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  1. A prospective study of patient safety in the operating room. | PSNet

    psnet.ahrq.gov/issue/prospective-study-patient-safety-operating-room
    July 25, 2012 - Study Classic A prospective study of patient safety in the operating room. Citation Text: Christian CK, Gustafson ML, Roth EM, et al. A prospective study of patient safety in the operating room. Surgery. 2006;139(2):159-173. Copy Citation Format: …

  2. The 'time-out' procedure: an institutional ethnography of how it is conducted in actual clinical practice. | PSNet

    psnet.ahrq.gov/issue/time-out-procedure-institutional-ethnography-how-it-conducted-actual-clinical-practice
    November 06, 2015 - Study The 'time-out' procedure: an institutional ethnography of how it is conducted in actual clinical practice. Citation Text: Braaf S, Manias E, Riley R. The 'time-out' procedure: an institutional ethnography of how it is conducted in actual clinical practice. BMJ Qual Saf. 2013;22(8)…

  3. A cross-cultural survey of residents' perceived barriers in questioning/challenging authority. | PSNet

    psnet.ahrq.gov/issue/cross-cultural-survey-residents-perceived-barriers-questioningchallenging-authority
    June 15, 2012 - Study A cross-cultural survey of residents' perceived barriers in questioning/challenging authority. Citation Text: Kobayashi H, Pian-Smith M, Sato M, et al. A cross-cultural survey of residents' perceived barriers in questioning/challenging authority. Qual Saf Health Care. 2006;15(4):…

  4. Enhancing communication in surgery through team training interventions: a systematic literature review. | PSNet

    psnet.ahrq.gov/issue/enhancing-communication-surgery-through-team-training-interventions-systematic-literature
    August 11, 2021 - Review Enhancing communication in surgery through team training interventions: a systematic literature review. Citation Text: Gillespie BM, Chaboyer W, Murray P. Enhancing communication in surgery through team training interventions: a systematic literature review. AORN J. 2010;92(6):6…

  5. Medical errors: disclosure styles, interpersonal forgiveness, and outcomes. | PSNet

    psnet.ahrq.gov/issue/medical-errors-disclosure-styles-interpersonal-forgiveness-and-outcomes
    June 14, 2017 - Study Medical errors: disclosure styles, interpersonal forgiveness, and outcomes. Citation Text: Hannawa AF, Shigemoto Y, Little TD. Medical errors: Disclosure styles, interpersonal forgiveness, and outcomes. Social Sci Med. 2016;156:29-38. doi:10.1016/j.socscimed.2016.03.026. Copy Cit…

  6. Debriefing in the OR: a quality improvement project. | PSNet

    psnet.ahrq.gov/issue/debriefing-or-quality-improvement-project
    April 24, 2018 - Commentary Debriefing in the OR: a quality improvement project. Citation Text: Finch EP, Langston M, Erickson D, et al. Debriefing in the OR: A Quality Improvement Project. AORN J. 2019;109(3):336-344. doi:10.1002/aorn.12616. Copy Citation Format: DOI Google Scholar PubMed …

  7. Disclosing harmful pathology errors to patients. | PSNet

    psnet.ahrq.gov/issue/disclosing-harmful-pathology-errors-patients
    May 18, 2022 - Commentary Disclosing harmful pathology errors to patients. Citation Text: Dintzis SM, Gallagher TH. Disclosing harmful pathology errors to patients. Am J Clin Pathol. 2009;131(4):463-5. doi:10.1309/AJCPIO5SHDOD6URI. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  8. Speaking across the drapes: communication strategies of anesthesiologists and obstetricians during a simulated maternal crisis. | PSNet

    psnet.ahrq.gov/issue/speaking-across-drapes-communication-strategies-anesthesiologists-and-obstetricians-during
    May 08, 2017 - Study Speaking across the drapes: communication strategies of anesthesiologists and obstetricians during a simulated maternal crisis. Citation Text: Minehart RD, Pian-Smith MCM, Walzer TB, et al. Speaking across the drapes: communication strategies of anesthesiologists and obstetrician…

  9. COVID-19 can last for several months. The disease’s “long-haulers” have endured relentless waves of debilitating symptoms—and disbelief from doctors and friends. | PSNet

    psnet.ahrq.gov/issue/covid-19-can-last-several-months-diseases-long-haulers-have-endured-relentless-waves
    April 03, 2005 - Newspaper/Magazine Article COVID-19 can last for several months. The disease’s “long-haulers” have endured relentless waves of debilitating symptoms—and disbelief from doctors and friends. Citation Text: Young E. COVID-19 can last for several months. The disease’s “long-haulers” have end…

  10. Student-observed surgical safety practices across an urban regional health authority. | PSNet

    psnet.ahrq.gov/issue/student-observed-surgical-safety-practices-across-urban-regional-health-authority
    August 12, 2020 - Study Student-observed surgical safety practices across an urban regional health authority. Citation Text: Spence J, Goodwin B, Enns C, et al. Student-observed surgical safety practices across an urban regional health authority. BMJ Qual Saf. 2011;20(7):580-6. doi:10.1136/bmjqs.2010.04…

  11. Implementation of a modified bedside handoff for a postpartum unit. | PSNet

    psnet.ahrq.gov/issue/implementation-modified-bedside-handoff-postpartum-unit
    November 16, 2022 - Commentary Implementation of a modified bedside handoff for a postpartum unit. Citation Text: Wollenhaup CA, Stevenson EL, Thompson J, et al. Implementation of a Modified Bedside Handoff for a Postpartum Unit. J Nurs Admin. 2017;47(6):320-326. doi:10.1097/NNA.0000000000000487. Copy Cit…

  12. Multidisciplinary crisis simulations: the way forward for training surgical teams. | PSNet

    psnet.ahrq.gov/issue/multidisciplinary-crisis-simulations-way-forward-training-surgical-teams
    July 31, 2008 - Study Multidisciplinary crisis simulations: the way forward for training surgical teams. Citation Text: 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. Copy Citation Form…

  13. Potential for medication overdose with ENFit low dose tip syringe: FDA Safety Communication. | PSNet

    psnet.ahrq.gov/issue/potential-medication-overdose-enfit-low-dose-tip-syringe-fda-safety-communication
    October 28, 2020 - Press Release/Announcement Potential for medication overdose with ENFit low dose tip syringe: FDA Safety Communication. Citation Text: Potential for medication overdose with ENFit low dose tip syringe: FDA Safety Communication. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug A…

  14. Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive health care. | PSNet

    psnet.ahrq.gov/issue/impact-teamwork-improvement-training-communication-and-teamwork-climate-ambulatory
    October 28, 2020 - Study Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive health care. Citation Text: Dodge LE, Nippita S, Hacker MR, et al. Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive healt…

  15. A surgical procedure grid for safety and operating room communication in multisite surgery. | PSNet

    psnet.ahrq.gov/issue/surgical-procedure-grid-safety-and-operating-room-communication-multisite-surgery
    June 17, 2014 - Commentary A surgical procedure grid for safety and operating room communication in multisite surgery. Citation Text: Insalaco LF, Spiegel JH. A Surgical Procedure Grid for Safety and Operating Room Communication in Multisite Surgery. JAMA Facial Plast Surg. 2018;20(3):185-186. doi:10.10…

  16. Guide (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module3/guide.docx
    March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Long-Term Care Safety Modules Module 3: Staff Empowerment Material Use Guide Learning Objectives: · Cite staff empowerment concepts · Discuss how staff empowerment contributes to a culture of resident safety, leading to improved outcomes and quality of life · Illus…

  17. Development and validation of a tool to assess emergency physicians' nontechnical skills. | PSNet

    psnet.ahrq.gov/issue/development-and-validation-tool-assess-emergency-physicians-nontechnical-skills
    December 12, 2012 - Study Development and validation of a tool to assess emergency physicians' nontechnical skills. Citation Text: Flowerdew L, Brown R, Vincent CA, et al. Development and validation of a tool to assess emergency physicians' nontechnical skills. Ann Emerg Med. 2012;59(5):376-385.e4. doi:10…

  18. Improving the communication between teams managing boarded patients on a surgical specialty ward. | PSNet

    psnet.ahrq.gov/issue/improving-communication-between-teams-managing-boarded-patients-surgical-specialty-ward
    September 29, 2017 - Commentary Improving the communication between teams managing boarded patients on a surgical specialty ward. Citation Text: Puvaneswaralingam S, Ross D. Improving the communication between teams managing boarded patients on a surgical specialty ward. BMJ Qual Improv Rep. 2016;5(1). doi:1…

  19. Kaiser Permanente's performance improvement system, part 4: creating a learning organization. | PSNet

    psnet.ahrq.gov/issue/kaiser-permanentes-performance-improvement-system-part-4-creating-learning-organization
    July 19, 2023 - Commentary Kaiser Permanente's performance improvement system, part 4: creating a learning organization. Citation Text: Schilling L, Dearing JW, Staley P, et al. Kaiser Permanente's performance improvement system, Part 4: Creating a learning organization. Jt Comm J Qual Patient Saf. 2011…

  20. Crisis resource management: evaluating outcomes of a multidisciplinary team. | PSNet

    psnet.ahrq.gov/issue/crisis-resource-management-evaluating-outcomes-multidisciplinary-team
    December 23, 2011 - Study Crisis resource management: evaluating outcomes of a multidisciplinary team. Citation Text: Jankouskas T, Bush MC, Murray B, et al. Crisis resource management: evaluating outcomes of a multidisciplinary team. Simul Healthc. 2007;2(2):96-101. doi:10.1097/SIH.0b013e31805d8b0d. Co…
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