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psnet.ahrq.gov/node/40821/psn-pdf
October 31, 2011 - Educational interventions to improve handover in health
care: a systematic review.
October 31, 2011
Gordon M, Findley R. Educational interventions to improve handover in health care: a systematic review.
Med Educ. 2011;45(11):1081-9. doi:10.1111/j.1365-2923.2011.04049.x.
https://psnet.ahrq.gov/issue/educational-in…
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psnet.ahrq.gov/node/36969/psn-pdf
May 21, 2014 - Evaluation of the Patient Safety Improvement Corps:
Experiences of the First Two Groups of Trainees.
May 21, 2014
Teleki S, Santa Monica, CA: RAND Corporation; 2006. ISBN: 978-0-8330-3992-7
https://psnet.ahrq.gov/issue/evaluation-patient-safety-improvement-corps-experiences-first-two-groups-
trainees
This report …
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psnet.ahrq.gov/node/41279/psn-pdf
September 19, 2016 - Medical error, incident investigation and the second
victim: doing better but feeling worse?
September 19, 2016
Wu AW, Steckelberg RC. Medical error, incident investigation and the second victim: doing better but
feeling worse? BMJ Qual Saf. 2012;21(4):267-70. doi:10.1136/bmjqs-2011-000605.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/43621/psn-pdf
October 22, 2014 - Multidisciplinary in-hospital teams improve patient
outcomes: a review.
October 22, 2014
Epstein NE. Multidisciplinary in-hospital teams improve patient outcomes: A review. Surg Neurol Int.
2014;5(Suppl 7):S295-303. doi:10.4103/2152-7806.139612.
https://psnet.ahrq.gov/issue/multidisciplinary-hospital-teams-improve…
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psnet.ahrq.gov/node/42200/psn-pdf
December 18, 2013 - The relationship between patients' perceptions of team
effectiveness and their care experience in the emergency
department.
December 18, 2013
Kipnis A, Rhodes K, Burchill CN, et al. The relationship between patients' perceptions of team effectiveness
and their care experience in the emergency department. J Emerg M…
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psnet.ahrq.gov/node/44312/psn-pdf
November 06, 2015 - Beyond the team: understanding interprofessional work
in two North American ICUs.
November 6, 2015
Alexanian JA, Kitto S, Rak KJ, et al. Beyond the Team: Understanding Interprofessional Work in Two North
American ICUs. Crit Care Med. 2015;43(9):1880-6. doi:10.1097/CCM.0000000000001136.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/43562/psn-pdf
September 24, 2014 - What's that sound? Managing alarm fatigue.
September 24, 2014
George TP, Martin V. What?s that sound? Managing alarm fatigue. Nursing Made Incredibly Easy!.
2014;12(5). doi:10.1097/01.nme.0000452689.19763.3f.
https://psnet.ahrq.gov/issue/whats-sound-managing-alarm-fatigue
Alarm fatigue has been described as a cont…
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psnet.ahrq.gov/node/45834/psn-pdf
February 22, 2017 - Implementing an error disclosure coaching model: a
multicenter case study.
February 22, 2017
White AA, Brock DM, McCotter PI, et al. Implementing an error disclosure coaching model: A multicenter
case study. J Healthc Risk Manag. 2017;36(3):34-45. doi:10.1002/jhrm.21260.
https://psnet.ahrq.gov/issue/implementing-e…
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psnet.ahrq.gov/node/41514/psn-pdf
July 02, 2014 - Perspective: beyond counting hours: the importance of
supervision, professionalism, transitions of care, and
workload in residency training.
July 2, 2014
Schumacher D, Slovin SR, Riebschleger MP, et al. Perspective. Academic Medicine. 2012;87(7).
doi:10.1097/acm.0b013e318257d57d.
https://psnet.ahrq.gov/issue/pers…
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psnet.ahrq.gov/node/35181/psn-pdf
June 23, 2009 - Communication during trauma resuscitation: do we know
what is happening?
June 23, 2009
Bergs EAG, Rutten FLPA, Tadros T, et al. Communication during trauma resuscitation: do we know what is
happening? Injury. 2005;36(8):905-11.
https://psnet.ahrq.gov/issue/communication-during-trauma-resuscitation-do-we-know-what-…
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psnet.ahrq.gov/node/38592/psn-pdf
April 29, 2009 - The teaching of a structured tool improves the clarity and
content of interprofessional clinical communication.
April 29, 2009
Marshall S, Harrison J, Flanagan B. The teaching of a structured tool improves the clarity and content of
interprofessional clinical communication. Qual Saf Health Care. 2009;18(2):137-40.
…
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psnet.ahrq.gov/node/36946/psn-pdf
September 09, 2011 - The Patient Safety Leadership Academy at the University
of Pennsylvania: the first cohort's learning experience.
September 9, 2011
Wurster AB, Pearson K, Sonnad SS, et al. The Patient Safety Leadership Academy at the University of
Pennsylvania: the first cohort's learning experience. Qual Manag Health Care. 2007;16…
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psnet.ahrq.gov/node/42500/psn-pdf
August 14, 2013 - When should students learn about ethics,
professionalism and patient safety?
August 14, 2013
Walton M, Jeffery H, Van Staalduinen S, et al. When should students learn about ethics, professionalism
and patient safety? Clin Teach. 2013;10(4):224-9. doi:10.1111/tct.12029.
https://psnet.ahrq.gov/issue/when-should-stud…
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psnet.ahrq.gov/node/38630/psn-pdf
May 13, 2009 - Seasoned surgeons assessed in a laparoscopic surgical
crisis.
May 13, 2009
Powers K, Rehrig ST, Schwaitzberg SD, et al. Seasoned surgeons assessed in a laparoscopic surgical
crisis. J Gastrointest Surg. 2009;13(5):994-1003. doi:10.1007/s11605-009-0802-1.
https://psnet.ahrq.gov/issue/seasoned-surgeons-assessed-lapa…
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psnet.ahrq.gov/node/38404/psn-pdf
February 11, 2009 - Health-care professionals' views about safety in maternity
services: a qualitative study.
February 11, 2009
Smith AHK, Dixon AL, Page LA. Health-care professionals' views about safety in maternity services: a
qualitative study. Midwifery. 2009;25(1):21-31. doi:10.1016/j.midw.2008.11.004.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/47321/psn-pdf
June 19, 2019 - Validation of a mobile app for reducing errors of
administration of medications in an emergency.
June 19, 2019
Baumann D, Dibbern N, Sehner S, et al. Validation of a mobile app for reducing errors of administration of
medications in an emergency. J Clin Monit Comput. . 2019;33(3):531-539. doi:10.1007/s10877-018-018…
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psnet.ahrq.gov/node/36263/psn-pdf
October 21, 2010 - Predictors of treatment error for children with
uncomplicated malaria seen as outpatients in Blantyre
district, Malawi.
October 21, 2010
Osterholt DM, Rowe AK, Hamel MJ, et al. Predictors of treatment error for children with uncomplicated
malaria seen as outpatients in Blantyre district, Malawi. Trop Med Int Healt…
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psnet.ahrq.gov/node/37759/psn-pdf
April 07, 2010 - A prospective review of adverse events during
interhospital transfers of neonates by a dedicated
neonatal transfer service.
April 7, 2010
Lim MTC, Ratnavel N. A prospective review of adverse events during interhospital transfers of neonates by
a dedicated neonatal transfer service. Pediatr Crit Care Med. 2008;9(3)…
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psnet.ahrq.gov/node/39487/psn-pdf
April 28, 2010 - Rating medical emergency teamwork performance:
development of the Team Emergency Assessment
Measure (TEAM).
April 28, 2010
Cooper S, Cant R, Porter J, et al. Rating medical emergency teamwork performance: development of the
Team Emergency Assessment Measure (TEAM). Resuscitation. 2010;81(4):446-52.
doi:10.1016/j.…
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psnet.ahrq.gov/node/60717/psn-pdf
July 22, 2020 - The U.S. is repeating its deadliest pandemic mistake.
July 22, 2020
KHAZAN OLGA. The U.S. is repeating its deadliest pandemic mistake. The Atlantic. 2020;July 6.
https://psnet.ahrq.gov/issue/us-repeating-its-deadliest-pandemic-mistake
Residential care facilities have been particularly challenged by COVID-19. This a…