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psnet.ahrq.gov/node/849339/psn-pdf
May 24, 2023 - Just a Cup of Tea – an Introduction to the SEIPS
Framework.
May 24, 2023
Epsom and St Helier University Hospitals. Epsom, UK: National Health Service; March 21, 2023.
https://psnet.ahrq.gov/issue/just-cup-tea-introduction-seips-framework
The Systems Engineering Initiative for Patient Safety (SEIPS) framework …
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psnet.ahrq.gov/node/38084/psn-pdf
September 24, 2008 - How patients perceive a doctor's caring attitude.
September 24, 2008
Quirk M, Mazor KM, Haley H-L, et al. How patients perceive a doctor's caring attitude. Patient Educ Couns.
2008;72(3):359-366. doi:10.1016/j.pec.2008.05.022.
https://psnet.ahrq.gov/issue/how-patients-perceive-doctors-caring-attitude
This study co…
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psnet.ahrq.gov/node/41277/psn-pdf
November 28, 2012 - AHRQ 2012 Annual Conference.
November 28, 2012
Agency for Healthcare Research and Quality. September 9–12, 2012; Bethesda North Marriott Hotel &
Conference Center, Bethesda, MD.
https://psnet.ahrq.gov/issue/ahrq-2012-annual-conference
The Agency for Healthcare Research and Quality's 2012 conference, "Moving Ahead:…
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psnet.ahrq.gov/node/37858/psn-pdf
June 25, 2008 - Measuring team performance in healthcare: review of
research and implications for patient safety.
June 25, 2008
Jeffcott SA, Mackenzie CF. Measuring team performance in healthcare: review of research and
implications for patient safety. J Crit Care. 2008;23(2):188-96. doi:10.1016/j.jcrc.2007.12.005.
https://psnet.…
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psnet.ahrq.gov/node/853610/psn-pdf
September 20, 2023 - Ten years later, alarm fatigue is still a safety concern.
September 20, 2023
Albanowski K, Burdick KJ, Bonafide CP, et al. Ten years later, alarm fatigue is still a safety concern. AACN
Adv Crit Care. 2023;34(3):189-197. doi:10.4037/aacnacc2023662.
https://psnet.ahrq.gov/issue/ten-years-later-alarm-fatigue-still-sa…
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psnet.ahrq.gov/node/854260/psn-pdf
October 04, 2023 - Surgeons' leadership style and team behavior in the
hybrid operating room: prospective cohort study.
October 4, 2023
Soenens G, Marchand B, Doyen B, et al. Surgeons' leadership style and team behavior in the hybrid
operating room: prospective cohort study. Ann Surg. 2023;278(1):e5-e12.
doi:10.1097/sla.000000000000…
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psnet.ahrq.gov/issue/checklist-manifesto-author-pairs-simplicity-lifesaving
February 15, 2012 - Audiovisual
Checklist Manifesto author pairs simplicity with lifesaving.
Citation Text:
Bowser BA.
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February 17, 2010
Bowser BA.
…
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psnet.ahrq.gov/issue/apology-may-cut-medical-cost
February 08, 2012 - Audiovisual
Apology May Cut Medical Cost.
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February 21, 2007
This news video discusses the impact of apology on potential malpractice lawsuits and features a p…
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psnet.ahrq.gov/issue/variations-gps-decisions-investigate-suspected-lung-cancer-factorial-experiment-using
August 03, 2022 - Study
Variations in GPs' decisions to investigate suspected lung cancer: a factorial experiment using multimedia vignettes.
Citation Text:
Sheringham J, Sequeira R, Myles J, et al. Variations in GPs' decisions to investigate suspected lung cancer: a factorial experiment using multimedia …
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psnet.ahrq.gov/issue/surgical-checklist-implementation-project-impact-variable-who-checklist-compliance-risk
June 22, 2016 - Study
Surgical checklist implementation project: the impact of variable WHO checklist compliance on risk-adjusted clinical outcomes after national implementation: a longitudinal study.
Citation Text:
Mayer EK, Sevdalis N, Rout S, et al. Surgical Checklist Implementation Project: The Impa…
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psnet.ahrq.gov/issue/development-online-morbidity-mortality-and-near-miss-reporting-system-identify-patterns
August 20, 2018 - Study
Development of an online morbidity, mortality, and near-miss reporting system to identify patterns of adverse events in surgical patients.
Citation Text:
Bilimoria KY, Kmiecik TE, DaRosa DA, et al. Development of an online morbidity, mortality, and near-miss reporting system to ide…
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psnet.ahrq.gov/issue/association-between-exposure-nonactionable-physiologic-monitor-alarms-and-response-time
August 20, 2014 - Study
Association between exposure to nonactionable physiologic monitor alarms and response time in a children's hospital.
Citation Text:
Bonafide CP, Lin R, Zander M, et al. Association between exposure to nonactionable physiologic monitor alarms and response time in a children's hospit…
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psnet.ahrq.gov/periodic-issue/periodic-issue-400
July 31, 2023 - measurement tools, a pocket guide quick reference to keyTeamSTEPPS® concepts and tools, and new patient videos
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psnet.ahrq.gov/node/47237/psn-pdf
January 01, 2020 - First-year analysis of the Operating Room Black Box
study.
July 25, 2018
Jung JJ, Jüni P, Lebovic G, et al. First-year Analysis of the Operating Room Black Box Study. Ann Surg.
2020;271(1):122-127. doi:10.1097/SLA.0000000000002863.
https://psnet.ahrq.gov/issue/first-year-analysis-operating-room-black-box-study
An…
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psnet.ahrq.gov/node/46952/psn-pdf
January 01, 2019 - Perspectives on patient and family engagement with
reduction in harm: the forgotten voice.
December 21, 2018
Schenk EC, Bryant RA, Van Son CR, et al. Perspectives on Patient and Family Engagement With
Reduction in Harm: The Forgotten Voice. J Nurs Care Qual. 2019;34(1):73-79.
doi:10.1097/NCQ.0000000000000333.
htt…
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psnet.ahrq.gov/node/50936/psn-pdf
February 26, 2020 - Sitters as a patient safety strategy to reduce hospital
falls: a systematic review.
February 26, 2020
Greeley AM, Tanner EP, Mak S, et al. Sitters as a Patient Safety Strategy to Reduce Hospital Falls. Ann
Intern Med. 2020;172(5):317-324. doi:10.7326/m19-2628.
https://psnet.ahrq.gov/issue/sitters-patient-safety-st…
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psnet.ahrq.gov/node/50744/psn-pdf
December 18, 2019 - EMS crews brought patients to the hospital with
misplaced breathing tubes. None of them survived
December 18, 2019
Arditi L. Peoples Public Radio. December 3, 2019.
https://psnet.ahrq.gov/issue/ems-crews-brought-patients-hospital-misplaced-breathing-tubes-none-them-
survived
Emergency medical services are often p…
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psnet.ahrq.gov/node/45049/psn-pdf
April 20, 2016 - Medical errors: disclosure styles, interpersonal
forgiveness, and outcomes.
April 20, 2016
Hannawa AF, Shigemoto Y, Little TD. Medical errors: Disclosure styles, interpersonal forgiveness, and
outcomes. Social Sci Med. 2016;156:29-38. doi:10.1016/j.socscimed.2016.03.026.
https://psnet.ahrq.gov/issue/medical-errors…
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psnet.ahrq.gov/node/862987/psn-pdf
February 21, 2024 - Use of professional interpreters for patients with limited
English proficiency undergoing surgery.
February 21, 2024
Cevallos J, Lee C, Bongiovanni T. Use of professional interpreters for patients with limited English
proficiency undergoing surgery. JAMA Netw Open. 2024;7(2):e2355014.
doi:10.1001/jamanetworkopen.2…
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psnet.ahrq.gov/node/74240/psn-pdf
January 01, 2024 - Use and impact of virtual primary care on quality and
safety: the public's perspectives during the COVID-19
pandemic.
January 12, 2022
Neves AL, van Dael J, O’Brien N, et al. Use and impact of virtual primary care on quality and safety: The
public's perspectives during the COVID-19 pandemic. J Telemed Telecare. 20…