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psnet.ahrq.gov/node/42802/psn-pdf
January 07, 2015 - Patient engagement in the inpatient setting: a systematic
review.
January 7, 2015
Prey JE, Woollen J, Wilcox L, et al. Patient engagement in the inpatient setting: a systematic review. J Am
Med Inform Assoc. 2014;21(4):742-750. doi:10.1136/amiajnl-2013-002141.
https://psnet.ahrq.gov/issue/patient-engagement-inpati…
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psnet.ahrq.gov/node/46007/psn-pdf
July 09, 2018 - A family-centered rounds checklist, family engagement,
and patient safety: a randomized trial.
July 9, 2018
Cox E, Jacobsohn GC, Rajamanickam VP, et al. A Family-Centered Rounds Checklist, Family
Engagement, and Patient Safety: A Randomized Trial. Pediatrics. 2017;139(5). doi:10.1542/peds.2016-
1688.
https://psne…
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psnet.ahrq.gov/node/42669/psn-pdf
September 27, 2017 - Patient-reported missed nursing care correlated with
adverse events.
September 27, 2017
Kalisch BJ, Xie B, Dabney BW. Patient-reported missed nursing care correlated with adverse events. Am J
Med Qual. 2014;29(5):415-22. doi:10.1177/1062860613501715.
https://psnet.ahrq.gov/issue/patient-reported-missed-nursing-car…
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psnet.ahrq.gov/node/72719/psn-pdf
February 10, 2021 - The Diagnostic Error Index: a quality improvement
initiative to identify and measure diagnostic errors.
February 10, 2021
Perry MF, Melvin JE, Kasick RT, et al. The Diagnostic Error Index: a quality improvement initiative to
identify and measure diagnostic errors. J Pediatr. 2021;232:257-263. doi:10.1016/j.jpeds.20…
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psnet.ahrq.gov/node/47502/psn-pdf
June 02, 2019 - Failure to debrief after critical events in anesthesia is
associated with failures in communication during the
event.
June 2, 2019
Arriaga AF, Sweeney RE, Clapp JT, et al. Failure to Debrief after Critical Events in Anesthesia Is
Associated with Failures in Communication during the Event. Anesthesiology. 2019;130(…
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psnet.ahrq.gov/node/43007/psn-pdf
December 12, 2014 - 'I think we should just listen and get out': a qualitative
exploration of views and experiences of Patient Safety
Walkrounds.
December 12, 2014
Rotteau L, Shojania KG, Webster F. ‘I think we should just listen and get out’: a qualitative exploration of
views and experiences of Patient Safety Walkrounds: Table 1. B…
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psnet.ahrq.gov/node/48008/psn-pdf
May 22, 2019 - Patients as diagnostic collaborators: sharing visit notes
to promote accuracy and safety.
May 22, 2019
Blease CR, Bell SK. Patients as diagnostic collaborators: sharing visit notes to promote accuracy and
safety. Diagnosis (Berl). 2019;6(3):213-221. doi:10.1515/dx-2018-0106.
https://psnet.ahrq.gov/issue/patients-d…
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psnet.ahrq.gov/node/45055/psn-pdf
December 04, 2016 - Analysis of clinical decision support system
malfunctions: a case series and survey.
December 4, 2016
Wright A, Hickman T-TT, McEvoy D, et al. Analysis of clinical decision support system malfunctions: a case
series and survey. J Am Med Inform Assoc. 2016;23(6):1068-1076. doi:10.1093/jamia/ocw005.
https://psnet.ah…
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psnet.ahrq.gov/node/41777/psn-pdf
April 05, 2013 - Effect of nonpayment for preventable infections in U.S.
hospitals.
April 5, 2013
Lee GM, Kleinman K, Soumerai SB, et al. Effect of nonpayment for preventable infections in U.S. hospitals.
N Engl J Med. 2012;367(15):1428-37. doi:10.1056/NEJMsa1202419.
https://psnet.ahrq.gov/issue/effect-nonpayment-preventable-infec…
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psnet.ahrq.gov/perspective/surveillance-monitoring-improve-patient-safety-acute-hospital-care-units
April 26, 2023 - deterioration. 1 , 2 In response to this problem, researchers have developed and implemented many strategies … Interview
In Conversation with Elizabeth Salisbury-Afshar about Harm Reduction Strategies
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psnet.ahrq.gov/node/49514/psn-pdf
July 01, 2006 - One ACE Too Many
July 1, 2006
Juurlink DN. One ACE Too Many. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/one-ace-too-many
The Case
A 72-year-old man with coronary artery disease, diabetes, and recently diagnosed congestive heart failure
presented to the emergency department (ED) with chest pain. An acut…
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psnet.ahrq.gov/issue/rethink-clinical-reasoning-conference
October 25, 2021 - International Meeting/Conference
ReThink Clinical Reasoning Conference.
Citation Text:
McMaster Faculty of Health Sciences Office of Continuing Professional Development, and McMaster Education Research, Innovation, and Theory. February 16, 2022 (10:00 AM –4:00 PM (eastern).
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psnet.ahrq.gov/issue/improving-patient-safety-care-2022
April 30, 2022 - Meeting/Conference
Improving Patient Safety & Care 2022.
Citation Text:
Collaboration for Better Care. September 13, 2022, Royal Society of Medicine, London, England.
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November 12, 2014 - Incidents resulting from staff leaving normal duties to
attend medical emergency team calls.
November 12, 2014
Investigators CMETIS, Cheung W, Sahai V, et al. Incidents resulting from staff leaving normal duties to
attend medical emergency team calls. Med J Aust. 2014;201(9):528-31.
https://psnet.ahrq.gov/issue/in…
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psnet.ahrq.gov/node/42947/psn-pdf
February 19, 2014 - Is the skillset obtained in surgical simulation transferable
to the operating theatre?
February 19, 2014
Buckley CE, Kavanagh DO, Traynor O, et al. Is the skillset obtained in surgical simulation transferable to
the operating theatre? Am J Surg. 2014;207(1):146-57. doi:10.1016/j.amjsurg.2013.06.017.
https://psnet.…
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psnet.ahrq.gov/node/37771/psn-pdf
June 29, 2011 - Effect of crew resource management training in a
multidisciplinary obstetrical setting.
June 29, 2011
Haller G, Garnerin P, Morales M-A, et al. Effect of crew resource management training in a multidisciplinary
obstetrical setting. Int J Qual Health Care. 2008;20(4):254-63. doi:10.1093/intqhc/mzn018.
https://psnet…
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psnet.ahrq.gov/node/844766/psn-pdf
January 01, 2020 - Validation of new ICD-10-based patient safety indicators
for identification of in-hospital complications in surgical
patients: a study of diagnostic accuracy.
September 11, 2019
McIsaac DI, Hamilton GM, Abdulla K, et al. Validation of new ICD-10-based patient safety indicators for
identification of in-hospital com…
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psnet.ahrq.gov/node/38603/psn-pdf
September 29, 2009 - The association between transfer of emergency
department boarders to inpatient hallways and
mortality: a 4-year experience.
September 29, 2009
Viccellio A, Santora C, Singer AJ, et al. The association between transfer of emergency department
boarders to inpatient hallways and mortality: a 4-year experience. Ann Em…
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psnet.ahrq.gov/node/39571/psn-pdf
October 03, 2017 - Assessing legislative potential to institute error
transparency: a state comparison of malpractice claims
rates.
October 3, 2017
Perez B, DiDona T. Assessing Legislative Potential to Institute Error Transparency: A State Comparison of
Malpractice Claims Rates. Journal For Healthcare Quality. 2009;32(3). doi:10.111…
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psnet.ahrq.gov/node/40450/psn-pdf
December 21, 2014 - Unit-based care teams and the frequency and quality of
physician–nurse communications.
December 21, 2014
Gordon M, Melvin P, Graham DA, et al. Unit-based care teams and the frequency and quality of physician-
nurse communications. Arch Pediatr Adolesc Med. 2011;165(5):424-8. doi:10.1001/archpediatrics.2011.54.
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