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psnet.ahrq.gov/issue/primer-pdsa-executing-plan-do-study-act-cycles-practice-not-just-name
December 04, 2016 - PDSA) cycles were promoted as an in-depth rapid-cycle improvement mechanism, this process can fall short
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psnet.ahrq.gov/issue/spreading-medication-administration-intervention-organizationwide-six-hospitals
January 03, 2017 - While quality improvement projects can result in short-term, local success, ensuring the sustainability
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psnet.ahrq.gov/issue/association-between-treatment-locum-tenens-internal-medicine-physicians-and-30-day-mortality
September 29, 2017 - This study examined whether receiving care from locum tenens (short-term substitute) physicians in hospital
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psnet.ahrq.gov/issue/patient-handover-surgery-intensive-care-using-formula-1-pit-stop-and-aviation-models-improve
October 03, 2011 - operating room to intensive care involves exchange of complex information between multiple providers in a short
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psnet.ahrq.gov/issue/effects-computerized-provider-order-entry-implementation-communication-intensive-care-units
March 15, 2017 - In this cross-sectional study, implementing CPOE in intensive care units had a short-term negative effect
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psnet.ahrq.gov/node/74081/psn-pdf
November 17, 2021 - The influence of the availability heuristic on physicians in
the emergency department.
November 17, 2021
Ly DP. The influence of the availability heuristic on physicians in the emergency department. Ann Emerg
Med. 2021;78(5):650-657. doi:10.1016/j.annemergmed.2021.06.012.
https://psnet.ahrq.gov/issue/influence-ava…
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psnet.ahrq.gov/node/72735/psn-pdf
February 10, 2021 - Deficiencies in Inpatient Mental Health Care Coordination
and Processes Prior to a Patient's Death by Suicide, Harry
S. Truman Memorial Veterans' Hospital in Columbia,
Missouri.
February 10, 2021
Washington, DC: Department of Veterans Affairs, Office of Inspector General. January 5, 2021. Report No.
20-01521-48. …
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psnet.ahrq.gov/node/844042/psn-pdf
February 08, 2023 - ‘Ladder’-based safety culture assessments inversely
predict safety outcomes.
February 8, 2023
Boskeljon?Horst L, Sillem S, Dekker SWA. ‘Ladder’?based safety culture assessments inversely predict
safety outcomes. J Contingencies Crisis Manag. 2022;31(3):372-391. doi:10.1111/1468-5973.12445.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/49722/psn-pdf
December 01, 2014 - After a short period of treatment, his swelling improved and he was able to ambulate
on the hospital … He was briefly resuscitated but died a short time later. … Another solution could be a very short raised edge or cleat affixed to the floor sufficing as a wheel
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psnet.ahrq.gov/node/49588/psn-pdf
August 01, 2009 - He was markedly short
of breath despite use of accessory muscles and was only able to speak in short … Due to the short staffing and inability to locate a last-minute
replacement, each existing nurse was … It is important to mitigate the stressors of short
staffing on a shift to shift basis.
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psnet.ahrq.gov/print/pdf/node/867659
July 10, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Rapid Response Systems
Curated Library
Primers
Rapid Response Systems
UC Davis PSNet Editorial Team | September, 15 2024
Rapid response teams represent an intuitively simple concept: when a patient demonstrates signs of
imminent clinical de…
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psnet.ahrq.gov/issue/hospitals-own-errors
February 04, 2009 - February 6, 2013
The short life and lonely death of Sabrina Seelig.
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psnet.ahrq.gov/issue/smarttots
May 04, 2015 - November 29, 2023
Incidence and characteristics of errors detected by a short team briefing
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psnet.ahrq.gov/issue/hospital-bracelets-face-hurdles-they-fix-hazard
August 15, 2012 - Copy Citation
Related Resources From the Same Author(s)
The short life and
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psnet.ahrq.gov/node/851359/psn-pdf
July 12, 2023 - Evidence for anchoring bias during physician decision-
making.
July 12, 2023
Ly DP, Shekelle PG, Song Z. Evidence for anchoring bias during physician decision-making. JAMA Intern
Med. 2023;183(8):818-823. doi:10.1001/jamainternmed.2023.2366.
https://psnet.ahrq.gov/issue/evidence-anchoring-bias-during-physician-dec…
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psnet.ahrq.gov/issue/patient-handovers-within-hospital-translating-knowledge-motor-racing-healthcare
April 01, 2015 - operating room to intensive care involves exchange of complex information between multiple providers in a short
-
psnet.ahrq.gov/node/47311/psn-pdf
October 10, 2018 - Cognitive error in an academic emergency department.
October 10, 2018
Schnapp BH, Sun JE, Kim JL, et al. Cognitive error in an academic emergency department. Diagnosis
(Berl). 2018;5(3):135-142. doi:10.1515/dx-2018-0011.
https://psnet.ahrq.gov/issue/cognitive-error-academic-emergency-department
In 2015, the Nation…
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psnet.ahrq.gov/node/33646/psn-pdf
February 01, 2007 - JB: The short answer is yes.
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psnet.ahrq.gov/issue/providers-perceptions-communication-breakdowns-cancer-care
March 11, 2013 - They also expressed frustration with systems factors, such as appointments that are too short for having
-
psnet.ahrq.gov/node/49690/psn-pdf
September 01, 2013 - The patient described here was on high doses of two different opioids, both long-acting morphine and
short-acting … part of non-cancer pain.(1) When
a patient is prescribed long-acting opioids while continuing to take short-acting … It might have been more
appropriate to start with a single short-acting agent to determine adherence … It would have been safer to
manage with short-acting oxycodone.