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psnet.ahrq.gov/issue/team-situation-awareness-and-anticipation-patient-progress-during-icu-rounds
May 06, 2009 - Study
Team situation awareness and the anticipation of patient progress during ICU rounds.
Citation Text:
Reader TW, Flin R, Mearns K, et al. Team situation awareness and the anticipation of patient progress during ICU rounds. BMJ Qual Saf. 2011;20(12):1035-42. doi:10.1136/bmjqs.2010.0…
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psnet.ahrq.gov/issue/advancing-diagnostic-equity-through-clinician-engagement-community-partnerships-and-connected
June 22, 2022 - Commentary
Advancing diagnostic equity through clinician engagement, community partnerships, and connected care.
Citation Text:
Giardina TD, Woodard LCD, Singh H. Advancing diagnostic equity through clinician engagement, community partnerships, and connected care. J Gen Intern Med. 2023;…
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psnet.ahrq.gov/issue/diagnostic-reasoning-endangered-competency-internal-medicine-training
September 04, 2019 - Commentary
Diagnostic reasoning: an endangered competency in internal medicine training.
Citation Text:
Simpkin AL, Vyas JM, Armstrong KA. Diagnostic Reasoning: An Endangered Competency in Internal Medicine Training. Ann Intern Med. 2017;167(7):507-508. doi:10.7326/M17-0163.
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psnet.ahrq.gov/issue/perceptual-and-interpretive-error-diagnostic-radiology-causes-and-potential-solutions
November 13, 2024 - Commentary
Perceptual and interpretive error in diagnostic radiology—causes and potential solutions.
Citation Text:
Degnan AJ, Ghobadi EH, Hardy P, et al. Perceptual and Interpretive Error in Diagnostic Radiology-Causes and Potential Solutions. Acad Radiol. 2019;26(6):833-845. doi:10.101…
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psnet.ahrq.gov/issue/worries-and-concerns-experienced-nurse-specialists-during-inter-hospital-transports
September 19, 2016 - Study
Worries and concerns experienced by nurse specialists during inter-hospital transports of critically ill patients: a critical incident study.
Citation Text:
Gustafsson M, Wennerholm S, Fridlund B. Worries and concerns experienced by nurse specialists during inter-hospital transpo…
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psnet.ahrq.gov/issue/inappropriate-medications-elderly-icu-survivors-where-intervene
May 08, 2017 - Study
Inappropriate medications in elderly ICU survivors: where to intervene?
Citation Text:
Morandi A, Vasilevskis EE, Pandharipande PP, et al. Inappropriate medications in elderly ICU survivors: where to intervene? Arch Intern Med. 2011;171(11):1032-4. doi:10.1001/archinternmed.2011.…
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psnet.ahrq.gov/issue/systematic-integrative-review-specialized-nurses-role-establish-culture-patient-safety
July 10, 2024 - Review
A systematic integrative review of specialized nurses' role to establish a culture of patient safety: a modelling perspective.
Citation Text:
Glarcher M, Vaismoradi M. A systematic integrative review of specialized nurses' role to establish a culture of patient safety: a modelling…
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psnet.ahrq.gov/issue/bridging-communication-gap-operating-room-medical-team-training
March 05, 2025 - Study
Bridging the communication gap in the operating room with medical team training.
Citation Text:
Awad SS, Fagan SP, Bellows C, et al. Bridging the communication gap in the operating room with medical team training. Am J Surg. 2005;190(5):770-4.
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psnet.ahrq.gov/issue/predictors-successful-implementation-preoperative-briefings-and-postoperative-debriefings
December 21, 2014 - Study
Predictors of successful implementation of preoperative briefings and postoperative debriefings after medical team training.
Citation Text:
Paull DE, Mazzia L, Izu BS, et al. Predictors of successful implementation of preoperative briefings and postoperative debriefings after medi…
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psnet.ahrq.gov/issue/improving-perceptions-teamwork-climate-veterans-health-administration-medical-team-training
December 21, 2014 - Study
Improving perceptions of teamwork climate with the Veterans Health Administration medical team training program.
Citation Text:
Carney BT, West P, Neily J, et al. Improving perceptions of teamwork climate with the Veterans Health Administration medical team training program. Am J…
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psnet.ahrq.gov/issue/patient-safety-where-aim-when-zero-harm-not-target-case-learning-and-resilience
February 01, 2023 - Commentary
Patient safety: where to aim when zero harm is not the target-a case for learning and resilience.
Citation Text:
Stockwell DC, Kayes DC, Thomas EJ. Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. J Patient Saf. 2022;18(5):e877-…
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psnet.ahrq.gov/issue/controlled-trial-smart-infusion-pumps-improve-medication-safety-critically-ill-patients
March 13, 2019 - Study
Classic
A controlled trial of smart infusion pumps to improve medication safety in critically ill patients.
Citation Text:
Rothschild JM, Keohane C, Cook F, et al. A controlled trial of smart infusion pumps to improve medication safety in critically ill …
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psnet.ahrq.gov/issue/model-departmental-quality-management-infrastructure-within-academic-health-system
August 08, 2018 - Commentary
A model for the departmental quality management infrastructure within an academic health system.
Citation Text:
Mathews SC, Demski R, Hooper JE, et al. A Model for the Departmental Quality Management Infrastructure Within an Academic Health System. Acad Med. 2017;92(5):608-613…
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psnet.ahrq.gov/issue/safety-climate-safety-climate-strength-and-length-stay-nicu
February 06, 2019 - Study
Safety climate, safety climate strength, and length of stay in the NICU.
Citation Text:
Tawfik DS, Thomas EJ, Vogus TJ, et al. Safety climate, safety climate strength, and length of stay in the NICU. BMC Health Serv Res. 2019;19(1):738. doi:10.1186/s12913-019-4592-1.
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psnet.ahrq.gov/issue/using-evidence-rigorous-measurement-and-collaboration-eliminate-central-catheter-associated
January 15, 2014 - Study
Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections.
Citation Text:
Sawyer M, Weeks K, Goeschel CA, et al. Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstr…
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psnet.ahrq.gov/issue/costs-adverse-drug-events-community-hospitals
February 18, 2011 - Study
The costs of adverse drug events in community hospitals.
Citation Text:
Hug BL, Keohane C, Seger DL, et al. The costs of adverse drug events in community hospitals. Jt Comm J Qual Patient Saf. 2012;38(3):120-6.
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psnet.ahrq.gov/issue/lessons-learned-implementation-computerized-provider-order-entry-5-community-hospitals
December 31, 2014 - Study
Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a qualitative study.
Citation Text:
Simon SR, Keohane CA, Amato MG, et al. Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a quali…
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psnet.ahrq.gov/issue/factors-predicting-change-hospital-safety-climate-and-capability-multi-site-patient-safety
February 01, 2011 - Study
Factors predicting change in hospital safety climate and capability in a multi-site patient safety collaborative: a longitudinal survey study.
Citation Text:
Benn J, Burnett S, Parand A, et al. Factors predicting change in hospital safety climate and capability in a multi-site pa…
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psnet.ahrq.gov/issue/multiple-interacting-factors-influence-adherence-and-outcomes-associated-surgical-safety
June 21, 2016 - Study
Multiple interacting factors influence adherence, and outcomes associated with surgical safety checklists: a qualitative study.
Citation Text:
Gagliardi AR, Straus SE, Shojania KG, et al. Multiple interacting factors influence adherence, and outcomes associated with surgical safety…
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psnet.ahrq.gov/issue/organizational-and-social-psychological-conditions-healthcare-and-their-importance-patient
August 16, 2017 - Study
Organizational and social-psychological conditions in healthcare and their importance for patient and staff safety. A critical incident study among doctors and nurses.
Citation Text:
Eklöf M, Törner M, Pousette A. Organizational and social-psychological conditions in healthcare and…