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psnet.ahrq.gov/issue/tort-claims-and-adverse-events-emergency-medical-services
January 02, 2008 - Study
Tort claims and adverse events in emergency medical services.
Citation Text:
Wang HE, Fairbanks RJ, Shah M, et al. Tort claims and adverse events in emergency medical services. Ann Emerg Med. 2008;52(3):256-62. doi:10.1016/j.annemergmed.2008.02.011.
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psnet.ahrq.gov/issue/distractions-anesthesia-work-environment-impact-patient-safety-report-meeting-sponsored
July 24, 2024 - Commentary
Distractions in the anesthesia work environment: impact on patient safety? Report of a meeting sponsored by the Anesthesia Patient Safety Foundation.
Citation Text:
van Pelt M, Weinger MB. Distractions in the Anesthesia Work Environment: Impact on Patient Safety? Report of a M…
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psnet.ahrq.gov/issue/anaesthetists-management-oxygen-pipeline-failure-room-improvement
January 28, 2009 - Study
Anaesthetists' management of oxygen pipeline failure: room for improvement.
Citation Text:
Weller JM, Merry AF, Warman GR, et al. Anaesthetists' management of oxygen pipeline failure: room for improvement. Anaesthesia. 2007;62(2):122-6.
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psnet.ahrq.gov/issue/how-prevent-top-4-medication-errors
May 20, 2020 - Newspaper/Magazine Article
How to prevent the top 4 medication errors.
Citation Text:
How to prevent the top 4 medication errors. Sederstrom J. Drug Topics. September 17, 2018.
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psnet.ahrq.gov/issue/new-view-human-error-origins-ambiguities-successes-and-critiques
August 12, 2020 - Commentary
The ‘new view’ of human error. Origins, ambiguities, successes and critiques.
Citation Text:
Le Coze JC. The ‘new view’ of human error. Origins, ambiguities, successes and critiques. Safety Sci. 2022;154:105853. doi:10.1016/j.ssci.2022.105853.
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psnet.ahrq.gov/issue/effectiveness-course-designed-teach-handoffs-medical-students
April 12, 2023 - Study
Effectiveness of a course designed to teach handoffs to medical students.
Citation Text:
Chu ES, Reid M, Burden M, et al. Effectiveness of a course designed to teach handoffs to medical students. J Hosp Med. 2010;5(6):344-8. doi:10.1002/jhm.633.
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psnet.ahrq.gov/issue/use-common-gas-outlet-supplementary-oxygen-during-caesarean-section
August 04, 2021 - Commentary
Use of the common gas outlet for supplementary oxygen during Caesarean section.
Citation Text:
Edsell MEG, Erasmus PD. Use of the common gas outlet for supplementary oxygen during Caesarean section. Anaesthesia. 2005;60(11):1152-3.
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psnet.ahrq.gov/issue/will-human-factors-restore-faith-gmc
January 12, 2022 - Commentary
Will human factors restore faith in the GMC?
Citation Text:
Morgan L, Benson D, McCulloch P. Will human factors restore faith in the GMC? BMJ. 2019;364:l1037. doi:10.1136/bmj.l1037.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…
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psnet.ahrq.gov/issue/culture-safety-results-organization-wide-survey-15-california-hospitals
November 18, 2009 - Study
Classic
The culture of safety: results of an organization-wide survey in 15 California hospitals.
Citation Text:
Singer SJ, Gaba DM, Geppert JJ, et al. The culture of safety: results of an organization-wide survey in 15 California hospitals. Qual Saf Hea…
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psnet.ahrq.gov/issue/reforming-veterans-health-administration-beyond-palliation-symptoms
May 11, 2019 - Commentary
Reforming the Veterans Health Administration—beyond palliation of symptoms.
Citation Text:
Giroir BP, Wilensky GR. Reforming the Veterans Health Administration--Beyond Palliation of Symptoms. N Engl J Med. 2015;373(18):1693-5. doi:10.1056/NEJMp1511438.
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psnet.ahrq.gov/issue/preventable-errors-operating-room-part-2-retained-foreign-objects-sharps-injuries-and-wrong
April 25, 2018 - Review
Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong site surgery.
Citation Text:
Dagi F, Berguer R, Moore S, et al. Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong site surg…
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psnet.ahrq.gov/issue/identifying-quality-markers-safe-surgical-ward-interview-study-patients-clinical-staff-and
June 17, 2015 - Study
Identifying quality markers of a safe surgical ward: an interview study of patients, clinical staff, and administrators.
Citation Text:
Hassen Y, Singh P, Pucher PH, et al. Identifying quality markers of a safe surgical ward: An interview study of patients, clinical staff, and admi…
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psnet.ahrq.gov/issue/enhancing-pediatric-perioperative-patient-safety
January 28, 2015 - Commentary
Enhancing pediatric perioperative patient safety.
Citation Text:
Johnson Q, McVey J. Enhancing Pediatric Perioperative Patient Safety. AORN J. 2017;106(5):434-442. doi:10.1016/j.aorn.2017.09.007.
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psnet.ahrq.gov/issue/retained-foreign-bodies-after-surgery
November 23, 2011 - Study
Retained foreign bodies after surgery.
Citation Text:
Lincourt AE, Harrell A, Cristiano J, et al. Retained Foreign Bodies After Surgery. Journal of Surgical Research. 2007;138(2). doi:10.1016/j.jss.2006.08.001.
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psnet.ahrq.gov/issue/effect-surgical-safety-checklists-pediatric-surgical-complications-ontario
December 07, 2016 - Study
Effect of surgical safety checklists on pediatric surgical complications in Ontario.
Citation Text:
O'Leary JD, Wijeysundera DN, Crawford MW. Effect of surgical safety checklists on pediatric surgical complications in Ontario. CMAJ. 2016;188(9):E191-E198. doi:10.1503/cmaj.151333.
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psnet.ahrq.gov/issue/alcohol-and-drug-testing-health-professionals-following-preventable-adverse-events-bad-idea
January 02, 2017 - Commentary
Alcohol and drug testing of health professionals following preventable adverse events: a bad idea.
Citation Text:
Banja J. Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. Am J Bioeth. 2014;14(12):25-36. doi:10.1080/15265161.20…
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psnet.ahrq.gov/issue/implementing-surgical-checklist-more-checking-box
July 16, 2014 - Study
Implementing a surgical checklist: more than checking a box.
Citation Text:
Levy SM, Senter CE, Hawkins RB, et al. Implementing a surgical checklist: more than checking a box. Surgery. 2012;152(3):331-6. doi:10.1016/j.surg.2012.05.034.
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psnet.ahrq.gov/issue/fda-advises-health-care-professionals-and-patients-about-insulin-pen-packaging-and-dispensing
June 22, 2011 - Press Release/Announcement
FDA advises health care professionals and patients about insulin pen packaging and dispensing.
Citation Text:
FDA advises health care professionals and patients about insulin pen packaging and dispensing. MedWatch Safety Alert. Silver Spring, MD: US Food and Dr…
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psnet.ahrq.gov/issue/infusion-medication-error-reduction-two-person-verification-quality-improvement-initiative
June 19, 2019 - Commentary
Infusion medication error reduction by two-person verification: a quality improvement initiative.
Citation Text:
Subramanyam R, Mahmoud M, Buck D, et al. Infusion Medication Error Reduction by Two-Person Verification: A Quality Improvement Initiative. Pediatrics. 2016;138(6). …
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psnet.ahrq.gov/issue/practical-approach-measure-quality-handwritten-medication-orders-tool-improvement
September 24, 2010 - Study
A practical approach to measure the quality of handwritten medication orders: a tool for improvement.
Citation Text:
Garbutt J, Milligan P, McNaughton C, et al. A Practical Approach to Measure the Quality of Handwritten Medication Orders. J Patient Saf. 2008;1(4). doi:10.1097/01.…