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psnet.ahrq.gov/issue/trust-5-rights-second-victim
September 12, 2012 - Commentary
TRUST: the 5 rights of the second victim.
Citation Text:
Denham CR. TRUST. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000236917.02321.fd.
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psnet.ahrq.gov/issue/integration-formalized-handoff-system-surgical-curriculum-resident-perspectives-and-early
May 25, 2016 - Study
Integration of a formalized handoff system into the surgical curriculum: resident perspectives and early results.
Citation Text:
Telem DA. Integration of a Formalized Handoff System Into the Surgical Curriculum. Archives of Surgery. 2011;146(1). doi:10.1001/archsurg.2010.294.
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psnet.ahrq.gov/issue/communication-during-interhospital-transfers-emergency-general-surgery-patients-qualitative
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psnet.ahrq.gov/issue/improving-communication-primary-care-physicians-time-hospital-discharge
November 16, 2022 - August 28, 2019
Improving standardization of paging communication using quality improvement
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psnet.ahrq.gov/issue/comprehensive-evaluation-using-computerised-provider-order-entry-system-hospital-discharge
August 24, 2015 - July 29, 2020
An observational study of postoperative handoff standardization failures
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psnet.ahrq.gov/issue/comparing-variability-ingredient-strength-and-dose-form-information-electronic-prescriptions
March 20, 2024 - Poor standardization of terminology in e-prescription programs can lead to incorrect medication order
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psnet.ahrq.gov/issue/incidence-opioid-misuse-among-surgical-patients-persistent-opioid-use
October 13, 2018 - December 14, 2022
An observational study of postoperative handoff standardization failures
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psnet.ahrq.gov/issue/review-adverse-event-reports-emergency-departments-veterans-health-administration
November 17, 2021 - knowledge/educational deficits (11%) and policies/procedures that were either inadequate (11%) or lacking standardization
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psnet.ahrq.gov/issue/mixed-methods-evaluation-medication-reconciliation-primary-care-setting
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psnet.ahrq.gov/issue/hemodialysis-bleeding-events-and-deaths-18-year-retrospective-analysis-patient-safety-and
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psnet.ahrq.gov/issue/clinicians-insights-emergency-department-boarding-explanatory-mixed-methods-study-evaluating
October 23, 2019 - Possible solutions included improved standardization of care, proactive planning, and culture change
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psnet.ahrq.gov/issue/large-scale-implementation-i-pass-handover-system-academic-medical-centre
March 27, 2018 - June 14, 2017
A quality improvement approach to standardization and sustainability of
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psnet.ahrq.gov/issue/association-note-quality-and-quality-care-cross-sectional-study
June 05, 2018 - Even though this study demonstrated significant room for note standardization and improvement, it found
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psnet.ahrq.gov/issue/incorrect-surgical-procedures-within-and-outside-operating-room-follow-report
April 30, 2014 - Root cause analyses of errors revealed that lack of standardization and human factors issues were
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psnet.ahrq.gov/issue/collaborative-case-review-systems-based-approach-patient-safety-event-investigation-and
May 04, 2022 - Stronger action items, such as standardization of processes, were implemented in 41% of events, and radiology
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psnet.ahrq.gov/node/45083/psn-pdf
July 18, 2016 - The commentary advocates for tasking an official
agency with defining measurement standards and benchmarks
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psnet.ahrq.gov/issue/laboratory-medicine-handoff-gaps-experienced-primary-care-practices-report-shared-networks
September 01, 2012 - This survey-based study of primary care providers revealed a lack of standardization for the tracking … 2012
Artificial intelligence versus clinicians: systematic review of design, reporting standards
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psnet.ahrq.gov/node/42067/psn-pdf
March 18, 2013 - definition of medication errors can affect measured error rates, and medication error measurement
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psnet.ahrq.gov/issue/icu-attending-handoff-practices-results-national-survey-academic-intensivists
February 06, 2019 - So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization … 2013
The Accreditation Council for Graduate Medical Education resident duty hour new standards
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psnet.ahrq.gov/issue/validation-second-victim-experience-and-support-tool-revised-neonatal-intensive-care-unit
September 24, 2017 - May 19, 2021
Standardization of pediatric noncardiac operating room to intensive care … to enhance compliance of pro re nata medication orders with Joint Commission medication management standards