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psnet.ahrq.gov/node/41160/psn-pdf
February 22, 2012 - Surgical count practice variability and the potential for
retained surgical items.
February 22, 2012
Edel EM. Surgical count practice variability and the potential for retained surgical items. AORN J.
2012;95(2):228-38. doi:10.1016/j.aorn.2011.02.014.
https://psnet.ahrq.gov/issue/surgical-count-practice-variabilit…
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psnet.ahrq.gov/node/36077/psn-pdf
July 05, 2006 - Perinatal patient safety from the perspective of nurse
executives: a round table discussion.
July 5, 2006
Thorman KE; Capitulo KL; Dubow J; Hanold K; Noonan M; Wehmeyer J.
https://psnet.ahrq.gov/issue/perinatal-patient-safety-perspective-nurse-executives-round-table-discussion
The authors summarize a discussion be…
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psnet.ahrq.gov/node/38130/psn-pdf
January 02, 2017 - View the world through a different lens: shadowing
another provider.
January 2, 2017
Thompson DA, Holzmueller CG, Lubomski LH, et al. View the world through a different lens: shadowing
another provider. Jt Comm J Qual Patient Saf. 2008;34(10):614-8, 561.
https://psnet.ahrq.gov/issue/view-world-through-different-le…
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psnet.ahrq.gov/node/35025/psn-pdf
September 21, 2005 - A mediation skills model to manage disclosure of errors
and adverse events to patients.
September 21, 2005
Liebman CB, Hyman CS. A Mediation Skills Model To Manage Disclosure Of Errors And Adverse Events
To Patients. Health Aff (Millwood). 2004;23(4):22-32. doi:10.1377/hlthaff.23.4.22.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/41428/psn-pdf
April 17, 2013 - A checklist to improve patient safety in interventional
radiology.
April 17, 2013
Koetser ICJ, de Vries EN, van Delden OM, et al. A checklist to improve patient safety in interventional
radiology. Cardiovasc Intervent Radiol. 2013;36(2):312-9. doi:10.1007/s00270-012-0395-z.
https://psnet.ahrq.gov/issue/checklist-i…
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psnet.ahrq.gov/node/41991/psn-pdf
January 23, 2013 - Handovers from the OR to the ICU.
January 23, 2013
Bonifacio AS, Segall N, Barbeito A, et al. Handovers from the OR to the ICU. Int Anesthesiol Clin.
2013;51(1):43-61. doi:10.1097/AIA.0b013e31826f2b0e.
https://psnet.ahrq.gov/issue/handovers-or-icu
This commentary discusses concerns associated with patient transfer…
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psnet.ahrq.gov/node/40056/psn-pdf
November 21, 2016 - Bringing change-of-shift report to the bedside: a patient-
and family-centered approach.
November 21, 2016
Griffin T. Bringing change-of-shift report to the bedside: a patient- and family-centered approach. J Perinat
Neonatal Nurs. 2010;24(4):348-355. doi:10.1097/JPN.0b013e3181f8a6c8.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/36571/psn-pdf
January 05, 2017 - The Objective Structured Clinical Examination as an
educational tool in patient safety.
January 5, 2017
Varkey P, Natt N. The Objective Structured Clinical Examination as an educational tool in patient safety. Jt
Comm J Qual Patient Saf. 2007;33(1):48-53.
https://psnet.ahrq.gov/issue/objective-structured-clinical-…
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psnet.ahrq.gov/node/41078/psn-pdf
January 18, 2012 - A new paradigm for surgical procedural training.
January 18, 2012
Sachdeva AK, Buyske J, Dunnington GL, et al. A new paradigm for surgical procedural training. Curr Probl
Surg. 2011;48(12):854-968. doi:10.1067/j.cpsurg.2011.08.003.
https://psnet.ahrq.gov/issue/new-paradigm-surgical-procedural-training
This comment…
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psnet.ahrq.gov/node/37964/psn-pdf
June 29, 2011 - Impact of miscommunication in medical dispute cases in
Japan.
June 29, 2011
Aoki N, Uda K, Ohta S, et al. Impact of miscommunication in medical dispute cases in Japan. Int J Qual
Health Care. 2008;20(5):358-62. doi:10.1093/intqhc/mzn028.
https://psnet.ahrq.gov/issue/impact-miscommunication-medical-dispute-cases-ja…
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psnet.ahrq.gov/node/35469/psn-pdf
January 21, 2011 - Neurologic patient safety: an in-depth study of
malpractice claims.
January 21, 2011
Glick TH, Cranberg LD, Hanscom RB, et al. Neurologic patient safety: an in-depth study of malpractice
claims. Neurology. 2005;65(8):1284-6.
https://psnet.ahrq.gov/issue/neurologic-patient-safety-depth-study-malpractice-claims
The…
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psnet.ahrq.gov/node/35594/psn-pdf
January 04, 2006 - VA Patient Safety Program: A Cultural Perspective at Four
Medical Facilities.
January 4, 2006
General Accounting Office. Washington, DC: Government Printing Office; 2004. Report no. GAO-05-83.
https://psnet.ahrq.gov/issue/va-patient-safety-program-cultural-perspective-four-medical-facilities
The Government Account…
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psnet.ahrq.gov/node/41295/psn-pdf
April 11, 2012 - The pursuit of perfection: hospitals take heightened
actions to reduce adverse events.
April 11, 2012
May EL. The pursuit of perfection: hospitals take heightened actions to reduce adverse events. Healthcare
executive. 2012;27(2):26-8, 30-3.
https://psnet.ahrq.gov/issue/pursuit-perfection-hospitals-take-heightened…
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psnet.ahrq.gov/node/37736/psn-pdf
April 30, 2008 - Causes of near misses in critical care of neonates and
children.
April 30, 2008
Tourgeman-Bashkin O, Shinar D, Zmora E. Causes of near misses in critical care of neonates and
children. Acta Paediatr. 2008;97(3):299-303. doi:10.1111/j.1651-2227.2007.00616.x.
https://psnet.ahrq.gov/issue/causes-near-misses-critical-…
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psnet.ahrq.gov/node/39588/psn-pdf
December 04, 2016 - Reporting adverse events to patients: a step-by-step
approach.
December 4, 2016
Cherry RA, Marcus L, Dorn B. Reporting adverse events to patients: a step-by-step approach. Physician
Executive. 2010;36(3):4-6, 8-9.
https://psnet.ahrq.gov/issue/reporting-adverse-events-patients-step-step-approach
This article discu…
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psnet.ahrq.gov/node/38344/psn-pdf
January 21, 2009 - The error of omission: a simple checklist approach for
improving operating room safety.
January 21, 2009
Rosenfield LK, Chang DS. The error of omission: a simple checklist approach for improving operating room
safety. Plast Reconstr Surg. 2009;123(1):399-402. doi:10.1097/PRS.0b013e318193472f.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/39390/psn-pdf
March 23, 2011 - Teamwork behaviours and errors during neonatal
resuscitation.
March 23, 2011
Williams AL, Lasky RE, Dannemiller JL, et al. Teamwork behaviours and errors during neonatal
resuscitation. Qual Saf Health Care. 2010;19(1):60-4. doi:10.1136/qshc.2007.025320.
https://psnet.ahrq.gov/issue/teamwork-behaviours-and-errors-d…
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psnet.ahrq.gov/node/40114/psn-pdf
December 21, 2014 - A human factors curriculum for surgical clerkship
students.
December 21, 2014
Cahan MA, Larkin AC, Starr S, et al. A human factors curriculum for surgical clerkship students. Arch Surg.
2010;145(12):1151-7. doi:10.1001/archsurg.2010.252.
https://psnet.ahrq.gov/issue/human-factors-curriculum-surgical-clerkship-stud…
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psnet.ahrq.gov/node/37028/psn-pdf
April 11, 2009 - Multidisciplinary crisis simulations: the way forward for
training surgical teams.
April 11, 2009
Undre S, Koutantji M, Sevdalis N, et al. Multidisciplinary crisis simulations: the way forward for training
surgical teams. World J Surg. 2007;31(9):1843-53.
https://psnet.ahrq.gov/issue/multidisciplinary-crisis-simul…
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www.ahrq.gov/nursing-home/resources/best-mental-health.html
June 01, 2022 - Best Practices for Promoting Mental Health and Emotional Well-Being Among Nursing Home Staff
Resource: Best Practices for Promoting Mental Health and Emotional Well-Being Among Nursing Home Staff
This resource focuses on emotional well-being of nursing home staff, including information about the effects of t…