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psnet.ahrq.gov/issue/operating-room-teamwork-among-physicians-and-nurses-teamwork-eye-beholder
September 28, 2010 - Study
Classic
Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder.
Citation Text:
Makary MA, Sexton B, Freischlag JA, et al. Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. J Am Col…
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psnet.ahrq.gov/issue/patient-safety-advisory-fentanyl-counterfeit-prescription-medications-contain-fentanyl-and
September 18, 2024 - Organizational Policy/Guidelines
Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fentanyl and patient safety.
Citation Text:
Jewell ML, Jewell HL, Singer R, et al. Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fent…
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psnet.ahrq.gov/issue/relationship-between-patient-safety-culture-and-patient-experience-hospital-settings-scoping
November 17, 2014 - Review
Relationship between patient safety culture and patient experience in hospital settings: a scoping review.
Citation Text:
Alabdaly A, Hinchcliff R, Debono D, et al. Relationship between patient safety culture and patient experience in hospital settings: a scoping review. BMC Healt…
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psnet.ahrq.gov/issue/bedside-shift-reports-what-does-evidence-say
October 19, 2022 - Review
Bedside shift reports: what does the evidence say?
Citation Text:
Gregory S, Tan D, Tilrico M, et al. Bedside shift reports: what does the evidence say? J Nurs Adm. 2014;44(10):541-5. doi:10.1097/NNA.0000000000000115.
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psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-surgical-safety-checklists-cesarean
May 18, 2022 - Organizational Policy/Guidelines
Society for Maternal-Fetal Medicine Special Statement: Surgical safety checklists for cesarean delivery.
Citation Text:
Combs CA, Einerson BD, Toner LE. Society for Maternal-Fetal Medicine Special Statement: Surgical safety checklists for cesarean deliver…
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psnet.ahrq.gov/issue/did-i-do-best-system-would-let-me-healthcare-professional-views-hospital-home-care
January 12, 2022 - Study
"Did I do as best as the system would let me?" Healthcare professional views on hospital to home care transitions.
Citation Text:
Davis MM, Devoe M, Kansagara D, et al. "Did I do as best as the system would let me?" Healthcare professional views on hospital to home care transitions…
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psnet.ahrq.gov/issue/secure-text-messaging-healthcare-latent-threats-and-opportunities-improve-patient-safety
October 25, 2023 - Commentary
Secure text messaging in healthcare: latent threats and opportunities to improve patient safety.
Citation Text:
Hagedorn PA, Singh A, Luo B, et al. Secure Text Messaging in Healthcare: Latent Threats and Opportunities to Improve Patient Safety. J Hosp Med. 2020;15(6):378-380.…
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psnet.ahrq.gov/issue/no-go-considerations-situ-simulation-safety
April 14, 2021 - Commentary
Emerging Classic
"No-go considerations" for in situ simulation safety.
Citation Text:
Bajaj K, Minors A, Walker K, et al. "No-Go Considerations" for In Situ Simulation Safety. Simul Healthc. 2018;13(3):221-224. doi:10.1097/SIH.0000000000000301.
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psnet.ahrq.gov/issue/prevention-retained-surgical-sponges-decision-analytic-model-predicting-relative-cost
January 04, 2010 - Study
Prevention of retained surgical sponges: a decision-analytic model predicting relative cost-effectiveness.
Citation Text:
Regenbogen SE, Greenberg CC, Resch SC, et al. Prevention of retained surgical sponges: a decision-analytic model predicting relative cost-effectiveness. Surger…
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psnet.ahrq.gov/issue/safety-skills-training-surgeons-half-day-intervention-improves-knowledge-attitudes-and
September 26, 2012 - Study
Safety skills training for surgeons: a half-day intervention improves knowledge, attitudes and awareness of patient safety.
Citation Text:
Arora S, Sevdalis N, Ahmed M, et al. Safety skills training for surgeons: A half-day intervention improves knowledge, attitudes and awareness…
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psnet.ahrq.gov/issue/resident-and-nurse-perspectives-use-secure-text-messaging-systems
March 02, 2022 - Study
Resident and nurse perspectives on the use of secure text messaging systems.
Citation Text:
Aziz S, Barber J, Singh A, et al. Resident and nurse perspectives on the use of secure text messaging systems. J Hosp Med. 2022;17(11):880-887. doi:10.1002/jhm.12953.
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psnet.ahrq.gov/issue/potential-collective-intelligence-emergency-medicine
June 12, 2024 - Study
The potential of collective intelligence in emergency medicine.
Citation Text:
Kämmer JE, Hautz WE, Herzog SM, et al. The Potential of Collective Intelligence in Emergency Medicine: Pooling Medical Students' Independent Decisions Improves Diagnostic Performance. Med Decis Making. 2…
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psnet.ahrq.gov/issue/nursing-home-residents-dementia-association-between-place-death-and-patient-safety-culture
November 04, 2020 - Study
Nursing home residents with dementia: association between place of death and patient safety culture.
Citation Text:
Orth J, Li Y, Simning A, et al. Nursing Home Residents With Dementia: Association Between Place of Death and Patient Safety Culture. Gerontologist. 2021;61(8):1296-1…
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psnet.ahrq.gov/issue/advances-patient-safety-and-medical-liability
May 01, 2017 - Book/Report
Classic
Advances in Patient Safety and Medical Liability.
Citation Text:
Advances in Patient Safety and Medical Liability. Battles J, Azam I, Grady M, Reback K, eds. Rockville, MD: Agency for Healthcare Research and Quality; 2017. AHRQ Publication No…
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psnet.ahrq.gov/issue/teamstepps-long-term-care-academic-partnership-part-1-and-part-2
July 05, 2017 - Commentary
TeamSTEPPS in long-term care- an academic partnership: part 1 and part 2.
Citation Text:
Roman TC, Abraham K, Dever K. TeamSTEPPS in Long-Term Care-An Academic Partnership: Part I. J Contin Educ Nurs. 2016;47(11):490-492. doi:10.3928/00220124-20161017-06.
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psnet.ahrq.gov/issue/next-kin-involvement-regulatory-investigations-adverse-events-caused-patient-death-process
March 02, 2022 - Study
Next of kin involvement in regulatory investigations of adverse events that caused patient death: a process evaluation.
Citation Text:
Next of kin involvement in regulatory investigations of adverse events that caused patient death: a process evaluation. Wiig S, Haraldseid-Driftlan…
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psnet.ahrq.gov/issue/medication-errors-resulting-confusion-between-risperidone-risperdal-and-ropinirole-requip
December 16, 2020 - Press Release/Announcement
Medication errors resulting from confusion between risperidone (Risperdal) and ropinirole (Requip).
Citation Text:
Medication errors resulting from confusion between risperidone (Risperdal) and ropinirole (Requip). MedWatch Safety Alert, FDA Drug Safety Com…
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psnet.ahrq.gov/issue/development-and-usability-behavioural-marking-system-performance-assessment-obstetrical-teams
June 28, 2017 - Study
Development and usability of a behavioural marking system for performance assessment of obstetrical teams.
Citation Text:
Tregunno D, Pittini R, Haley M, et al. Development and usability of a behavioural marking system for performance assessment of obstetrical teams. Qual Saf Hea…
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psnet.ahrq.gov/issue/assessing-use-google-translate-spanish-and-chinese-translations-emergency-department
March 16, 2016 - Study
Assessing the use of Google Translate for Spanish and Chinese translations of emergency department discharge instructions.
Citation Text:
Khoong EC, Steinbrook E, Brown C, et al. Assessing the Use of Google Translate for Spanish and Chinese Translations of Emergency Department Disc…
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psnet.ahrq.gov/issue/effective-followership-standardized-algorithm-resolve-clinical-conflicts-and-improve-teamwork
March 13, 2013 - Commentary
Effective followership: a standardized algorithm to resolve clinical conflicts and improve teamwork.
Citation Text:
Sculli GL, Fore AM, Sine DM, et al. Effective followership: A standardized algorithm to resolve clinical conflicts and improve teamwork. J Healthc Risk Manag. 20…