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  1. Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. | PSNet

    psnet.ahrq.gov/issue/using-performance-improvement-enhance-time-out-compliance-and-prevent-wrong-site-surgery
    October 06, 2021 - Commentary Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. Citation Text: Vance ME, Proctor T, Schmidt KA. Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. AORN J. 2021;113(6):635-642. doi:10.1002/ao…

  2. Development of a modified early warning score using the electronic medical record. | PSNet

    psnet.ahrq.gov/issue/development-modified-early-warning-score-using-electronic-medical-record
    April 28, 2021 - Commentary Development of a modified early warning score using the electronic medical record. Citation Text: Albert BL, Huesman L. Development of a modified early warning score using the electronic medical record. Dimens Crit Care Nurs. 2011;30(5):283-292. doi:10.1097/DCC.0b013e3182277…

  3. Toward the development of the perfect medical team: critical components for adaptation. | PSNet

    psnet.ahrq.gov/issue/toward-development-perfect-medical-team-critical-components-adaptation
    February 09, 2022 - Review Emerging Classic Toward the development of the perfect medical team: critical components for adaptation. Citation Text: Gregory ME, Hughes AM, Benishek LE, et al. Toward the development of the perfect medical team: critical components for adaptation. J Pa…

  4. Surgical fire in the United States: 2000-2020. | PSNet

    psnet.ahrq.gov/issue/surgical-fire-united-states-2000-2020
    March 03, 2021 - Study Surgical fire in the United States: 2000-2020. Citation Text: Grauer JS, Kana LA, Alzouhayli SJ, et al. Surgical fire in the United States: 2000–2020. Surgery. 2022;173(2):357-364. doi:10.1016/j.surg.2022.10.015. Copy Citation Format: DOI Google Scholar BibTeX EndNote…

  5. Crowd-sourced hospital ratings are correlated with patient satisfaction but not surgical safety. | PSNet

    psnet.ahrq.gov/issue/crowd-sourced-hospital-ratings-are-correlated-patient-satisfaction-not-surgical-safety
    November 18, 2020 - Study Crowd-sourced hospital ratings are correlated with patient satisfaction but not surgical safety. Citation Text: Synan LT, Eid MA, Lamb CR, et al. Crowd-sourced hospital ratings are correlated with patient satisfaction but not surgical safety. Surgery. 2021;170(3):764-768. doi:10.10…

  6. Clinical scenarios: enhancing the skill set of the nurse as a vigilant guardian. | PSNet

    psnet.ahrq.gov/issue/clinical-scenarios-enhancing-skill-set-nurse-vigilant-guardian
    July 19, 2023 - Study Clinical scenarios: enhancing the skill set of the nurse as a vigilant guardian. Citation Text: Jacobson T, Belcher E, Sarr B, et al. Clinical scenarios: enhancing the skill set of the nurse as a vigilant guardian. J Contin Educ Nurs. 2010;41(8):347-53; quiz 354-5. doi:10.3928/0…

  7. Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons. | PSNet

    psnet.ahrq.gov/issue/realistic-distractions-and-interruptions-impair-simulated-surgical-performance-novice
    August 04, 2021 - Study Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons. Citation Text: Feuerbacher RL, Funk KH, Spight DH, et al. Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons. Arch Surg. 2012;…

  8. Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a step-down unit. | PSNet

    psnet.ahrq.gov/issue/using-crew-resource-management-and-read-and-do-checklist-reduce-failure-rescue-events-step
    November 04, 2020 - Study Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a step-down unit. Citation Text: Young-Xu Y, Fore AM, Metcalf A, et al. Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a step-down …

  9. Defining and classifying terminology for medication harm: a call for consensus. | PSNet

    psnet.ahrq.gov/issue/defining-and-classifying-terminology-medication-harm-call-consensus
    June 22, 2022 - Review Defining and classifying terminology for medication harm: a call for consensus. Citation Text: Falconer N, Barras M, Martin J, et al. Defining and classifying terminology for medication harm: a call for consensus. Eur J Clin Pharmacol. 2019;75(2):137-145. doi:10.1007/s00228-018-25…

  10. Use of personal electronic devices by nurse anesthetists and the effects on patient safety. | PSNet

    psnet.ahrq.gov/issue/use-personal-electronic-devices-nurse-anesthetists-and-effects-patient-safety
    June 16, 2021 - Study Use of personal electronic devices by nurse anesthetists and the effects on patient safety. Citation Text: Snoots LR, Wands BA. Use of Personal Electronic Devices by Nurse Anesthetists and the Effects on Patient Safety. AANA J. 2016;84(2):114-119. Copy Citation Format: …

  11. Simulation as a tool to improve the safety of pre-hospital anaesthesia—a pilot study. | PSNet

    psnet.ahrq.gov/issue/simulation-tool-improve-safety-pre-hospital-anaesthesia-pilot-study
    October 19, 2022 - Study Simulation as a tool to improve the safety of pre-hospital anaesthesia—a pilot study. Citation Text: Batchelder AJ, Steel A, Mackenzie R, et al. Simulation as a tool to improve the safety of pre-hospital anaesthesia--a pilot study. Anaesthesia. 2009;64(9):978-83. doi:10.1111/j.1365…

  12. Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. | PSNet

    psnet.ahrq.gov/issue/infrequent-physician-use-implantable-cardioverter-defibrillators-risks-patient-safety
    August 28, 2019 - Study Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. Citation Text: Lyman S, Sedrakyan A, Do H, et al. Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. Heart. 2011;97(20):1655-60. doi:10.1136/hrt.2011.2…

  13. Morbidity and mortality: delays in my patient’s cancer care. | PSNet

    psnet.ahrq.gov/issue/morbidity-and-mortality-delays-my-patients-cancer-care
    July 15, 2020 - Commentary Morbidity and mortality: delays in my patient’s cancer care. Citation Text: Rahman AS. Morbidity and mortality: delays in my patient’s cancer care. Health Aff (Millwood). 2024;43(11):1605-1608. doi:10.1377/hlthaff.2024.00513. Copy Citation Format: DOI Google Scho…

  14. Complying with ACGME resident duty hours restrictions: restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital. | PSNet

    psnet.ahrq.gov/issue/complying-acgme-resident-duty-hours-restrictions-restructuring-80-hour-workweek-enhance
    August 04, 2021 - Study Complying with ACGME resident duty hours restrictions: restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital. Citation Text: Ogden PE, Sibbitt S, Howell M, et al. Complying with ACGME resident duty hours restrictio…

  15. Periodic resuscitation cart checks and nurse situational awareness: an observational study. | PSNet

    psnet.ahrq.gov/issue/periodic-resuscitation-cart-checks-and-nurse-situational-awareness-observational-study
    March 18, 2020 - Study Periodic resuscitation cart checks and nurse situational awareness: an observational study. Citation Text: Aljuaid J, Al-Moteri M. Periodic resuscitation cart checks and nurse situational awareness: an observational study. J Emerg Nurs. 2022;48(2):189-201. doi:10.1016/j.jen.2021.12…

  16. Novel approach to cardiac alarm management on telemetry units. | PSNet

    psnet.ahrq.gov/issue/novel-approach-cardiac-alarm-management-telemetry-units
    October 27, 2021 - Study Novel approach to cardiac alarm management on telemetry units. Citation Text: Whalen DA, Covelle PM, Piepenbrink JC, et al. Novel approach to cardiac alarm management on telemetry units. J Cardiovasc Nurs. 2014;29(5):E13-22. doi:10.1097/JCN.0000000000000114. Copy Citation For…

  17. The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Improvement Act of 2005. | PSNet

    psnet.ahrq.gov/issue/benefits-and-burdens-working-patient-safety-organizations-under-patient-safety-and-quality
    October 14, 2020 - Commentary The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Improvement Act of 2005. Citation Text: Dwyer PE, Watts CD. The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Imp…

  18. Supporting a psychiatric hospital culture of safety. | PSNet

    psnet.ahrq.gov/issue/supporting-psychiatric-hospital-culture-safety
    March 11, 2020 - Study Supporting a psychiatric hospital culture of safety. Citation Text: Mahoney JS, Ellis TE, Garland G, et al. Supporting a psychiatric hospital culture of safety. J Am Psychiatr Nurses Assoc. 2012;18(5):299-306. doi:10.1177/1078390312460577. Copy Citation Format: DOI …

  19. Surgical intraoperative handoff initiative: standardizing operating room communication using SHRIMPS. | PSNet

    psnet.ahrq.gov/issue/surgical-intraoperative-handoff-initiative-standardizing-operating-room-communication-using
    October 04, 2023 - Study Surgical intraoperative handoff initiative: standardizing operating room communication using SHRIMPS. Citation Text: Stephens WA, Anderson MJ, Levy BE, et al. Surgical intraoperative handoff initiative: standardizing operating room communication using SHRIMPS. J Am Coll Surg. 2024;…

  20. Structuring feedback and debriefing to achieve mastery learning goals. | PSNet

    psnet.ahrq.gov/issue/structuring-feedback-and-debriefing-achieve-mastery-learning-goals
    September 02, 2020 - Study Structuring feedback and debriefing to achieve mastery learning goals. Citation Text: Eppich W, Hunt EA, Duval-Arnould JM, et al. Structuring feedback and debriefing to achieve mastery learning goals. Acad Med. 2015;90(11):1501-8. doi:10.1097/ACM.0000000000000934. Copy Citation …
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