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psnet.ahrq.gov/issue/randomized-trial-multifactorial-strategy-prevent-serious-fall-injuries
August 04, 2021 - Study
A randomized trial of a multifactorial strategy to prevent serious fall injuries.
Citation Text:
Bhasin S, Gill TM, Reuben DB, et al. A randomized trial of a multifactorial strategy to prevent serious fall injuries. N Engl J Med. 2020;383(2):129-140. doi:10.1056/nejmoa2002183.
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psnet.ahrq.gov/issue/outcomes-daytime-procedures-performed-attending-surgeons-after-night-work
December 18, 2014 - Study
Classic
Outcomes of daytime procedures performed by attending surgeons after night work.
Citation Text:
Govindarajan A, Urbach DR, Kumar M, et al. Outcomes of Daytime Procedures Performed by Attending Surgeons after Night Work. N Engl J Med. 2015;373(9):84…
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psnet.ahrq.gov/issue/quality-standards-safe-medication-nursing-homes-development-through-multistep-approach
July 13, 2022 - Study
Quality standards for safe medication in nursing homes: development through a multistep approach including a Delphi consensus study.
Citation Text:
Brühwiler LD, Niederhauser A, Fischer S, et al. Quality standards for safe medication in nursing homes: development through a multiste…
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psnet.ahrq.gov/issue/communication-patients-and-families-regarding-health-care-associated-exposure-coronavirus
June 24, 2020 - Commentary
Communication with patients and families regarding health care-associated exposure to coronavirus 2019: a checklist to facilitate disclosure.
Citation Text:
Sivashanker K, Mendu ML, Wickner PG, et al. Communication with patients and families regarding health care-associated ex…
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psnet.ahrq.gov/issue/physician-and-nurse-well-being-and-preferred-interventions-address-burnout-hospital-practice
February 09, 2011 - Study
Physician and nurse well-being and preferred interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient safety.
Citation Text:
Aiken LH, Lasater KB, Sloane DM, et al. Physician and nurse well-being and preferred interventions to a…
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psnet.ahrq.gov/issue/inadequate-hand-communication
April 02, 2015 - Sentinel Event Alerts
Inadequate hand-off communication.
Citation Text:
Inadequate hand-off communication. Sentinel event alert. 2017;58(58):1-6.
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psnet.ahrq.gov/issue/comprehensive-estimation-costs-30-day-postoperative-complications-using-actual-costs-multiple
June 22, 2022 - Study
A comprehensive estimation of the costs of 30-day postoperative complications using actual costs from multiple, diverse hospitals.
Citation Text:
Merkow RP, Shan Y, Gupta AR, et al. A comprehensive estimation of the costs of 30-day postoperative complications using actual costs fro…
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psnet.ahrq.gov/issue/primary-care-teams-reported-actions-improve-medication-safety-qualitative-study-insights-high
July 06, 2022 - Study
Primary care teams' reported actions to improve medication safety: a qualitative study with insights in high reliability organising.
Citation Text:
Young RA, Gurses AP, Fulda KG, et al. Primary care teams’ reported actions to improve medication safety: a qualitative study with insi…
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psnet.ahrq.gov/issue/effects-harm-events-30-day-readmission-surgical-patients
July 31, 2019 - Study
The effects of harm events on 30-day readmission in surgical patients.
Citation Text:
Kandagatla P, Su W-TK, Adrianto I, et al. The effects of harm events on 30-day readmission in surgical patients. J Healthc Qual. 2021;43(2):101-109. doi:10.1097/jhq.0000000000000261.
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psnet.ahrq.gov/issue/effect-digital-tools-promote-hospital-quality-and-safety-adverse-events-after-discharge
October 16, 2024 - Study
Effect of digital tools to promote hospital quality and safety on adverse events after discharge.
Citation Text:
Vasudevan A, Plombon S, Piniella N, et al. Effect of digital tools to promote hospital quality and safety on adverse events after discharge. J Am Med Inform Assoc. 2024;…
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psnet.ahrq.gov/issue/effects-refined-evidence-based-toolkit-and-mentored-implementation-medication-reconciliation
April 12, 2023 - Study
Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study.
Citation Text:
Schnipper JL, Reyes Nieva H, Mallouk M, et al. Effects of a refined evidence-based toolkit and mentored implementation…
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psnet.ahrq.gov/issue/rates-adverse-events-hospitalized-patients-after-summer-time-resident-changeover-united
June 22, 2022 - Study
Rates of adverse events in hospitalized patients after summer-time resident changeover in the United States: is there a July effect?
Citation Text:
Metersky ML, Eldridge N, Wang Y, et al. Rates of adverse events in hospitalized patients after summer-time resident changeover in the …
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psnet.ahrq.gov/issue/post-operative-mortality-missed-care-and-nurse-staffing-nine-countries-cross-sectional-study
December 12, 2014 - Study
Classic
Post-operative mortality, missed care and nurse staffing in nine countries: a cross-sectional study.
Citation Text:
Ball JE, Bruyneel L, Aiken LH, et al. Post-operative mortality, missed care and nurse staffing in nine countries: A cross-sectional …
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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/quality-and-safety-acute-surgical-ward-exploratory-cohort-study-process-and-outcome
March 03, 2011 - August 9, 2013
Teamwork and error in the operating room: analysis of skills and roles … March 3, 2011
The effects of aviation-style non-technical skills training on technical
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psnet.ahrq.gov/issue/classification-adverse-events-occurring-surgical-intensive-care-unit
May 01, 2013 - July 29, 2009
Using the Communication and Teamwork Skills (CATS) assessment to measure … for reproducibly measuring the effects of interventions to improve emotional climate, indices of team skills
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psnet.ahrq.gov/issue/impact-age-anaesthesiologists-competence-narrative-review
December 15, 2014 - April 19, 2023
Crisis scenarios for simulation-based nontechnical skills training for … July 18, 2016
State-of-the-art usage of simulation in anesthesia: skills and teamwork