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psnet.ahrq.gov/issue/sitters-patient-safety-strategy-reduce-hospital-falls-systematic-review
March 08, 2023 - Review
Sitters as a patient safety strategy to reduce hospital falls: a systematic review.
Citation Text:
Greeley AM, Tanner EP, Mak S, et al. Sitters as a Patient Safety Strategy to Reduce Hospital Falls. Ann Intern Med. 2020;172(5):317-324. doi:10.7326/m19-2628.
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psnet.ahrq.gov/issue/improving-patient-family-and-clinician-experience-after-harmful-events-when-things-go-wrong
July 01, 2020 - Study
Improving the patient, family, and clinician experience after harmful events: the "When Things Go Wrong" curriculum.
Citation Text:
Bell SK, Moorman D, Delbanco T. Improving the patient, family, and clinician experience after harmful events: the "when things go wrong" curriculum. A…
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psnet.ahrq.gov/issue/intervention-pharmacist-included-multidisciplinary-team-reduce-adverse-drug-event-qualitative
February 12, 2020 - Review
Intervention of pharmacist included in multidisciplinary team to reduce adverse drug event: a qualitative systematic review.
Citation Text:
Zaij S, Pereira Maia K, Leguelinel-Blache G, et al. Intervention of pharmacist included in multidisciplinary team to reduce adverse drug even…
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psnet.ahrq.gov/issue/undergraduate-baccalaureate-nursing-students-self-reported-confidence-learning-about-patient
February 04, 2015 - Study
Undergraduate baccalaureate nursing students' self-reported confidence in learning about patient safety in the classroom and clinical settings: an annual cross-sectional study (2010–2013).
Citation Text:
Lukewich J, Edge DS, Tranmer J, et al. Undergraduate baccalaureate nursing stu…
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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/perception-medication-safety-related-behaviors-among-different-age-groups-web-based-cross
April 24, 2024 - Study
Perception of medication safety-related behaviors among different age groups: web-based cross-sectional study.
Citation Text:
Lang Y, Chen K-Y, Zhou Y, et al. Perception of medication safety-related behaviors among different age groups: web-based cross-sectional study. Interact J M…
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psnet.ahrq.gov/issue/effects-multifaceted-medication-reconciliation-quality-improvement-intervention-patient
April 12, 2023 - Study
Emerging Classic
Effects of a multifaceted medication reconciliation quality improvement intervention on patient safety: final results of the MARQUIS study.
Citation Text:
Schnipper JL, Mixon A, Stein J, et al. Effects of a multifaceted medication reconcil…
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psnet.ahrq.gov/issue/high-delayed-and-missed-injury-rate-after-inter-hospital-transfer-severely-injured-trauma
December 02, 2020 - Study
High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients.
Citation Text:
Hensgens RL, El Moumni M, IJpma FFA, et al. High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients. Eur J Trauma Emer…
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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/validation-hospital-administrative-dataset-adverse-event-screening
May 21, 2009 - Study
Validation of hospital administrative dataset for adverse event screening.
Citation Text:
Verelst S, Jacques J, Van den Heede K, et al. Validation of Hospital Administrative Dataset for adverse event screening. Qual Saf Health Care. 2010;19(5):e25. doi:10.1136/qshc.2009.034306.
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psnet.ahrq.gov/issue/investigating-association-alerts-national-mortality-surveillance-system-subsequent-hospital
October 20, 2021 - Study
Investigating the association of alerts from a national mortality surveillance system with subsequent hospital mortality in England: an interrupted time series analysis.
Citation Text:
Cecil E, Bottle A, Esmail A, et al. Investigating the association of alerts from a national morta…
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psnet.ahrq.gov/issue/multisource-evaluation-surgeon-behavior-associated-malpractice-claims
May 13, 2020 - Study
Multisource evaluation of surgeon behavior is associated with malpractice claims.
Citation Text:
Lagoo J, Berry WR, Miller K, et al. Multisource Evaluation of Surgeon Behavior Is Associated With Malpractice Claims. Ann Surg. 2019;270(1):84-90. doi:10.1097/SLA.0000000000002742.
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psnet.ahrq.gov/issue/association-residency-work-hour-reform-long-term-quality-and-costs-care-us-physicians
June 21, 2016 - Study
Association of residency work hour reform with long term quality and costs of care of US physicians: observational study.
Citation Text:
Jena AB, Farid M, Blumenthal D, et al. Association of residency work hour reform with long term quality and costs of care of US physicians: obser…
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psnet.ahrq.gov/issue/chief-resident-indirect-supervision-training-safety-study-chief-resident-general-surgery
December 16, 2011 - Study
Chief resident indirect supervision in training safety study: is a chief resident general surgery service safe for patients?
Citation Text:
Speaks L, Helmer SD, Quinn KR, et al. Chief resident indirect supervision in training safety study: is a chief resident general surgery servic…
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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