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psnet.ahrq.gov/issue/limits-checklists-handoff-and-narrative-thinking
July 01, 2017 - Commentary
The limits of checklists: handoff and narrative thinking.
Citation Text:
Hilligoss B, Moffatt-Bruce SD. The limits of checklists: handoff and narrative thinking. BMJ Qual Saf. 2014;23(7):528-33. doi:10.1136/bmjqs-2013-002705.
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psnet.ahrq.gov/issue/start-using-checklist-pronto-recommendation-standard-review-process-chemotherapy-orders
March 04, 2015 - Commentary
Start using a checklist, PRONTO: recommendation for a standard review process for chemotherapy orders.
Citation Text:
Crandell BC, Bates JS, Grgic T. Start using a checklist, PRONTO: Recommendation for a standard review process for chemotherapy orders. J Oncol Pharm Pract. 201…
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psnet.ahrq.gov/issue/problem-checklists
March 29, 2023 - Commentary
The problem with checklists.
Citation Text:
Catchpole K, Russ S. The problem with checklists. BMJ Qual Saf. 2015;24(9):545-9. doi:10.1136/bmjqs-2015-004431.
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psnet.ahrq.gov/issue/effects-work-hour-reduction-residents-lives-systematic-review
March 02, 2011 - Review
Effects of work hour reduction on residents' lives: a systematic review.
Citation Text:
Fletcher KE, Underwood W, Davis SQ, et al. Effects of Work Hour Reduction on Residents’ Lives. JAMA. 2005;294(9):1088. doi:10.1001/jama.294.9.1088.
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psnet.ahrq.gov/issue/bipartisan-consensus-public-wants-well-rested-medical-residents-help-ensure-safe-patient-care
July 06, 2011 - Book/Report
Bipartisan Consensus: The Public Wants Well-Rested Medical Residents to Help Ensure Safe Patient Care.
Citation Text:
Bipartisan Consensus: The Public Wants Well-Rested Medical Residents to Help Ensure Safe Patient Care. Almashat S, Carome M, Wolfe S, Landrigan CP, Czeisler C…
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psnet.ahrq.gov/issue/patient-safety-consumers-perspective
January 12, 2022 - Study
Patient safety: a consumer's perspective.
Citation Text:
Hovey RB, Dvorak ML, Burton T, et al. Patient safety: a consumer's perspective. Qual Health Res. 2011;21(5):662-72. doi:10.1177/1049732311399779.
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psnet.ahrq.gov/issue/should-patients-have-role-patient-safety-safety-engineering-view
June 10, 2009 - Commentary
Should patients have a role in patient safety? A safety engineering view.
Citation Text:
Lyons M. Should patients have a role in patient safety? A safety engineering view. Qual Saf Health Care. 2007;16(2):140-2.
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psnet.ahrq.gov/issue/coaching-debriefer-peer-coaching-improve-debriefing-quality-simulation-programs
July 31, 2019 - Commentary
Coaching the debriefer: peer coaching to improve debriefing quality in simulation programs.
Citation Text:
Cheng A, Grant V, Huffman J, et al. Coaching the Debriefer: Peer Coaching to Improve Debriefing Quality in Simulation Programs. Simul Healthc. 2017;12(5):319-325. doi:10.…
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psnet.ahrq.gov/issue/critical-conversations-call-nonprocedural-time-out
February 18, 2011 - Commentary
Critical conversations: a call for a nonprocedural "time out."
Citation Text:
Sehgal NL, Fox M, Sharpe B, et al. Critical conversations: a call for a nonprocedural "time out". J Hosp Med. 2011;6(4):225-30. doi:10.1002/jhm.853.
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psnet.ahrq.gov/issue/narrativizing-nursing-students-experiences-medical-errors-during-clinicals
September 28, 2010 - Study
Narrativizing nursing students' experiences with medical errors during clinicals.
Citation Text:
Noland CM, Carmack HJ. Narrativizing Nursing Students' Experiences With Medical Errors During Clinicals. Qual Health Res. 2015;25(10):1423-34. doi:10.1177/1049732314562892.
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psnet.ahrq.gov/issue/impact-high-reliability-education-adverse-event-reporting-registered-nurses
January 07, 2011 - Study
Impact of high-reliability education on adverse event reporting by registered nurses.
Citation Text:
McFarland DM, Doucette JN. Impact of High-Reliability Education on Adverse Event Reporting by Registered Nurses. J Nurs Care Qual. 2018;33(3):285-290. doi:10.1097/NCQ.00000000000002…
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psnet.ahrq.gov/issue/preventing-home-medication-administration-errors
March 03, 2019 - Organizational Policy/Guidelines
Preventing home medication administration errors.
Citation Text:
Yin HS, Neuspiel DR, Paul IM, et al. Preventing home medication administration errors. Pediatrics. 2021;148(6):e2021054666. doi:10.1542/peds.2021-054666.
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psnet.ahrq.gov/issue/adverse-events-hospitals-patients-point-view
December 29, 2014 - Review
Adverse events in hospitals: the patient's point of view.
Citation Text:
Guijarro M, Andrés JMA, Mira JJ, et al. Adverse events in hospitals: the patient's point of view. Qual Saf Health Care. 2010;19(2):144-7. doi:10.1136/qshc.2007.025585.
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psnet.ahrq.gov/issue/resident-safety-practices-nursing-home-settings
July 27, 2018 - Book/Report
Resident Safety Practices in Nursing Home Settings.
Citation Text:
Resident Safety Practices in Nursing Home Settings. Simmons S, Schnelle J, Slagle J, et al. Technical Brief No. 24. Rockville, MD: Agency for Healthcare Research and Quality; May 2016. AHRQ Publication No. 16-…
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psnet.ahrq.gov/issue/support-methods-healthcare-professionals-who-are-second-victims-integrative-review
April 27, 2022 - Review
Support methods for healthcare professionals who are second victims: an integrative review.
Citation Text:
Support methods for healthcare professionals who are second victims: an integrative review. Neft MW, Sekula K, Zoucha R, et al. AANA J. 2022;90(3):189-196.
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psnet.ahrq.gov/issue/diseases-medical-progress
June 27, 2018 - Review
Classic
Diseases of medical progress.
Citation Text:
MOSER RH. Diseases of medical progress. N Engl J Med. 1956;255(13):606-14.
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psnet.ahrq.gov/issue/why-diagnostic-errors-dont-get-any-respect-and-what-can-be-done-about-them
February 10, 2015 - Commentary
Why diagnostic errors don't get any respect--and what can be done about them.
Citation Text:
Wachter RM. Why Diagnostic Errors Don’t Get Any Respect—And What Can Be Done About Them. Health Aff (Millwood). 2010;29(9):1605-1610. doi:10.1377/hlthaff.2009.0513.
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psnet.ahrq.gov/issue/evidence-brief-implementation-high-reliability-organization-principles
November 11, 2020 - Book/Report
Evidence Brief: Implementation of High Reliability Organization Principles.
Citation Text:
Evidence Brief: Implementation of High Reliability Organization Principles. Veazie S, Peterson K, Bourne D. Washington DC: United States Department of Veterans Affairs; May 2019.
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digital.ahrq.gov/2019-year-review/research-dissemination/reaching-research-community-through-web-conferences
January 01, 2019 - Reaching the Research Community Through Web Conferences
Go to the Events page to see the most recent Health IT Web Conferences.
AHRQ convenes web-based conferences to highlight recent developments in digital healthcare research to disseminate the impact of innovative research. In 201…
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psnet.ahrq.gov/issue/voluntary-incident-reporting-anaesthetic-trainees-australian-hospital
August 17, 2005 - Study
Voluntary incident reporting by anaesthetic trainees in an Australian hospital.
Citation Text:
Freestone L, Bolsin S, Colson M, et al. Voluntary incident reporting by anaesthetic trainees in an Australian hospital. Int J Qual Health Care. 2006;18(6):452-7.
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