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psnet.ahrq.gov/issue/unintended-harm-associated-hospital-readmissions-reduction-program
August 20, 2018 - Commentary
Unintended harm associated with the Hospital Readmissions Reduction Program … Unintended Harm Associated With the Hospital Readmissions Reduction Program. … View more articles from the same authors. … The authors advocate for development of more effective policies and measures to reduce the potential … Unintended Harm Associated With the Hospital Readmissions Reduction Program.
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psnet.ahrq.gov/issue/reducing-interdisciplinary-communication-failures-through-secure-text-messaging-quality
May 08, 2017 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS
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Related Resources From the … December 23, 2020
The effects of leadership curricula with and without implicit bias … March 20, 2013
The Top Six: standardized safety practices in U.S. … August 1, 2018
Suicide risk, changing jobs, or leaving the nursing profession in the
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psnet.ahrq.gov/issue/relationship-between-nurse-education-level-and-patient-safety-integrative-review
April 10, 2024 - Review
The relationship between nurse education level and patient safety: an integrative … The relationship between nurse education level and patient safety: an integrative review. … View more articles from the same authors. … The relationship between nurse education level and patient safety: an integrative review. … July 1, 2020
Has the COVID pandemic strengthened or weakened health care teams?
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psnet.ahrq.gov/issue/citing-harms-momentum-grows-remove-race-clinical-algorithms
January 31, 2011 - View more articles from the same authors. … March 10, 2021
Rapid expansion of the Healing Emotional Lives of Peers program during … July 31, 2024
The effect of visitation restrictions on ED error. … Emergency Department: Challenges for the Care of Children. … June 23, 2021
The Life and Death of Elizabeth Dixon: A Catalyst for Change.
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psnet.ahrq.gov/issue/homenet-ensuring-patient-safety-medical-device-use-home
June 18, 2014 - HomeNet: ensuring patient safety with medical device use in the home. … View more articles from the same authors. … HomeNet: ensuring patient safety with medical device use in the home. … November 23, 2016
Description of the development and validation of the Canadian Paediatric … Measuring psychological safety and local learning to enable high reliability organisational change
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psnet.ahrq.gov/issue/impact-duty-hour-limits-resident-training-otolaryngology
November 16, 2015 - View more articles from the same authors. … The authors surveyed residents and residency program directors to determine perceived changes brought … on by the Accreditation Council for Graduate Medical Education's work-hour regulations. … March 13, 2019
The impact of the 2011 Accreditation Council for Graduate Medical Education … June 17, 2014
The impact of the 80-hour resident workweek on surgical residents and attending
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psnet.ahrq.gov/issue/delirium-hospitalized-older-adults
December 15, 2008 - View more articles from the same authors. … Delirium is considered a patient safety problem that can be prevented with specific care practices in the … The authors emphasize the importance of timely diagnosis and treatment of delirium. … January 27, 2010
The impact of hindsight bias on the diagnosis of perioperative events … April 7, 2021
The overlooked danger of delirium in hospitals.
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psnet.ahrq.gov/issue/patterns-medical-and-nursing-staff-communication-nursing-homes-implications-and-insights
December 22, 2018 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS
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Related Resources From the … December 15, 2011
The Medication Manager: results of a medication at the bedside pilot … the physicians and nurses. … November 25, 2009
Fixing healthcare from the inside, today.
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psnet.ahrq.gov/issue/can-technology-improve-intershift-report-what-research-reveals
October 02, 2024 - What the Research Reveals. … View more articles from the same authors. … The authors review the literature on shift reports and communication of patient information and discuss … What the Research Reveals. … July 14, 2021
The influence of professional identity on how the receiver receives and
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psnet.ahrq.gov/issue/major-cultural-compatibility-complex-considerations-cross-cultural-dissemination-patient
May 26, 2010 - View more articles from the same authors. … Same Author(s)
ReCASTing the RCA: an improved model for performing root cause analyses … January 15, 2014
Comparison of intensive care unit medication errors reported to the … reported medication errors between the ICU and non-ICU settings. … December 30, 2016
Changing the "working while sick" culture.
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psnet.ahrq.gov/issue/medical-reconciliation-patients-discharged-emergency-department
March 04, 2015 - Medical reconciliation in patients discharged from the emergency department. … View more articles from the same authors. … Medical reconciliation in patients discharged from the emergency department. … October 25, 2010
A leadership framework for culture change in health care. … the medication error rates for emergency admissions.
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psnet.ahrq.gov/issue/unmeasured-quality-metric-burn-out-and-second-victim-syndrome-healthcare
September 25, 2024 - Commentary
The unmeasured quality metric: burn out and the second victim syndrome … The unmeasured quality metric: Burn out and the second victim syndrome in healthcare. … The authors highlight the importance of peer support in physician recovery and discuss the role of … individuals, leaders, and organizations to recognize the problem and enhance the safety of the workplace … September 19, 2016
TRUST: the 5 rights of the second victim.
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psnet.ahrq.gov/issue/perspective-beyond-counting-hours-importance-supervision-professionalism-transitions-care-and
September 20, 2011 - Commentary
Perspective: beyond counting hours: the importance of supervision, professionalism … View more articles from the same authors. … This commentary explains how focusing on the quality of resident duty hours , in addition to the quantity … , can increase the potential of medical education to enhance patient care and reduce errors. … December 18, 2014
The effect of workload reduction on the quality of residents' discharge
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psnet.ahrq.gov/issue/twenty-four-hour-intensivist-staffing-teaching-hospitals-tensions-between-safety-today-and
June 10, 2013 - View more articles from the same authors. … February 7, 2024
Assessing the utility of ChatGPT throughout the entire clinical workflow … April 1, 2024
Transparency, public reporting, and a culture of change to quality and … November 10, 2021
Physician staffing models and patient safety in the ICU. … February 1, 2013
Patient safety in the critical care environment.
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psnet.ahrq.gov/issue/sued-misdiagnosis-it-could-happen-you
February 07, 2024 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS
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Related Resources From the … of Critical Care Medicine Guidelines on Recognizing and Responding to Clinical Deterioration Outside the … in teaching hospitals correlates with reported levels of communication and collaboration on surgical teams … March 28, 2012
Changes in medication safety indicators in England throughout the covid
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psnet.ahrq.gov/issue/relationship-between-high-fidelity-simulation-and-patient-safety-prelicensure-nursing
October 19, 2022 - View more articles from the same authors. … Same Author(s)
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … October 19, 2022
Crowding in the Emergency Department: Challenges for the Care of Children … the phases of medication management: a systematic review of randomized controlled trials. … May 18, 2022
Semantically ambiguous language in the teaching operating room.
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psnet.ahrq.gov/issue/relationship-between-tort-claims-and-patient-incident-reports-veterans-health-administration
June 17, 2010 - Study
Relationship between tort claims and patient incident reports in the Veterans … Relationship between tort claims and patient incident reports in the Veterans Health Administration. … View more articles from the same authors. … This data review revealed a bias toward filing patient incident reports and settling claims when the … Relationship between tort claims and patient incident reports in the Veterans Health Administration.
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psnet.ahrq.gov/issue/banning-handshake-health-care-setting
January 12, 2022 - Commentary
Banning the handshake from the health care setting. … Banning the handshake from the health care setting. JAMA. 2014;311(24):2477-8. … To reduce the potential to spread infection, this commentary recommends eliminating the use of handshakes … Banning the handshake from the health care setting. JAMA. 2014;311(24):2477-8. … February 19, 2014
Application of a theoretical framework for behavior change to hospital
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psnet.ahrq.gov/issue/orienting-frames-and-private-routines-role-cultural-process-critical-care-safety
December 31, 2014 - Orienting frames and private routines: the role of cultural process in critical care safety. … View more articles from the same authors. … The authors interviewed nurses to explore the cultural practices and norms that promote patient safety … in the intensive care unit. … transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change
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psnet.ahrq.gov/issue/chemotherapy-incident-reporting-and-improvement-system
November 16, 2022 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS
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Related Resources From the … May 4, 2012
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … November 18, 2016
Interruptions during the delivery of high-risk medications. … July 10, 2008
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Health Care Providers