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Showing results for "surgeries".

  1. Multidisciplinary obstetric simulated emergency scenarios (MOSES): promoting patient safety in obstetrics with teamwork-focused interprofessional simulations. | PSNet

    psnet.ahrq.gov/issue/multidisciplinary-obstetric-simulated-emergency-scenarios-moses-promoting-patient-safety
    March 25, 2009 - Study Multidisciplinary obstetric simulated emergency scenarios (MOSES): promoting patient safety in obstetrics with teamwork-focused interprofessional simulations. Citation Text: Freeth D, Ayida G, Berridge EJ, et al. Multidisciplinary obstetric simulated emergency scenarios (MOSES): p…

  2. Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project. | PSNet

    psnet.ahrq.gov/issue/improving-safety-culture-adult-medical-units-through-multidisciplinary-teamwork-and
    February 18, 2011 - Study Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project. Citation Text: Blegen MA, Sehgal NL, Alldredge BK, et al. Improving safety culture on adult medical units through multidisciplinary teamwork and c…

  3. Journey toward high reliability: a comprehensive safety program to improve quality of care and safety culture in a large, multisite radiation oncology department. | PSNet

    psnet.ahrq.gov/issue/journey-toward-high-reliability-comprehensive-safety-program-improve-quality-care-and-safety
    September 19, 2017 - Study Journey toward high reliability: a comprehensive safety program to improve quality of care and safety culture in a large, multisite radiation oncology department. Citation Text: Woodhouse KD, Volz E, Maity A, et al. Journey Toward High Reliability: A Comprehensive Safety Program to…

  4. National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. | PSNet

    psnet.ahrq.gov/issue/national-partnership-maternal-safety-consensus-bundle-venous-thromboembolism
    November 16, 2022 - Commentary National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. Citation Text: D'Alton ME, Friedman AM, Smiley RM, et al. National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. J Obstet Gynecol Neonatal Nurs. 2016;45(5):706-…

  5. Harnessing the power of medical malpractice data to improve patient care. | PSNet

    psnet.ahrq.gov/issue/harnessing-power-medical-malpractice-data-improve-patient-care
    September 25, 2019 - Commentary Harnessing the power of medical malpractice data to improve patient care. Citation Text: Siegal D, Swift J, Forget J, et al. Harnessing the power of medical malpractice data to improve patient care. J Healthc Risk Manag. 2020;39(3):28-36. doi:10.1002/jhrm.21393. Copy Citatio…

  6. Introducing second-year medical students to diagnostic reasoning concepts and skills via a virtual curriculum. | PSNet

    psnet.ahrq.gov/issue/introducing-second-year-medical-students-diagnostic-reasoning-concepts-and-skills-virtual
    April 24, 2018 - Study Introducing second-year medical students to diagnostic reasoning concepts and skills via a virtual curriculum. Citation Text: Chang C, Varghese N, Machiorlatti M. Introducing second-year medical students to diagnostic reasoning concepts and skills via a virtual curriculum. Diagnosi…

  7. Developing critical thinking skills for delivering optimal care | PSNet

    psnet.ahrq.gov/issue/developing-critical-thinking-skills-delivering-optimal-care
    June 23, 2021 - Commentary Developing critical thinking skills for delivering optimal care Citation Text: Scott IA, Hubbard RE, Crock C, et al. Developing critical thinking skills for delivering optimal care. Intern Med J. 2021;51(4):488-493. doi:10.1111/imj.15272. Copy Citation Format: DO…

  8. Medication errors and trainees: advice for learners and organizations. | PSNet

    psnet.ahrq.gov/issue/medication-errors-and-trainees-advice-learners-and-organizations
    April 10, 2019 - Commentary Medication errors and trainees: advice for learners and organizations. Citation Text: Wheeler JS, Duncan R, Hohmeier K. Medication Errors and Trainees: Advice for Learners and Organizations. Ann Pharmacother. 2017;51(12):1138-1141. doi:10.1177/1060028017725092. Copy Citation…

  9. Identifying contributing factors associated with dental adverse events through a pragmatic electronic health record-based root cause analysis. | PSNet

    psnet.ahrq.gov/issue/identifying-contributing-factors-associated-dental-adverse-events-through-pragmatic
    May 23, 2018 - Study Identifying contributing factors associated with dental adverse events through a pragmatic electronic health record-based root cause analysis. Citation Text: Kalenderian E, Bangar S, Yansane A, et al. Identifying contributing factors associated with dental adverse events through a …

  10. Perceptual and interpretive error in diagnostic radiology—causes and potential solutions. | PSNet

    psnet.ahrq.gov/issue/perceptual-and-interpretive-error-diagnostic-radiology-causes-and-potential-solutions
    November 13, 2024 - Commentary Perceptual and interpretive error in diagnostic radiology—causes and potential solutions. Citation Text: Degnan AJ, Ghobadi EH, Hardy P, et al. Perceptual and Interpretive Error in Diagnostic Radiology-Causes and Potential Solutions. Acad Radiol. 2019;26(6):833-845. doi:10.101…

  11. Context matters: toward a multilevel perspective on context in clinical reasoning and error. | PSNet

    psnet.ahrq.gov/issue/context-matters-toward-multilevel-perspective-context-clinical-reasoning-and-error
    April 12, 2023 - Commentary Context matters: toward a multilevel perspective on context in clinical reasoning and error. Citation Text: Choi JJ, Durning SJ. Context matters: toward a multilevel perspective on context in clinical reasoning and error. Diagnosis (Berl). 2023;10(2):89-95. doi:10.1515/dx-2022…

  12. Misdiagnosis, mistreatment, and harm - when medical care ignores social forces. | PSNet

    psnet.ahrq.gov/issue/misdiagnosis-mistreatment-and-harm-when-medical-care-ignores-social-forces
    November 16, 2022 - Commentary Emerging Classic Misdiagnosis, mistreatment, and harm - when medical care ignores social forces. Citation Text: Holmes SM, Hansen H, Jenks A, et al. Misdiagnosis, mistreatment, and harm - when medical care ignores social forces. N Engl J Med. 2020;382…

  13. Clinical reasoning assessment methods: a scoping review and practical guidance. | PSNet

    psnet.ahrq.gov/issue/clinical-reasoning-assessment-methods-scoping-review-and-practical-guidance
    August 15, 2018 - Review Clinical reasoning assessment methods: a scoping review and practical guidance. Citation Text: Daniel M, Rencic J, Durning SJ, et al. Clinical Reasoning Assessment Methods: A Scoping Review and Practical Guidance. Acad Med. 2019;94(6):902-912. doi:10.1097/ACM.0000000000002618. C…

  14. Building a learning organization. | PSNet

    psnet.ahrq.gov/issue/building-learning-organization
    June 16, 2011 - Study Classic Building a learning organization. Citation Text: Garvin DA. Building a learning organization. Harv Bus Rev. 1993;71(4):78-91. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

  15. Utilizing pharmacy students in transitions-of-care services. | PSNet

    psnet.ahrq.gov/issue/utilizing-pharmacy-students-transitions-care-services
    October 19, 2022 - Commentary Utilizing pharmacy students in transitions-of-care services. Citation Text: L'Hommedieu T, DeCoske M, Lababidi RE, et al. Utilizing pharmacy students in transitions-of-care services. Am J Health Syst Pharm. 2015;72(15):1266-8. doi:10.2146/ajhp140561. Copy Citation Format…

  16. Dashboards for visual display of patient safety data: a systematic review. | PSNet

    psnet.ahrq.gov/issue/dashboards-visual-display-patient-safety-data-systematic-review
    November 11, 2020 - Review Dashboards for visual display of patient safety data: a systematic review. Citation Text: Murphy DR, Savoy A, Satterly T, et al. Dashboards for visual display of patient safety data: a systematic review. BMJ Health Care Inform. 2021;28(1):e100437. doi:10.1136/bmjhci-2021-100437. …

  17. Noninvasive Diagnostic Techniques for the Detection of Skin Cancers (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/skin-lesions-evaluation_technical-brief.pdf
    December 01, 2014 - Noninvasive Diagnostic Techniques for the Detection of Skin Cancers Noninvasive Diagnostic Techniques for the Detection of Skin Cancers Technical Brief Number 11 Technical Brief Number 11 Noninvasive Diagnostic Techniques for the Detection of Skin Cancers Prepared for: Agency for Healthcare Rese…

  18. AHRQ Hospital Pilot Study Final Report (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospvaluepilotreport.pdf
    November 01, 2017 - AHRQ Hospital Pilot Study Final Report Results From the 2014 Pilot Study of the AHRQ SOPS™ Value and Efficiency Supplemental Items for the Hospital SOPS Survey Prepared for: Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No. HHSA 290201300003C Manag…

  19. AHRQ CVE Pilot Study_Hospital Final Report_11-2-2017 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalvaluepilotreport.pdf
    November 01, 2017 - AHRQ CVE Pilot Study_Hospital Final Report_11-2-2017 Results From the 2014 Pilot Study of the AHRQ SOPS™ Value and Efficiency Supplemental Items for the Hospital SOPS Survey Prepared for: Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No. HHSA 2902013…

  20. Making Healthcare Safer IV Rapid Review: Examining the Impact of Implementing High-Reliability Organization Principles on Patient Safety Outcomes (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/hro-rapid-research.pdf
    May 01, 2025 - Making Healthcare Safer IV Rapid Review: Examining the Impact of Implementing High-Reliability Organization Principles on Patient Safety Outcomes Making Healthcare Safer IV Examining the Impact of Implementing High-Reliability Organization Principles on Patient Safety Outcomes Rapid Review Structured Abs…
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