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psnet.ahrq.gov/issue/focused-team-engagements-enhance-interprofessional-collaboration-and-safety-behaviors-among
March 02, 2022 - Study
Focused team engagements to enhance interprofessional collaboration and safety behaviors among novice nurses and medical residents.
Citation Text:
Manuel R, Barber A, Kern J, et al. Focused team engagements to enhance interprofessional collaboration and safety behaviors among novic…
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psnet.ahrq.gov/issue/racial-disparities-preventable-adverse-events-attributed-poor-care-coordination-reported
January 18, 2023 - Study
Racial disparities in preventable adverse events attributed to poor care coordination reported in a national study of older US adults.
Citation Text:
Pinheiro LC, Reshetnyak E, Safford MM, et al. Racial disparities in preventable adverse events attributed to poor care coordination …
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psnet.ahrq.gov/issue/situ-simulation-based-team-training-and-its-significance-transfer-learning-clinical-practice
June 14, 2023 - Study
In situ simulation-based team training and its significance for transfer of learning to clinical practice--a qualitative focus group interview study of anaesthesia personnel.
Citation Text:
Finstad AS, Aase I, Bjørshol CA, et al. In situ simulation-based team training and its signi…
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psnet.ahrq.gov/issue/simulator-based-crew-resource-management-training-interhospital-transfer-critically-ill
February 14, 2024 - Study
Simulator-based crew resource management training for interhospital transfer of critically ill patients by a mobile ICU.
Citation Text:
Droogh JM, Kruger HL, Ligtenberg JJM, et al. Simulator-Based Crew Resource Management Training for Interhospital Transfer of Critically Ill Pati…
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psnet.ahrq.gov/issue/factors-influence-expected-length-operation-results-prospective-study
August 11, 2021 - Study
Factors that influence the expected length of operation: results of a prospective study.
Citation Text:
Gillespie BM, Chaboyer W, Fairweather N. Factors that influence the expected length of operation: results of a prospective study. BMJ Qual Saf. 2012;21(1):3-12. doi:10.1136/bmjqs…
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psnet.ahrq.gov/issue/scaffolding-our-systems-patients-and-families-reaching-source-healthcare-resilience
February 23, 2022 - Commentary
Scaffolding our systems? Patients and families 'reaching in' as a source of healthcare resilience.
Citation Text:
O'Hara JK, Aase K, Waring J. Scaffolding our systems? Patients and families 'reaching in' as a source of healthcare resilience. BMJ Qual Saf. 2019;28(1):3-6. doi:1…
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psnet.ahrq.gov/issue/effect-patient-safety-strategies-incidence-adverse-events
March 09, 2022 - Study
Effect of patient safety strategies on the incidence of adverse events.
Citation Text:
Sierra AF, del Aguila del MR, Espigares JLN, et al. Effect of patient safety strategies on the incidence of adverse events. J Eval Clin Pract. 2014;20(2):184-90. doi:10.1111/jep.12105.
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psnet.ahrq.gov/issue/peer-review-comments-augment-diagnostic-error-characterization-and-departmental-quality
September 02, 2020 - Study
Peer review comments augment diagnostic error characterization and departmental quality assurance: 1-year experience from a children's hospital.
Citation Text:
Iyer RS, Swanson JO, Otto RK, et al. Peer review comments augment diagnostic error characterization and departmental quali…
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psnet.ahrq.gov/issue/how-do-simulated-error-experiences-impact-attitudes-related-error-prevention
October 19, 2022 - Study
How do simulated error experiences impact attitudes related to error prevention?
Citation Text:
Breitkreuz KR, Dougal RL, Wright MC. How Do Simulated Error Experiences Impact Attitudes Related to Error Prevention? Simul Healthc. 2016;11(5):323-333.
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Format:
…
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psnet.ahrq.gov/issue/guilty-afraid-and-alone-struggling-medical-error
July 01, 2020 - Commentary
Classic
Guilty, afraid, and alone — struggling with medical error.
Citation Text:
Delbanco T, Bell SK. Guilty, afraid, and alone--struggling with medical error. N Engl J Med. 2007;357(17):1682-3.
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Format:
Google Scholar PubM…
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psnet.ahrq.gov/node/841305/psn-pdf
January 27, 2023 - For example, after a simulation, I might ask, “What did [another participant] do that helped
you?”
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psnet.ahrq.gov/issue/it-matters-what-i-think-not-what-you-say-scientific-evidence-medical-error-disclosure
September 29, 2017 - Study
"It matters what I think, not what you say": scientific evidence for a medical error disclosure competence (MEDC) model.
Citation Text:
Hannawa AF, Frankel RM. "It Matters What I Think, Not What You Say": Scientific Evidence for a Medical Error Disclosure Competence (MEDC) Model. J…
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psnet.ahrq.gov/issue/patients-attitudes-towards-patient-involvement-safety-interventions-results-two-exploratory
July 06, 2012 - Study
Patients' attitudes towards patient involvement in safety interventions: results of two exploratory studies.
Citation Text:
Davis R, Sevdalis N, Pinto A, et al. Patients' attitudes towards patient involvement in safety interventions: results of two exploratory studies. Health Exp…
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psnet.ahrq.gov/node/49636/psn-pdf
October 01, 2011 - Mobility Lost in the ICU
October 1, 2011
Smith J. Mobility Lost in the ICU. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/mobility-lost-icu
Case Objectives
Describe the role of the physical therapist in the hospital and ICU.
Compare the risks from immobility with the benefits gained from a program of ther…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.107_slideshow.ppt
November 01, 2005 - Spotlight Case [MONTH] 2003
Spotlight Case November 2005
Reconciling Doses
Source and Credits
This presentation is based on the November 2005 Spotlight Case in Emergency Medicine
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Frank Federico, RPh,…
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psnet.ahrq.gov/issue/i-am-administering-medication-please-do-not-interrupt-me-red-tabards-preventing-interruptions
May 12, 2021 - Study
"I am administering medication—please do not interrupt me": red tabards preventing interruptions as perceived by surgical patients.
Citation Text:
Palese A, Ferro M, Pascolo M, et al. "I Am Administering Medication-Please Do Not Interrupt Me": Red Tabards Preventing Interruptions a…
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psnet.ahrq.gov/issue/does-health-care-role-and-experience-influence-perception-safety-culture-related-preventing
July 19, 2023 - Study
Does health care role and experience influence perception of safety culture related to preventing infections?
Citation Text:
Braun BI, Harris AD, Richards CL, et al. Does health care role and experience influence perception of safety culture related to preventing infections? Am J …
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psnet.ahrq.gov/issue/factors-associated-neuroradiologic-diagnostic-errors-large-tertiary-care-academic-medical
August 17, 2022 - Study
Factors associated with neuroradiologic diagnostic errors at a large tertiary-care academic medical center: a case-control study.
Citation Text:
Ivanovic V, Broadhead K, Beck R, et al. Factors associated with neuroradiologic diagnostic errors at a large tertiary-care academic medic…
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psnet.ahrq.gov/issue/why-are-patients-not-more-involved-their-own-safety-questionnaire-based-survey-multi-ethnic
September 22, 2021 - Study
Why are patients not more involved in their own safety? A questionnaire-based survey in a multi-ethnic North London hospital population.
Citation Text:
Yoong W, Assassi Z, Ahmedani I, et al. Why are patients not more involved in their own safety? A questionnaire-based survey in a m…
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psnet.ahrq.gov/issue/empowering-patients-and-reducing-inequities-there-potential-sharing-clinical-notes
June 05, 2019 - Commentary
Empowering patients and reducing inequities: is there potential in sharing clinical notes?
Citation Text:
Blease CR, Fernandez L, Bell SK, et al. Empowering patients and reducing inequities: is there potential in sharing clinical notes? BMJ Qual Saf. 2020;29(10):864–868. doi:1…