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psnet.ahrq.gov/issue/impact-morbidity-and-mortality-conferences-analysis-mortality-and-critical-events-intensive
December 02, 2020 - Study
Impact of morbidity and mortality conferences on analysis of mortality and critical events in intensive care practice.
Citation Text:
Ksouri H, Balanant P-Y, Tadié J-M, et al. Impact of morbidity and mortality conferences on analysis of mortality and critical events in intensive c…
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psnet.ahrq.gov/issue/how-improve-change-shift-handovers-and-collaborative-grounding-and-what-role-does-electronic
June 29, 2022 - Review
How to improve change of shift handovers and collaborative grounding and what role does the electronic patient record system play? Results of a systematic literature review.
Citation Text:
Flemming D, Hübner U. How to improve change of shift handovers and collaborative grounding …
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psnet.ahrq.gov/issue/critical-incident-monitoring-paediatric-and-adult-critical-care-reporting-improved-patient
January 22, 2016 - Review
Critical incident monitoring in paediatric and adult critical care: from reporting to improved patient outcomes?
Citation Text:
Frey B, Schwappach DLB. Critical incident monitoring in paediatric and adult critical care: from reporting to improved patient outcomes? Curr Opin Crit…
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psnet.ahrq.gov/issue/state-art-usage-simulation-anesthesia-skills-and-teamwork
June 18, 2014 - Review
State-of-the-art usage of simulation in anesthesia: skills and teamwork.
Citation Text:
Krage R, Erwteman M. State-of-the-art usage of simulation in anesthesia: skills and teamwork. Curr Opin Anaesthesiol. 2015;28(6):727-34. doi:10.1097/ACO.0000000000000257.
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psnet.ahrq.gov/issue/future-graduate-medical-education-systems-based-approach-ensure-patient-safety
October 18, 2017 - Commentary
The future of graduate medical education: a systems-based approach to ensure patient safety.
Citation Text:
Bagian JP. The Future of Graduate Medical Education: A Systems-Based Approach to Ensure Patient Safety. Acad Med. 2015;90(9):1199-202. doi:10.1097/ACM.0000000000000824. …
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psnet.ahrq.gov/issue/understanding-medical-errors-and-adverse-events-icu-patients
March 20, 2015 - Commentary
Understanding medical errors and adverse events in ICU patients.
Citation Text:
Garrouste-Orgeas M, Flaatten H, Moreno R. Understanding medical errors and adverse events in ICU patients. Intensive Care Med. 2016;42(1):107-9. doi:10.1007/s00134-015-3968-x.
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psnet.ahrq.gov/issue/characteristics-unsafe-undergraduate-nursing-students-clinical-practice-integrative
May 10, 2013 - Review
Characteristics of unsafe undergraduate nursing students in clinical practice: an integrative literature review.
Citation Text:
Killam LA, Luhanga F, Bakker D. Characteristics of unsafe undergraduate nursing students in clinical practice: an integrative literature review. J Nur…
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psnet.ahrq.gov/issue/patients-and-healthcare-workers-perceptions-patient-safety-advisory
March 11, 2013 - Study
Patients' and healthcare workers' perceptions of a patient safety advisory.
Citation Text:
Schwappach DLB, Frank O, Koppenberg J, et al. Patients' and healthcare workers' perceptions of a patient safety advisory. Int J Qual Health Care. 2011;23(6):713-20. doi:10.1093/intqhc/mzr062.…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160413/edgman-levitan-intro.pdf
April 13, 2016 - Strategies for Improving CAHPS Health Plan Survey Scores
Strategies for Improving CAHPS
Health Plan Survey Scores
A Webcast Presented by the AHRQ CAHPS User Network
April 13, 2016
12:00 – 1:00 pm ET
www.cahps.ahrq.gov
CAHPS Webcast Series
• Consumer Assessment of Healthcare Providers
and Systems (CAHPS®…
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psnet.ahrq.gov/issue/impact-interruptions-medication-errors-hospitals-observational-study-nurses
November 15, 2017 - Study
The impact of interruptions on medication errors in hospitals: an observational study of nurses.
Citation Text:
Johnson M, Sanchez P, Langdon R, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507.…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20141022_cg/3_julie_susi.pdf
April 01, 2014 - Achieving Excellence Across All CG-CAHPS Core Measures: Lessons from Top-Performing Medical Practices
Mercy Hospital
Fore River Campus
Portland, Maine
23
Breast Care Specialists of Maine
A two-surgeon practice, we take pride in offering
timely, accurate consultation and treatment for
benign and malignant …
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psnet.ahrq.gov/issue/proposed-2022-cdc-clinical-practice-guideline-prescribing-opioids-notice-centers-disease
December 21, 2022 - Press Release/Announcement
Proposed 2022 CDC clinical practice guideline for prescribing opioids. A notice by the Centers for Disease Control and Prevention.
Citation Text:
Proposed 2022 CDC clinical practice guideline for prescribing opioids. A notice by the Centers for Disease Control …
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psnet.ahrq.gov/issue/communication-about-harm-reduction-patients-who-have-opioid-use-disorder
January 02, 2017 - Commentary
Communication about harm reduction with patients who have opioid use disorder.
Citation Text:
Hawk M, Jawa R, Kay ES. Communication about harm reduction with patients who have opioid use disorder. JAMA. 2025;333(2):163-164. doi:10.1001/jama.2024.21307.
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psnet.ahrq.gov/issue/patient-safety-leadership-academy-university-pennsylvania-first-cohorts-learning-experience
October 04, 2011 - Study
The Patient Safety Leadership Academy at the University of Pennsylvania: the first cohort's learning experience.
Citation Text:
Wurster AB, Pearson K, Sonnad SS, et al. The Patient Safety Leadership Academy at the University of Pennsylvania: the first cohort's learning experience…
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psnet.ahrq.gov/issue/mortality-related-anaesthesia-france-analysis-deaths-related-airway-complications
June 20, 2011 - Study
Mortality related to anaesthesia in France: analysis of deaths related to airway complications.
Citation Text:
Auroy Y, Benhamou D, Péquignot F, et al. Mortality related to anaesthesia in France: analysis of deaths related to airway complications. Anaesthesia. 2009;64(4):366-70. …
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psnet.ahrq.gov/issue/trade-offs-between-voice-and-silence-qualitative-exploration-oncology-staffs-decisions-speak
November 05, 2014 - Study
Trade-offs between voice and silence: a qualitative exploration of oncology staff's decisions to speak up about safety concerns.
Citation Text:
Schwappach DLB, Gehring K. Trade-offs between voice and silence: a qualitative exploration of oncology staff's decisions to speak up about…
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psnet.ahrq.gov/issue/human-factors-focused-reporting-system-improving-care-quality-and-safety-hospital-wards
February 17, 2010 - Study
Human factors–focused reporting system for improving care quality and safety in hospital wards.
Citation Text:
Morag I, Gopher D, Spillinger A, et al. Human Factors–Focused Reporting System for Improving Care Quality and Safety in Hospital Wards. Hum Factors. 2012;54(2):195-213. …
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psnet.ahrq.gov/issue/pain-neglected-patient-safety-concern-five-years
July 31, 2019 - Commentary
Pain as the neglected patient safety concern: five years on.
Citation Text:
Twycross A, Forgeron P, Chorne J, et al. Pain as the neglected patient safety concern: Five years on. J Child Health Care. 2016;20(4):537-541. doi:10.1177/1367493516643422.
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psnet.ahrq.gov/issue/complication-rates-weekends-and-weekdays-us-hospitals
August 31, 2011 - Study
Complication rates on weekends and weekdays in US hospitals.
Citation Text:
Bendavid E, Kaganova Y, Needleman J, et al. Complication rates on weekends and weekdays in US hospitals. Am J Med. 2007;120(5):422-8.
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psnet.ahrq.gov/issue/opioid-medication-discontinuation-and-risk-adverse-opioid-related-health-care-events
November 16, 2022 - Study
Classic
Opioid medication discontinuation and risk of adverse opioid-related health care events.
Citation Text:
Mark TL, Parish W. Opioid medication discontinuation and risk of adverse opioid-related health care events. J Subst Abuse Treat. 2019;103:58-63.…