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psnet.ahrq.gov/issue/normalization-deviance-contrary-principles-high-reliability
June 09, 2021 - Commentary
Normalization of deviance is contrary to the principles of high reliability.
Citation Text:
Wright I. Normalization of deviance Is contrary to the principles of high reliability. AORN J. 2023;117(4):231-238. doi:10.1002/aorn.13894.
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psnet.ahrq.gov/issue/engineering-system-communication-safer-surgery
January 18, 2013 - Commentary
Engineering the system of communication for safer surgery.
Citation Text:
Healey AN, Nagpal K, Moorthy K, et al. Engineering the system of communication for safer surgery. Cognition, Technology & Work. 2010;13(1). doi:10.1007/s10111-010-0152-5.
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psnet.ahrq.gov/perspective/maternal-safety
January 01, 2015 - Annual Perspective
Maternal Safety
Audrey Lyndon, RN, PhD | December 22, 2018
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Citation Text:
Lyndon A. Maternal Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of H…
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psnet.ahrq.gov/issue/impact-patient-safety-culture-missed-nursing-care-and-adverse-patient-events
March 16, 2022 - Study
Emerging Classic
Impact of patient safety culture on missed nursing care and adverse patient events.
Citation Text:
Hessels AJ, Paliwal M, Weaver SH, et al. Impact of Patient Safety Culture on Missed Nursing Care and Adverse Patient Events. J Nurs Care Qua…
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psnet.ahrq.gov/issue/increasing-compliance-safe-medication-administration-pediatric-anesthesia-use-standardized
December 11, 2024 - Commentary
Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized checklist.
Citation Text:
Kanjia MK, Adler AC, Buck D, et al. Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized check…
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psnet.ahrq.gov/web-mm/premature-or-overdue
December 23, 2020 - Premature or Overdue?
Citation Text:
Thomas J, Hannah M. Premature or Overdue?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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psnet.ahrq.gov/issue/system-wide-initiative-prevent-retained-vaginal-sponges
November 07, 2012 - Commentary
A system-wide initiative to prevent retained vaginal sponges.
Citation Text:
Chagolla BA, Gibbs VC, Keats JP, et al. A system-wide initiative to prevent retained vaginal sponges. MCN Am J Matern Child Nurs. 2011;36(5):312-317. doi:10.1097/NMC.0b013e31822ab204.
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psnet.ahrq.gov/issue/linking-nurse-characteristics-team-member-effectiveness-practice-environment-and-medication
May 14, 2008 - Study
Linking nurse characteristics, team member effectiveness, practice environment, and medication error incidence.
Citation Text:
Fasolino T, Snyder R. Linking nurse characteristics, team member effectiveness, practice environment, and medication error incidence. J Nurs Care Qual. 2…
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psnet.ahrq.gov/issue/lack-awareness-community-acquired-adverse-drug-reactions-upon-hospital-admission-dimensions
October 16, 2013 - Study
Lack of awareness of community-acquired adverse drug reactions upon hospital admission: dimensions and consequences of a dilemma.
Citation Text:
Dormann H, Criegee-Rieck M, Neubert A, et al. Lack of awareness of community-acquired adverse drug reactions upon hospital admission : …
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psnet.ahrq.gov/perspective/first-do-no-harm-value-driven-patient-safety-neonatal-intensive-care-unit
October 30, 2019 - First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care Unit
Jochen Profit, MD, MPH; Annette Scheid, MD; and Erick Ridout, MD | October 30, 2019
Also Read the Conversation
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Citation Text:
Profit J, …
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psnet.ahrq.gov/node/49723/psn-pdf
January 01, 2015 - Central fetal monitoring: effect on perinatal outcomes and
cesarean section rate.
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psnet.ahrq.gov/issue/parents-understanding-medication-discharge-and-potential-harm-children-medical-complexity
April 22, 2020 - Study
Parents' understanding of medication at discharge and potential harm in children with medical complexity.
Citation Text:
Selzer A, Eibensteiner F, Kaltenegger L, et al. Parents’ understanding of medication at discharge and potential harm in children with medical complexity. Arch Di…
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psnet.ahrq.gov/issue/role-assistant-nurse-implementing-who-surgical-safety-checklist-perception-and-perspectives
January 17, 2024 - Study
The role of an assistant nurse in implementing the WHO Surgical Safety Checklist: perception and perspectives.
Citation Text:
Ališić E, Krupić M, Alić J, et al. The role of an assistant nurse in implementing the WHO Surgical Safety Checklist: perception and perspectives. Cureus. 20…
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psnet.ahrq.gov/issue/understanding-factors-influencing-safety-and-team-functionality-operative-vaginal-birth
September 01, 2016 - Study
Understanding factors influencing safety and team functionality at operative vaginal birth through multidisciplinary perspectives: a mixed methods study.
Citation Text:
Skinner SM, Kippen E, Rolnik DL, et al. Understanding factors influencing safety and team functionality at operat…
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psnet.ahrq.gov/perspective/equity-patient-safety
September 24, 2024 - These factors were shown to impact racial bias in a clinician’s likelihood to recommend cesarean section … Maternal and neonatal morbidity and mortality rate in caesarean section and vaginal delivery.
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psnet.ahrq.gov/issue/pharmacist-led-educational-interventions-provided-healthcare-providers-reduce-medication
October 14, 2020 - Study
Pharmacist-led educational interventions provided to healthcare providers to reduce medication errors: a systematic review and meta-analysis.
Citation Text:
Jaam M, Naseralallah LM, Hussain TA, et al. Pharmacist-led educational interventions provided to healthcare providers to redu…
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psnet.ahrq.gov/issue/adverse-events-women-giving-birth-labor-ward-retrospective-record-review-study
April 14, 2021 - Study
Adverse events in women giving birth in a labor ward: a retrospective record review study.
Citation Text:
Skoogh A, Hall-Lord ML, Bååth C, et al. Adverse events in women giving birth in a labor ward: a retrospective record review study. BMC Health Serv Res. 2021;21(1):1093. doi:10.…
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psnet.ahrq.gov/issue/husbands-story-tragedy-learning-and-action
February 02, 2022 - Commentary
The husband's story: from tragedy to learning and action.
Citation Text:
Bromiley M. The husband's story: from tragedy to learning and action. BMJ Qual Saf. 2015;24(7):425-427. doi:10.1136/bmjqs-2015-004129.
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psnet.ahrq.gov/web-mm/prolonged-dka-pregnancy-case-communication-breakdown
June 28, 2023 - SPOTLIGHT CASE
Prolonged DKA in Pregnancy: A Case of Communication Breakdown.
Citation Text:
Marshall S, Boe NM. Prolonged DKA in Pregnancy: A Case of Communication Breakdown.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services…
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psnet.ahrq.gov/issue/patterns-medication-incidents-10-yr-experience-cross-national-anaesthesia-incident-reporting
January 15, 2025 - Study
Patterns in medication incidents: a 10-yr experience of a cross-national anaesthesia incident reporting system.
Citation Text:
Sanduende-Otero Y, Villalón-Coca J, Romero-García E, et al. Patterns in medication incidents: A 10-yr experience of a cross-national anaesthesia incident r…