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  1. The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors. | PSNet

    psnet.ahrq.gov/issue/good-bad-and-ugly-operative-staff-perspectives-surgeon-coping-intraoperative-errors
    September 22, 2021 - Study The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors. Citation Text: D’Angelo A-LD, Kapur N, Kelley SR, et al. The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors. Surgery. …

  2. Decreasing mislabeled laboratory specimens using barcode technology and bedside printers. | PSNet

    psnet.ahrq.gov/issue/decreasing-mislabeled-laboratory-specimens-using-barcode-technology-and-bedside-printers
    October 05, 2022 - Study Decreasing mislabeled laboratory specimens using barcode technology and bedside printers. Citation Text: Brown JE, Smith N, Sherfy BR. Decreasing mislabeled laboratory specimens using barcode technology and bedside printers. J Nurs Care Qual. 2011;26(1):13-21. doi:10.1097/NCQ.0b0…

  3. Simulation-based assessment identifies longitudinal changes in cognitive skills in an anesthesiology residency training program. | PSNet

    psnet.ahrq.gov/issue/simulation-based-assessment-identifies-longitudinal-changes-cognitive-skills-anesthesiology
    August 11, 2021 - Study Simulation-based assessment identifies longitudinal changes in cognitive skills in an anesthesiology residency training program. Citation Text: Sidi A, Gravenstein N, Vasilopoulos T, et al. Simulation-based assessment identifies longitudinal changes in cognitive skills in an anesth…

  4. Inattentional blindness in anesthesiology: a gorilla is worth one thousand words. | PSNet

    psnet.ahrq.gov/issue/inattentional-blindness-anesthesiology-gorilla-worth-one-thousand-words
    June 01, 2022 - Study Inattentional blindness in anesthesiology: a gorilla is worth one thousand words. Citation Text: De Cassai A, Negro S, Geraldini F, et al. Inattentional blindness in anesthesiology: a gorilla is worth one thousand words. PLoS One. 2021;16(9):e0257508. doi:10.1371/journal.pone.02575…

  5. Effect of a rapid response system for patients in shock on time to treatment and mortality during 5 years. | PSNet

    psnet.ahrq.gov/issue/effect-rapid-response-system-patients-shock-time-treatment-and-mortality-during-5-years
    October 19, 2022 - Study Effect of a rapid response system for patients in shock on time to treatment and mortality during 5 years. Citation Text: Sebat F, Musthafa AA, Johnson D, et al. Effect of a rapid response system for patients in shock on time to treatment and mortality during 5 years. Crit Care M…

  6. Improving patient handoffs and transitions through adaptation and implementation of I-PASS across multiple handoff settings. | PSNet

    psnet.ahrq.gov/issue/improving-patient-handoffs-and-transitions-through-adaptation-and-implementation-i-pass
    September 23, 2020 - Study Improving patient handoffs and transitions through adaptation and implementation of I-PASS across multiple handoff settings. Citation Text: Blazin LJ, Sitthi-Amorn J, Hoffman JM, et al. Improving patient handoffs and transitions through adaptation and implementation of I-PASS acros…

  7. Leading causes of anesthesia-related liability claims in ambulatory surgery centers. | PSNet

    psnet.ahrq.gov/issue/leading-causes-anesthesia-related-liability-claims-ambulatory-surgery-centers
    December 16, 2020 - Study Leading causes of anesthesia-related liability claims in ambulatory surgery centers. Citation Text: Ranum D, Beverly A, Shapiro FE, et al. Leading causes of anesthesia-related liability claims in ambulatory surgery centers. J Patient Saf. 2021;17(7):513-521. doi:10.1097/pts.0000000…

  8. Mature rapid response system and potentially avoidable cardiopulmonary arrests in hospital. | PSNet

    psnet.ahrq.gov/issue/mature-rapid-response-system-and-potentially-avoidable-cardiopulmonary-arrests-hospital
    July 20, 2022 - Study Mature rapid response system and potentially avoidable cardiopulmonary arrests in hospital. Citation Text: Galhotra S, DeVita MA, Simmons RL, et al. Mature rapid response system and potentially avoidable cardiopulmonary arrests in hospital. Qual Saf Health Care. 2007;16(4):260-26…

  9. Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment. | PSNet

    psnet.ahrq.gov/issue/clinicians-perspectives-proactive-patient-safety-behaviors-perioperative-environment
    May 24, 2023 - Study Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment. Citation Text: Duffy C, Menon N, Horak D, et al. Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment. JAMA Netw Open. 2023;6(4):e237621. doi:…

  10. Safer prescribing and care for the elderly (SPACE): cluster randomised controlled trial in general practice. | PSNet

    psnet.ahrq.gov/issue/safer-prescribing-and-care-elderly-space-cluster-randomised-controlled-trial-general-practice
    November 18, 2020 - Study Safer prescribing and care for the elderly (SPACE): cluster randomised controlled trial in general practice. Citation Text: Wallis KA, Elley CR, Moyes SA, et al. Safer prescribing and care for the elderly (SPACE): cluster randomised controlled trial in general practice. BJGP Open. …

  11. Five-year audit of adherence to an anaesthesia pre-induction checklist. | PSNet

    psnet.ahrq.gov/issue/five-year-audit-adherence-anaesthesia-pre-induction-checklist
    May 19, 2021 - Study Five-year audit of adherence to an anaesthesia pre-induction checklist. Citation Text: Fuchs A, Frick S, Huber M, et al. Five‐year audit of adherence to an anaesthesia pre‐induction checklist. Anaesthesia. 2022;77(7):751-762. doi:10.1111/anae.15704. Copy Citation Format: …

  12. Crises in clinical care: an approach to management. | PSNet

    psnet.ahrq.gov/issue/crises-clinical-care-approach-management
    March 23, 2011 - Commentary Crises in clinical care: an approach to management. Citation Text: Runciman WB. Crises in clinical care: an approach to management. Quality and Safety in Health Care. 2005;14(3). doi:10.1136/qshc.2004.012856. Copy Citation Format: DOI Google Scholar BibTeX EndN…

  13. Implementation of Condition Help: family teaching and evaluation of family understanding. | PSNet

    psnet.ahrq.gov/issue/implementation-condition-help-family-teaching-and-evaluation-family-understanding
    June 03, 2013 - Study Implementation of Condition Help: family teaching and evaluation of family understanding. Citation Text: Hueckel RM, Mericle JM, Frush K, et al. Implementation of condition help: family teaching and evaluation of family understanding. J Nurs Care Qual. 2012;27(2):176-81. doi:10.109…

  14. Checklist usage decreases critical task omissions when training residents to separate from simulated cardiopulmonary bypass. | PSNet

    psnet.ahrq.gov/issue/checklist-usage-decreases-critical-task-omissions-when-training-residents-separate-simulated
    July 18, 2014 - Study Checklist usage decreases critical task omissions when training residents to separate from simulated cardiopulmonary bypass. Citation Text: Petrik EW, Ho D, Elahi M, et al. Checklist usage decreases critical task omissions when training residents to separate from simulated cardiopu…

  15. Evaluation of a measurement system to assess ICU team performance. | PSNet

    psnet.ahrq.gov/issue/evaluation-measurement-system-assess-icu-team-performance
    November 17, 2014 - Study Evaluation of a measurement system to assess ICU team performance. Citation Text: Dietz AS, Salas E, Pronovost P, et al. Evaluation of a Measurement System to Assess ICU Team Performance. Crit Care Med. 2018;46(12):1898-1905. doi:10.1097/CCM.0000000000003431. Copy Citation Fo…

  16. Relationships among psychological safety, the principles of high reliability, and safety reporting intentions in pediatric nursing. | PSNet

    psnet.ahrq.gov/issue/relationships-among-psychological-safety-principles-high-reliability-and-safety-reporting
    September 16, 2015 - Study Relationships among psychological safety, the principles of high reliability, and safety reporting intentions in pediatric nursing. Citation Text: Pfeifer L, Vessey J, Cazzell M, et al. Relationships among psychological safety, the principles of high reliability, and safety reporti…

  17. A simulation-based evaluation of methods to estimate the impact of an adverse event on hospital length of stay. | PSNet

    psnet.ahrq.gov/issue/simulation-based-evaluation-methods-estimate-impact-adverse-event-hospital-length-stay
    December 23, 2011 - Study A simulation-based evaluation of methods to estimate the impact of an adverse event on hospital length of stay. Citation Text: Samore MH, Shen S, Greene T, et al. A simulation-based evaluation of methods to estimate the impact of an adverse event on hospital length of stay. Med C…

  18. Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration. | PSNet

    psnet.ahrq.gov/issue/comparing-errors-ed-computer-assisted-vs-conventional-pediatric-drug-dosing-and
    November 22, 2017 - Study Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration. Citation Text: Yamamoto LG, Kanemori J. Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration. Am J Emerg Med. 2010;28(5):588-92. doi:10.…

  19. How RNs rescue patients: a qualitative study of RNs' perceived involvement in rapid response teams. | PSNet

    psnet.ahrq.gov/issue/how-rns-rescue-patients-qualitative-study-rns-perceived-involvement-rapid-response-teams
    June 19, 2013 - Study How RNs rescue patients: a qualitative study of RNs' perceived involvement in rapid response teams. Citation Text: Leach LS, Mayo A, O'Rourke M. How RNs rescue patients: a qualitative study of RNs' perceived involvement in rapid response teams. Qual Saf Health Care. 2010;19(5):e1…

  20. Analysis of errors enacted by surgical trainees during skills training courses. | PSNet

    psnet.ahrq.gov/issue/analysis-errors-enacted-surgical-trainees-during-skills-training-courses
    August 20, 2018 - Study Analysis of errors enacted by surgical trainees during skills training courses. Citation Text: Tang B, Hanna GB, Cuschieri A. Analysis of errors enacted by surgical trainees during skills training courses. Surgery. 2005;138(1):14-20. Copy Citation Format: Google Sch…
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