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psnet.ahrq.gov/issue/new-structure-attention-open-disclosure-adverse-events-patients-and-their-families
March 04, 2009 - Study
A new structure of attention? Open disclosure of adverse events to patients and their families.
Citation Text:
Iedema R, Jorm C, Wakefield JG, et al. A New Structure of Attention? J Lang Soc Psychol. 2009;28(2). doi:10.1177/0261927x08330614.
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psnet.ahrq.gov/issue/paramedic-intubation-errors-isolated-events-or-symptoms-larger-problems
February 18, 2009 - Study
Paramedic intubation errors: isolated events or symptoms of larger problems?
Citation Text:
Wang HE, Lave J, Sirio CA, et al. Paramedic intubation errors: isolated events or symptoms of larger problems? Health Aff (Millwood). 2006;25(2):501-9.
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psnet.ahrq.gov/issue/creating-safer-operating-room-groups-team-dynamics-and-crew-resource-management-principles
June 11, 2008 - Review
Emerging Classic
Creating a safer operating room: groups, team dynamics and crew resource management principles.
Citation Text:
Wakeman D, Langham MR. Creating a safer operating room: Groups, team dynamics and crew resource management principles. Semin Pe…
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psnet.ahrq.gov/issue/covid-19-can-last-several-months-diseases-long-haulers-have-endured-relentless-waves
April 03, 2005 - Newspaper/Magazine Article
COVID-19 can last for several months. The disease’s “long-haulers” have endured relentless waves of debilitating symptoms—and disbelief from doctors and friends.
Citation Text:
Young E. COVID-19 can last for several months. The disease’s “long-haulers” have end…
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psnet.ahrq.gov/issue/north-mississippi-medical-center-focus-quality-safety-and-financial-critical-success-factors
November 21, 2021 - Award Recipient
North Mississippi Medical Center: a focus on quality, safety, and financial critical success factors.
Citation Text:
Murphree J, Englert J, Koch K, et al. North Mississippi Medical Center: a focus on quality, safety, and financial critical success factors. Jt Comm J Qual …
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psnet.ahrq.gov/issue/intraoperative-surgical-performance-measurement-and-outcomes-choose-your-tools-carefully
June 17, 2015 - Commentary
Intraoperative surgical performance measurement and outcomes: choose your tools carefully.
Citation Text:
Aggarwal R. Intraoperative Surgical Performance Measurement and Outcomes: Choose Your Tools Carefully. JAMA Surg. 2017;152(11):995-996. doi:10.1001/jamasurg.2017.0837.
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psnet.ahrq.gov/issue/canadian-interprofessional-patient-safety-competencies-their-role-health-care-professionals
March 02, 2022 - Commentary
The Canadian interprofessional patient safety competencies: their role in health-care professionals' education.
Citation Text:
King J, Anderson CM. The Canadian interprofessional patient safety competencies: their role in health-care professionals' education. J Patient Saf. …
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psnet.ahrq.gov/issue/lehigh-valley-hospital-engaging-patients-and-families
January 04, 2017 - Award Recipient
Lehigh Valley Hospital: engaging patients and families.
Citation Text:
Anthony R, Ritter M, Davis R, et al. Lehigh Valley Hospital: engaging patients and families. Jt Comm J Qual Patient Saf. 2005;31(10):566-72.
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psnet.ahrq.gov/issue/improving-pathologists-communication-skills
May 18, 2022 - Commentary
Improving pathologists' communication skills.
Citation Text:
Dintzis SM. Improving Pathologists' Communication Skills. AMA J Ethics. 2016;18(8):802-8. doi:10.1001/journalofethics.2016.18.8.medu1-1608.
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psnet.ahrq.gov/issue/facilitated-survey-instrument-captures-significantly-more-anesthesia-events-does-traditional
September 13, 2017 - Study
A facilitated survey instrument captures significantly more anesthesia events than does traditional voluntary event reporting.
Citation Text:
Oken A, Rasmussen MD, Slagle JM, et al. A facilitated survey instrument captures significantly more anesthesia events than does traditiona…
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psnet.ahrq.gov/issue/new-graduate-registered-nurses-knowledge-patient-safety-and-practice-literature-review
June 13, 2018 - Review
New graduate registered nurses' knowledge of patient safety and practice: a literature review.
Citation Text:
Murray M, Sundin D, Cope V. New graduate registered nurses' knowledge of patient safety and practice: A literature review. J Clin Nurs. 2018;27(1-2):31-47. doi:10.1111/joc…
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psnet.ahrq.gov/issue/impact-electronic-health-records-diagnosis
May 19, 2019 - Review
The impact of electronic health records on diagnosis.
Citation Text:
Graber ML, Byrne C, Johnston D. The impact of electronic health records on diagnosis. Diagnosis (Berl). 2017;4(4):211-223. doi:10.1515/dx-2017-0012.
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www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/advocacy.html
June 01, 2023 - Tool: Advocacy and Assertion
Providing mutual support also sometimes requires the use of advocacy and assertion. Advocacy and assertion interventions are invoked when a team member's viewpoint does not coincide with that of a decision maker. In advocating by or for the patient and asserting the need for correct…
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psnet.ahrq.gov/issue/learning-safe-prescribing-during-post-take-ward-rounds
August 14, 2013 - Newspaper/Magazine Article
Learning safe prescribing during post-take ward rounds.
Citation Text:
Conroy-Smith E, Herring R, Caldwell G. Learning safe prescribing during post-take ward rounds. The clinical teacher. 2011;8(2):75-8. doi:10.1111/j.1743-498X.2011.00432.x.
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psnet.ahrq.gov/issue/communicating-pathology-and-laboratory-errors-anatomic-pathologists-and-laboratory-medical
May 18, 2022 - Study
Communicating pathology and laboratory errors: anatomic pathologists' and laboratory medical directors' attitudes and experiences.
Citation Text:
Dintzis SM, Stetsenko GY, Sitlani CM, et al. Communicating pathology and laboratory errors: anatomic pathologists' and laboratory medi…
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psnet.ahrq.gov/issue/can-positivity-promote-safety-psychological-capital-development-combats-cynicism-and-unsafe
June 09, 2011 - Study
Can positivity promote safety? Psychological capital development combats cynicism and unsafe behavior.
Citation Text:
Stratman JL, Youssef-Morgan CM. Can positivity promote safety? Psychological capital development combats cynicism and unsafe behavior. Safety Sci. 2019;116:13-25. d…
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psnet.ahrq.gov/issue/unintended-harm-associated-hospital-readmissions-reduction-program
August 20, 2018 - Commentary
Unintended harm associated with the Hospital Readmissions Reduction Program.
Citation Text:
Fonarow GC. Unintended Harm Associated With the Hospital Readmissions Reduction Program. JAMA. 2018;320(24):2539-2541. doi:10.1001/jama.2018.19325.
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psnet.ahrq.gov/issue/same-hospital-readmission-rates-measure-pediatric-quality-care
September 18, 2024 - Study
Same-hospital readmission rates as a measure of pediatric quality of care.
Citation Text:
Khan A, Nakamura MM, Zaslavsky AM, et al. Same-Hospital Readmission Rates as a Measure of Pediatric Quality of Care. JAMA Pediatr. 2015;169(10):905-12. doi:10.1001/jamapediatrics.2015.1129.
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psnet.ahrq.gov/issue/reducing-interdisciplinary-communication-failures-through-secure-text-messaging-quality
May 08, 2017 - Study
Reducing interdisciplinary communication failures through secure text messaging: a quality improvement project.
Citation Text:
Hansen JE, Lazow M, Hagedorn PA. Reducing Interdisciplinary Communication Failures Through Secure Text Messaging. Pediatr Qual Saf. 2019;3(1). doi:10.1097/…
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psnet.ahrq.gov/issue/medication-kit-conundrum-considerations-enhance-safety-and-efficiency
June 07, 2017 - Commentary
The medication kit conundrum: considerations to enhance safety and efficiency.
Citation Text:
Arthur KJ, Fuller J, Dossett HA, et al. The medication kit conundrum: considerations to enhance safety and efficiency. Am J Health Syst Pharm. 2024;Epub Sep 4. doi:10.1093/ajhp/zxae23…