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psnet.ahrq.gov/issue/root-cause-analysis-reported-patient-falls-ors-veterans-health-administration
January 17, 2019 - Root cause analysis has been widely promoted as a failure analysis tool for use in a variety of settings
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psnet.ahrq.gov/issue/task-uncertainty-and-communication-during-nursing-shift-handovers
August 20, 2018 - This qualitative study of nursing handoffs found that task uncertainty (the variety and difficulty
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psnet.ahrq.gov/issue/measurement-improvement-survey-current-practice-australian-public-hospitals
December 29, 2014 - Australian hospitals are using a wide variety of measurement tools to evaluate patient safety, including
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psnet.ahrq.gov/issue/intimidation-practitioners-speak-about-unresolved-problem
September 26, 2017 - Results suggested widespread experiences with a variety of intimidating behaviors such as condescending
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psnet.ahrq.gov/issue/bar-code-medication-administration-technology-characterization-high-alert-medication-triggers
April 24, 2018 - However, nurses and pharmacists both engaged in a variety of workarounds that may have compromised
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psnet.ahrq.gov/issue/medical-errors-recovered-critical-care-nurses
June 04, 2008 - This survey of critical care nurses revealed that nurses witness and are involved in preventing a wide variety
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psnet.ahrq.gov/issue/filling-gap-simulation-based-crisis-resource-management-training-emergency-medicine-residents
March 19, 2018 - Trainees displayed improvements in a variety of teamwork behaviors including leadership, communication
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psnet.ahrq.gov/issue/clinical-reasoning-assessment-methods-scoping-review-and-practical-guidance
August 15, 2018 - Although a variety of methods were identified, the authors highlight the need for further research to
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psnet.ahrq.gov/issue/cognitive-bias-and-dissonance-surgical-practice-narrative-review
June 25, 2018 - Cognitive biases can threaten patient safety in a variety of ways.
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psnet.ahrq.gov/issue/communicating-gray-zone-perceptions-about-emergency-physician-hospitalist-handoffs-and
March 17, 2010 - Key findings included a variety of communication barriers and faulty expectations of the process itself
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psnet.ahrq.gov/issue/comparison-physician-and-computer-diagnostic-accuracy
November 03, 2015 - Physicians consistently arrived at more accurate diagnoses across a variety of simulated cases.
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psnet.ahrq.gov/issue/safer-design
September 10, 2014 - The author discusses the ways in which design can affect patient safety and introduces a variety of innovative
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psnet.ahrq.gov/issue/differences-medication-knowledge-and-risk-errors-between-graduating-nursing-students-and
December 29, 2014 - training may be linked to patient outcomes, and one study showed lower inpatient mortality rates for a variety
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psnet.ahrq.gov/issue/aspen-safe-practices-enteral-nutrition-therapy
June 12, 2018 - Enteral nutrition is provided to patients in a variety of care settings, and errors in the enteral nutrition–use
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psnet.ahrq.gov/issue/reducing-hospital-cardiac-arrests-and-hospital-mortality-introducing-medical-emergency-team
March 11, 2013 - Rapid response systems function within a variety of structures, but they ultimately remain a mechanism
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psnet.ahrq.gov/issue/mortality-rate-after-nonelective-hospital-admission
January 22, 2016 - discharges revealed higher mortality in patients admitted on weekends compared with weekdays for a wide variety
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psnet.ahrq.gov/issue/consensus-bundle-prevention-surgical-site-infections-after-major-gynecologic-surgery
January 15, 2014 - communication to achieving success and suggest that components of the bundle are applicable across a variety
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psnet.ahrq.gov/issue/hospital-progress-reducing-error-impact-external-interventions
December 04, 2016 - Hospitals reported implementing a wide variety of quality improvement interventions to reduce medical
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psnet.ahrq.gov/node/38706/psn-pdf
June 17, 2009 - development of the trigger tool approach and maintains a Web site
with information on trigger tools for a variety
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psnet.ahrq.gov/issue/value-close-calls-improving-patient-safety
July 12, 2006 - By providing case studies from a variety of areas of medicine, this book illustrates the important role