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psnet.ahrq.gov/issue/top-six-standardized-safety-practices-us-army-medical-department-treatment-facilities
March 18, 2020 - Study
The Top Six: standardized safety practices in U.S. Army Medical Department treatment facilities worldwide.
Citation Text:
Hartstein B, Munante M, Toor PA. The Top Six: Standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. NEJM Catal Innov Car…
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psnet.ahrq.gov/issue/nurse-sensemaking-responding-patient-and-family-safety-concerns
November 02, 2022 - Study
Nurse sensemaking for responding to patient and family safety concerns.
Citation Text:
Groves PS, Bunch JL, Cannava KE, et al. Nurse sensemaking for responding to patient and family safety concerns. Nurs Res. 2021;70(2):106-113. doi:10.1097/nnr.0000000000000487.
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psnet.ahrq.gov/issue/impact-nurse-led-rapid-response-system-adverse-major-adverse-events-and-activation-medical
December 17, 2010 - Study
The impact of a nurse led rapid response system on adverse, major adverse events and activation of the medical emergency team.
Citation Text:
Massey D, Aitken LM, Chaboyer W. The impact of a nurse led rapid response system on adverse, major adverse events and activation of the medi…
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psnet.ahrq.gov/issue/surgeon-information-transfer-and-communication-factors-affecting-quality-and-efficiency
December 21, 2014 - Study
Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care.
Citation Text:
Williams RG, Silverman R, Schwind C, et al. Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care. Ann S…
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psnet.ahrq.gov/issue/results-enhanced-clinic-handoff-and-resident-education-resident-patient-ownership-and-patient
March 28, 2018 - Study
Results of an enhanced clinic handoff and resident education on resident patient ownership and patient safety.
Citation Text:
Pincavage A, Dahlstrom M, Prochaska M, et al. Results of an enhanced clinic handoff and resident education on resident patient ownership and patient safety.…
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psnet.ahrq.gov/issue/leading-successful-rapid-response-teams-multisite-implementation-evaluation
August 04, 2010 - Image/Poster
Leading successful rapid response teams: a multisite implementation evaluation.
Citation Text:
Donaldson N, Shapiro S, Scott M, et al. Leading successful rapid response teams: A multisite implementation evaluation. J Nurs Adm. 2009;39(4):176-81. doi:10.1097/NNA.0b013e31819…
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psnet.ahrq.gov/issue/i-made-mistake-narrative-analysis-experienced-physicians-stories-preventable-error
September 26, 2016 - Study
“I made a mistake!”: a narrative analysis of experienced physicians' stories of preventable error.
Citation Text:
Kandasamy S, Vanstone M, Colvin E, et al. “I made a mistake!”: a narrative analysis of experienced physicians' stories of preventable error. J Eval Clin Pract. 2021;27(…
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psnet.ahrq.gov/issue/field-test-world-health-organization-multi-professional-patient-safety-curriculum-guide
June 04, 2014 - Study
Field test of the World Health Organization Multi-professional Patient Safety Curriculum Guide.
Citation Text:
Farley DO, Zheng H, Rousi E, et al. Field Test of the World Health Organization Multi-Professional Patient Safety Curriculum Guide. PLoS One. 2015;10(9):e0138510. doi:10.1…
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psnet.ahrq.gov/issue/health-literacy-transitions-care-innovative-objective-structured-clinical-examination-fourth
September 23, 2020 - Study
Health literacy in transitions of care: an innovative objective structured clinical examination for fourth-year medical students in an internship preparation course.
Citation Text:
Bloom-Feshbach K, Casey D, Schulson L, et al. Health Literacy in Transitions of Care: An Innovative O…
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psnet.ahrq.gov/issue/comparison-and-interpretation-urinalysis-performed-nephrologist-versus-hospital-based
March 14, 2016 - Study
Comparison and interpretation of urinalysis performed by a nephrologist versus a hospital-based clinical laboratory.
Citation Text:
Tsai JJ, Yeun JY, Kumar VA, et al. Comparison and interpretation of urinalysis performed by a nephrologist versus a hospital-based clinical laborato…
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psnet.ahrq.gov/issue/does-overlapping-surgery-result-worse-surgical-outcomes-systematic-review-and-meta-analysis
April 29, 2020 - Review
Does overlapping surgery result in worse surgical outcomes? A systematic review and meta-analysis.
Citation Text:
Gartland RM, Alves K, Brasil NC, et al. Does overlapping surgery result in worse surgical outcomes? A systematic review and meta-analysis. Am J Surg. 2019;218(1):181-1…
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psnet.ahrq.gov/issue/paying-piper-investing-infrastructure-patient-safety
July 01, 2017 - Commentary
Classic
Paying the piper: investing in infrastructure for patient safety.
Citation Text:
Pronovost P, Rosenstein BJ, Paine LA, et al. Paying the piper: investing in infrastructure for patient safety. Jt Comm J Qual Patient Saf. 2008;34(6):342-8.
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psnet.ahrq.gov/issue/patients-perceptions-safety-if-interpersonal-continuity-care-were-be-disrupted
July 21, 2021 - Study
Patients' perceptions of safety if interpersonal continuity of care were to be disrupted.
Citation Text:
Pandhi N, Schumacher J, Flynn KE, et al. Patients' perceptions of safety if interpersonal continuity of care were to be disrupted. Health Expect. 2008;11(4):400-8. doi:10.…
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psnet.ahrq.gov/issue/accreditation-council-graduate-medical-education-resident-duty-hour-new-standards-history
November 21, 2021 - Commentary
The Accreditation Council for Graduate Medical Education resident duty hour new standards: history, changes, and impact on staffing of intensive care units.
Citation Text:
Pastores SM, O'Connor MF, Kleinpell R, et al. The Accreditation Council for Graduate Medical Education …
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psnet.ahrq.gov/issue/effect-clinical-experience-error-rate-emergency-physicians
November 16, 2022 - Study
The effect of clinical experience on the error rate of emergency physicians.
Citation Text:
Berk WA, Welch RD, Levy PD, et al. The effect of clinical experience on the error rate of emergency physicians. Ann Emerg Med. 2008;52(5):497-501. doi:10.1016/j.annemergmed.2008.01.329.
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psnet.ahrq.gov/issue/information-gathering-patterns-associated-higher-rates-diagnostic-error
June 27, 2018 - Study
Information-gathering patterns associated with higher rates of diagnostic error.
Citation Text:
Delzell JE, Chumley H, Webb R, et al. Information-gathering patterns associated with higher rates of diagnostic error. Adv Health Sci Educ Theory Pract. 2009;14(5):697-711. doi:10.1007…
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psnet.ahrq.gov/issue/educator-toolkits-second-victim-syndrome-mindfulness-and-meditation-and-positive-psychology
June 28, 2023 - Commentary
Educator toolkits on second victim syndrome, mindfulness and meditation, and positive psychology: the 2017 Resident Wellness Consensus Summit.
Citation Text:
Chung AS, Smart J, Zdradzinski M, et al. Educator Toolkits on Second Victim Syndrome, Mindfulness and Meditation, and P…
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psnet.ahrq.gov/issue/closed-loop-communication-interprofessional-emergency-teams-cross-sectional-observation-study
September 24, 2016 - Study
Closed-loop communication in interprofessional emergency teams: a cross-sectional observation study on the use of closed-loop communication among anesthesia personnel.
Citation Text:
Gjøvikli K, Valeberg BT. Closed-loop communication in interprofessional emergency teams: a cross-se…
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psnet.ahrq.gov/issue/patient-safety-factors-and-perceived-consequences-nursing-errors-nursing-staff-home-care
May 18, 2022 - Study
Patient safety. Factors for and perceived consequences of nursing errors by nursing staff in home care services.
Citation Text:
Jachan DE, Müller‐Werdan U, Lahmann NA. Patient safety. Factors for and perceived consequences of nursing errors by nursing staff in home care services. N…
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psnet.ahrq.gov/issue/exploring-organizational-context-and-structure-predictors-medication-errors-and-patient-falls
January 22, 2020 - Study
Exploring organizational context and structure as predictors of medication errors and patient falls.
Citation Text:
Mark BA, Hughes LC, Belyea M, et al. Exploring Organizational Context and Structure as Predictors of Medication Errors and Patient Falls. J Patient Saf. 2008;4(2). …