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psnet.ahrq.gov/issue/measuring-patient-safety-medicare-patient-safety-monitoring-system-past-present-and-future
December 18, 2014 - Review
Measuring patient safety: the Medicare Patient Safety Monitoring System (past, present, and future).
Citation Text:
Classen D, Munier W, Verzier N, et al. Measuring Patient Safety: The Medicare Patient Safety Monitoring System (Past, Present, and Future). J Patient Saf. 2021;17(3)…
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psnet.ahrq.gov/issue/developing-high-performance-team-training-framework-internal-medicine-residents-abcs-teamwork
June 01, 2011 - Study
Developing a high-performance team training framework for internal medicine residents: the ABC'S of teamwork.
Citation Text:
Carbo AR, Tess A, Roy CL, et al. Developing a high-performance team training framework for internal medicine residents: the ABC'S of teamwork. J Patient Sa…
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psnet.ahrq.gov/issue/flow-accuracy-iv-smart-pumps-outside-patient-rooms-during-covid-19
October 12, 2022 - Commentary
Flow accuracy of IV smart pumps outside of patient rooms during COVID-19.
Citation Text:
Blake JWC, Giuliano KK. Flow accuracy of IV smart pumps outside of patient rooms during COVID-19. AACN Adv Crit Care. 2020;31(4):357-363. doi:10.4037/aacnacc2020241.
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psnet.ahrq.gov/issue/surgical-safety-checklist-compliance-job-done-poorly
April 25, 2016 - Study
Surgical safety checklist compliance: a job done poorly!
Citation Text:
Sparks EA, Wehbe-Janek H, Johnson RL, et al. Surgical Safety Checklist compliance: a job done poorly!. J Am Coll Surg. 2013;217(5):867-73.e1-3. doi:10.1016/j.jamcollsurg.2013.07.393.
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psnet.ahrq.gov/issue/diagnostic-errors-orthopedic-surgery-evaluation-resident-documentation-neurovascular
December 31, 2014 - Study
Diagnostic errors in orthopedic surgery: evaluation of resident documentation of neurovascular examinations for orthopedic trauma patients.
Citation Text:
Tan EW, Ting BL, Jia X, et al. Diagnostic errors in orthopedic surgery: evaluation of resident documentation of neurovascular …
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psnet.ahrq.gov/issue/measuring-communication-surgical-icu-better-communication-equals-better-care
April 03, 2005 - Study
Measuring communication in the surgical ICU: better communication equals better care.
Citation Text:
Williams M, Hevelone N, Alban RF, et al. Measuring communication in the surgical ICU: better communication equals better care. J Am Coll Surg. 2010;210(1):17-22. doi:10.1016/j.jamc…
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psnet.ahrq.gov/issue/physician-motivation-listening-what-pay-performance-programs-and-quality-improvement
January 02, 2017 - Commentary
Physician motivation: listening to what pay-for-performance programs and quality improvement collaboratives are telling us.
Citation Text:
Herzer KR, Pronovost P. Physician Motivation: Listening to What Pay-for-Performance Programs and Quality Improvement Collaboratives Are Te…
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psnet.ahrq.gov/issue/patient-safety-indicators-judging-hospital-performance-still-not-ready-prime-time
December 22, 2021 - Study
Patient safety indicators for judging hospital performance: still not ready for prime time.
Citation Text:
Kubasiak JC, Francescatti AB, Behal R, et al. Patient Safety Indicators for Judging Hospital Performance. Am J Med Qual. 2017;32(2):129-133. doi:10.1177/1062860615618782.
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psnet.ahrq.gov/issue/possible-solutions-barriers-incident-reporting-residents
April 14, 2011 - Study
Possible solutions for barriers in incident reporting by residents.
Citation Text:
Martowirono K, Jansma JD, van Luijk SJ, et al. Possible solutions for barriers in incident reporting by residents. J Eval Clin Pract. 2012;18(1):76-81. doi:10.1111/j.1365-2753.2010.01544.x.
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psnet.ahrq.gov/issue/ashp-ppag-guidelines-providing-pediatric-pharmacy-services-hospitals-and-health-systems
April 24, 2018 - Commentary
ASHP–PPAG Guidelines for Providing Pediatric Pharmacy Services in Hospitals and Health Systems.
Citation Text:
Eiland LS, Benner K, Gumpper KF, et al. ASHP-PPAG Guidelines for Providing Pediatric Pharmacy Services in Hospitals and Health Systems. J Pediatr Pharmacol Ther. 2018…
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psnet.ahrq.gov/issue/reporting-patient-safety-incidents-first-experiences-chiropractic-reporting-and-learning
September 11, 2024 - Study
The reporting of patient safety incidents—first experiences with the chiropractic reporting and learning system (CRLS): a pilot study.
Citation Text:
Thiel H, Bolton J. The reporting of patient safety incidents—first experiences with the chiropractic reporting and learning syst…
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psnet.ahrq.gov/issue/telenursing-incidents-and-disasters-systematic-review-literature
January 07, 2015 - Review
Telenursing in incidents and disasters: a systematic review of the literature.
Citation Text:
Nejadshafiee M, Bahaadinbeigy K, Kazemi M, et al. Telenursing in incidents and disasters: a systematic review of the literature. J Emerg Nurs. 2020. doi:10.1016/j.jen.2020.03.005.
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psnet.ahrq.gov/issue/examining-july-effect-national-survey-academic-leaders-medicine
July 05, 2016 - Study
Examining the July Effect: a national survey of academic leaders in medicine.
Citation Text:
Levy K, Voit J, Gupta A, et al. Examining the July Effect: A National Survey of Academic Leaders in Medicine. Am J Med. 2016;129(7):754.e1-5. doi:10.1016/j.amjmed.2016.05.001.
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psnet.ahrq.gov/issue/comparative-safety-endovascular-aortic-aneurysm-repair-over-open-repair-using-patient-safety
November 16, 2022 - Study
Comparative safety of endovascular aortic aneurysm repair over open repair using Patient Safety Indicators during adoption.
Citation Text:
Rose J, Evans C, Barleben A, et al. Comparative safety of endovascular aortic aneurysm repair over open repair using patient safety indicators …
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psnet.ahrq.gov/issue/safety-culture-patient-safety-and-quality-care-outcomes-literature-review
October 24, 2018 - Review
Safety culture, patient safety, and quality of care outcomes: a literature review.
Citation Text:
Lee SE, Scott LD, Dahinten S, et al. Safety Culture, Patient Safety, and Quality of Care Outcomes: A Literature Review. West J Nurs Res. 2019;41(2):279-304. doi:10.1177/01939459177474…
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psnet.ahrq.gov/issue/model-disruptive-surgeon-behavior-perioperative-environment
February 05, 2020 - Study
A model of disruptive surgeon behavior in the perioperative environment.
Citation Text:
Cochran A, Elder WB. A model of disruptive surgeon behavior in the perioperative environment. J Am Coll Surg. 2014;219(3):390-8. doi:10.1016/j.jamcollsurg.2014.05.011.
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psnet.ahrq.gov/issue/reducing-surgical-specimen-errors-through-multidisciplinary-quality-improvement
July 28, 2021 - Study
Reducing surgical specimen errors through multidisciplinary quality improvement.
Citation Text:
Holstine JB, Samora JB. Reducing surgical specimen errors through multidisciplinary quality improvement. Jt Comm J Qual Patient Saf. 2021;47(9):563-571. doi:10.1016/j.jcjq.2021.04.003.
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psnet.ahrq.gov/issue/limited-health-literacy-barrier-medication-reconciliation-ambulatory-care
March 24, 2010 - Study
Limited health literacy is a barrier to medication reconciliation in ambulatory care.
Citation Text:
Persell SD, Osborn CY, Richard R, et al. Limited health literacy is a barrier to medication reconciliation in ambulatory care. J Gen Intern Med. 2007;22(11):1523-6.
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psnet.ahrq.gov/issue/stop-noise-quality-improvement-project-decrease-electrocardiographic-nuisance-alarms
June 15, 2011 - Commentary
Stop the noise: a quality improvement project to decrease electrocardiographic nuisance alarms.
Citation Text:
Sendelbach S, Wahl S, Anthony A, et al. Stop the Noise: A Quality Improvement Project to Decrease Electrocardiographic Nuisance Alarms. Crit Care Nurse. 2015;35(4):15…
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psnet.ahrq.gov/issue/adverse-events-and-comparison-systematic-and-voluntary-reporting-paediatric-intensive-care
February 01, 2011 - Study
Adverse events and comparison of systematic and voluntary reporting from a paediatric intensive care unit.
Citation Text:
Silas R, Tibballs J. Adverse events and comparison of systematic and voluntary reporting from a paediatric intensive care unit. Qual Saf Health Care. 2010;19(…