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psnet.ahrq.gov/node/50798/psn-pdf
January 15, 2020 - Testing alertness of emergency physicians: a novel
quantitative measure of alertness and implications for
worker and patient care.
January 15, 2020
Ferguson BA, Lauriski DR, Huecker M, et al. Testing Alertness of Emergency Physicians: A Novel
Quantitative Measure of Alertness and Implications for Worker and Patien…
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psnet.ahrq.gov/node/72812/psn-pdf
March 10, 2021 - High nursing staff turnover in nursing homes offers
important quality information.
March 10, 2021
Gandhi A, Yu H, Grabowski DC. High nursing staff turnover in nursing homes offers important quality
information. Health Aff (Millwood). 2021;40(3):384-391. doi:10.1377/hlthaff.2020.00957.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/840481/psn-pdf
November 30, 2022 - Psychosocial factors and safety in high-risk industries: a
systematic literature review.
November 30, 2022
Derdowski LA, Mathisen GE. Psychosocial factors and safety in high-risk industries: a systematic literature
review. Safety Sci. 2022;157:105948. doi:10.1016/j.ssci.2022.105948.
https://psnet.ahrq.gov/issue/ps…
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psnet.ahrq.gov/web-mm/double-trouble
August 01, 2012 - Since the patient’s prior diabetic history is not described, we do not know whether he was started on
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psnet.ahrq.gov/node/49819/psn-pdf
February 01, 2018 - senior resident
on the neurosurgical service told the intern during the day that "heparin should be started
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psnet.ahrq.gov/node/39599/psn-pdf
December 27, 2014 - The role of housestaff in implementing medication
reconciliation on admission at an academic medical
center.
December 27, 2014
Evans AS, Lazar EJ, Tiase VL, et al. The role of housestaff in implementing medication reconciliation on
admission at an academic medical center. Am J Med Qual. 2011;26(1):39-42.
doi:10.1…
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psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-registered-nurses-perspective
June 01, 2016 - Looking at the evolution of patient safety science over the last 20–25 years, we have really started … Schools of public health have started to put in the curriculum.
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psnet.ahrq.gov/node/33787/psn-pdf
January 01, 2018 - conversation-maureen-bisognano
http://www.ihi.org/Pages/default.aspx
http://dx.doi.org/10.1377/hlthaff.27.3.759
RW: When you started
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psnet.ahrq.gov/node/40349/psn-pdf
May 11, 2011 - Use of briefings and debriefings as a tool in improving
team work, efficiency, and communication in the
operating theatre.
May 11, 2011
Bethune R, Sasirekha G, Sahu A, et al. Use of briefings and debriefings as a tool in improving team work,
efficiency, and communication in the operating theatre. Postgrad Med J. 2…
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psnet.ahrq.gov/node/33668/psn-pdf
May 01, 2008 - Robert Wachter, Editor, AHRQ WebM&M: Reflecting back to when you started this work 15 years
ago or so
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psnet.ahrq.gov/web-mm/comanagement-whos-charge
July 01, 2011 - He was started on broad-spectrum antibiotics; however, the patient's respiratory status continued to
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psnet.ahrq.gov/node/37144/psn-pdf
May 16, 2008 - Medicare says it won't cover hospital errors.
May 16, 2008
Pear R. New York Times. August 19, 2007.
https://psnet.ahrq.gov/issue/medicare-says-it-wont-cover-hospital-errors
This article reports on a new Centers for Medicare and Medicaid Services (CMS) rule mandating that
Medicare will no longer pay for treating ce…
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psnet.ahrq.gov/node/45430/psn-pdf
September 28, 2016 - Understanding and responding when things go wrong:
key principles for primary care educators.
September 28, 2016
McNab D, Bowie P, Ross A, et al. Understanding and responding when things go wrong: key principles for
primary care educators. Educ Prim Care. 2016;27(4):258-66. doi:10.1080/14739879.2016.1205959.
https…
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psnet.ahrq.gov/node/40770/psn-pdf
September 14, 2011 - 'August is always a nightmare': results of the Royal
College of Physicians of Edinburgh and Society of Acute
Medicine August transition survey.
September 14, 2011
Vaughan L, McAlister G, Bell D. 'August is always a nightmare': results of the Royal College of Physicians
of Edinburgh and Society of Acute Medicine Au…
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psnet.ahrq.gov/node/42598/psn-pdf
September 18, 2013 - Prompting physicians to address a daily checklist for
antibiotics: do we need a co-pilot in the ICU?
September 18, 2013
Weiss CH, Wunderink RG. Prompting physicians to address a daily checklist for antibiotics: do we need a
co-pilot in the ICU? Curr Opin Crit Care. 2013;19(5):448-52. doi:10.1097/MCC.0b013e328364d53…
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psnet.ahrq.gov/node/45154/psn-pdf
May 25, 2016 - The effect of a program to shorten the decision-to-
delivery interval for emergent cesarean section on
maternal and neonatal outcome.
May 25, 2016
Weiner E, Bar J, Fainstein N, et al. The effect of a program to shorten the decision-to-delivery interval for
emergent cesarean section on maternal and neonatal outcome…
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psnet.ahrq.gov/node/47212/psn-pdf
July 11, 2018 - Medicine and the rise of the robots: a qualitative review of
recent advances of artificial intelligence in health.
July 11, 2018
Loh E. BMJ Leader. 2018;2(2):59-63.
https://psnet.ahrq.gov/issue/medicine-and-rise-robots-qualitative-review-recent-advances-artificial-
intelligence-health
Artificial intelligence (AI)…
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psnet.ahrq.gov/node/44373/psn-pdf
August 12, 2015 - Healthcare Utilizing Deliberate Discussion Linking Events
(HUDDLE): a systematic review.
August 12, 2015
Glymph DC, Olenick M, Barbera S, et al. Healthcare Utilizing Deliberate Discussion Linking Events
(HUDDLE): A Systematic Review. AANA J. 2015;83(3):183-188.
https://psnet.ahrq.gov/issue/healthcare-utilizing-del…
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psnet.ahrq.gov/node/33636/psn-pdf
July 01, 2006 - Key Issues in Developing a Successful Hospital Safety
Program
July 1, 2006
Whittington JC. Key Issues in Developing a Successful Hospital Safety Program. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/key-issues-developing-successful-hospital-safety-program
Perspective
What are the key success factors…
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psnet.ahrq.gov/node/34639/psn-pdf
March 02, 2011 - Preventable deaths: who, how often, and why?
March 2, 2011
Dubois RW, Brook RH. Preventable deaths: who, how often, and why? Ann Intern Med. 1988;109(7):582-9.
https://psnet.ahrq.gov/issue/preventable-deaths-who-how-often-and-why
One of the first studies to examine the link between quality of care and hospital deat…