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psnet.ahrq.gov/issue/teamwork-healthcare-key-discoveries-enabling-safer-high-quality-care
July 02, 2014 - Review
Classic
Teamwork in healthcare: key discoveries enabling safer, high-quality care.
Citation Text:
Rosen MA, DiazGranados D, Dietz AS, et al. Teamwork in healthcare: Key discoveries enabling safer, high-quality care. Am Psychol. 2018;73(4):433-450. doi:10.…
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psnet.ahrq.gov/issue/bad-stars-or-guiding-lights-learning-disasters-improve-patient-safety
June 08, 2011 - Commentary
Bad stars or guiding lights? Learning from disasters to improve patient safety.
Citation Text:
Hughes C, Travaglia JF, Braithwaite J. Bad stars or guiding lights? Learning from disasters to improve patient safety. Qual Saf Health Care. 2010;19(4):332-6. doi:10.1136/qshc.2008…
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psnet.ahrq.gov/issue/challenges-making-diagnosis-outpatient-setting-multi-site-survey-primary-care-physicians
March 11, 2020 - Study
Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians.
Citation Text:
Sarkar U, Bonacum D, Strull W, et al. Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians. BMJ Qual Sa…
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psnet.ahrq.gov/issue/assessing-patient-work-system-factors-medication-management-during-transition-care-among
July 20, 2022 - Study
Assessing patient work system factors for medication management during transition of care among older adults: an observational study.
Citation Text:
Xiao Y, Hsu Y-J, Hannum SM, et al. Assessing patient work system factors for medication management during transition of care among ol…
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psnet.ahrq.gov/issue/association-pharmaceutical-industry-marketing-opioid-products-mortality-opioid-related
November 17, 2021 - Study
Classic
Association of pharmaceutical industry marketing of opioid products with mortality from opioid-related overdoses.
Citation Text:
Hadland SE, Rivera-Aguirre A, Marshall BDL, et al. Association of Pharmaceutical Industry Marketing of Opioid Products …
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psnet.ahrq.gov/issue/effect-cognitive-aids-adherence-best-practice-treatment-deteriorating-surgical-patients
September 30, 2020 - Study
Effect of cognitive aids on adherence to best practice in the treatment of deteriorating surgical patients: a randomized clinical trial in a simulation setting.
Citation Text:
Koers L, van Haperen M, Meijer CGF, et al. Effect of Cognitive Aids on Adherence to Best Practice in the T…
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psnet.ahrq.gov/issue/icu-attending-handoff-practices-results-national-survey-academic-intensivists
February 06, 2019 - Study
ICU attending handoff practices: results from a national survey of academic intensivists.
Citation Text:
Lane-Fall MB, Collard ML, Turnbull AE, et al. ICU Attending Handoff Practices: Results From a National Survey of Academic Intensivists. Crit Care Med. 2016;44(4):690-8. doi:10.1…
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psnet.ahrq.gov/issue/allocation-physician-time-ambulatory-practice-time-and-motion-study-four-specialties
August 26, 2020 - Study
Classic
Allocation of physician time in ambulatory practice: a time and motion study in four specialties.
Citation Text:
Sinsky CA, Colligan L, Li L, et al. Allocation of Physician Time in Ambulatory Practice: A Time and Motion Study in 4 Specialties. Ann …
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psnet.ahrq.gov/web-mm/discharging-our-responsibility
January 16, 2019 - heart failure in the adult: a report of the American College of Cardiology/American Heart Association Task … with chronic heart failure: a report of the American College of Cardiology/American Heart Association Task
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psnet.ahrq.gov/issue/design-and-testing-safety-agenda-mobile-app-managing-health-care-managers-patient-safety
July 12, 2017 - Study
Design and testing of the safety agenda mobile app for managing health care managers' patient safety responsibilities.
Citation Text:
Mira JJ, Carrillo I, Fernandez C, et al. Design and Testing of the Safety Agenda Mobile App for Managing Health Care Managers' Patient Safety Respon…
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psnet.ahrq.gov/issue/comparative-effectiveness-analysis-implementation-surgical-safety-checklists-tertiary-care
December 20, 2023 - Study
A comparative effectiveness analysis of the implementation of surgical safety checklists in a tertiary care hospital.
Citation Text:
Bock M, Fanolla A, Segur-Cabanac I, et al. A Comparative Effectiveness Analysis of the Implementation of Surgical Safety Checklists in a Tertiary Car…
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psnet.ahrq.gov/node/33567/psn-pdf
June 15, 2024 - effects-i-pass-nursing-handoff-bundle-communication-quality-and-workflow
https://psnet.ahrq.gov/issue/enhancing-implementation-i-pass-handoff-tool-using-provider-handoff-task-force-comprehensive
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psnet.ahrq.gov/web-mm/another-fall
June 01, 2010 - Developing adequate safeguards to ensure appropriate use of restraints is a major task in hospitals. … December 9, 2014
The World Federation of Chiropractic Global Patient Safety Task Force
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psnet.ahrq.gov/issue/feasibility-centre-based-incident-reporting-primary-healthcare-spiegel-study
October 05, 2011 - Study
Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL study.
Citation Text:
Zwart DLM, Steerneman AHM, van Rensen ELJ, et al. Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL study. BMJ Qual Saf. 2011;20(2):121-7. doi:1…
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psnet.ahrq.gov/issue/medication-safety-teams-guided-implementation-electronic-medication-administration-records
September 27, 2016 - Study
Medication safety teams' guided implementation of electronic medication administration records in five nursing homes.
Citation Text:
Scott-Cawiezell J, Madsen RW, Pepper GA, et al. Medication safety teams' guided implementation of electronic medication administration records in f…
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psnet.ahrq.gov/issue/influences-leadership-organizational-culture-and-hierarchy-raising-concerns-about-patient
December 04, 2013 - Study
Influences of leadership, organizational culture, and hierarchy on raising concerns about patient deterioration: a qualitative study.
Citation Text:
Vehvilainen E, Charles A, Sainsbury J, et al. Influences of leadership, organizational culture, and hierarchy on raising concerns abo…
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psnet.ahrq.gov/issue/prevalence-patterns-and-predictors-nursing-care-left-undone-european-hospitals-results
January 04, 2015 - Study
Prevalence, patterns and predictors of nursing care left undone in European hospitals: results from the multicountry cross-sectional RN4CAST study.
Citation Text:
Ausserhofer D, Zander B, Busse R, et al. Prevalence, patterns and predictors of nursing care left undone in European h…
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psnet.ahrq.gov/node/33568/psn-pdf
June 15, 2024 - Task-related
A patient requires emergency surgery which delays his dialysis treatment due to
a misplaced
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psnet.ahrq.gov/web-mm/all-history
February 28, 2011 - SPOTLIGHT CASE
All in the History
Citation Text:
Fee C. All in the History. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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psnet.ahrq.gov/node/50756/psn-pdf
December 18, 2019 - CSHP Opioid Stewardship Task Force. (2019, Oct 19). Naloxone Music Video.