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psnet.ahrq.gov/perspective/creation-medical-procedure-service-improve-patient-safety
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/sites/default/files/import/webmm.ahrq.gov.281_slideshow.ppt
October 01, 2012 - SSTI must be excluded from play until at least 72 hours after initiation of therapy and be allowed to participate
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psnet.ahrq.gov/node/34907/psn-pdf
August 03, 2009 - Physicians' views of interventions to reduce medical
errors: does evidence of effectiveness matter?
August 3, 2009
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):189-92.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/45821/psn-pdf
May 09, 2017 - Putting knowledge into practice: does information on
adverse drug interactions influence people's dosing
behaviour?
May 9, 2017
Dohle S, Dawson IGJ. Putting knowledge into practice: Does information on adverse drug interactions
influence people's dosing behaviour? Br J Health Psychol. 2017;22(2):330-344. doi:10.11…
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psnet.ahrq.gov/node/42973/psn-pdf
January 01, 2015 - Patient safety climate (PSC) perceptions of frontline staff
in acute care hospitals: examining the role of ease of
reporting, unit norms of openness, and participative
leadership.
December 19, 2014
Zaheer S, Ginsburg LR, Chuang Y-T, et al. Patient safety climate (PSC) perceptions of frontline staff in
acute care …
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psnet.ahrq.gov/node/33629/psn-pdf
March 01, 2006 - What Does Simulation Add to Teamwork Training?
March 1, 2006
Gaba DM. What Does Simulation Add to Teamwork Training? PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/what-does-simulation-add-teamwork-training
Editor's Note: In these point–counterpoint articles, Drs. Pratt and Sachs of Beth Israel Deacones…
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psnet.ahrq.gov/node/44477/psn-pdf
October 14, 2015 - Field test of the World Health Organization Multi-
professional Patient Safety Curriculum Guide.
October 14, 2015
Farley DO, Zheng H, Rousi E, et al. Field Test of the World Health Organization Multi-Professional Patient
Safety Curriculum Guide. PLoS One. 2015;10(9):e0138510. doi:10.1371/journal.pone.0138510.
http…
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psnet.ahrq.gov/node/35783/psn-pdf
July 10, 2008 - Role of pharmacist counseling in preventing adverse drug
events after hospitalization.
July 10, 2008
Schnipper JL, Kirwin JL, Cotugno MC, et al. Role of pharmacist counseling in preventing adverse drug
events after hospitalization. Arch Intern Med. 2006;166(5):565-571.
https://psnet.ahrq.gov/issue/role-pharmacist-…
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psnet.ahrq.gov/issue/pilot-testing-model-insurer-driven-large-scale-multicenter-simulation-training-operating-room
July 25, 2011 - Study
Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating room teams.
Citation Text:
Arriaga AF, Gawande AA, Raemer D, et al. Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating room t…
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psnet.ahrq.gov/issue/turning-medical-gaze-upon-itself-root-cause-analysis-and-investigation-clinical-error
June 14, 2011 - Study
Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error.
Citation Text:
Iedema RAM, Jorm C, Long D, et al. Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error. Soc Sci Med. 2006;62(7):16…
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psnet.ahrq.gov/issue/knowledge-retention-after-simulated-crisis-importance-independent-practice-and-simulated
September 13, 2017 - Study
Knowledge retention after simulated crisis: importance of independent practice and simulated mortality.
Citation Text:
Burnett G, Goldberg A, DeMaria S, et al. Knowledge retention after simulated crisis: importance of independent practice and simulated mortality. Br J Anaesth. 2019…
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psnet.ahrq.gov/node/35434/psn-pdf
June 14, 2011 - Turning the medical gaze in upon itself: root cause
analysis and the investigation of clinical error.
June 14, 2011
Iedema RAM, Jorm C, Long D, et al. Turning the medical gaze in upon itself: root cause analysis and the
investigation of clinical error. Soc Sci Med. 2006;62(7):1605-15.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/35813/psn-pdf
April 06, 2011 - Simulation based teamwork training for emergency
department staff: does it improve clinical team
performance when added to an existing didactic
teamwork curriculum?
April 6, 2011
Shapiro MJ, Morey JC, Small SD, et al. Simulation based teamwork training for emergency department
staff: does it improve clinical team…
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psnet.ahrq.gov/node/43975/psn-pdf
July 18, 2016 - Influence of the Comprehensive Unit-based Safety
Program in ICUs: evidence from the Keystone ICU project.
July 18, 2016
Hsu Y-J, Marsteller JA. Influence of the Comprehensive Unit-based Safety Program in ICUs: Evidence
From the Keystone ICU Project. Am J Med Qual. 2016;31(4):349-357. doi:10.1177/1062860615571963.
…
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psnet.ahrq.gov/node/36455/psn-pdf
December 22, 2010 - Changing the work environment in ICUs to achieve
patient-focused care: the time has come.
December 22, 2010
McCauley K, Irwin RS. Changing the work environment in ICUs to achieve patient-focused care: the time
has come. Chest. 2006;130(5):1571-8.
https://psnet.ahrq.gov/issue/changing-work-environment-icus-achieve-…
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psnet.ahrq.gov/node/44244/psn-pdf
November 03, 2015 - Evaluation of outcomes from a national patient-initiated
second-opinion program.
November 3, 2015
Meyer AND, Singh H, Graber ML. Evaluation of Outcomes From a National Patient-initiated Second-
opinion Program. Am J Med. 2015;128(10). doi:10.1016/j.amjmed.2015.04.020.
https://psnet.ahrq.gov/issue/evaluation-outcom…
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psnet.ahrq.gov/node/36384/psn-pdf
January 05, 2017 - Forum: The 100,000 Lives Campaign: a scientific and
policy review [with IHI response].
January 5, 2017
Wachter R, Pronovost P. The 100,000 Lives Campaign: A scientific and policy review. Jt Comm J Qual
Patient Saf. 2006;32(11):621-7.
https://psnet.ahrq.gov/issue/forum-100000-lives-campaign-scientific-and-policy-re…
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psnet.ahrq.gov/perspective/university-texas-system-clinical-safety-and-effectiveness-course
February 01, 2011 - Course graduates are mentoring students as they participate in regional and national QI organizations
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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/37392/psn-pdf
February 15, 2011 - Health care consumers' inclination to engage in selected
patient safety practices: a survey of adults in
Pennsylvania.
February 15, 2011
Marella WM, Finley E, Thomas AD, et al. Health Care Consumers' Inclination to Engage in Selected Patient
Safety Practices. J Patient Saf. 2008;3(4). doi:10.1097/pts.0b013e31815a6…