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psnet.ahrq.gov/issue/teamwork-and-communication-surgical-teams-implications-patient-safety
March 25, 2020 - Study
Teamwork and communication in surgical teams: implications for patient safety.
Citation Text:
Teamwork and communication in surgical teams: implications for patient safety. Mills P; Neily J; Dunn E.
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psnet.ahrq.gov/issue/cms-30-minute-rule-drug-administration-needs-revision
October 21, 2021 - Newspaper/Magazine Article
CMS 30-minute rule for drug administration needs revision.
Citation Text:
CMS 30-minute rule for drug administration needs revision. ISMP Medication Safety Alert! Acute Care Edition. September 9, 2010;15:1-6.
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psnet.ahrq.gov/issue/symposium-simulation-science-health-and-medicine
April 03, 2017 - Special or Theme Issue
Symposium on Simulation Science in Health and Medicine.
Citation Text:
Symposium on Simulation Science in Health and Medicine. J Emerg Trauma Shock. 2010;3:348-394.
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psnet.ahrq.gov/issue/improving-patient-safety-culture-through-teamwork-and-communication-teamstepps
November 21, 2016 - Book/Report
Improving Patient Safety Culture Through Teamwork and Communication: TeamSTEPPS.
Citation Text:
Improving Patient Safety Culture Through Teamwork and Communication: TeamSTEPPS. Chicago, IL: Health Research & Educational Trust; June 2015.
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psnet.ahrq.gov/issue/radiation-oncology-incident-learning-system
April 22, 2020 - Multi-use Website
Radiation Oncology Incident Learning System.
Citation Text:
Radiation Oncology Incident Learning System. American Society for Radiation Oncology and American Association of Physicists in Medicine.
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psnet.ahrq.gov/issue/francis-report-one-year
April 02, 2014 - Book/Report
The Francis Report: One Year On.
Citation Text:
The Francis Report: One Year On. Thorlby R, Smith J, Williams S, Dayan M. London, UK: Nuffield Trust; February 2014.
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psnet.ahrq.gov/issue/survey-shows-recession-has-weakened-patient-safety-net
June 10, 2018 - Newspaper/Magazine Article
Survey shows recession has weakened patient safety net.
Citation Text:
Survey shows recession has weakened patient safety net. ISMP Medication Safety Alert! Acute care edition! January 14, 2010;15:1-4.
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psnet.ahrq.gov/issue/work-design-drivers-organizational-learning-about-operational-failures-laboratory-experiment
September 05, 2012 - Book/Report
Work Design Drivers of Organizational Learning about Operational Failures: A Laboratory Experiment on Medication Administration.
Citation Text:
Work Design Drivers of Organizational Learning about Operational Failures: A Laboratory Experiment on Medication Administration. Tuc…
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psnet.ahrq.gov/issue/disruptive-clinician-behavior-persistent-threat-patient-safety
August 23, 2007 - Commentary
Disruptive clinician behavior: a persistent threat to patient safety.
Citation Text:
Disruptive clinician behavior: a persistent threat to patient safety. Porto G; Lauve R. Patient Safety Quality Healthcare. July / August 2006.
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psnet.ahrq.gov/issue/building-culture-candour-review-threshold-duty-candour-and-incentives-care-organisations-be
June 12, 2019 - Book/Report
Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisations to Be Candid.
Citation Text:
Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisa…
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psnet.ahrq.gov/issue/what-patient-centered-should-mean-confessions-extremist
August 04, 2021 - Commentary
What 'patient-centered' should mean: confessions of an extremist.
Citation Text:
Berwick DM. What 'patient-centered' should mean: confessions of an extremist. Health Aff (Millwood). 2009;28(4):w555-65. doi:10.1377/hlthaff.28.4.w555.
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psnet.ahrq.gov/issue/disclosure-unanticipated-events-next-step-better-communication-patients-part-1-3
January 13, 2016 - Book/Report
Disclosure of unanticipated events: the next step in better communication with patients (part 1 of 3).
Citation Text:
Disclosure of unanticipated events: the next step in better communication with patients (part 1 of 3). Chicago, IL; American Society of Healthcare Risk Ma…
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psnet.ahrq.gov/issue/comparative-effectiveness-serious-game-and-e-module-support-patient-safety-knowledge-and
September 08, 2010 - June 28, 2023
How would final-year medical students perform if their skill-based prescription
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psnet.ahrq.gov/perspective/conversation-withbarbara-blakeney-ms-rn
August 01, 2005 - We believe that there is a way to take the environment and the skill set of the nurses into account. … technology in the unit; the admissions, discharges, and transfers into and out of the unit; and the nurses' skill … To the extent that we don't have a full appreciation of each other's skill sets and knowledge base, we
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psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
January 17, 2018 - Although few studies examine physical diagnosis skills over successive generations of physicians, skill … skills in North America will ever come back to their apogee, when this art form was practiced with great skill … Without leadership in this area from regulatory organizations and specialty societies, this skill set
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psnet.ahrq.gov/node/49491/psn-pdf
September 01, 2005 - Simulation offers a potential solution for resuscitation skill acquisition and retention. … shows objective improvements in ACLS proficiency, subjective
ratings of both confidence in one’s own skill … The five-stage model of adult skill acquisition. Bull Sci Technol Soc. 2004;24:177-181.
5.
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psnet.ahrq.gov/web-mm/time-death
January 03, 2017 - Simulation offers a potential solution for resuscitation skill acquisition and retention. … shows objective improvements in ACLS proficiency, subjective ratings of both confidence in one’s own skill … The five-stage model of adult skill acquisition. Bull Sci Technol Soc. 2004;24:177-181. 5.
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psnet.ahrq.gov/issue/uncovering-risks-anticancer-therapy-through-incident-report-analysis-using-newly-developed
January 29, 2018 - Almost Fatal Medication Error
June 1, 2018
Clinical scenarios: enhancing the skill
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psnet.ahrq.gov/issue/safety-culture-and-complications-after-bariatric-surgery
August 02, 2015 - August 2, 2015
Surgical skill and complication rates after bariatric surgery.
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psnet.ahrq.gov/issue/sensitivity-routine-system-reporting-patient-safety-incidents-nhs-hospital-retrospective
March 28, 2012 - February 15, 2010
Surgical skill is predicted by the ability to detect errors.