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psnet.ahrq.gov/issue/improving-safety-culture-adult-medical-units-through-multidisciplinary-teamwork-and
February 18, 2011 - Study
Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project.
Citation Text:
Blegen MA, Sehgal NL, Alldredge BK, et al. Improving safety culture on adult medical units through multidisciplinary teamwork and c…
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psnet.ahrq.gov/issue/impact-including-readmissions-qualifying-events-patient-safety-indicators
January 26, 2022 - Study
Impact of including readmissions for qualifying events in the Patient Safety Indicators.
Citation Text:
Davies SM, Saynina O, Baker LC, et al. Impact of including readmissions for qualifying events in the patient safety indicators. Am J Med Qual. 2015;30(2):114-8. doi:10.1177/10628…
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psnet.ahrq.gov/issue/creating-culture-caregiver-support
May 18, 2022 - Newspaper/Magazine Article
Creating a culture of caregiver support.
Citation Text:
Gold KJ, Andrew LB, Goldman EB, et al. “I would never want to have a mental health diagnosis on my record”: A survey of female physicians on mental health diagnosis, treatment, and reporting. General Hospi…
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psnet.ahrq.gov/issue/exclusion-residents-surgery-intensive-care-team-communication-qualitative-study
December 04, 2015 - Study
Exclusion of residents from surgery-intensive care team communication: a qualitative study.
Citation Text:
Conn LG, Haas B, Rubenfeld GD, et al. Exclusion of Residents From Surgery-Intensive Care Team Communication: A Qualitative Study. J Surg Educ. 2016;73(4):639-47. doi:10.1016/j…
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psnet.ahrq.gov/issue/connected-care-reducing-errors-through-automated-vital-signs-data-upload
September 01, 2018 - Study
Connected care: reducing errors through automated vital signs data upload.
Citation Text:
Smith LB, Banner L, Lozano D, et al. Connected care: reducing errors through automated vital signs data upload. Comput Inform Nurs. 2009;27(5):318-23. doi:10.1097/NCN.0b013e3181b21d65.
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psnet.ahrq.gov/issue/lessons-learned-implementing-principled-approach-resolution-following-patient-harm
February 12, 2020 - Commentary
Lessons learned from implementing a principled approach to resolution following patient harm.
Citation Text:
Smith KM, Smith LL, (Jack) Gentry JC, et al. Lessons learned from implementing a principled approach to resolution following patient harm. J Patient Saf Risk Manag. 201…
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psnet.ahrq.gov/issue/anesthesiology-department-leads-culture-change-hospital-system-level-improve-quality-and
March 30, 2011 - Commentary
An anesthesiology department leads culture change at a hospital system level to improve quality and patient safety.
Citation Text:
Fleischut PM, Evans AS, Faggiani SL, et al. An anesthesiology department leads culture change at a hospital system level to improve quality and …
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psnet.ahrq.gov/issue/qualitative-exploration-patients-attitudes-towards-participate-inform-notice-know-pink
July 06, 2012 - Study
A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patient safety video.
Citation Text:
Pinto A, Vincent CA, Darzi A, et al. A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patien…
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psnet.ahrq.gov/issue/oncology-patients-willingness-report-their-medication-safety-concerns-home-qualitative-study
August 21, 2024 - Study
Oncology patients' willingness to report their medication safety concerns from home: a qualitative study.
Citation Text:
Bunni D, Walters G, Hwang M, et al. Oncology patients’ willingness to report their medication safety concerns from home: a qualitative study. Support Care Cancer…
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psnet.ahrq.gov/issue/nurse-patient-ratios-patient-safety-strategy-systematic-review
March 20, 2013 - Review
Nurse–patient ratios as a patient safety strategy: a systematic review.
Citation Text:
Shekelle PG. Nurse-patient ratios as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):404-409. doi:10.7326/0003-4819-158-5-201303051-00007.
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psnet.ahrq.gov/issue/care-point-impact-insights-second-victim-experience
January 03, 2017 - Commentary
Care at the point of impact: insights into the second-victim experience.
Citation Text:
Scott SD, McCoig MM. Care at the point of impact: Insights into the second-victim experience. J Healthc Risk Manag. 2016;35(4):6-13. doi:10.1002/jhrm.21218.
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psnet.ahrq.gov/issue/impact-tele-icu-provider-attitudes-about-teamwork-and-safety-climate
May 25, 2016 - Study
The impact of a tele-ICU on provider attitudes about teamwork and safety climate.
Citation Text:
Chu-Weininger MYL, Wueste L, Lucke JF, et al. The impact of a tele-ICU on provider attitudes about teamwork and safety climate. Qual Saf Health Care. 2010;19(6):e39. doi:10.1136/qshc.…
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psnet.ahrq.gov/issue/consequences-whistle-blowing-integrative-review
November 16, 2022 - Review
The consequences of whistle-blowing: an integrative review.
Citation Text:
Lim CR, Zhang MWB, Hussain SF, et al. The Consequences of Whistle-blowing: An Integrative Review. J Patient Saf. 2021;17(6):e497-e502. doi:10.1097/PTS.0000000000000396.
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psnet.ahrq.gov/issue/tenfold-therapeutic-dosing-errors-young-children-reported-us-poison-control-centers
July 10, 2024 - Study
Tenfold therapeutic dosing errors in young children reported to US poison control centers.
Citation Text:
Crouch BI, Caravati M, Moltz E. Tenfold therapeutic dosing errors in young children reported to U.S. poison control centers. Am J Health Syst Pharm. 2009;66(14):1292-6. doi:10…
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psnet.ahrq.gov/issue/handover-after-pediatric-heart-surgery-simple-tool-improves-information-exchange
July 03, 2016 - Study
Handover after pediatric heart surgery: a simple tool improves information exchange.
Citation Text:
Zavalkoff SR, Razack SI, Lavoie J, et al. Handover after pediatric heart surgery: a simple tool improves information exchange. Pediatr Crit Care Med. 2011;12(3):309-13. doi:10.1097/…
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psnet.ahrq.gov/issue/student-mistakes-and-teacher-reactions-bedside-teaching
January 18, 2012 - Study
Student mistakes and teacher reactions in bedside teaching.
Citation Text:
Rubisch HPK, Blaschke A-L, Berberat PO, et al. Student mistakes and teacher reactions in bedside teaching. Adv Health Sci Educ Theory Pract. 2023;28(5):1523-1556. doi:10.1007/s10459-023-10233-y.
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psnet.ahrq.gov/issue/quality-improvement-implementation-and-hospital-performance-patient-safety-indicators
January 12, 2022 - Study
Classic
Quality improvement implementation and hospital performance on patient safety indicators.
Citation Text:
Weiner BJ, Alexander JA, Baker LC, et al. Quality improvement implementation and hospital performance on patient safety indicators. Med Care …
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psnet.ahrq.gov/issue/integrating-ethics-and-patient-safety-role-clinical-ethics-consultants-quality-improvement
October 04, 2011 - Commentary
Integrating ethics and patient safety: the role of clinical ethics consultants in quality improvement.
Citation Text:
Opel DJ, Brownstein D, Diekema DS, et al. Integrating ethics and patient safety: the role of clinical ethics consultants in quality improvement. J Clin Ethic…
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psnet.ahrq.gov/issue/whom-bell-commission-tolls-unintended-effects-limiting-residents-hours
April 20, 2011 - Commentary
For whom the Bell Commission tolls: unintended effects of limiting residents' hours.
Citation Text:
Millard WB. For whom the bell commission tolls: unintended effects of limiting residents' hours. Ann Emerg Med. 2009;54(4):A25-9.
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psnet.ahrq.gov/issue/gaps-continuity-care-and-progress-patient-safety
January 16, 2017 - Commentary
Classic
Gaps in the continuity of care and progress on patient safety.
Citation Text:
Cook RI, Render M, Woods DD. Gaps in the continuity of care and progress on patient safety. BMJ. 2000;320(7237):791-4.
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