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psnet.ahrq.gov/issue/redesigning-rounds-icu-standardizing-key-elements-improves-interdisciplinary-communication
April 17, 2024 - Study
Redesigning rounds in the ICU: standardizing key elements improves interdisciplinary communication.
Citation Text:
O'Brien A, O'Reilly K, Dechen T, et al. Redesigning Rounds in the ICU: Standardizing Key Elements Improves Interdisciplinary Communication. Jt Comm J Qual Patient Saf.…
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psnet.ahrq.gov/issue/unexpected-intraoperative-patient-death-imperatives-family-and-surgeon-centered-care
August 04, 2021 - Commentary
Unexpected intraoperative patient death: the imperatives of family- and surgeon-centered care.
Citation Text:
Taylor D, Hassan MA, Luterman A, et al. Unexpected intraoperative patient death: the imperatives of family- and surgeon-centered care. Arch Surg. 2008;143(1):87-92. do…
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psnet.ahrq.gov/issue/systematic-approaches-adverse-events-obstetrics-part-1-part-2
May 18, 2022 - Commentary
Systematic approaches to adverse events in obstetrics, Part 1 & Part 2.
Citation Text:
Pettker CM. Systematic approaches to adverse events in obstetrics, Part I: Event identification and classification. Semin Perinatol. 2017;41(3). doi:10.1053/j.semperi.2017.03.003.
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psnet.ahrq.gov/issue/discussing-harm-causing-errors-patients-ethics-primer-plastic-surgeons
February 28, 2018 - Review
Discussing harm-causing errors with patients: an ethics primer for plastic surgeons.
Citation Text:
Vercler CJ, Buchman SR, Chung KC. Discussing harm-causing errors with patients: an ethics primer for plastic surgeons. Ann Plast Surg. 2015;74(2):140-144. doi:10.1097/SAP.0000000000…
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psnet.ahrq.gov/issue/cost-poor-blood-specimen-quality-and-errors-preanalytical-processes
April 22, 2009 - Review
The cost of poor blood specimen quality and errors in preanalytical processes.
Citation Text:
Green SF. The cost of poor blood specimen quality and errors in preanalytical processes. Clin Biochem. 2013;46(13-14):1175-9. doi:10.1016/j.clinbiochem.2013.06.001.
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psnet.ahrq.gov/issue/surgical-site-signing-and-time-out-issues-compliance-or-complacence
January 07, 2011 - Study
Surgical site signing and "time out": issues of compliance or complacence.
Citation Text:
Johnston G, Ekert L, Pally E. Surgical site signing and "time out": issues of compliance or complacence. J Bone Joint Surg Am. 2009;91(11):2577-80. doi:10.2106/JBJS.H.01615.
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psnet.ahrq.gov/issue/implementing-safety-thermometer-tool-one-nhs-trust
March 19, 2019 - Commentary
Implementing the Safety Thermometer tool in one NHS trust.
Citation Text:
Buckley C, Cooney K, Sills E, et al. Implementing the Safety Thermometer tool in one NHS trust. Br J Nurs. 2014;23(5):268-72.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d2_combo_projectcharter.pdf
December 23, 2009 - Project Charter
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool D.2
Project Charter
What is the purpose of this tool? The purpose of the project charter is to describe the performance
improvement rationale, goals, barriers, and anticipated resources to which the…
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psnet.ahrq.gov/issue/handovers-or-icu
January 03, 2017 - Commentary
Handovers from the OR to the ICU.
Citation Text:
Bonifacio AS, Segall N, Barbeito A, et al. Handovers from the OR to the ICU. Int Anesthesiol Clin. 2013;51(1):43-61. doi:10.1097/AIA.0b013e31826f2b0e.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d2_combo_projectcharter.docx
December 23, 2009 - Project Charter
What is the purpose of this tool? The purpose of the project charter is to describe the performance improvement rationale, goals, barriers, and anticipated resources to which the team will commit.
Who are the target audiences? Staff members directly involved in the improvement project. Consider adding …
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psnet.ahrq.gov/issue/innovative-approach-surgical-time-out-patient-focused-model
July 10, 2008 - Commentary
An innovative approach to the surgical time out: a patient-focused model.
Citation Text:
Kozusko SD, Elkwood L, Gaynor D, et al. An Innovative Approach to the Surgical Time Out: A Patient-Focused Model. AORN J. 2016;103(6):617-22. doi:10.1016/j.aorn.2016.04.001.
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psnet.ahrq.gov/issue/accountability-organisational-learning-and-risks-patient-safety-england-conflict-or
December 29, 2014 - Commentary
Accountability, organisational learning and risks to patient safety in England: conflict or compromise?
Citation Text:
Dodds A, Kodate N. Accountability, organisational learning and risks to patient safety in England: Conflict or compromise? Health Risk Soc. 2011;13(4):327-3…
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psnet.ahrq.gov/issue/fall-risk-and-prevention-agreement-engaging-patients-and-families-partnership-patient-safety
November 13, 2024 - Commentary
Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety.
Citation Text:
Vonnes C, Wolf D. Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety. BMJ Open Qual. 2017;6(2):e000038…
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psnet.ahrq.gov/issue/moderate-success-quality-care-improvement-efforts-three-observations-situation
May 06, 2015 - Commentary
The moderate success of quality of care improvement efforts: three observations on the situation.
Citation Text:
Katz-Navon T, Naveh E, Stern Z. The moderate success of quality of care improvement efforts: three observations on the situation. International Journal for Qualit…
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psnet.ahrq.gov/issue/method-addressing-proprietary-name-similarity-us-prescription-drugs
June 10, 2020 - Commentary
A method of addressing proprietary name similarity for US prescription drugs.
Citation Text:
Stockbridge MD, Taylor K. A Method of Addressing Proprietary Name Similarity for US Prescription Drugs. Ther Innov Regul Sci. 2015;49(4). doi:10.1177/2168479015570331.
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psnet.ahrq.gov/issue/quantification-surgical-resident-stress-call
August 26, 2011 - Study
Quantification of surgical resident stress "on call".
Citation Text:
Tendulkar AP, Victorino GP, Chong TJ, et al. Quantification of surgical resident stress "on call". J Am Coll Surg. 2005;201(4):560-4.
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psnet.ahrq.gov/issue/hipaa-and-patient-care-role-professional-judgment
June 22, 2022 - Commentary
HIPAA and patient care: the role for professional judgment.
Citation Text:
Lo B, Dornbrand L, Dubler NN. HIPAA and patient care: the role for professional judgment. JAMA. 2005;293(14):1766-71.
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psnet.ahrq.gov/issue/evidence-and-efficacy-time-think-beyond-traditional-randomised-controlled-trial-patient
January 24, 2024 - Commentary
Evidence and efficacy: time to think beyond the traditional randomised controlled trial in patient safety studies.
Citation Text:
Webster CS. Evidence and efficacy: time to think beyond the traditional randomised controlled trial in patient safety studies. Br J Anaesth. 2019;1…
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psnet.ahrq.gov/issue/objective-study-impact-electronic-medical-record-outcomes-trauma-patients
October 13, 2018 - Study
An objective study of the impact of the electronic medical record on outcomes in trauma patients.
Citation Text:
Schenarts PJ, Goettler CE, White MA, et al. An objective study of the impact of the electronic medical record on outcomes in trauma patients. Am Surg. 2012;78(11):1249…
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psnet.ahrq.gov/issue/paramedics-and-effects-shift-work-sleep-literature-review
July 24, 2017 - Review
Paramedics and the effects of shift work on sleep: a literature review.
Citation Text:
Sofianopoulos S, Williams B, Archer F. Paramedics and the effects of shift work on sleep: a literature review. Emerg Med J. 2012;29(2):152-5. doi:10.1136/emj.2010.094342.
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