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Random safety auditing, root cause analysis, failure mode and effects analysis. | PSNet

psnet.ahrq.gov/issue/random-safety-auditing-root-cause-analysis-failure-mode-and-effects-analysis

April 11, 2011 - Commentary Random safety auditing, root cause analysis, failure mode and effects analysis. Citation Text: Ursprung R, Gray J. Random Safety Auditing, Root Cause Analysis, Failure Mode and Effects Analysis. Clin Perinatol. 2010;37(1). doi:10.1016/j.clp.2010.01.008. Copy Citation Fo…

Barriers to incident notification in a regional prehospital setting. | PSNet

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December 21, 2022 - Study Barriers to incident notification in a regional prehospital setting. Citation Text: Jennings PA, Stella J. Barriers to incident notification in a regional prehospital setting. Emerg Med J. 2011;28(6):526-9. doi:10.1136/emj.2010.090738. Copy Citation Format: DOI Goog…

Simulated laparoscopic operating room crisis: an approach to enhance the surgical team performance. | PSNet

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March 28, 2012 - Study Simulated laparoscopic operating room crisis: an approach to enhance the surgical team performance. Citation Text: Powers KA, Rehrig ST, Irias N, et al. Simulated laparoscopic operating room crisis: An approach to enhance the surgical team performance. Surg Endosc. 2008;22(4):885…

Radiation protection and dose monitoring in medical imaging: a journey from awareness, through accountability, ability and action … but where will we arrive? | PSNet

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May 18, 2022 - Review Radiation protection and dose monitoring in medical imaging: a journey from awareness, through accountability, ability and action … but where will we arrive? Citation Text: Frush DP, Denham CR, Goske MJ, et al. Radiation Protection and Dose Monitoring in Medical Imaging. J Patien…

Correlation of workload with disagreement and amendment rates in surgical pathology and nongynecologic cytology. | PSNet

psnet.ahrq.gov/issue/correlation-workload-disagreement-and-amendment-rates-surgical-pathology-and-nongynecologic

January 14, 2011 - Study Correlation of workload with disagreement and amendment rates in surgical pathology and nongynecologic cytology. Citation Text: Renshaw AA, Gould EW. Correlation of workload with disagreement and amendment rates in surgical pathology and nongynecologic cytology. Am J Clin Pathol.…

EACTS guidelines for the use of patient safety checklists. | PSNet

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October 31, 2012 - Commentary EACTS guidelines for the use of patient safety checklists. Citation Text: Clark SC, Dunning J, Alfieri OR, et al. EACTS guidelines for the use of patient safety checklists. Eur J Cardiothorac Surg. 2012;41(5):993-1004. doi:10.1093/ejcts/ezs009. Copy Citation Format: …

Orienting frames and private routines: the role of cultural process in critical care safety. | PSNet

psnet.ahrq.gov/issue/orienting-frames-and-private-routines-role-cultural-process-critical-care-safety

December 31, 2014 - Study Orienting frames and private routines: the role of cultural process in critical care safety. Citation Text: Hazlehurst B, McMullen C. Orienting frames and private routines: the role of cultural process in critical care safety. Int J Med Inform. 2007;76 Suppl 1:S129-35. Copy Cit…

Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care centre. | PSNet

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June 30, 2011 - Study Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care centre. Citation Text: Cooke DL, Dunscombe PB, Lee R. Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care ce…

COVID-19 and patient safety- lessons from 2 efforts to keep people safe. | PSNet

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March 02, 2011 - Commentary COVID-19 and patient safety- lessons from 2 efforts to keep people safe. Citation Text: Wachter RM. COVID-19 and patient safety- lessons from 2 efforts to keep people safe. JAMA Intern Med. 2024;184(2):127-128. doi:10.1001/jamainternmed.2023.7527. Copy Citation Format: …

Measuring errors in surgical pathology in real-life practice: defining what does and does not matter. | PSNet

psnet.ahrq.gov/issue/measuring-errors-surgical-pathology-real-life-practice-defining-what-does-and-does-not-matter

January 14, 2011 - Review Measuring errors in surgical pathology in real-life practice: defining what does and does not matter. Citation Text: Renshaw AA, Gould EW. Measuring errors in surgical pathology in real-life practice: defining what does and does not matter. Am J Clin Pathol. 2007;127(1):144-52. …

'The ABC of Handover': impact on shift handover in the emergency department. | PSNet

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June 17, 2010 - Study 'The ABC of Handover': impact on shift handover in the emergency department. Citation Text: Farhan M, Brown R, Vincent CA, et al. The ABC of handover: impact on shift handover in the emergency department. Emerg Med J. 2012;29(12):947-53. doi:10.1136/emermed-2011-200201. Copy Ci…

The cost of disruptive and unprofessional behaviors in health care. | PSNet

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August 04, 2021 - Commentary The cost of disruptive and unprofessional behaviors in health care. Citation Text: Rawson J, Thompson N, Sostre G, et al. The cost of disruptive and unprofessional behaviors in health care. Acad Radiol. 2013;20(9):1074-6. doi:10.1016/j.acra.2013.05.009. Copy Citation …

Fatal errors in nitrous oxide delivery. | PSNet

psnet.ahrq.gov/issue/fatal-errors-nitrous-oxide-delivery

March 02, 2011 - Review Fatal errors in nitrous oxide delivery. Citation Text: Herff H, Paal P, Von Goedecke A, et al. Fatal errors in nitrous oxide delivery. Anaesthesia. 2007;62(12):1202-1206. doi:10.1111/j.1365-2044.2007.05193.x. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3…

Learning from samples of one or fewer. | PSNet

psnet.ahrq.gov/issue/learning-samples-one-or-fewer

December 21, 2017 - Review Classic Learning from samples of one or fewer. Citation Text: Learning from samples of one or fewer. March JG, Sproull LS, Tamuz M. Org Sci.1991;2:1-13. (reprinted in: Qual Saf Health Care 2003;12:465-472.) Copy Citation Save S…

Eight rights of safe electronic health record use. | PSNet

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December 06, 2023 - Commentary Eight rights of safe electronic health record use. Citation Text: Sittig DF, Singh H. Eight rights of safe electronic health record use. JAMA. 2009;302(10):1111-3. doi:10.1001/jama.2009.1311. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…

Safety issues in combined gynecologic and plastic surgical procedures. | PSNet

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January 06, 2018 - Review Safety issues in combined gynecologic and plastic surgical procedures. Citation Text: Kryger ZB, Dumanian GA, Howard MA. Safety issues in combined gynecologic and plastic surgical procedures. Int J Gynaecol Obstet. 2007;99(3):257-63. Copy Citation Format: Google Sc…

Implementing an obstetric emergency team response system: overcoming barriers and sustaining response dose. | PSNet

psnet.ahrq.gov/issue/implementing-obstetric-emergency-team-response-system-overcoming-barriers-and-sustaining

January 16, 2010 - Study Implementing an obstetric emergency team response system: overcoming barriers and sustaining response dose. Citation Text: Richardson MG, Domaradzki KA, McWeeney DT. Implementing an Obstetric Emergency Team Response System: Overcoming Barriers and Sustaining Response Dose. Jt Comm …

Evaluation of an interprofessional team training program to improve the use of patient safety strategies among healthcare professions students. | PSNet

psnet.ahrq.gov/issue/evaluation-interprofessional-team-training-program-improve-use-patient-safety-strategies

May 18, 2022 - Study Evaluation of an interprofessional team training program to improve the use of patient safety strategies among healthcare professions students. Citation Text: Evaluation of an interprofessional team training program to improve the use of patient safety strategies among healthcare p…

Managing health IT risks: reflections and recommendations. | PSNet

psnet.ahrq.gov/issue/managing-health-it-risks-reflections-and-recommendations

July 10, 2024 - Commentary Managing health IT risks: reflections and recommendations. Citation Text: Sujan M. Managing health IT risks: reflections and recommendations. J Innov Health Inform. 2018;25(1):952. doi:10.14236/jhi.v25i1.952. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

Ethics, oversight and quality improvement initiatives. | PSNet

psnet.ahrq.gov/issue/ethics-oversight-and-quality-improvement-initiatives

August 04, 2021 - Study Ethics, oversight and quality improvement initiatives. Citation Text: Taylor HA, Pronovost PJ, Sugarman J. Ethics, oversight and quality improvement initiatives. Quality and Safety in Health Care. 2010;19(4). doi:10.1136/qshc.2009.038034. Copy Citation Format: DOI G…

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