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psnet.ahrq.gov/node/837588/psn-pdf
June 29, 2022 - Does racism impact healthcare quality? Perspectives of
Black and Hispanic/Latino patients.
June 29, 2022
Findling MG, Zephyrin L, Bleich SN, et al. Does racism impact healthcare quality? Perspectives of Black
and Hispanic/Latino patients. Healthc (Amst). 2022;10(2):100630. doi:10.1016/j.hjdsi.2022.100630.
https://…
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psnet.ahrq.gov/node/837304/psn-pdf
June 01, 2022 - Does standardisation improve post-operative anaesthesia
handoffs? Meta-analyses on provider, patient,
organisational, and handoff outcomes.
June 1, 2022
Lazzara EH, Simonson RJ, Gisick LM, et al. Does standardisation improve post-operative anaesthesia
handoffs? Meta-analyses on provider, patient, organisational, a…
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psnet.ahrq.gov/node/74004/psn-pdf
October 27, 2021 - Quality standards for safe medication in nursing homes:
development through a multistep approach including a
Delphi consensus study.
October 27, 2021
Brühwiler LD, Niederhauser A, Fischer S, et al. Quality standards for safe medication in nursing homes:
development through a multistep approach including a Delphi c…
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psnet.ahrq.gov/issue/race-social-construct-psychiatry-research-and-practice
July 20, 2022 - Commentary
Race as a social construct in psychiatry research and practice.
Citation Text:
Bryant BE, Jordan A, Clark US. Race as a social construct in psychiatry research and practice. JAMA Psych. 2022;79(2):93-94. doi:10.1001/jamapsychiatry.2021.2877.
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psnet.ahrq.gov/node/41711/psn-pdf
September 26, 2012 - Beyond FMEA: the structured what-if technique (SWIFT).
September 26, 2012
Card AJ, Ward JR, Clarkson PJ. Beyond FMEA: The structured what-if technique (SWIFT). J Healthc Risk
Manag. 2012;31(4):23-29. doi:10.1002/jhrm.20101.
https://psnet.ahrq.gov/issue/swift-new-tool-identifying-prospective-hazards
This commentary…
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psnet.ahrq.gov/node/848313/psn-pdf
May 03, 2023 - Listen to the whispers before they become screams:
addressing Black maternal morbidity and mortality in the
United States.
May 3, 2023
Njoku A, Evans M, Nimo-Sefah L, et al. Listen to the whispers before they become screams: addressing
Black maternal morbidity and mortality in the United States. Healthcare. 2023;1…
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psnet.ahrq.gov/node/60223/psn-pdf
January 01, 2021 - The effects of harm events on 30-day readmission in
surgical patients.
April 15, 2020
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.
https://psnet.ahrq.gov/issue/effects-harm-even…
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psnet.ahrq.gov/issue/team-checkup-tool-evaluating-qi-team-activities-and-giving-feedback-senior-leaders
November 27, 2012 - Commentary
The Team Checkup Tool: evaluating QI team activities and giving feedback to senior leaders.
Citation Text:
Lubomski LH, Marsteller JA, Hsu Y-J, et al. The team checkup tool: evaluating QI team activities and giving feedback to senior leaders. Jt Comm J Qual Patient Saf. 2008;3…
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psnet.ahrq.gov/node/851389/psn-pdf
July 31, 2023 - Ambulatory Safety Nets to Reduce Missed and Delayed
Diagnoses of Cancer
July 31, 2023
https://psnet.ahrq.gov/innovation/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer
Summary
Concern over patient safety issues associated with inadequate tracking of test results has grown over the
last decade, a…
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psnet.ahrq.gov/perspective/role-fda-ensuring-device-safety
May 28, 2020 - The Role of the FDA in Ensuring Device Safety
May 28, 2020
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Fitall E, Hall KK, Gale B. The Role of the FDA in Ensuring Device Safety . PSNet [internet]. Rockville (MD): Agency f…
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psnet.ahrq.gov/web-mm/what-happened-telemetry
January 18, 2012 - SPOTLIGHT CASE
What Happened on Telemetry?
Citation Text:
Sandau KE, Funk M. What Happened on Telemetry?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/web-mm/total-parenteral-nutrition-multifarious-errors
January 23, 2017 - SPOTLIGHT CASE
Total Parenteral Nutrition, Multifarious Errors
Citation Text:
Boullata JI. Total Parenteral Nutrition, Multifarious Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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Format:
…
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psnet.ahrq.gov/node/44955/psn-pdf
May 21, 2016 - Accuracy of the Safer Dx Instrument to identify diagnostic
errors in primary care.
May 21, 2016
Al-Mutairi A, Meyer AND, Thomas EJ, et al. Accuracy of the Safer Dx Instrument to Identify Diagnostic
Errors in Primary Care. J Gen Intern Care. 2016;31(6):602-608. doi:10.1007/s11606-016-3601-x.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/44048/psn-pdf
November 20, 2015 - Clinical handover of the critically ill postoperative patient:
an integrative review.
November 20, 2015
Gardiner TM, Marshall AP, Gillespie BM. Clinical handover of the critically ill postoperative patient: an
integrative review. Aust Crit Care. 2015;28(4):226-34. doi:10.1016/j.aucc.2015.02.001.
https://psnet.ahrq…
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psnet.ahrq.gov/node/41022/psn-pdf
December 21, 2011 - Key performance outcomes of patient safety curricula:
root cause analysis, failure mode and effects analysis,
and structured communications skills.
December 21, 2011
Fassett WE. Key performance outcomes of patient safety curricula: root cause analysis, failure mode and
effects analysis, and structured communicatio…
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psnet.ahrq.gov/node/42170/psn-pdf
May 10, 2013 - Understanding factors that impact on health care
professionals' risk perceptions and responses toward
Clostridium difficile and methicillin-resistant
Staphylococcus aureus: a structured literature review.
May 10, 2013
Burnett E, Kearney N, Johnston B, et al. Understanding factors that impact on health care profess…
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psnet.ahrq.gov/node/44156/psn-pdf
November 10, 2015 - Exploring the role of communications in quality
improvement: a case study of the 1000 Lives Campaign in
NHS Wales.
November 10, 2015
Cooper A, Gray J, Willson A, et al. Exploring the role of communications in quality improvement: A case
study of the 1000 Lives Campaign in NHS Wales. J Commun Healthc. 2015;8(1):76-…
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psnet.ahrq.gov/node/37907/psn-pdf
May 26, 2011 - Assessing the anticipated consequences of computer-
based provider order entry at three community hospitals
using an open-ended, semi-structured survey instrument.
May 26, 2011
Sittig DF, Ash JS, Guappone KP, et al. Assessing the anticipated consequences of Computer-based
Provider Order Entry at three community ho…
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psnet.ahrq.gov/node/44361/psn-pdf
November 20, 2015 - Communication in healthcare: a narrative review of the
literature and practical recommendations.
November 20, 2015
Vermeir P, Vandijck D, Degroote S, et al. Communication in healthcare: a narrative review of the literature
and practical recommendations. Int J Clin Pract. 2015;69(11):1257-67. doi:10.1111/ijcp.12686.…
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psnet.ahrq.gov/node/42682/psn-pdf
January 01, 2015 - Review article: improving the hospital clinical handover
between paramedics and emergency department staff in
the deteriorating patient.
November 13, 2013
Dawson S, King L, Grantham H. Review article: Improving the hospital clinical handover between
paramedics and emergency department staff in the deteriorating pa…