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psnet.ahrq.gov/issue/management-deteriorating-adult-patient-does-simulation-based-education-improve-patient-safety
June 08, 2022 - Review
Management of the deteriorating adult patient: does simulation-based education improve patient safety?
Citation Text:
Bennion J, Mansell SK. Management of the deteriorating adult patient: does simulation-based education improve patient safety? Br J Hosp Med (Lond). 2021;82(8):1-8.…
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psnet.ahrq.gov/issue/situ-interprofessional-perinatal-drills-impact-structured-debrief-maximizing-training-while
October 12, 2009 - Study
In-situ interprofessional perinatal drills: the impact of a structured debrief on maximizing training while sensing patient safety threats.
Citation Text:
Greer JA, Haischer-Rollo G, Delorey D, et al. In-situ Interprofessional Perinatal Drills: The Impact of a Structured Debrief on…
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psnet.ahrq.gov/issue/transparency-public-reporting-and-culture-change-quality-and-safety-cardiac-surgery
February 17, 2021 - Commentary
Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery.
Citation Text:
Ibrahim M, Szeto WY, Gutsche J, et al. Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery. Ann Thorac Surg. 2022;114(3…
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psnet.ahrq.gov/issue/role-relatives-ethnic-minority-patients-patient-safety-hospital-care-qualitative-study
March 15, 2016 - Study
Role of relatives of ethnic minority patients in patient safety in hospital care: a qualitative study.
Citation Text:
van Rosse F, Suurmond J, Wagner C, et al. Role of relatives of ethnic minority patients in patient safety in hospital care: a qualitative study. BMJ Open. 2016;6(4)…
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psnet.ahrq.gov/issue/crew-resource-management-training-intensive-care-unit-multisite-controlled-after-study
July 10, 2013 - Study
Crew resource management training in the intensive care unit. A multisite controlled before-after study.
Citation Text:
Kemper PF, de Bruijne M, van Dyck C, et al. Crew resource management training in the intensive care unit. A multisite controlled before-after study. BMJ Qual Saf.…
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psnet.ahrq.gov/issue/adverse-events-patients-transitioning-emergency-department-inpatient-setting
September 07, 2022 - Study
Adverse events in patients transitioning from the emergency department to the inpatient setting.
Citation Text:
Tsilimingras D, Schnipper JL, Zhang L, et al. Adverse events in patients transitioning from the emergency department to the inpatient setting. J Patient Saf. 2024;20(8):5…
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psnet.ahrq.gov/issue/disclosure-dilemma-large-scale-adverse-events
January 22, 2017 - Commentary
The disclosure dilemma—large-scale adverse events.
Citation Text:
Dudzinski DM, Hébert PC, Foglia MB, et al. The disclosure dilemma--large-scale adverse events. New Engl J Med. 2010;363(10):978-986. doi:10.1056/NEJMhle1003134.
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psnet.ahrq.gov/issue/national-mixed-methods-evaluation-preparedness-general-surgery-residency-and-association
September 02, 2020 - Study
A national mixed-methods evaluation of preparedness for general surgery residency and the association with resident burnout.
Citation Text:
Engelhardt KE, Bilimoria KY, Johnson JK, et al. A national mixed-methods evaluation of preparedness for general surgery residency and the asso…
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psnet.ahrq.gov/issue/scoping-review-second-victim-syndrome-among-surgeons-understanding-impact-responses-and
March 24, 2019 - Review
Scoping review of the second victim syndrome among surgeons: understanding the impact, responses, and support systems.
Citation Text:
Chong RIH, Yaow CYL, Chong NZ-Y, et al. Scoping review of the second victim syndrome among surgeons: understanding the impact, responses, and suppo…
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psnet.ahrq.gov/issue/changes-adverse-event-rates-hospitals-over-time-longitudinal-retrospective-patient-record
November 03, 2015 - Study
Changes in adverse event rates in hospitals over time: a longitudinal retrospective patient record review study.
Citation Text:
Baines RJ, Langelaan M, de Bruijne M, et al. Changes in adverse event rates in hospitals over time: a longitudinal retrospective patient record review s…
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psnet.ahrq.gov/issue/flying-lessons-clinicians-developing-system-2-practice
April 24, 2018 - Commentary
Flying lessons for clinicians: developing system 2 practice.
Citation Text:
Gregoire JN, Alfes CM, Reimer AP, et al. Flying Lessons for Clinicians: Developing System 2 Practice. Air Med J. 2017;36(3):135-137. doi:10.1016/j.amj.2017.02.003.
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psnet.ahrq.gov/issue/increasing-patient-safety-neonates-handoff-communication-during-delivery-call
March 19, 2019 - Commentary
Increasing patient safety with neonates via handoff communication during delivery: a call for interprofessional health care team training across GME and CME.
Citation Text:
Vanderbilt AA, Pappada SM, Stein H, et al. Increasing patient safety with neonates via handoff communica…
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psnet.ahrq.gov/issue/determining-current-insulin-pen-use-practices-and-errors-inpatient-setting
June 29, 2016 - Study
Determining current insulin pen use practices and errors in the inpatient setting.
Citation Text:
Brown KE, Hertig JB. Determining Current Insulin Pen Use Practices and Errors in the Inpatient Setting. Jt Comm J Qual Patient Saf. 2016;42(12):568-AP7. doi:10.1016/S1553-7250(16)30109…
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psnet.ahrq.gov/issue/five-system-barriers-achieving-ultrasafe-health-care
September 29, 2017 - Commentary
Classic
Five system barriers to achieving ultrasafe health care.
Citation Text:
Amalberti R, Auroy Y, Berwick D, et al. Five system barriers to achieving ultrasafe health care. Ann Intern Med. 2005;142(9):756-64.
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psnet.ahrq.gov/issue/long-term-effects-teamwork-training-communication-and-teamwork-climate-ambulatory
May 01, 2019 - Study
Long-term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health care.
Citation Text:
Dodge LE, Nippita S, Hacker MR, et al. Long‐term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health …
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psnet.ahrq.gov/issue/do-written-disclosures-serious-events-increase-risk-malpractice-claims-one-health-care
October 12, 2011 - Study
Do written disclosures of serious events increase risk of malpractice claims? One health care system's experience.
Citation Text:
Painter LM, Kidwell KM, Kidwell RP, et al. Do Written Disclosures of Serious Events Increase Risk of Malpractice Claims? One Health Care System's Experi…
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psnet.ahrq.gov/issue/prevalence-potentially-harmful-multidrug-interactions-medication-lists-elderly-ambulatory
May 27, 2011 - Study
Prevalence of potentially harmful multidrug interactions on medication lists of elderly ambulatory patients.
Citation Text:
Anand TV, Wallace BK, Chase HS. Prevalence of potentially harmful multidrug interactions on medication lists of elderly ambulatory patients. BMC Geriatr. 2021…
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psnet.ahrq.gov/issue/just-culture-medication-error-prevention-and-second-victim-support-better-prescription
February 02, 2022 - Book/Report
Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students for Practices.
Citation Text:
Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students …
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psnet.ahrq.gov/node/73864/psn-pdf
September 22, 2021 - Simulation-based assessment identifies longitudinal
changes in cognitive skills in an anesthesiology
residency training program.
September 22, 2021
Sidi A, Gravenstein N, Vasilopoulos T, et al. Simulation-based assessment identifies longitudinal changes
in cognitive skills in an anesthesiology residency training p…
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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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