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psnet.ahrq.gov/issue/what-are-we-missing-quality-intraoperative-handover-and-after-introduction-checklist
January 12, 2022 - Study
What are we missing? The quality of intraoperative handover before and after introduction of a checklist.
Citation Text:
Lane S, Gross M, Arzola C, et al. What are we missing? The quality of intraoperative handover before and after introduction of a checklist. Can J Anaesth. 2022;6…
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psnet.ahrq.gov/issue/prevalence-and-severity-patient-harm-sample-uk-hospitalised-children-detected-paediatric
February 15, 2023 - Study
Prevalence and severity of patient harm in a sample of UK-hospitalised children detected by the Paediatric Trigger Tool.
Citation Text:
Chapman SM, Fitzsimons J, Davey N, et al. Prevalence and severity of patient harm in a sample of UK-hospitalised children detected by the Paediatr…
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psnet.ahrq.gov/issue/development-and-validation-deep-learning-model-detection-allergic-reactions-using-safety
June 15, 2022 - Study
Development and validation of a deep learning model for detection of allergic reactions using safety event reports across hospitals.
Citation Text:
Yang J, Wang L, Phadke NA, et al. Development and validation of a deep learning model for detection of allergic reactions using safety…
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psnet.ahrq.gov/issue/team-cognition-handoffs-relating-system-factors-team-cognition-functions-and-outcomes-two
February 16, 2022 - Study
Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes.
Citation Text:
Wooldridge AR, Carayon P, Hoonakker PLT, et al. Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two hand…
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psnet.ahrq.gov/issue/remote-assessment-real-world-surgical-safety-checklist-performance-using-or-black-box-multi
March 17, 2021 - Study
Remote assessment of real-world surgical safety checklist performance using the OR Black Box: a multi-institutional evaluation.
Citation Text:
Riley MS, Etheridge J, Palter V, et al. Remote assessment of real-world surgical safety checklist performance using the OR Black Box: a mul…
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psnet.ahrq.gov/issue/quality-improvement-primary-approach-change-healthcare-precarious-self-limiting-choice
June 08, 2022 - Commentary
Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice?
Citation Text:
Mandel KE, Cady SH. Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice? BMJ Qual Saf. 2022;31(12):860-866. d…
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effectivehealthcare.ahrq.gov/sites/default/files/branson-text.pdf
October 13, 2011 - Outreach to Patient and Consumer Representatives
…
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psnet.ahrq.gov/issue/preventing-nosocomial-bloodstream-infections-nbsis-implementing-hospitalwide-department-level
February 03, 2011 - Study
Preventing nosocomial bloodstream infections (NBSIs) by implementing hospitalwide, department-level, self-investigations: a NBSIs frontline ownership intervention.
Citation Text:
Mudrik-Zohar H, Chowers M, Temkin E, et al. Preventing nosocomial bloodstream infections (NBSIs) by imp…
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psnet.ahrq.gov/issue/choosing-wisely-clinical-practice-embracing-critical-thinking-striving-safer-care
February 15, 2023 - Commentary
Choosing wisely in clinical practice: embracing critical thinking, striving for safer care.
Citation Text:
Furlan L, Francesco PD, Costantino G, et al. Choosing wisely in clinical practice: embracing critical thinking, striving for safer care. J Intern Med. 2022;291(4):397-407…
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psnet.ahrq.gov/issue/human-factors-intervention-hospital-evaluating-outcome-teamstepps-program-surgical-ward
November 03, 2021 - Study
A human factors intervention in a hospital--evaluating the outcome of a TeamSTEPPS program in a surgical ward.
Citation Text:
Aaberg OR, Hall-Lord ML, Husebø SIE, et al. A human factors intervention in a hospital - evaluating the outcome of a TeamSTEPPS program in a surgical ward. …
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psnet.ahrq.gov/issue/adverse-events-women-giving-birth-labor-ward-retrospective-record-review-study
April 14, 2021 - Study
Adverse events in women giving birth in a labor ward: a retrospective record review study.
Citation Text:
Skoogh A, Hall-Lord ML, Bååth C, et al. Adverse events in women giving birth in a labor ward: a retrospective record review study. BMC Health Serv Res. 2021;21(1):1093. doi:10.…
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psnet.ahrq.gov/issue/patients-story-examination-patient-reported-safety-incidents-general-practice
November 03, 2021 - Study
The patient's "story": an examination of patient-reported safety incidents in general practice.
Citation Text:
Madden C, Lydon S, Murphy AW, et al. The patient’s “story”: an examination of patient-reported safety incidents in general practice. Fam Pract. 2022;39(6):1095-1102. doi:1…
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psnet.ahrq.gov/issue/scoping-review-patients-attitudes-about-their-role-and-behaviours-ensure-safe-care-direct
May 19, 2021 - Review
Scoping review of patients' attitudes about their role and behaviours to ensure safe care at the direct care level.
Citation Text:
Duhn L, Godfrey C, Medves J. Scoping review of patients’ attitudes about their role and behaviours to ensure safe care at the direct care level. Healt…
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psnet.ahrq.gov/issue/situ-simulation-program-quantitative-and-qualitative-prospective-study-identifying-latent
March 25, 2021 - Study
An in situ simulation program: a quantitative and qualitative prospective study identifying latent safety threats and examining participant experiences.
Citation Text:
Kjaergaard-Andersen G, Ibsgaard P, Paltved C, et al. An in situ simulation program: a quantitative and qualitativ…
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psnet.ahrq.gov/issue/observational-study-how-patients-are-identified-medication-administrations-medical-and
June 24, 2020 - Study
An observational study of how patients are identified before medication administrations in medical and surgical wards.
Citation Text:
Härkänen M, Kervinen M, Ahonen J, et al. An observational study of how patients are identified before medication administrations in medical and surg…
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psnet.ahrq.gov/issue/occurrence-adverse-events-potentially-attributable-nursing-care-medical-units-cross-sectional
December 29, 2014 - Study
The occurrence of adverse events potentially attributable to nursing care in medical units: cross sectional record review.
Citation Text:
D'Amour D, Dubois C-A, Tchouaket E, et al. The occurrence of adverse events potentially attributable to nursing care in medical units: cross sec…
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digital.ahrq.gov/principal-investigator/field-terry
January 01, 2023 - Field, Terry
A pilot health information technology-based effort to increase the quality of transitions from skilled nursing facility to home: compelling evidence of high rate of adverse outcomes.
Citation
Donovan JL, Kanaan AO, Gurwitz JH, et al. A pilot health information tec…
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psnet.ahrq.gov/node/837761/psn-pdf
August 03, 2022 - The effectiveness of improving healthcare teams' human
factor skills using simulation-based training: a systematic
review.
August 3, 2022
Abildgren L, Lebahn-Hadidi M, Mogensen CB, et al. The effectiveness of improving healthcare teams’
human factor skills using simulation-based training: a systematic review. Adv …
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psnet.ahrq.gov/node/47875/psn-pdf
July 19, 2019 - Observer-based tools for non-technical skills assessment
in simulated and real clinical environments in healthcare:
a systematic review.
July 19, 2019
Higham H, Greig PR, Rutherford J, et al. Observer-based tools for non-technical skills assessment in
simulated and real clinical environments in healthcare: a syste…
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psnet.ahrq.gov/node/40171/psn-pdf
May 30, 2011 - Qualities and attributes of a safe practitioner:
identification of safety skills in healthcare.
May 30, 2011
Long S, Arora S, Moorthy K, et al. Qualities and attributes of a safe practitioner: identification of safety skills
in healthcare. BMJ Qual Saf. 2011;20(6):483-490. doi:10.1136/bmjqs.2010.043166.
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