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psnet.ahrq.gov/node/38076/psn-pdf
February 15, 2011 - Consequences of inadequate sign-out for patient care.
February 15, 2011
Horwitz LI, Moin T, Krumholz HM, et al. Consequences of inadequate sign-out for patient care. Arch Intern
Med. 2008;168(16):1755-60. doi:10.1001/archinte.168.16.1755.
https://psnet.ahrq.gov/issue/consequences-inadequate-sign-out-patient-care
W…
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psnet.ahrq.gov/node/40640/psn-pdf
December 01, 2011 - Safety hazards in cancer care: findings using three
different methods.
December 1, 2011
Lipczak H, Knudsen JL, Nissen A. Safety hazards in cancer care: findings using three different methods.
BMJ Qual Saf. 2011;20(12):1052-6. doi:10.1136/bmjqs.2010.050856.
https://psnet.ahrq.gov/issue/safety-hazards-cancer-care-fi…
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psnet.ahrq.gov/node/41481/psn-pdf
September 26, 2012 - Impact of online education on intern behaviour around
Joint Commission national patient safety goals: a
randomised trial.
September 26, 2012
Shaw T, Pernar LI, Peyre S, et al. Impact of online education on intern behaviour around joint commission
national patient safety goals: a randomised trial. BMJ Qual Saf. 201…
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psnet.ahrq.gov/node/34053/psn-pdf
March 02, 2011 - Prevention of ventilator-associated pneumonia: an
evidence-based systematic review.
March 2, 2011
Collard HR, Saint S, Matthay MA. Prevention of ventilator-associated pneumonia: an evidence-based
systematic review. Ann Intern Med. 2003;138(6):494-501.
https://psnet.ahrq.gov/issue/prevention-ventilator-associated-p…
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psnet.ahrq.gov/node/46599/psn-pdf
August 20, 2018 - Effect of standardized handoff curriculum on improved
clinician preparedness in the intensive care unit: a
stepped-wedge cluster randomized clinical trial.
August 20, 2018
Parent B, LaGrone LN, Albirair MT, et al. Effect of Standardized Handoff Curriculum on Improved Clinician
Preparedness in the Intensive Care Un…
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psnet.ahrq.gov/node/45405/psn-pdf
November 18, 2016 - Relationship between operating room teamwork,
contextual factors, and safety checklist performance.
November 18, 2016
Singer SJ, Molina G, Li Z, et al. Relationship Between Operating Room Teamwork, Contextual Factors,
and Safety Checklist Performance. J Am Coll Surg. 2016;223(4):568-580.e2.
doi:10.1016/j.jamcollsu…
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psnet.ahrq.gov/node/42736/psn-pdf
October 31, 2014 - Complications of daytime elective laparoscopic
cholecystectomies performed by surgeons who operated
the night before.
October 31, 2014
Vinden C, Nash DM, Rangrej J, et al. Complications of daytime elective laparoscopic cholecystectomies
performed by surgeons who operated the night before. JAMA. 2013;310(17):1837-4…
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psnet.ahrq.gov/node/47812/psn-pdf
April 17, 2019 - Are more experienced clinicians better able to tolerate
uncertainty and manage risks? A vignette study of
doctors in three NHS emergency departments in England.
April 17, 2019
Lawton R, Robinson O, Harrison R, et al. Are more experienced clinicians better able to tolerate uncertainty
and manage risks? A vignette s…
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psnet.ahrq.gov/node/38429/psn-pdf
February 03, 2011 - Methicillin-resistant Staphylococcus aureus central
line–associated bloodstream infections in US intensive
care units, 1997-2007.
February 3, 2011
Burton DC, Edwards JR, Horan TC, et al. Methicillin-resistant Staphylococcus aureus central line-
associated bloodstream infections in US intensive care units, 1997-200…
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psnet.ahrq.gov/node/45344/psn-pdf
January 23, 2017 - Comparison of accuracy of physical examination findings
in initial progress notes between paper charts and a
newly implemented electronic health record.
January 23, 2017
Yadav S, Kazanji N, C. NK, et al. Comparison of accuracy of physical examination findings in initial
progress notes between paper charts and a ne…
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psnet.ahrq.gov/node/46404/psn-pdf
December 07, 2017 - Preventable and mitigable adverse events in cancer care:
measuring risk and harm across the continuum.
December 7, 2017
Lipitz-Snyderman A, Pfister D, Classen D, et al. Preventable and mitigable adverse events in cancer care:
measuring risk and harm across the continuum. Cancer. 2017;123(23):4728-4736. doi:10.1002/…
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psnet.ahrq.gov/node/39583/psn-pdf
October 30, 2010 - The harm susceptibility model: a method to prioritise
risks identified in patient safety reporting systems.
October 30, 2010
Pham JC, Colantuoni E, Dominici F, et al. The harm susceptibility model: a method to prioritise risks
identified in patient safety reporting systems. Qual Saf Health Care. 2010;19(5):440-5.
…
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psnet.ahrq.gov/node/43729/psn-pdf
November 21, 2017 - Medical harm: patient perceptions and follow-up actions.
November 21, 2017
Lyu HG, Cooper M, Mayer-Blackwell B, et al. Medical Harm: Patient Perceptions and Follow-up Actions. J
Patient Saf. 2017;13(4):199-201. doi:10.1097/PTS.0000000000000136.
https://psnet.ahrq.gov/issue/medical-harm-patient-perceptions-and-follo…
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psnet.ahrq.gov/node/45319/psn-pdf
September 01, 2018 - Special Issue: Progress at the Intersection of Patient
Safety and Medical Liability.
September 1, 2018
Ridgely MS, Greenberg MD, Clancy CM, eds. Health Serv Res. 2016;51(suppl 3):2395-2648.
https://psnet.ahrq.gov/issue/special-issue-progress-intersection-patient-safety-and-medical-liability
Medical liability refor…
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psnet.ahrq.gov/node/39822/psn-pdf
February 17, 2011 - The disclosure dilemma—large-scale adverse events.
February 17, 2011
Dudzinski DM, Hébert PC, Foglia MB, et al. The disclosure dilemma--large-scale adverse events. New Engl
J Med. 2010;363(10):978-986. doi:10.1056/NEJMhle1003134.
https://psnet.ahrq.gov/issue/disclosure-dilemma-large-scale-adverse-events
Error disc…
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psnet.ahrq.gov/node/46842/psn-pdf
June 22, 2018 - Do EPs change their clinical behaviour in the hallway or
when a companion is present? A cross-sectional survey.
June 22, 2018
Stoklosa H, Scannell M, Ma Z, et al. Do EPs change their clinical behaviour in the hallway or when a
companion is present? A cross-sectional survey. Emerg Med J. 2018;35(7):406-411.
doi:10.…
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psnet.ahrq.gov/node/38628/psn-pdf
May 13, 2009 - Fast forward rounds: an effective method for teaching
medical students to transition patients safely across care
settings.
May 13, 2009
Ouchida K, LoFaso VM, Capello CF, et al. Fast forward rounds: an effective method for teaching medical
students to transition patients safely across care settings. J Am Geriatr So…
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psnet.ahrq.gov/node/867037/psn-pdf
January 01, 2025 - Medicine communication from hospital to residential aged
care facilities: a cross-sectional survey of aged care
facility staff.
October 30, 2024
Browning S, Raleigh RA, Hattingh HL. Medicine communication from hospital to residential aged care
facilities: a cross-sectional survey of aged care facility staff. Int J…
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psnet.ahrq.gov/node/45065/psn-pdf
June 01, 2016 - Variation in quality of urgent health care provided during
commercial virtual visits.
June 1, 2016
Schoenfeld AJ, Davies JM, Marafino BJ, et al. Variation in Quality of Urgent Health Care Provided During
Commercial Virtual Visits. JAMA Intern Med. 2016;176(5):635-42. doi:10.1001/jamainternmed.2015.8248.
https://ps…
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psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
March 01, 2011 - Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical