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  1. Validation of a teamwork perceptions measure to increase patient safety. | PSNet

    psnet.ahrq.gov/issue/validation-teamwork-perceptions-measure-increase-patient-safety
    March 20, 2014 - Study Validation of a teamwork perceptions measure to increase patient safety. Citation Text: Keebler JR, Dietz AS, Lazzara EH, et al. Validation of a teamwork perceptions measure to increase patient safety. BMJ Qual Saf. 2014;23(9):718-26. doi:10.1136/bmjqs-2013-001942. Copy Citation …

  2. Understanding the heterogeneity of labor and delivery units: using design thinking methodology to assess environmental factors that contribute to safety in childbirth. | PSNet

    psnet.ahrq.gov/issue/understanding-heterogeneity-labor-and-delivery-units-using-design-thinking-methodology-assess
    August 15, 2018 - Study Understanding the heterogeneity of labor and delivery units: using design thinking methodology to assess environmental factors that contribute to safety in childbirth. Citation Text: Sherman J, Hedli LC, Kristensen-Cabrera AI, et al. Understanding the Heterogeneity of Labor and Del…

  3. An initiative to improve the management of clinically significant test results in a large health care network. | PSNet

    psnet.ahrq.gov/issue/initiative-improve-management-clinically-significant-test-results-large-health-care-network
    November 26, 2014 - Study An initiative to improve the management of clinically significant test results in a large health care network. Citation Text: Roy CL, Rothschild JM, Dighe AS, et al. An initiative to improve the management of clinically significant test results in a large health care network. Jt …

  4. ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery. | PSNet

    psnet.ahrq.gov/issue/provencare-quality-improvement-model-designing-highly-reliable-care-cardiac-surgery
    February 09, 2011 - Study ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery. Citation Text: Berry SA, Doll MC, McKinley KE, et al. ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery. Qual Saf Health Care. 2009;18(5):360-8. d…

  5. The introduction of a surgical safety checklist in a tertiary referral obstetric centre. | PSNet

    psnet.ahrq.gov/issue/introduction-surgical-safety-checklist-tertiary-referral-obstetric-centre
    October 04, 2023 - Study The introduction of a surgical safety checklist in a tertiary referral obstetric centre. Citation Text: Kearns RJ, Uppal V, Bonner J, et al. The introduction of a surgical safety checklist in a tertiary referral obstetric centre. BMJ Qual Saf. 2011;20(9):818-22. doi:10.1136/bmjqs…

  6. Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis. | PSNet

    psnet.ahrq.gov/issue/psychological-safety-and-hierarchy-operating-room-debriefing-reflexive-thematic-analysis
    March 06, 2024 - Study Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis. Citation Text: McElroy C, Skegg E, Mudgway M, et al. Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis. J Surg Res. 2023;295:567-573. doi:10.1016…

  7. Operating room organization and surgical performance: a systematic review. | PSNet

    psnet.ahrq.gov/issue/operating-room-organization-and-surgical-performance-systematic-review
    March 05, 2025 - Review Operating room organization and surgical performance: a systematic review. Citation Text: Pasquer A, Ducarroz S, Lifante JC, et al. Operating room organization and surgical performance: a systematic review. Patient Saf Surg. 2024;18(1):5. doi:10.1186/s13037-023-00388-3. Copy Cit…

  8. Clinician responses to disruptive intraoperative behaviour: patterns and norms identified from a multinational survey. | PSNet

    psnet.ahrq.gov/issue/clinician-responses-disruptive-intraoperative-behaviour-patterns-and-norms-identified
    February 01, 2017 - Study Clinician responses to disruptive intraoperative behaviour: patterns and norms identified from a multinational survey. Citation Text: Villafranca A, Fast I, Turick M, et al. Clinician responses to disruptive intraoperative behaviour: patterns and norms identified from a multination…

  9. An iconic language for the graphical representation of medical concepts. | PSNet

    psnet.ahrq.gov/issue/iconic-language-graphical-representation-medical-concepts
    March 05, 2025 - Study An iconic language for the graphical representation of medical concepts. Citation Text: Lamy J-B, Duclos C, Bar-Hen A, et al. An iconic language for the graphical representation of medical concepts. BMC Med Inform Decis Mak. 2008;8:16. doi:10.1186/1472-6947-8-16. Copy Citation …

  10. A comprehensive method to develop a checklist to increase safety of intra-hospital transport of critically ill patients. | PSNet

    psnet.ahrq.gov/issue/comprehensive-method-develop-checklist-increase-safety-intra-hospital-transport-critically
    March 15, 2016 - Study A comprehensive method to develop a checklist to increase safety of intra-hospital transport of critically ill patients. Citation Text: Brunsveld-Reinders AH, Arbous S, Kuiper SG, et al. A comprehensive method to develop a checklist to increase safety of intra-hospital transport of…

  11. Targeting improvements in patient safety at a large academic center: an institutional handoff curriculum for graduate medical education. | PSNet

    psnet.ahrq.gov/issue/targeting-improvements-patient-safety-large-academic-center-institutional-handoff-curriculum
    August 03, 2017 - Commentary Targeting improvements in patient safety at a large academic center: an institutional handoff curriculum for graduate medical education. Citation Text: Allen S, Caton C, Cluver J, et al. Targeting improvements in patient safety at a large academic center: an institutional hand…

  12. Peer training using cognitive rehearsal to promote a culture of safety in health care. | PSNet

    psnet.ahrq.gov/issue/peer-training-using-cognitive-rehearsal-promote-culture-safety-health-care
    November 16, 2022 - Study Peer training using cognitive rehearsal to promote a culture of safety in health care. Citation Text: Roberts T, Hanna K, Hurley S, et al. Peer Training Using Cognitive Rehearsal to Promote a Culture of Safety in Health Care. Nurse Educ. 2018;43(5):262-266. doi:10.1097/NNE.00000000…

  13. Hospital discharge documentation and risk of rehospitalisation. | PSNet

    psnet.ahrq.gov/issue/hospital-discharge-documentation-and-risk-rehospitalisation
    March 25, 2015 - Study Hospital discharge documentation and risk of rehospitalisation. Citation Text: Hansen LO, Strater A, Smith L, et al. Hospital discharge documentation and risk of rehospitalisation. BMJ Qual Saf. 2011;20(9):773-8. doi:10.1136/bmjqs.2010.048470. Copy Citation Format: …

  14. FDA requiring color changes to Duragesic (fentanyl) pain patches to aid safety―emphasizing that accidental exposure to used patches can cause death. | PSNet

    psnet.ahrq.gov/issue/fda-requiring-color-changes-duragesic-fentanyl-pain-patches-aid-safety-emphasizing-accidental
    August 05, 2020 - Press Release/Announcement FDA requiring color changes to Duragesic (fentanyl) pain patches to aid safety―emphasizing that accidental exposure to used patches can cause death. Citation Text: FDA requiring color changes to Duragesic (fentanyl) pain patches to aid safety―emphasizing that…

  15. Supporting structures for team situation awareness and decision making: insights from four delivery suites. | PSNet

    psnet.ahrq.gov/issue/supporting-structures-team-situation-awareness-and-decision-making-insights-four-delivery
    October 13, 2010 - Study Supporting structures for team situation awareness and decision making: insights from four delivery suites. Citation Text: Mackintosh N, Berridge E-J, Freeth D. Supporting structures for team situation awareness and decision making: insights from four delivery suites. J Eval Cl…

  16. An overview of research priorities in surgical simulation: what the literature shows has been achieved during the 21st century and what remains. | PSNet

    psnet.ahrq.gov/issue/overview-research-priorities-surgical-simulation-what-literature-shows-has-been-achieved
    June 17, 2015 - Review An overview of research priorities in surgical simulation: what the literature shows has been achieved during the 21st century and what remains. Citation Text: Johnston MJ, Paige JT, Aggarwal R, et al. An overview of research priorities in surgical simulation: what the literature …

  17. 2016 Updated American Society of Clinical Oncology/Oncology Nursing Society Chemotherapy Administration Safety Standards, including standards for pediatric oncology. | PSNet

    psnet.ahrq.gov/issue/2016-updated-american-society-clinical-oncologyoncology-nursing-society-chemotherapy
    February 15, 2023 - Commentary 2016 Updated American Society of Clinical Oncology/Oncology Nursing Society Chemotherapy Administration Safety Standards, including standards for pediatric oncology. Citation Text: Belderson KM, Billett AL. Chemotherapy safety standards: A pediatric perspective. J Oncol Pract.…

  18. Preventable closed claims in the AANA Foundation closed malpractice claims database. | PSNet

    psnet.ahrq.gov/issue/preventable-closed-claims-aana-foundation-closed-malpractice-claims-database
    March 11, 2020 - Study Preventable closed claims in the AANA Foundation closed malpractice claims database. Citation Text: Kremer MJ, Hirsch M, Geisz-Everson M, et al. Preventable Closed Claims in the AANA Foundation Closed Malpractice Claims Database. AANA J. 2019;87(6). Copy Citation Format: …

  19. Need to systematically identify and mitigate risks upon hospitalisation for patients with chronic health conditions. | PSNet

    psnet.ahrq.gov/issue/need-systematically-identify-and-mitigate-risks-upon-hospitalisation-patients-chronic-health
    August 04, 2021 - Commentary Need to systematically identify and mitigate risks upon hospitalisation for patients with chronic health conditions. Citation Text: Pronovost PJ, Carrington EM. Need to systematically identify and mitigate risks upon hospitalisation for patients with chronic health conditions.…

  20. Registered nurses' judgments of the classification and risk level of patient care errors. | PSNet

    psnet.ahrq.gov/issue/registered-nurses-judgments-classification-and-risk-level-patient-care-errors
    August 24, 2022 - Study Registered nurses' judgments of the classification and risk level of patient care errors. Citation Text: Chipps E, Wills CE, Tanda R, et al. Registered nurses' judgments of the classification and risk level of patient care errors. J Nurs Care Qual. 2011;26(4):302-310. doi:10.1097…
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