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psnet.ahrq.gov/issue/participating-multisite-study-exploring-operational-failures-encountered-frontline-nurses
July 05, 2017 - Commentary
Participating in a multisite study exploring operational failures encountered by frontline nurses: lessons learned.
Citation Text:
Melnyk H, Rosenfeld P, Glassman KS. Participating in a Multisite Study Exploring Operational Failures Encountered by Frontline Nurses: Lessons Lea…
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psnet.ahrq.gov/issue/tell-me-how-pleased-you-are-your-workplace-and-i-will-tell-you-how-often-you-wash-your-hands
July 26, 2023 - Study
Tell me how pleased you are with your workplace, and I will tell you how often you wash your hands.
Citation Text:
Sholomovich L, Magnezi R. Tell me how pleased you are with your workplace, and I will tell you how often you wash your hands. Am J Infect Control. 2017;45(6):677-681. …
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psnet.ahrq.gov/issue/question-answering-systems-health-professionals-point-care-systematic-review
August 04, 2021 - Review
Question answering systems for health professionals at the point of care - a systematic review.
Citation Text:
Kell G, Roberts A, Umansky S, et al. Question answering systems for health professionals at the point of care—a systematic review. J Am Med Inform Assoc. 2024;31(4):1009-…
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psnet.ahrq.gov/issue/stop-noise-quality-improvement-project-decrease-electrocardiographic-nuisance-alarms
June 15, 2011 - Commentary
Stop the noise: a quality improvement project to decrease electrocardiographic nuisance alarms.
Citation Text:
Sendelbach S, Wahl S, Anthony A, et al. Stop the Noise: A Quality Improvement Project to Decrease Electrocardiographic Nuisance Alarms. Crit Care Nurse. 2015;35(4):15…
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psnet.ahrq.gov/issue/challenges-communication-referring-clinicians-pathologists-electronic-health-record-era
June 29, 2011 - Study
Challenges in communication from referring clinicians to pathologists in the electronic health record era.
Citation Text:
Barbieri AL, Fadare O, Fan L, et al. Challenges in Communication from Referring Clinicians to Pathologists in the Electronic Health Record Era. J Pathol Inform.…
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psnet.ahrq.gov/issue/practising-open-disclosure-clinical-incident-communication-and-systems-improvement
November 23, 2016 - Commentary
Practising open disclosure: clinical incident communication and systems improvement.
Citation Text:
Iedema R, Jorm C, Wakefield J, et al. Practising Open Disclosure: clinical incident communication and systems improvement. Sociol Health Illn. 2009;31(2):262-77. doi:10.1111…
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psnet.ahrq.gov/issue/expected-and-unanticipated-consequences-quality-and-information-technology-revolutions
March 02, 2011 - Commentary
Classic
Expected and unanticipated consequences of the quality and information technology revolutions.
Citation Text:
Wachter R. Expected and unanticipated consequences of the quality and information technology revolutions. JAMA. 2006;295(23):2780-3…
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psnet.ahrq.gov/issue/use-report-cards-and-outcome-measurements-improve-safety-surgical-care-american-college
May 26, 2016 - Review
The use of report cards and outcome measurements to improve the safety of surgical care: the American College of Surgeons National Surgical Quality Improvement Program.
Citation Text:
Maggard-Gibbons M. The use of report cards and outcome measurements to improve the safety of surg…
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psnet.ahrq.gov/issue/leader-communication-approaches-and-patient-safety-integrated-model
July 01, 2019 - Study
Leader communication approaches and patient safety: an integrated model.
Citation Text:
Mattson M, Hellgren J, Göransson S. Leader communication approaches and patient safety: An integrated model. J Safety Res. 2015;53:53-62. doi:10.1016/j.jsr.2015.03.008.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20131008_cg/2_Linda_Sparks_slides_24-36.pdf
October 08, 2013 - Myth Busting: Using the CG-CAHPS 12-Month Survey for Quality Improvement
Using the 12-Month
CG-CAHPS Survey
for Service
Improvement
October 8, 2013
Dean Clinic
A member of SSM Healthcare
Dean is one of the largest integrated healthcare delivery
systems in the country.
Established in 1904 and headqu…
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psnet.ahrq.gov/issue/sources-and-magnitude-error-preparing-morphine-infusions-nurse-patient-controlled-analgesia
January 07, 2015 - Study
Sources and magnitude of error in preparing morphine infusions for nurse–patient controlled analgesia in a UK paediatric hospital.
Citation Text:
Rashed AN, Tomlin S, Aguado V, et al. Sources and magnitude of error in preparing morphine infusions for nurse-patient controlled analge…
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psnet.ahrq.gov/issue/nurses-response-parents-speaking-efforts-ensure-their-hospitalized-childs-safety-attribution
May 13, 2020 - Study
Nurses' response to parents' 'speaking-up' efforts to ensure their hospitalized child's safety: an attribution theory perspective.
Citation Text:
Bsharat S, Drach-Zahavy A. Nurses' response to parents' 'speaking-up' efforts to ensure their hospitalized child's safety: an attributio…
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psnet.ahrq.gov/issue/human-factors-engineering-tool-medical-device-evaluation-hospital-procurement-decision-making
June 28, 2017 - Study
Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making.
Citation Text:
Ginsburg G. Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. J Biomed Inform. 2005;38(3):213-9.
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psnet.ahrq.gov/issue/right-medication-right-dose-right-patient-right-time-and-right-route-how-do-we-select-right
March 02, 2016 - Commentary
Right medication, right dose, right patient, right time, and right route: how do we select the right patient-controlled analgesia (PCA) device?
Citation Text:
Ladak SSJ, Chan VWS, Easty T, et al. Right medication, right dose, right patient, right time, and right route: how d…
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psnet.ahrq.gov/issue/sins-omission-getting-too-little-medical-care-may-be-greatest-threat-patient-safety
March 06, 2005 - Study
Sins of omission. Getting too little medical care may be the greatest threat to patient safety.
Citation Text:
Hayward RA, Asch SM, Hogan MM, et al. Sins of omission: getting too little medical care may be the greatest threat to patient safety. J Gen Intern Med. 2005;20(8):686-91…
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psnet.ahrq.gov/issue/methods-increase-reliability-quality-improvement-projects
October 20, 2021 - Commentary
Methods to increase reliability in quality improvement projects.
Citation Text:
Lenk MA, LaMantia S, Oehler J, et al. Methods to increase reliability in quality improvement projects. Hosp Pediatr. 2024;14(8):e372-e377. doi:10.1542/hpeds.2023-007340.
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psnet.ahrq.gov/issue/seasoned-surgeons-assessed-laparoscopic-surgical-crisis
July 02, 2008 - Study
Seasoned surgeons assessed in a laparoscopic surgical crisis.
Citation Text:
Powers K, Rehrig ST, Schwaitzberg SD, et al. Seasoned surgeons assessed in a laparoscopic surgical crisis. J Gastrointest Surg. 2009;13(5):994-1003. doi:10.1007/s11605-009-0802-1.
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psnet.ahrq.gov/issue/global-patient-outcomes-after-elective-surgery-prospective-cohort-study-27-low-middle-and
January 23, 2019 - Study
Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries.
Citation Text:
group ISOS. Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries. Br J Anaesth. 2…
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psnet.ahrq.gov/issue/quality-and-safety-initiatives-future-practice-surgery-meeting-patient-demands-enhanced
August 04, 2021 - Commentary
Quality and safety initiatives in the future practice of surgery: meeting patient demands for enhanced professionalism.
Citation Text:
Russell TR. Quality and safety initiatives in the future practice of surgery: meeting patient demands for enhanced professionalism. Surg Tod…
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psnet.ahrq.gov/issue/case-based-simulation-empowering-pediatric-residents-communicate-about-diagnostic-uncertainty
November 27, 2017 - Study
Case-based simulation empowering pediatric residents to communicate about diagnostic uncertainty.
Citation Text:
Olson ME, Borman-Shoap E, Mathias K, et al. Case-based simulation empowering pediatric residents to communicate about diagnostic uncertainty. Diagnosis (Berl). 2018;5(4)…