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psnet.ahrq.gov/node/33746/psn-pdf
March 01, 2013 - In Conversation With… David M. Gaba, MD
March 1, 2013
In Conversation With… David M. Gaba, MD. PSNet [internet]. 2013.
https://psnet.ahrq.gov/perspective/conversation-david-m-gaba-md
Editor's note: David M. Gaba, MD, is a Professor of Anesthesia at the Stanford University School of
Medicine. An international leade…
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psnet.ahrq.gov/web-mm/failure-latch
November 27, 2012 - Failure to Latch
Citation Text:
Rodriguez M, Mannel R, Frye DR. Failure to Latch. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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psnet.ahrq.gov/web-mm/unfamiliar-catheter
November 01, 2006 - The Unfamiliar Catheter
Citation Text:
Swayze SC, James A. The Unfamiliar Catheter. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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psnet.ahrq.gov/node/40679/psn-pdf
December 01, 2011 - Team situation awareness and the anticipation of patient
progress during ICU rounds.
December 1, 2011
Reader TW, Flin R, Mearns K, et al. Team situation awareness and the anticipation of patient progress
during ICU rounds. BMJ Qual Saf. 2011;20(12):1035-42. doi:10.1136/bmjqs.2010.048561.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/853075/psn-pdf
August 30, 2023 - Striving for diagnostic excellence.
August 30, 2023
Centor RM, Dhaliwal G. Annals On Call. July 2023.
https://psnet.ahrq.gov/issue/striving-diagnostic-excellence
Diagnostic accuracy requires both cognitive and team-focused skill development. This podcast interview
shares problem-solving tactics that support diagno…
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psnet.ahrq.gov/node/39033/psn-pdf
October 21, 2009 - Enhancing medication use safety: benefits of learning
from your peers.
October 21, 2009
Kazandjian VA, Ogunbo S, Wicker KG, et al. Enhancing medication use safety: benefits of learning from
your peers. Qual Saf Health Care. 2009;18(5):331-5. doi:10.1136/qshc.2008.027938.
https://psnet.ahrq.gov/issue/enhancing-medi…
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psnet.ahrq.gov/web-mm/elopement
July 14, 2010 - SPOTLIGHT CASE
Elopement
Citation Text:
Gerardi D. Elopement. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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psnet.ahrq.gov/issue/complications
November 28, 2018 - Special or Theme Issue
Complications.
Citation Text:
Complications. Anaesthesia. 2018;73(suppl 1):3-101.
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J…
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psnet.ahrq.gov/issue/effect-health-care-working-conditions-patient-safety-evidence-reporttechnology-assessment
December 18, 2008 - Book/Report
The Effect of Health Care Working Conditions on Patient Safety. Evidence Report/Technology Assessment.
Citation Text:
The Effect of Health Care Working Conditions on Patient Safety. Evidence Report/Technology Assessment. Rockville, MD: Agency for Healthcare Research and Quali…
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psnet.ahrq.gov/issue/teamwork-and-communication
February 06, 2019 - Special or Theme Issue
Teamwork and Communication.
Citation Text:
Teamwork and Communication. Pa Patient Saf Advis. June 2010;7(suppl 2):1-16.
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psnet.ahrq.gov/issue/patient-safety-curriculum
March 27, 2005 - Multi-use Website
Patient Safety Curriculum.
Citation Text:
Patient Safety Curriculum. Ann Arbor, MI: National Center for Patient Safety.
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…
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psnet.ahrq.gov/issue/transformation-through-collaboration-2018-2019-mha-keystone-center-annual-report
September 26, 2016 - Book/Report
MHA and MHA Keystone Center Annual Reports.
Citation Text:
MHA and MHA Keystone Center Annual Reports. Okemos, MI: Michigan Health & Hospital Association.
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psnet.ahrq.gov/issue/patient-safety-essentials-toolkit
January 08, 2020 - Toolkit
Patient Safety Essentials Toolkit.
Citation Text:
Patient Safety Essentials Toolkit. Boston, MA: Institute for Healthcare Improvement; 2019.
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psnet.ahrq.gov/issue/ismp-survey-high-alert-medications-acute-care-settings
January 26, 2023 - Measurement Tool/Indicator
ISMP Survey on High-Alert Medications in Acute Care Settings.
Citation Text:
ISMP Survey on High-Alert Medications in Acute Care Settings. Plymouth Meeting, PA: Institute for Safe Medication Practices; 2023.
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psnet.ahrq.gov/issue/providing-feedback-following-leadership-walkrounds-associated-better-patient-safety-culture
February 01, 2023 - Study
Classic
Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout.
Citation Text:
Sexton B, Adair KC, Leonard MW, et al. Providing feedback following Leadership WalkRou…
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psnet.ahrq.gov/issue/assessment-health-information-technology-related-outpatient-diagnostic-delays-us-veterans
June 24, 2020 - Study
Assessment of health information technology-related outpatient diagnostic delays in the US Veterans Affairs health care system: a qualitative study of aggregated root cause analysis data.
Citation Text:
Powell L, Sittig DF, Chrouser K, et al. Assessment of health information techno…
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psnet.ahrq.gov/issue/differences-between-professionals-views-patient-safety-culture-long-term-and-acute-care-cross
June 24, 2020 - Study
Differences between professionals' views on patient safety culture in long-term and acute care? A cross-sectional study.
Citation Text:
Liukka M, Hupli M, Turunen H. Differences between professionals’ views on patient safety culture in long-term and acute care? A cross-sectional st…
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psnet.ahrq.gov/node/856641/psn-pdf
January 01, 2009 - WebAIRS Anesthesia Incident Reporting System.
January 1, 2009
Australian and New Zealand Tripartite Anaesthetic Data Committee.
https://psnet.ahrq.gov/issue/webairs-anesthesia-incident-reporting-system
Reporting errors in anesthesiology practice can motivate and inform safety improvement work. This website
serves …
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psnet.ahrq.gov/node/40564/psn-pdf
September 25, 2011 - Teamwork and team performance in multidisciplinary
cancer teams: development and evaluation of an
observational assessment tool.
September 25, 2011
Lamb BW, Vincent CA, Green JSA, et al. Teamwork and team performance in multidisciplinary cancer
teams: development and evaluation of an observational assessment tool.…
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psnet.ahrq.gov/node/37913/psn-pdf
July 31, 2008 - Reliability of a revised NOTECHS scale for use in surgical
teams.
July 31, 2008
Sevdalis N, Davis R, Koutantji M, et al. Reliability of a revised NOTECHS scale for use in surgical teams.
Am J Surg. 2008;196(2):184-90. doi:10.1016/j.amjsurg.2007.08.070.
https://psnet.ahrq.gov/issue/reliability-revised-notechs-scale…