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psnet.ahrq.gov/issue/exploring-and-evaluating-patient-safety-culture-community-based-primary-care-setting
March 19, 2018 - Study
Exploring and evaluating patient safety culture in a community-based primary care setting.
Citation Text:
Desmedt M, Bergs J, Willaert B, et al. Exploring and Evaluating Patient Safety Culture in a Community-Based Primary Care Setting. J Patient Saf. 2021;17(8):e1216-e1222. doi:10.…
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psnet.ahrq.gov/issue/clinical-nurse-specialist-intervention-facilitate-safe-transfer-icu
January 15, 2014 - Commentary
A clinical nurse specialist intervention to facilitate safe transfer from ICU.
Citation Text:
St-Louis L, Brault D. A clinical nurse specialist intervention to facilitate safe transfer from ICU. Clin Nurse Spec. 2011;25(6):321-6. doi:10.1097/NUR.0b013e318233eaab.
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psnet.ahrq.gov/issue/wrong-site-nerve-blocks-systematic-literature-review-guide-principles-prevention
July 22, 2020 - Review
Wrong-site nerve blocks: a systematic literature review to guide principles for prevention.
Citation Text:
Deutsch ES, Yonash RA, Martin DE, et al. Wrong-site nerve blocks: A systematic literature review to guide principles for prevention. J Clin Anesth. 2018;46:101-111. doi:10.10…
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psnet.ahrq.gov/issue/applying-fault-tree-analysis-prevention-wrong-site-surgery
September 09, 2015 - Review
Applying fault tree analysis to the prevention of wrong-site surgery.
Citation Text:
Abecassis ZA, McElroy LM, Patel RM, et al. Applying fault tree analysis to the prevention of wrong-site surgery. J Surg Res. 2015;193(1):88-94. doi:10.1016/j.jss.2014.08.062.
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psnet.ahrq.gov/issue/maths-anxiety-and-medication-dosage-calculation-errors-scoping-review
September 01, 2016 - Review
Maths anxiety and medication dosage calculation errors: a scoping review.
Citation Text:
Williams B, Davis S. Maths anxiety and medication dosage calculation errors: A scoping review. Nurse Educ Pract. 2016;20:139-46. doi:10.1016/j.nepr.2016.08.005.
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psnet.ahrq.gov/issue/white-paper-recommendation-systems-based-practice-competency
December 18, 2017 - Commentary
White paper on recommendation for systems-based practice competency.
Citation Text:
Stalter AM, Phillips JM, Dolansky MA. QSEN Institute RN-BSN Task Force: White Paper on Recommendation for Systems-Based Practice Competency. J Nurs Care Qual. 2017;32(4):354-358. doi:10.1097/NC…
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psnet.ahrq.gov/issue/ventilator-related-adverse-events-taxonomy-and-findings-3-incident-reporting-systems
March 01, 2017 - Study
Ventilator-related adverse events: a taxonomy and findings from 3 incident reporting systems.
Citation Text:
Pham JC, Williams TL, Sparnon EM, et al. Ventilator-Related Adverse Events: A Taxonomy and Findings From 3 Incident Reporting Systems. Respir Care. 2016;61(5):621-31. doi:10…
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psnet.ahrq.gov/issue/rapid-response-team-implementation-and-hospital-mortality
December 03, 2014 - Study
Rapid response team implementation and in-hospital mortality.
Citation Text:
Salvatierra G, Bindler RC, Corbett CF, et al. Rapid response team implementation and in-hospital mortality*. Crit Care Med. 2014;42(9):2001-6. doi:10.1097/CCM.0000000000000347.
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Format: …
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psnet.ahrq.gov/issue/effectiveness-patient-care-teams-and-role-clinical-expertise-and-coordination-literature
December 17, 2009 - Review
Effectiveness of patient care teams and the role of clinical expertise and coordination: a literature review.
Citation Text:
Bosch M, Faber MJ, Cruijsberg J, et al. Review article: Effectiveness of patient care teams and the role of clinical expertise and coordination: a literat…
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psnet.ahrq.gov/issue/why-worry-worry-risk-perceptions-and-willingness-act-reduce-medical-errors
September 10, 2009 - Study
Why worry? Worry, risk perceptions, and willingness to act to reduce medical errors.
Citation Text:
Peters E, Slovic P, Hibbard JH, et al. Why worry? Worry, risk perceptions, and willingness to act to reduce medical errors. Health Psychology. 2006;25(2). doi:10.1037/0278-6133.25.…
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psnet.ahrq.gov/issue/randomized-crossover-study-evaluating-effect-hand-sanitizer-dispenser-frequency-hand-hygiene
November 09, 2015 - Study
Randomized crossover study evaluating the effect of a hand sanitizer dispenser on the frequency of hand hygiene among anesthesiology staff in the operating room.
Citation Text:
Munoz-Price S, Patel Z, Banks S, et al. Randomized crossover study evaluating the effect of a hand saniti…
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psnet.ahrq.gov/issue/those-found-responsible-have-been-sacked-some-observations-usefulness-error
September 28, 2010 - Commentary
“Those found responsible have been sacked”: some observations on the usefulness of error.
Citation Text:
Cook RI, Nemeth CP. “Those found responsible have been sacked”: some observations on the usefulness of error. Cogn Tech Work. 2010;12(2):87-93. doi:10.1007/s10111-010-0149-…
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psnet.ahrq.gov/issue/adverse-event-screening-tool-based-routinely-collected-hospital-acquired-diagnoses
July 23, 2008 - Study
An adverse event screening tool based on routinely collected hospital-acquired diagnoses.
Citation Text:
Brand CA, Tropea J, Gorelik A, et al. An adverse event screening tool based on routinely collected hospital-acquired diagnoses. Int J Qual Health Care. 2012;24(3):266-78. doi:10…
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psnet.ahrq.gov/issue/relationship-between-safety-climate-and-safety-performance-review
February 03, 2021 - Review
The relationship between safety climate and safety performance: a review.
Citation Text:
Syed-Yahya SNN, Idris MA, Noblet AJ. The relationship between safety climate and safety performance: a review. J Safety Res. 2022;83:105-118. doi:10.1016/j.jsr.2022.08.008.
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psnet.ahrq.gov/issue/global-oximetry-international-anaesthesia-quality-improvement-project
November 12, 2014 - Study
Global oximetry: an international anaesthesia quality improvement project.
Citation Text:
Walker IA, Merry AF, Wilson IH, et al. Global oximetry: an international anaesthesia quality improvement project. Anaesthesia. 2009;64(10):1051-60. doi:10.1111/j.1365-2044.2009.06067.x.
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psnet.ahrq.gov/issue/effect-evidence-crisis-learning-based-perspective-integration-framework
March 24, 2019 - Commentary
The effect of evidence in crisis learning: based on a perspective integration framework.
Citation Text:
Wang B, Li D, Wang Y. The effect of evidence in crisis learning: based on a perspective integration framework. J Contingencies Crisis Manag. 2024;32(1):e12506. doi:10.1111/1…
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psnet.ahrq.gov/issue/educational-intervention-increase-speaking-behaviors-nurses-and-improve-patient-safety
May 08, 2013 - Study
An educational intervention to increase "speaking-up" behaviors in nurses and improve patient safety.
Citation Text:
Sayre MM, McNeese-Smith D, Leach LS, et al. An educational intervention to increase "speaking-up" behaviors in nurses and improve patient safety. J Nurs Care Qual.…
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psnet.ahrq.gov/issue/impact-restraint-management-bundle-restraint-use-intensive-care-unit
October 18, 2023 - Commentary
Impact of a restraint management bundle on restraint use in an intensive care unit.
Citation Text:
Hall DK, Zimbro KS, Maduro RS, et al. Impact of a Restraint Management Bundle on Restraint Use in an Intensive Care Unit. J Nurs Care Qual. 2018;33(2):143-148. doi:10.1097/NCQ.00…
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psnet.ahrq.gov/node/37542/psn-pdf
February 23, 2018 - A past PSNet perspective discussed the application
of human factors engineering concepts.
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psnet.ahrq.gov/node/43815/psn-pdf
February 04, 2015 - The concepts explored in this study have been used to develop a patient safety curriculum
that is being