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psnet.ahrq.gov/issue/safety-first-using-checklist-intrafacility-transport-adult-intensive-care-patients
October 09, 2024 - Commentary
Safety first! Using a checklist for intrafacility transport of adult intensive care patients.
Citation Text:
Comeau OY, Armendariz-Batiste J, Woodby SA. Safety First! Using a Checklist for Intrafacility Transport of Adult Intensive Care Patients. Crit Care Nurse. 2015;35(5):16…
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psnet.ahrq.gov/issue/role-assistant-nurse-implementing-who-surgical-safety-checklist-perception-and-perspectives
January 17, 2024 - Study
The role of an assistant nurse in implementing the WHO Surgical Safety Checklist: perception and perspectives.
Citation Text:
Ališić E, Krupić M, Alić J, et al. The role of an assistant nurse in implementing the WHO Surgical Safety Checklist: perception and perspectives. Cureus. 20…
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psnet.ahrq.gov/issue/effect-residential-care-pharmacist-medication-administration-practices-aged-care-controlled
August 31, 2016 - Study
The effect of a residential care pharmacist on medication administration practices in aged care: a controlled trial.
Citation Text:
McDerby N, Kosari S, Bail K, et al. The effect of a residential care pharmacist on medication administration practices in aged care: A controlled tria…
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psnet.ahrq.gov/issue/us-national-trends-pediatric-deaths-prescription-and-illicit-opioids-1999-2016
January 23, 2017 - Study
US national trends in pediatric deaths from prescription and illicit opioids, 1999–2016.
Citation Text:
Gaither JR, Shabanova V, Leventhal JM. US National Trends in Pediatric Deaths From Prescription and Illicit Opioids, 1999-2016. JAMA Netw Open. 2018;1(8):e186558. doi:10.1001/jam…
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psnet.ahrq.gov/issue/factors-drive-team-participation-surgical-safety-checks-prospective-study
August 15, 2018 - Study
Factors that drive team participation in surgical safety checks: a prospective study.
Citation Text:
Gillespie BM, Withers TK, Lavin J, et al. Factors that drive team participation in surgical safety checks: a prospective study. Patient Saf Surg. 2016;10:3. doi:10.1186/s13037-015-0…
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psnet.ahrq.gov/issue/ed-handoffs-observed-practices-and-communication-errors
October 19, 2022 - Study
ED handoffs: observed practices and communication errors.
Citation Text:
Maughan BC, Lei L, Cydulka RK. ED handoffs: observed practices and communication errors. Am J Emerg Med. 2011;29(5):502-11. doi:10.1016/j.ajem.2009.12.004.
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psnet.ahrq.gov/issue/why-do-people-sue-doctors-study-patients-and-relatives-taking-legal-action
August 04, 2021 - Study
Classic
Why do people sue doctors? A study of patients and relatives taking legal action.
Citation Text:
Vincent C, Young M, Phillips A. Why do people sue doctors? A study of patients and relatives taking legal action. Lancet. 1994;343(8913):1609-1613.
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psnet.ahrq.gov/issue/pathologists-perspectives-disclosing-harmful-pathology-error
January 22, 2020 - Study
Pathologists' perspectives on disclosing harmful pathology error.
Citation Text:
Dintzis SM, Clennon EK, Prouty CD, et al. Pathologists' Perspectives on Disclosing Harmful Pathology Error. Arch Pathol Lab Med. 2017;141(6):841-845. doi:10.5858/arpa.2016-0136-OA.
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psnet.ahrq.gov/issue/imperfect-practice-makes-perfect-error-management-training-improves-transfer-learning
May 19, 2019 - Study
Imperfect practice makes perfect: error management training improves transfer of learning.
Citation Text:
Dyre L, Tabor A, Ringsted C, et al. Imperfect practice makes perfect: error management training improves transfer of learning. Med Educ. 2017;51(2):196-206. doi:10.1111/medu.13…
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psnet.ahrq.gov/issue/implementation-crew-resource-management-qualitative-study-3-intensive-care-units
July 10, 2013 - Study
Implementation of crew resource management: a qualitative study in 3 intensive care units.
Citation Text:
Kemper PF, van Dyck C, Wagner C, et al. Implementation of Crew Resource Management: A Qualitative Study in 3 Intensive Care Units. J Patient Saf. 2017;13(4):223-231. doi:10.109…
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psnet.ahrq.gov/issue/evolving-quality-improvement-support-strategies-improve-plan-do-study-act-cycle-fidelity
March 17, 2014 - Study
Emerging Classic
Evolving quality improvement support strategies to improve Plan–Do–Study–Act cycle fidelity: a retrospective mixed-methods study.
Citation Text:
McNicholas C, Lennox L, Woodcock T, et al. Evolving quality improvement support strategies to …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Banja.pdf
January 01, 2004 - the belief
that her performance was not in accordance with her own personal
standards of care or skill … not sufficient in the absence of expert
evidence showing a departure from the standards of care or skill
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www.ahrq.gov/sites/default/files/2024-07/gallagher4-report.pdf
January 01, 2024 - Final Progress Report: Enhancing the Disclosure Of Medical Errors to Patients
FINAL REPORT
Agency for Healthcare Research and Quality
Title of Project:
Enhancing The Disclosure Of Medical Errors To Patients
Principal Investigator and Team Members:
Thomas H. Gallagher, MD
Carolyn Prouty, DVM
Mary Lucas
Organizati…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_1-introduction-speaker-notes.pdf
July 01, 2023 - Introduction to the SPPC‐II Teamwork Toolkit for Severe Hypertension
Hospital AIM
Team
Leads
SPPC‐II
Introduction
to the SPPC‐II Teamwork Toolkit
for Severe Hypertension
Module 1 of 8
SPPC‐II
Toolkit
SCRIPT
Thank you for participating in the Safety Program for Perinatal Care II (also known as SPPC‐
II) …
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psnet.ahrq.gov/node/837343/psn-pdf
June 08, 2022 - Determining the skills needed by frontline NHS staff to
deliver quality improvement: findings from six case
studies.
June 8, 2022
Wright DJ, Gabbay J, Le May A. Determining the skills needed by frontline NHS staff to deliver quality
improvement: findings from six case studies. BMJ Qual Saf. 2022;31(6):450-461. doi…
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psnet.ahrq.gov/node/73587/psn-pdf
August 11, 2021 - Effects of a brief team training program on surgical
teams' nontechnical skills: an interrupted time-series
study.
August 11, 2021
Gillespie BM, Harbeck EL, Kang E, et al. Effects of a brief team training program on surgical teams'
nontechnical skills: an interrupted time-series study. J Patient Saf. 2021;17(5):e4…
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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.
https://ps…
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psnet.ahrq.gov/node/41307/psn-pdf
May 04, 2012 - Development and validation of a tool to assess
emergency physicians' nontechnical skills.
May 4, 2012
Flowerdew L, Brown R, Vincent CA, et al. Development and validation of a tool to assess emergency
physicians' nontechnical skills. Ann Emerg Med. 2012;59(5):376-385.e4.
doi:10.1016/j.annemergmed.2011.11.022.
http…
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psnet.ahrq.gov/node/35317/psn-pdf
July 14, 2009 - Accreditation Council on Graduate Medical Education
technical skills competency compliance: urologic surgical
skills.
July 14, 2009
Hammond L, Ketchum J, Schwartz BF. Accreditation Council on Graduate Medical Education Technical
Skills Competency Compliance: Urologic Surgical Skills. J Am Coll Surg. 2005;201(3).
…
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psnet.ahrq.gov/node/44752/psn-pdf
April 20, 2016 - Nontechnical skills in pediatric surgery: factors
influencing operative performance.
April 20, 2016
Youngson GG. Nontechnical skills in pediatric surgery: Factors influencing operative performance. J
Pediatr Surg. 2016;51(2):226-30. doi:10.1016/j.jpedsurg.2015.10.062.
https://psnet.ahrq.gov/issue/nontechnical-skil…