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psnet.ahrq.gov/web-mm/inadvertent-castration
October 27, 2010 - pre-procedure team meeting, along with the low likelihood that the surgeon or other team members ever participated
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psnet.ahrq.gov/perspective/university-texas-system-clinical-safety-and-effectiveness-course
February 01, 2011 - Quality Management/Continuous Quality Improvement
9. teams and teamwork
1250 medical leaders have participated
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psnet.ahrq.gov/issue/views-practicing-physicians-and-public-medical-errors
August 03, 2009 - Study
Classic
Views of practicing physicians and the public on medical errors.
Citation Text:
Blendon RJ, DesRoches CM, Brodie M, et al. Views of practicing physicians and the public on medical errors. N Engl J Med. 2002;347(24):1933-40.
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psnet.ahrq.gov/issue/intervention-decrease-narcotic-related-adverse-drug-events-childrens-hospitals
April 11, 2011 - Study
An intervention to decrease narcotic-related adverse drug events in children's hospitals.
Citation Text:
Sharek PJ, McClead RE, Taketomo C, et al. An intervention to decrease narcotic-related adverse drug events in children's hospitals. Pediatrics. 2008;122(4):e861-e866. doi:10.1…
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psnet.ahrq.gov/issue/evaluation-effectiveness-surgical-checklist-medicare-patients
January 13, 2016 - Study
Evaluation of the effectiveness of a surgical checklist in Medicare patients.
Citation Text:
Reames BN, Scally CP, Thumma JR, et al. Evaluation of the Effectiveness of a Surgical Checklist in Medicare Patients. Med Care. 2015;53(1):87-94. doi:10.1097/MLR.0000000000000277.
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psnet.ahrq.gov/periodic-issue/periodic-issue-411
October 31, 2023 - study, 21 Veterans Health Administration (VA) sites developed their own deprescribing protocols and participated
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psnet.ahrq.gov/periodic-issue/periodic-issue-458
August 28, 2024 - In this study, current patient safety specialists participated in interviews and/or responded to a survey
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psnet.ahrq.gov/periodic-issue/periodic-issue-427
February 28, 2024 - A patient advisory council, staff, leadership, and clinicians participated in a multi-phase process which
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psnet.ahrq.gov/innovation/missouri-quality-initiative-moqi-reduces-hospitalizations-among-nursing-home-residents
July 23, 2024 - Given this role, QIPMO has participated in numerous research efforts attempting to better understand
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psnet.ahrq.gov/node/46405/psn-pdf
October 13, 2018 - Children's hospitals' solutions for patient safety
collaborative impact on hospital-acquired harm.
October 13, 2018
Lyren A, Brilli RJ, Zieker K, et al. Children's Hospitals' Solutions for Patient Safety Collaborative Impact on
Hospital-Acquired Harm. Pediatrics. 2017;140(3). doi:10.1542/peds.2016-3494.
https://ps…
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psnet.ahrq.gov/node/44268/psn-pdf
November 23, 2016 - A patient-initiated voluntary online survey of adverse
medical events: the perspective of 696 injured patients
and families.
November 23, 2016
Southwick FS, Cranley NM, Hallisy JA. A patient-initiated voluntary online survey of adverse medical
events: the perspective of 696 injured patients and families. BMJ Qual …
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psnet.ahrq.gov/node/45533/psn-pdf
November 02, 2016 - Multimethod study of a large-scale programme to improve
patient safety using a harm-free care approach.
November 2, 2016
Power M, Brewster L, Parry G, et al. Multimethod study of a large-scale programme to improve patient
safety using a harm-free care approach. BMJ Open. 2016;6(9):e011886. doi:10.1136/bmjopen-2016-…
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psnet.ahrq.gov/node/33745/psn-pdf
February 01, 2013 - Patient Engagement and Patient Safety
February 1, 2013
Weingart SN. Patient Engagement and Patient Safety. PSNet [internet]. 2013.
https://psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
Perspective
Patient engagement has arrived at the station. A Google search of this phrase identified 335,000 hi…
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psnet.ahrq.gov/issue/national-nursing-home-covid-action-network
October 23, 2019 - Multi-use Website
National Nursing Home COVID Action Network.
Citation Text:
National Nursing Home COVID Action Network. Rockville, MD: Agency for Healthcare Research and Quality; September 2020.
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psnet.ahrq.gov/periodic-issue/periodic-issue-388
April 26, 2023 - In this study, pharmacy students participated in a team-based simulation to identify potential latent
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psnet.ahrq.gov/periodic-issue/periodic-issue-386
April 26, 2023 - perfusionists, and cardiac operating room nurses from all surgical cardiac centers in the Netherlands participated
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psnet.ahrq.gov/perspective/what-does-simulation-add-teamwork-training
October 01, 2004 - What Does Simulation Add to Teamwork Training?
David M. Gaba, MD | March 1, 2006
View more articles from the same authors.
Citation Text:
Gaba DM. What Does Simulation Add to Teamwork Training?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and …
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psnet.ahrq.gov/node/33829/psn-pdf
March 01, 2017 - Our Maturing Understanding of Safety Culture: How to
Change It and How It Changes Safety
March 1, 2017
Singer SJ. Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety.
PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change…
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psnet.ahrq.gov/node/33827/psn-pdf
February 01, 2017 - New Insights About Team Training From a Decade of
TeamSTEPPS
February 1, 2017
Baker DP, King HB, Battles J. New Insights About Team Training From a Decade of TeamSTEPPS. PSNet
[internet]. 2017.
https://psnet.ahrq.gov/perspective/new-insights-about-team-training-decade-teamstepps
Perspective
Ten years ago, the Ag…
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psnet.ahrq.gov/issue/hospital-inpatients-experiences-percentage-parents-who-reported-how-often-providers-prevented
February 14, 2023 - Government Resource
Hospital inpatients' experiences: percentage of parents who reported how often providers prevented mistakes and helped them to report concerns.
Citation Text:
National Quality Measures Clearinghouse; NQMC.
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