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psnet.ahrq.gov/issue/building-high-reliability-teams-progress-and-some-reflections-teamwork-training
March 21, 2017 - Commentary
Building high reliability teams: progress and some reflections on teamwork training.
Citation Text:
Salas E, Rosen MA. Building high reliability teams: progress and some reflections on teamwork training. BMJ Qual Saf. 2013;22(5):369-73. doi:10.1136/bmjqs-2013-002015.
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psnet.ahrq.gov/issue/malnutrition-hospitalized-adults-systematic-review
December 21, 2022 - Book/Report
Malnutrition in Hospitalized Adults: A Systematic Review.
Citation Text:
Malnutrition in Hospitalized Adults: A Systematic Review. Uhl S, Siddique SM, McKeever L, et al. Rockville, MD: Agency for Healthcare Research and Quality; October 2021. AHRQ Publication No. 21(22)…
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psnet.ahrq.gov/issue/do-not-put-medication-safety-hold-boarded-patients
September 24, 2010 - August 27, 2008
Emergency nursing and medical error—a survey of two states.
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psnet.ahrq.gov/issue/quality-reporting-studies-evaluating-time-diagnosis-systematic-review-paediatrics
March 29, 2010 - Review
Quality of reporting of studies evaluating time to diagnosis: a systematic review in paediatrics.
Citation Text:
Launay E, Morfouace M, Deneux-Tharaux C, et al. Quality of reporting of studies evaluating time to diagnosis: a systematic review in paediatrics. Arch Dis Child. 2014…
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psnet.ahrq.gov/issue/patients-went-hospital-care-after-testing-positive-there-covid-some-never-came-out
January 26, 2022 - Newspaper/Magazine Article
Patients went into the hospital for care. After testing positive there for Covid, some never came out.
Citation Text:
Patients went into the hospital for care. After testing positive there for Covid, some never came out. Jewett C. Kaiser Health News. November 4…
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psnet.ahrq.gov/issue/handoffs-transitions-care-children-emergency-department
July 03, 2016 - Organizational Policy/Guidelines
Handoffs: transitions of care for children in the emergency department.
Citation Text:
Handoffs: transitions of care for children in the emergency department. American Academy of Pediatrics Committee on Pediatric Emergency Medicine, American College of Em…
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psnet.ahrq.gov/issue/minnesota-hospital-association-statewide-project-safe-falls
May 05, 2014 - Commentary
Minnesota Hospital Association Statewide Project: SAFE from FALLS.
Citation Text:
Apold J, Quigley PA. Minnesota Hospital Association Statewide Project: SAFE from FALLS. J Nurs Care Qual. 2012;27(4):299-306. doi:10.1097/NCQ.0b013e3182599d1b.
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psnet.ahrq.gov/issue/medication-reconciliation-only-good-it-allows
July 10, 2024 - Newspaper/Magazine Article
Medication reconciliation only as good as the IT allows.
Citation Text:
Page D. Medication reconciliation only as good as the IT allows. Hospitals & health networks. 2011;85(3):48, 50.
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psnet.ahrq.gov/issue/university-hospital-hounds-debtors-doctors-say-its-doing-harm
December 18, 2019 - Newspaper/Magazine Article
As university hospital hounds debtors, doctors say it's doing harm.
Citation Text:
As university hospital hounds debtors, doctors say it's doing harm. Garcia-Navarro L. Weekend Edition Sunday. National Public Radio. December 1, 2019.
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psnet.ahrq.gov/issue/twelve-best-practices-team-training-evaluation-health-care
July 02, 2014 - Commentary
Twelve best practices for team training evaluation in health care.
Citation Text:
Weaver SJ, Salas E, King HB. Twelve best practices for team training evaluation in health care. Jt Comm J Qual Patient Saf. 2011;37(8):341-9.
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psnet.ahrq.gov/issue/theres-science-team-development-interventions-organizations
January 15, 2020 - Review
There's a science for that: team development interventions in organizations.
Citation Text:
Shuffler ML, DiazGranados D, Salas E. There’s a Science for That. Curr Dir Psychol Sci. 2011;20(6). doi:10.1177/0963721411422054.
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psnet.ahrq.gov/node/49865/psn-pdf
June 01, 2019 - , MSc
Sepsis affects more than 1 million Americans per year and is a leading cause of death in the United … States.(1) Sepsis requires swift recognition and management of infection, with beta-lactam antibiotics
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psnet.ahrq.gov/node/49822/psn-pdf
March 01, 2018 - Time trends in pulmonary embolism in the United States:
evidence of overdiagnosis.
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psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-pharmacists-perspective
June 01, 2016 - There are currently more than 900 CPPSs in the United States and overseas, with 60% coming from a nursing … July Effect" concerning postpartum hemorrhage and its risk factors at teaching hospitals across the United … States.
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psnet.ahrq.gov/sites/default/files/2021-09/spotlight_missed_sea_09.17.2021_-_final.pdf
January 01, 2021 - • Neck and back pain are common chief complaints and account for more
health care spending in the United … States than other conditions
• While most cases of neck and back pain are due to benign
musculoskeletal … defined as a diagnosis that is wrong, delayed, or
missed, contributes to substantial patient harm in the United … States
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psnet.ahrq.gov/web-mm/culture-clash-no-more-integration-and-coordination-disease-treatment-and-palliative-care
December 23, 2020 - Models of palliative care delivery in the United States. … January 3, 2017
Delay or avoidance of medical care because of COVID-19-related concerns--United … States, June 2020.
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psnet.ahrq.gov/perspective/artificial-intelligence-and-diagnostic-errors
January 31, 2020 - you start to look at the numbers, an estimated 800 million imaging studies are done every year in the United … States, which is about 90-95 billion individual images. … There is now a product in use in the United States that does just that, called Patient Synopsis.
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psnet.ahrq.gov/web-mm/infused-not-ingested
February 01, 2017 - Infused, Not Ingested
Citation Text:
Foley M. Infused, Not Ingested. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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psnet.ahrq.gov/web-mm/another-fall
June 01, 2010 - SPOTLIGHT CASE
Another Fall
Citation Text:
Bogardus SG. Another Fall. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
June 01, 2005 - In our efforts in Michigan and in other states, we have found that when you tap into their wisdom and