special or Theme Issue
States Targeting Reduction in Infections via Engagement (STRIVE).
Citation Text:
States Targeting Reduction in Infections via Engagement (STRIVE). Ann Intern Med. 2019;171(7_Suppl):s1-s82.
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July 10, 2008 - Pharmacists on rounding teams reduce preventable
adverse drug events in hospital general medicine units.
July 10, 2008
Kucukarslan SN, Peters M, Mlynarek M, et al. Pharmacists on rounding teams reduce preventable adverse
drug events in hospital general medicine units. Arch Intern Med. 2003;163(17):2014-8.
https://…
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psnet.ahrq.gov/issue/quality-and-patient-safety-metrics-developing-structured-program-improving-patient-care
April 22, 2011 - Study
Quality and patient safety metrics: developing a structured program for improving patient care in the Department of Medicine at The Ottawa Hospital.
Citation Text:
Hasimja-Saraqini D, McNeill K, Kuk H, et al. Quality and patient safety metrics: developing a structured program for i…
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psnet.ahrq.gov/issue/resident-participation-does-not-affect-surgical-outcomes-despite-introduction-new-techniques
September 23, 2020 - Study
Resident participation does not affect surgical outcomes, despite introduction of new techniques.
Citation Text:
Patel SP, Gauger PG, Brown DL, et al. Resident participation does not affect surgical outcomes, despite introduction of new techniques. J Am Coll Surg. 2010;211(4):540…
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psnet.ahrq.gov/issue/family-participation-during-intensive-care-unit-rounds-goals-and-expectations-parents-and
June 12, 2019 - Study
Family participation during intensive care unit rounds: goals and expectations of parents and health care providers in a tertiary pediatric intensive care unit.
Citation Text:
Stickney CA, Ziniel SI, Brett MS, et al. Family participation during intensive care unit rounds: goals and…
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psnet.ahrq.gov/issue/patient-participation-surgical-site-marking-can-be-additional-tool-help-avoid-wrong-site
March 14, 2022 - Study
Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery?
Citation Text:
Bergal LM, Schwarzkopf R, Walsh M, et al. Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surger…
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psnet.ahrq.gov/issue/psychiatry-morbidity-and-mortality-incident-reporting-tool-increases-psychiatrist
March 10, 2021 - Study
The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events.
Citation Text:
Kroll DS, Shellman AD, Gitlin DF. The Psychiatry Morbidity and Mortality Incident Reporting Tool Increases Psychiatrist Participation in R…
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psnet.ahrq.gov/node/60969/psn-pdf
November 08, 2023 - Network of Patient Safety Databases Chartbook.
November 8, 2023
Rockville, MD: Agency for Healthcare Research and Quality; September 2023. AHRQ Publication no. 23-
0082.
https://psnet.ahrq.gov/issue/network-patient-safety-databases-chartbook
The sharing of data is a core element of a learning health system. AHRQ h…
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psnet.ahrq.gov/innovation/cleveland-clinic-pairs-advanced-practice-registered-nurses-and-paramedics-provide-home
October 30, 2024 - The Cleveland Clinic Pairs Advanced Practice Registered Nurses and Paramedics To Provide Home Visits to Recently Discharged Patients at Highest Risk for Hospital Readmission
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psnet.ahrq.gov/innovation/adverse-drug-event-ade-surveillance-and-pharmacist-counseling
June 28, 2023 - Adverse Drug Event (ADE) Surveillance and Pharmacist Counseling
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January 31, 2024
Innovation
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psnet.ahrq.gov/node/33711/psn-pdf
May 01, 2011 - The Second Victim Phenomenon: A Harsh Reality of
Health Care Professions
May 1, 2011
Scott SD. The Second Victim Phenomenon: A Harsh Reality of Health Care Professions. PSNet [internet].
2011.
https://psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions
Perspective
The Instit…
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psnet.ahrq.gov/node/42803/psn-pdf
February 13, 2014 - Pilot testing of a model for insurer-driven, large-scale
multicenter simulation training for operating room teams.
February 13, 2014
Arriaga AF, Gawande AA, Raemer D, et al. Pilot testing of a model for insurer-driven, large-scale
multicenter simulation training for operating room teams. Ann Surg. 2014;259(3):403-1…
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psnet.ahrq.gov/node/38075/psn-pdf
February 03, 2011 - Association of workload of on-call medical interns with
on-call sleep duration, shift duration, and participation in
educational activities.
February 3, 2011
Arora V, Georgitis E, Siddique J, et al. Association of workload of on-call medical interns with on-call sleep
duration, shift duration, and participation in…
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psnet.ahrq.gov/node/866354/psn-pdf
July 24, 2024 - Partnership as a pathway to diagnostic excellence: the
challenges and successes of implementing the Safer Dx
Learning Lab.
July 24, 2024
Sloane J, Singh H, Upadhyay DK, et al. Partnership as a pathway to diagnostic excellence: the challenges
and successes of implementing the Safer Dx Learning Lab. Jt Comm J Qual P…
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psnet.ahrq.gov/issue/physicians-views-interventions-reduce-medical-errors-does-evidence-effectiveness-matter
February 18, 2011 - Study
Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter?
Citation Text:
Rosen AB, Blendon RJ, DesRoches CM, et al. Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? Acad Med. 2005;80(2):1…
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psnet.ahrq.gov/node/862605/psn-pdf
February 14, 2024 - Physician perspectives on addressing anti-Black racism.
February 14, 2024
Brown CE, Marshall AR, Cueva KL, et al. Physician perspectives on addressing anti-Black racism. JAMA
Netw Open. 2024;7(1):e2352818. doi:10.1001/jamanetworkopen.2023.52818.
https://psnet.ahrq.gov/issue/physician-perspectives-addressing-anti-bl…
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psnet.ahrq.gov/issue/patient-identification-diagnostic-safety-blindspots-and-participation-good-catches-through
October 27, 2021 - Study
Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visit notes.
Citation Text:
Bell SK, Bourgeois FC, Dong J, et al. Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visi…
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psnet.ahrq.gov/issue/self-reported-adherence-high-reliability-practices-among-participants-childrens-hospitals
October 20, 2021 - Study
Self-reported adherence to high reliability practices among participants in the Children's Hospitals' Solutions for Patient Safety Collaborative.
Citation Text:
Randall KH, Slovensky D, Weech-Maldonado R, et al. Self-reported adherence to high reliability practices among participan…