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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/perspective/conversation-withjennifer-daley-md
January 01, 2008 - At that meeting, AHS agreed to actively participate in IHI's 100,000 Lives Campaign. … AHS was selected to participate in this study because of significant findings of the Michigan Keystone … In part due to the relationship between AHS and the Johns Hopkins research team, AHS was selected to participate
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psnet.ahrq.gov/perspective/conversation-withbradley-t-rosen-md-mba
March 01, 2008 - be required on an emergent basis), on the first afternoon of their first ICU rotation, all interns participate … For instance, we now provide opportunities for the residents rotating on the service to participate in … To allow all residents to participate, some rotations are scheduled for less than a full 3-week block
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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…
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psnet.ahrq.gov/issue/exploring-safety-culture-within-inpatient-mental-health-units-results-participant-observation
September 23, 2020 - Study
Exploring safety culture within inpatient mental health units: the results from participant observation across three mental health services.
Citation Text:
Molloy L, Wilson V, O'Connor MF, et al. Exploring safety culture within inpatient mental health units: the results from partic…
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psnet.ahrq.gov/node/33882/psn-pdf
June 01, 2019 - implement a resilience engineering approach, leadership must be committed to the framework and
staff must participate
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psnet.ahrq.gov/node/46299/psn-pdf
September 13, 2017 - Simulation-based assessment of the management of
critical events by board-certified anesthesiologists.
September 13, 2017
Weinger MB, Banerjee A, Burden AR, et al. Simulation-based assessment of the management of critical
events by board-certified anesthesiologists. Anesthesiology. 2017;127(3):475-489.
doi:10.1097…
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psnet.ahrq.gov/node/867752/psn-pdf
March 12, 2025 - Analyzing and mitigating the risks of patient harm during
operating room to intensive care unit patient handoffs.
March 12, 2025
Martins NRS, Martinez EZ, Simões CM, et al. Analyzing and mitigating the risks of patient harm during
operating room to intensive care unit patient handoffs. Int J Qual Health Care. 2025;…
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psnet.ahrq.gov/innovation/team-developed-care-plan-and-ongoing-care-management-social-workers-and-nurse
July 23, 2024 - Office of Geriatrics and Extended Care at the VA, and the Centers for Medicare and Medicaid Services to participate
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psnet.ahrq.gov/node/49827/psn-pdf
April 01, 2018 - and safety huddles
have provided venues where team members can determine a patient's eligibility to participate
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.290_slideshow.ppt
February 01, 2013 - lawsuit
*
*
Patient’s Responsibility
From a legal perspective, patients also have a duty to participate
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.107_slideshow.ppt
November 01, 2005 - Developing the Reconciliation Process
Identify who should participate in each step and define the responsibility
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.200_slideshow.ppt
May 01, 2009 - patient
10-20 staff may see patient daily, facilitating disorientation
Source of cognitive stimulation
Participate
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psnet.ahrq.gov/issue/simulation-based-assessment-management-critical-events-board-certified-anesthesiologists
February 19, 2010 - Study
Simulation-based assessment of the management of critical events by board-certified anesthesiologists.
Citation Text:
Weinger MB, Banerjee A, Burden AR, et al. Simulation-based assessment of the management of critical events by board-certified anesthesiologists. Anesthesiology. 201…
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psnet.ahrq.gov/node/849326/psn-pdf
May 24, 2023 - Proactive patient safety: focusing on what goes right in
the perioperative environment.
May 24, 2023
Duffy C, Menon N, Horak D, et al. Proactive patient safety: focusing on what goes right in the perioperative
environment. J Patient Saf. 2023;19(4):281-286. doi:10.1097/pts.0000000000001113.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/73160/psn-pdf
April 21, 2021 - Compelled disclosure of confidential information in
patient safety research.
April 21, 2021
Du L, Murdoch B, Chiu C, et al. Compelled disclosure of confidential information in patient safety research.
J Patient Saf. 2021;17(3):200-206. doi:10.1097/pts.0000000000000293.
https://psnet.ahrq.gov/issue/compelled-disclo…
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psnet.ahrq.gov/node/867089/psn-pdf
November 06, 2024 - Focused team engagements to enhance interprofessional
collaboration and safety behaviors among novice nurses
and medical residents.
November 6, 2024
Manuel R, Barber A, Kern J, et al. Focused team engagements to enhance interprofessional collaboration
and safety behaviors among novice nurses and medical residents.…
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psnet.ahrq.gov/issue/reducing-adverse-drug-events-lessons-breakthrough-series-collaborative
August 04, 2021 - Study
Classic
Reducing adverse drug events: lessons from a breakthrough series collaborative.
Citation Text:
Leape L, Kabcenell AI, Gandhi TK, et al. Reducing adverse drug events: lessons from a breakthrough series collaborative. Jt Comm J Qual Improv. 2000;26(6…