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psnet.ahrq.gov/issue/improving-perceptions-patient-safety-through-standardizing-handoffs-emergency-department
December 21, 2022 - Review
Improving perceptions of patient safety through standardizing handoffs from the emergency department to the inpatient setting: a systematic review.
Citation Text:
Alimenti D, Buydos S, Cunliffe L, et al. Improving perceptions of patient safety through standardizing handoffs from t…
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psnet.ahrq.gov/issue/risk-reduction-adverse-drug-events-through-sequential-implementation-patient-safety
June 03, 2020 - Study
Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital.
Citation Text:
Leonard MS, Cimino M, Shaha S, et al. Risk reduction for adverse drug events through sequential implementation of patient safety initiat…
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psnet.ahrq.gov/issue/medication-safety-event-reporting-factors-contribute-safety-events-during-times
June 21, 2023 - Study
Medication safety event reporting: factors that contribute to safety events during times of organizational stress.
Citation Text:
Cohen TN, Berdahl CT, Coleman BL, et al. Medication safety event reporting: factors that contribute to safety events during times of organizational stre…
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psnet.ahrq.gov/issue/improving-handoff-deliberate-cognitive-processing-results-randomized-controlled-experimental
March 18, 2020 - Study
Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study.
Citation Text:
van Heesch G, Frenkel J, Kollen W, et al. Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study. Jt …
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psnet.ahrq.gov/issue/improving-patient-safety-governance-and-systems-through-learning-successes-and-failures
May 08, 2017 - Study
Improving patient safety governance and systems through learning from successes and failures: qualitative surveys and interviews with international experts.
Citation Text:
Hibbert PD, Stewart S, Wiles LK, et al. Improving patient safety governance and systems through learning from …
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psnet.ahrq.gov/issue/unannounced-versus-announced-hospital-surveys-nationwide-cluster-randomized-controlled-trial
September 20, 2023 - Study
Unannounced versus announced hospital surveys: a nationwide cluster-randomized controlled trial.
Citation Text:
Ehlers LH, Simonsen KB, Jensen MB, et al. Unannounced versus announced hospital surveys: a nationwide cluster-randomized controlled trial. Int J Qual Health Care. 2017;29…
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psnet.ahrq.gov/issue/learning-different-lenses-reports-medical-errors-primary-care-clinicians-staff-and-patients
June 11, 2008 - Study
Learning from different lenses: reports of medical errors in primary care by clinicians, staff, and patients: a project of the American Academy of Family Physicians National Research Network.
Citation Text:
Phillips RL, Dovey SM, Graham D, et al. Learning From Different Lenses: R…
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psnet.ahrq.gov/issue/medication-administration-errors-assisted-living-scope-characteristics-and-importance-staff
July 29, 2015 - Study
Medication administration errors in assisted living: scope, characteristics, and the importance of staff training.
Citation Text:
Zimmerman S, Love K, Sloane PD, et al. Medication administration errors in assisted living: scope, characteristics, and the importance of staff traini…
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psnet.ahrq.gov/issue/outbreak-investigation-covid-19-among-residents-and-staff-independent-and-assisted-living
October 19, 2022 - Study
Outbreak investigation of COVID-19 among residents and staff of an independent and assisted living community for older adults in Seattle, Washington.
Citation Text:
Roxby AC, Greninger AL, Hatfield KM, et al. Outbreak investigation of COVID-19 among residents and staff of an indepe…
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psnet.ahrq.gov/issue/application-emergency-preparedness-principles-pharmacy-departments-approach-black-swan-event
July 22, 2020 - Commentary
Application of emergency preparedness principles to a pharmacy department’s approach to a “black swan” event: the COVID-19 pandemic.
Citation Text:
Waldron KM, Schenkat DH, Rao KV, et al. Application of emergency preparedness principles to a pharmacy department’s approach to a…
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psnet.ahrq.gov/issue/one-needle-one-syringe-only-one-time-survey-physician-and-nurse-knowledge-attitudes-and
June 28, 2013 - Study
One needle, one syringe, only one time? A survey of physician and nurse knowledge, attitudes, and practices around injection safety.
Citation Text:
Kossover-Smith RA, Coutts K, Hatfield KM, et al. One needle, one syringe, only one time? A survey of physician and nurse knowledge, at…
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psnet.ahrq.gov/issue/multiprofessional-team-simulation-training-based-obstetric-model-can-improve-teamwork-other
January 12, 2022 - Study
Multiprofessional team simulation training, based on an obstetric model, can improve teamwork in other areas of health care.
Citation Text:
van der Nelson HA, Siassakos D, Bennett J, et al. Multiprofessional team simulation training, based on an obstetric model, can improve teamwor…
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psnet.ahrq.gov/issue/examination-impact-after-hours-admissions-hospital-resource-use-patient-outcomes-and-costs
November 30, 2022 - Study
Examination of impact of after-hours admissions on hospital resource use, patient outcomes, and costs.
Citation Text:
Skead C, Thompson LH, Kuk H, et al. Examination of impact of after-hours admissions on hospital resource use, patient outcomes, and costs. Crit Care Res Pract. 2022…
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psnet.ahrq.gov/issue/safety-culture-and-complications-after-bariatric-surgery
August 02, 2015 - Study
Safety culture and complications after bariatric surgery.
Citation Text:
Birkmeyer NJO, Finks JF, Greenberg CK, et al. Safety culture and complications after bariatric surgery. Ann Surg. 2013;257(2):260-5. doi:10.1097/SLA.0b013e31826c0085.
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psnet.ahrq.gov/node/33780/psn-pdf
July 01, 2015 - on these schools to shift from the traditional curricular focus on
medical knowledge and technical skills … for
trainees based on the achievement of developmental milestones in patient safety—specific safety skills … identify system failures and
contribute to a culture of safety and improvement" as one of the 13 core skills … board certification, providing additional justification for
the need to inculcate trainees with these skills
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psnet.ahrq.gov/node/33849/psn-pdf
January 01, 2018 - RH: Physical exam deterioration, and I recently wrote about deterioration in physical exam skills and … I'm more optimistic about physical exam skills than I am about note-writing
skills. … Demonstrating physical exam skills at the bedside is inspiring, fun stuff. … and physicians' assistants will free up
physicians to focus on sicker people who really need their skills … become more efficient in allowing physicians to spend more time on those
things where physicians' skills
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psnet.ahrq.gov/node/33707/psn-pdf
February 01, 2011 - finished training, are not degree granting, and
focus on relatively quick acquisition of practical skills … purpose of the
CS&E course is to provide physicians, other key clinicians, and administrators the skills … To facilitate career
development for faculty
by giving them the skills
to be quality
improvement … Enrich VHA clinical
workforce with experts in
research & application of
QI skills
Duration: 2 years … Select physicians with
leadership skills and
compensate them for
their time
4.
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psnet.ahrq.gov/issue/comparative-issues-aviation-and-surgical-crew-resource-management-1-are-we-too-solution
October 30, 2013 - Related Resources
Effects of a brief team training program on surgical teams' nontechnical skills … March 3, 2011
A human factors analysis of technical and team skills among surgical trainees
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psnet.ahrq.gov/issue/flight-deck-operating-room-initial-pilot-study-feasibility-and-potential-impact-true
February 25, 2009 - February 13, 2014
Surgical team training: promoting high reliability with nontechnical skills … June 8, 2011
A human factors analysis of technical and team skills among surgical trainees
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psnet.ahrq.gov/issue/objective-methodology-task-analysis-and-workload-assessment-anesthesia-providers
February 19, 2010 - January 7, 2015
A human factors analysis of technical and team skills among surgical … May 26, 2010
Acquisition of critical intraoperative event management skills in novice