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psnet.ahrq.gov/node/45578/psn-pdf
January 23, 2017 - S-TEAMS: a truly multiprofessional course focusing on
nontechnical skills to improve patient safety in the
operating theater.
January 23, 2017
Stewart-Parker E, Galloway R, Vig S. S-TEAMS: A Truly Multiprofessional Course Focusing on
Nontechnical Skills to Improve Patient Safety in the Operating Theater. J Surg Ed…
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psnet.ahrq.gov/node/45960/psn-pdf
January 01, 2021 - Informing the design of a new pragmatic registry to
stimulate near miss reporting in ambulatory care.
March 15, 2017
Pfoh ER, Engineer L, Singh H, et al. Informing the Design of a New Pragmatic Registry to Stimulate Near
Miss Reporting in Ambulatory Care. J Patient Saf. 2021;17(3):e121-e127.
doi:10.1097/PTS.000000…
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psnet.ahrq.gov/node/45384/psn-pdf
November 18, 2016 - Inter-professional clinical handover in post-anaesthetic
care units: tools to improve quality and safety.
November 18, 2016
Redley B, Bucknall T, Evans S, et al. Inter-professional clinical handover in post-anaesthetic care units:
tools to improve quality and safety. Int J Qual Health Care. 2016;28(5):573-579.
htt…
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psnet.ahrq.gov/node/46257/psn-pdf
October 11, 2017 - Outcomes of concurrent operations: results from the
American College of Surgeons' National Surgical Quality
Improvement Program.
October 11, 2017
Liu JB, Berian JR, Ban KA, et al. Outcomes of Concurrent Operations: Results From the American College
of Surgeons' National Surgical Quality Improvement Program. Ann Su…
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psnet.ahrq.gov/node/36539/psn-pdf
March 03, 2011 - Sensitivity of routine system for reporting patient safety
incidents in an NHS hospital: retrospective patient case
note review.
March 3, 2011
Sari AB-A, Sheldon T, Cracknell A, et al. Sensitivity of routine system for reporting patient safety incidents
in an NHS hospital: retrospective patient case note review. B…
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psnet.ahrq.gov/node/47465/psn-pdf
October 17, 2018 - Mix-ups between epidural analgesia and IV antibiotics in
labor and delivery units continue to cause harm.
October 17, 2018
ISMP Medication Safety Alert! Acute Care Edition. October 4, 2018;23:1-4.
https://psnet.ahrq.gov/issue/mix-ups-between-epidural-analgesia-and-iv-antibiotics-labor-and-delivery-
units-continue-…
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psnet.ahrq.gov/node/841474/psn-pdf
January 01, 2023 - Factors that affect opioid quality improvement initiatives
in primary care: insights from ten health systems.
December 14, 2022
Childs E, Tano CA, Mikosz CA, et al. Factors that affect opioid quality improvement initiatives in primary
care: insights from ten health systems. Jt Comm J Qual Patient Saf. 2023;49(1):26…
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psnet.ahrq.gov/node/866106/psn-pdf
June 12, 2024 - Artificial intelligence and healthcare: a journey through
history, present innovations, and future possibilities.
June 12, 2024
Hirani R, Noruzi K, Khuram H, et al. Artificial intelligence and healthcare: a journey through history, present
innovations, and future possibilities. Life (Basel). 2024;14(5):557. doi:10.…
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psnet.ahrq.gov/node/72724/psn-pdf
February 10, 2021 - How satisfied are patients and surgeons with
telemedicine in orthopaedic care during the COVID-19
pandemic? A systematic review and meta-analysis.
February 10, 2021
Chaudhry H, Nadeem S, Mundi R. How Satisfied Are Patients and Surgeons with Telemedicine in
Orthopaedic Care During the COVID-19 Pandemic? A Systemati…
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psnet.ahrq.gov/node/867383/psn-pdf
December 18, 2024 - Interactions between the context of a health-care
organisation and failure: the situational impact of failure
on organisational learning.
December 18, 2024
Horck S. Interactions between the context of a health-care organisation and failure: the situational impact of
failure on organisational learning. Leadership H…
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psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd
July 01, 2017 - In Conversation With… Michelle Mello, MPhil, JD, PhD
July 1, 2017
Also Read an Essay
Citation Text:
In Conversation With… Michelle Mello, MPhil, JD, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Hum…
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psnet.ahrq.gov/perspective/building-systems-citizenship-health-professions-education-continued-call-health-systems
February 01, 2019 - Building Systems Citizenship in Health Professions Education: The Continued Call for Health Systems Science Curricula
Jed D. Gonzalo, MD, MSc, and Mamta K. Singh, MD, MSc | February 1, 2019
Also Read a Conversation
View more articles from the same authors.
Citati…
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psnet.ahrq.gov/perspective/conversation-poonam-sharma-md-mph-senior-clinical-data-analyst-atrium-health-and-rhonda
January 12, 2022 - In Conversation With... Poonam Sharma, MD, MPH, the Senior Clinical Data Analyst at Atrium Health, and Rhonda Dickman, MSN, RN, CPHQ, the Director of the Tennessee Hospital Association PSO
January 12, 2022
Also Read the Essay
Citation Text:
In Conversation With.…
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psnet.ahrq.gov/perspective/conversation-susan-e-skochelak-md-phd
February 01, 2019 - In Conversation With… Susan E. Skochelak, MD, PhD
February 1, 2019
Also Read an Essay
Citation Text:
In Conversation With… Susan E. Skochelak, MD, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human…
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psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
January 12, 2022 - Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic
January 12, 2022
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Dickman R, Sharma P, Higgins D, et al. Patient Safety Events and…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.110_slideshow.ppt
December 01, 2005 - Spotlight Case [MONTH] 2003
Spotlight Case December 2005
Low on the Totem Pole
Source and Credits
This presentation is based on the Dec. 2005
Spotlight Case in Surgery/Anesthesia
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Robert Wachter, MD, …
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psnet.ahrq.gov/perspective/response-getting-root-matter-june-2005
June 01, 2005 - In response to “Getting to the Root of the Matter” (June 2005)
September 1, 2005
View more articles from the same authors.
Citation Text:
Grondin L, Saint S, Flanders S, et al. In response to “Getting to the Root of the Matter” (June 2005). PSNet [internet]. Rockv…
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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/web-mm/confusion-acetaminophen
December 01, 2009 - Confusion With Acetaminophen
Citation Text:
Heubi JE. Confusion With Acetaminophen. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
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psnet.ahrq.gov/node/49730/psn-pdf
April 01, 2015 - Transition to Nowhere
April 1, 2015
Farrell TW. Transition to Nowhere. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/transition-nowhere
The Case
A 75-year-old man with a history of prostate cancer, poorly controlled myotonic dystrophy, hypertension,
and chronic kidney disease was admitted to the hospital …