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psnet.ahrq.gov/node/36404/psn-pdf
September 27, 2010 - A model for building a standardized hand-off protocol.
September 27, 2010
Arora V, Johnson J. A model for building a standardized hand-off protocol. Jt Comm J Qual Saf.
2006;32(11):646-655.
https://psnet.ahrq.gov/issue/model-building-standardized-hand-protocol
The authors describe an educational module to train r…
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psnet.ahrq.gov/node/39012/psn-pdf
October 14, 2009 - The "July phenomenon": is trauma the exception?
October 14, 2009
Schroeppel TJ, Fischer PE, Magnotti LJ, et al. The "July phenomenon": is trauma the exception? J Am Coll
Surg. 2009;209(3):378-84. doi:10.1016/j.jamcollsurg.2009.05.026.
https://psnet.ahrq.gov/issue/july-phenomenon-trauma-exception
This study failed …
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psnet.ahrq.gov/node/40018/psn-pdf
November 17, 2010 - Emergency medicine quality improvement and patient
safety curriculum.
November 17, 2010
Kelly JJ, Thallner E, Broida RI, et al. Emergency Medicine Quality Improvement and Patient Safety
Curriculum. Academic Emergency Medicine. 2010;17. doi:10.1111/j.1553-2712.2010.00897.x.
https://psnet.ahrq.gov/issue/emergency-me…
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psnet.ahrq.gov/web-mm/weak-response
February 24, 2011 - A "Weak" Response
Citation Text:
Reisman AB. A "Weak" Response. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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psnet.ahrq.gov/perspective/conversation-withjames-p-bagian-md
September 01, 2006 - Even when I was a resident and a student, I used to really chafe at the way medicine was run. … and the chief resident just looks at me and just shakes his head (the attending couldn't see him), like … But I can still remember that chief resident looking at me just shaking his head almost saying, idiot
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psnet.ahrq.gov/node/73104/psn-pdf
January 04, 2021 - facilities vary somewhat from other inpatient facilities given the widespread
vulnerabilities of their resident … These include
recommendations for establishing spaces for resident isolation, testing of residents and … staff for COVID-19
infection, and resident admission to acute care hospitals.
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psnet.ahrq.gov/node/40650/psn-pdf
July 27, 2011 - Level IV evidence—adverse anecdote and clinical
practice.
July 27, 2011
Stuebe AM. Level IV evidence--adverse anecdote and clinical practice. N Engl J Med. 2011;365(1):8-9.
doi:10.1056/NEJMp1102632.
https://psnet.ahrq.gov/issue/level-iv-evidence-adverse-anecdote-and-clinical-practice
This perspective describes ho…
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psnet.ahrq.gov/node/37012/psn-pdf
February 17, 2011 - Needlestick injuries among surgeons in training.
February 17, 2011
Makary MA, Al-Attar A, Holzmueller CG, et al. Needlestick injuries among surgeons in training. N Engl J
Med. 2007;356(26):2693-9.
https://psnet.ahrq.gov/issue/needlestick-injuries-among-surgeons-training
This survey revealed that nearly all surgica…
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psnet.ahrq.gov/node/38148/psn-pdf
October 29, 2008 - Trends in Nursing Home Deficiencies and Complaints.
October 29, 2008
Office of the Inspector General. Washington, DC: US Department of Health and Human Services;
September 2008. Report No. OEI-02-08-00140.
https://psnet.ahrq.gov/issue/trends-nursing-home-deficiencies-and-complaints
This report summarizes 2007 data…
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psnet.ahrq.gov/print/pdf/node/73848
July 01, 2022 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Maternal Safety
Curated Library
Foundations
Maternal Safety
Marla Shauer, PhD(c), MSN, CNM; Amy Nichols, EdD, RN, CNS, CHSE, ANEF; Audrey Lyndon, RN,
PhD, FAAN | January, 31 2024
Pregnancy, childbirth, and the postpartum year present a comp…
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psnet.ahrq.gov/node/37718/psn-pdf
April 23, 2008 - Mistakes and disclosure.
April 23, 2008
Winter RO, Birnberg BA. Mistakes and disclosure. Fam Med. 2008;40(4):245-7.
https://psnet.ahrq.gov/issue/mistakes-and-disclosure
This article describes a method for teaching residents about safety culture, medical errors, and disclosure
by using a movie, magazine article, an…
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psnet.ahrq.gov/node/39200/psn-pdf
March 28, 2010 - Creating champions for health care quality and safety.
March 28, 2010
Holland R, Meyers D, Hildebrand C, et al. Creating champions for health care quality and safety. Am J Med
Qual. 2010;25(2):102-108. doi:10.1177/1062860609352108.
https://psnet.ahrq.gov/issue/creating-champions-health-care-quality-and-safety
Inte…
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psnet.ahrq.gov/node/50584/psn-pdf
October 23, 2019 - Unprotected: broken promises in Georgia’s senior care
industry.
October 23, 2019
Schrade B, Teegardin C. Atlanta Journal-Constitution. Sept-October 2019.
https://psnet.ahrq.gov/issue/unprotected-broken-promises-georgias-senior-care-industry
Assisted living facilities have challenges that reduce the quality and saf…
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psnet.ahrq.gov/node/36954/psn-pdf
February 24, 2011 - Patient safety knowledge and its determinants in medical
trainees.
February 24, 2011
Kerfoot P, Conlin PR, Travison T, et al. Patient safety knowledge and its determinants in medical trainees.
J Gen Intern Med. 2007;22(8):1150-4.
https://psnet.ahrq.gov/issue/patient-safety-knowledge-and-its-determinants-medical-tr…
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psnet.ahrq.gov/node/40264/psn-pdf
December 21, 2014 - Persistent noncompliance with the work-hour regulation.
December 21, 2014
Tabrizian P, Rajhbeharrysingh U, Khaitov S, et al. Persistent noncompliance with the work-hour regulation.
Arch Surg. 2011;146(2):175-8. doi:10.1001/archsurg.2010.337.
https://psnet.ahrq.gov/issue/persistent-noncompliance-work-hour-regulation…
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psnet.ahrq.gov/node/36394/psn-pdf
December 22, 2010 - Is there a "July phenomenon" in pediatric neurosurgery at
teaching hospitals?
December 22, 2010
Smith ER, Butler WE, Barker FG. Is there a "July phenomenon" in pediatric neurosurgery at teaching
hospitals? J Neurosurg. 2006;105(3 Suppl):169-76.
https://psnet.ahrq.gov/issue/there-july-phenomenon-pediatric-neurosurg…
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psnet.ahrq.gov/node/36283/psn-pdf
April 19, 2011 - The 80-hour duty week: rationale, early attitudes, and
future questions.
April 19, 2011
Friedlaender GE. The 80-hour duty week: rationale, early attitudes, and future questions. Clin Orthop Relat
Res. 2006;449:138-142.
https://psnet.ahrq.gov/issue/80-hour-duty-week-rationale-early-attitudes-and-future-questions
T…
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psnet.ahrq.gov/node/37169/psn-pdf
October 06, 2011 - The safety journal: lessons learned with an error
reporting tool to stimulate systems thinking.
October 6, 2011
Singh R, Naughton B, Singh A, et al. The Safety Journal. J Patient Saf. 2007;3(3):135-141.
doi:10.1097/0b013e31814258db.
https://psnet.ahrq.gov/issue/safety-journal-lessons-learned-error-reporting-tool-s…
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psnet.ahrq.gov/node/40432/psn-pdf
May 04, 2011 - Factors associated with medication errors in the pediatric
emergency department.
May 4, 2011
Vilà-de-Muga M, Colom-Ferrer L, Gonzàlez-Herrero M, et al. Factors associated with medication errors in
the pediatric emergency department. Pediatr Emerg Care. 2011;27(4):290-294.
doi:10.1097/PEC.0b013e31821313c2.
https:/…
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psnet.ahrq.gov/node/41244/psn-pdf
April 04, 2012 - Medical error disclosure: the gap between attitude and
practice.
April 4, 2012
Ghalandarpoorattar SM, Kaviani A, Asghari F. Medical error disclosure: the gap between attitude and
practice. Postgrad Med J. 2012;88(1037):130-3. doi:10.1136/postgradmedj-2011-130118.
https://psnet.ahrq.gov/issue/medical-error-disclosu…