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psnet.ahrq.gov/issue/implementing-interprofessional-patient-safety-learning-initiative-insights-participants
August 14, 2014 - Study
Implementing an interprofessional patient safety learning initiative: insights from participants, project leads and steering committee members.
Citation Text:
Jeffs L, Abramovich IA, Hayes C, et al. Implementing an interprofessional patient safety learning initiative: insights fr…
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psnet.ahrq.gov/issue/participation-ehr-based-simulation-improves-recognition-patient-safety-issues
April 24, 2013 - Study
Participation in EHR based simulation improves recognition of patient safety issues.
Citation Text:
Stephenson LS, Gorsuch A, Hersh WR, et al. Participation in EHR based simulation improves recognition of patient safety issues. BMC Med Educ. 2014;14:224. doi:10.1186/1472-6920-14-22…
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psnet.ahrq.gov/issue/impact-resident-participation-morbidity-and-mortality-neurosurgical-procedures-analysis-16098
June 17, 2014 - Study
Impact of resident participation on morbidity and mortality in neurosurgical procedures: an analysis of 16,098 patients.
Citation Text:
Bydon M, Abt NB, De la Garza-Ramos R, et al. Impact of resident participation on morbidity and mortality in neurosurgical procedures: an analysis …
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psnet.ahrq.gov/node/837141/psn-pdf
May 18, 2022 - The effects of leadership curricula with and without
implicit bias training on graduate medical education: a
multicenter randomized trial.
May 18, 2022
Hansen M, Harrod T, Bahr N, et al. The effects of leadership curricula with and without implicit bias training
on graduate medical education: a multicenter randomi…
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psnet.ahrq.gov/issue/smartphone-app-designed-empower-patients-contribute-toward-safer-surgical-care-community
February 12, 2020 - Study
A smartphone app designed to empower patients to contribute toward safer surgical care: community-based evaluation using a participatory approach.
Citation Text:
Russ S, Latif Z, Hazell AL, et al. A Smartphone App Designed to Empower Patients to Contribute Toward Safer Surgical Car…
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psnet.ahrq.gov/issue/exposure-incivility-does-not-hinder-speaking-randomised-controlled-high-fidelity-simulation
August 24, 2022 - Study
Exposure to incivility does not hinder speaking up: a randomised controlled high-fidelity simulation-based study.
Citation Text:
Vauk S, Seelandt JC, Huber K, et al. Exposure to incivility does not hinder speaking up: a randomised controlled high-fidelity simulation-based study. Br…
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psnet.ahrq.gov/node/865532/psn-pdf
April 10, 2024 - Let us to the TWISST; Plan, Simulate, Study and Act.
April 10, 2024
Colman N, Hebbar KB. Let us to the TWISST; Plan, Simulate, Study and Act. Pediatr Qual Saf.
2023;8(4):e664. doi:10.1097/pq9.0000000000000664.
https://psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act
In situ simulation can identi…
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psnet.ahrq.gov/node/49702/psn-pdf
March 01, 2014 - Would you want to participate in the review? … At
this level, an authority figure may direct the involved professional to participate in a practice
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psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
August 20, 2018 - All team members must participate without distraction and all are empowered to speak up about any concerns … All team members should participate and give their agreement, prior to starting the procedure.
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psnet.ahrq.gov/innovations-exchange
May 01, 2021 - Patient Safety Innovations Exchange
The Patient Safety Innovations Exchange highlights important innovations that can lead to improvements in patient safety. It is based on AHRQ’s Health Care Innovations Exchange , which shares many health care innovations,…
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psnet.ahrq.gov/node/42680/psn-pdf
October 30, 2013 - Developing a framework for nursing handover in the
emergency department: an individualised and systematic
approach.
October 30, 2013
Klim S, Kelly A-M, Kerr D, et al. Developing a framework for nursing handover in the emergency
department: an individualised and systematic approach. J Clin Nurs. 2013;22(15-16):2233…
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psnet.ahrq.gov/issue/medication-management-covid-19-patients-during-transition-virtual-models-care-qualitative
October 30, 2024 - Study
Medication management of COVID-19 patients during transition to virtual models of care: a qualitative study.
Citation Text:
Hattingh HL, Edmunds C, Gillespie BM. Medication management of COVID-19 patients during transition to virtual models of care: a qualitative study. J Pharm Pol…
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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/node/41702/psn-pdf
November 07, 2018 - AHRQ patient safety project reduces bloodstream
infections by 40 percent.
November 7, 2018
Schmidt B. Patient Saf Qual Hcare. September 12, 2012.
https://psnet.ahrq.gov/issue/ahrq-patient-safety-project-reduces-bloodstream-infections-40-percent
The near elimination of central line–associated bloodstream infections…
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psnet.ahrq.gov/node/846160/psn-pdf
March 15, 2023 - Critical care teamwork in the future: the role of
TeamSTEPPS in the COVID-19 pandemic and implications
for the future.
March 15, 2023
Terregino CA, Jagpal S, Parikh P, et al. Critical Care Teamwork in the Future: The Role of Critical care
teamwork in the future: the role of TeamSTEPPS in the COVID-19 pandemic and …
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psnet.ahrq.gov/node/47560/psn-pdf
January 09, 2019 - Scaling safety: the South Carolina Surgical Safety
Checklist experience.
January 9, 2019
Berry WR, Edmondson L, Gibbons LR, et al. Scaling Safety: The South Carolina Surgical Safety Checklist
Experience. Health Aff (Millwood). 2018;37(11):1779-1786. doi:10.1377/hlthaff.2018.0717.
https://psnet.ahrq.gov/issue/scali…
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psnet.ahrq.gov/node/38626/psn-pdf
April 22, 2011 - Medication errors in critical care: risk factors, prevention
and disclosure.
April 22, 2011
Camiré E, Moyen E, Stelfox HT. Medication errors in critical care: risk factors, prevention and disclosure.
CMAJ. 2009;180(9):936-43. doi:10.1503/cmaj.080869.
https://psnet.ahrq.gov/issue/medication-errors-critical-care-ris…
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psnet.ahrq.gov/node/46621/psn-pdf
November 22, 2017 - Patient involvement for improved patient safety: a
qualitative study of nurses' perceptions and experiences.
November 22, 2017
Skagerström J, Ericsson C, Nilsen P, et al. Patient involvement for improved patient safety: A qualitative
study of nurses' perceptions and experiences. Nurs Open. 2017;4(4):230-239. doi:10…
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psnet.ahrq.gov/node/46866/psn-pdf
May 23, 2018 - Improving maternal safety at scale with the mentor model
of collaborative improvement.
May 23, 2018
Main EK, Dhurjati R, Cape V, et al. Improving Maternal Safety at Scale with the Mentor Model of
Collaborative Improvement. Jt Comm J Qual Patient Saf. 2018;44(5):250-259.
doi:10.1016/j.jcjq.2017.11.005.
https://psn…
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psnet.ahrq.gov/node/865533/psn-pdf
April 10, 2024 - Equity M&M - adaptation of the morbidity and mortality
conference to analyze and confront structural inequity in
internal medicine
April 10, 2024
Ganguly AP, Oren H, Jack HE, et al. Equity M&M - adaptation of the morbidity and mortality conference to
analyze and confront structural inequity in internal medicine. J…