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9841. The lost sponge: patient safety in the operating room. | PSNet
      psnet.ahrq.gov/issue/lost-sponge-patient-safety-operating-room
      January 26, 2022 - Commentary The lost sponge: patient safety in the operating room. Citation Text: Grant-Orser A, Davies P, Singh SS. The lost sponge: patient safety in the operating room. CMAJ . 2012;184(11):1275-1278. doi:10.1503/cmaj.110900. Copy Citation Format: DOI Google Scholar PubM…

9842. Disclosing medical errors: views from the United States and the United Kingdom. | PSNet
      psnet.ahrq.gov/issue/disclosing-medical-errors-views-united-states-and-united-kingdom
      September 23, 2020 - Commentary Disclosing medical errors: views from the United States and the United Kingdom. Citation Text: Thornton JA, Harrison MJ. Letter: Duration of action of AH8165. Br J Anaesth. 1975;47(9):1033. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote…

9843. Smarter clinical checklists: how to minimize checklist fatigue and maximize clinician performance. | PSNet
      psnet.ahrq.gov/issue/smarter-clinical-checklists-how-minimize-checklist-fatigue-and-maximize-clinician-performance
      July 10, 2017 - Commentary Smarter clinical checklists: how to minimize checklist fatigue and maximize clinician performance. Citation Text: Grigg EB. Smarter Clinical Checklists: How to Minimize Checklist Fatigue and Maximize Clinician Performance. Anesth Analg. 2015;121(2):570-3. doi:10.1213/ANE.00000…

9844. Communication in the operating theatre. | PSNet
      psnet.ahrq.gov/issue/communication-operating-theatre
      September 29, 2017 - Review Communication in the operating theatre. Citation Text: Weldon S-M, Korkiakangas T, Bezemer J, et al. Communication in the operating theatre. Br J Surg. 2013;100(13):1677-88. doi:10.1002/bjs.9332. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML …

9845. Building high reliability teams: progress and some reflections on teamwork training. | PSNet
      psnet.ahrq.gov/issue/building-high-reliability-teams-progress-and-some-reflections-teamwork-training
      March 21, 2017 - Commentary Building high reliability teams: progress and some reflections on teamwork training. Citation Text: Salas E, Rosen MA. Building high reliability teams: progress and some reflections on teamwork training. BMJ Qual Saf. 2013;22(5):369-73. doi:10.1136/bmjqs-2013-002015. Copy C…

9846. Nowhere is safe: record number of patients contracted Covid in the hospital in January. | PSNet
      psnet.ahrq.gov/issue/nowhere-safe-record-number-patients-contracted-covid-hospital-january
      November 18, 2020 - Newspaper/Magazine Article Nowhere is safe: record number of patients contracted Covid in the hospital in January. Citation Text: Nowhere is safe: record number of patients contracted Covid in the hospital in January. Levy R, Vestal AJ. Politico. February 19, 2022. Copy Citation …

9847. Drug shortages continue to compromise patient care. | PSNet
      psnet.ahrq.gov/issue/drug-shortages-continue-compromise-patient-care
      February 24, 2016 - Newspaper/Magazine Article Drug shortages continue to compromise patient care. Citation Text: Drug shortages continue to compromise patient care. ISMP Medication Safety Alert! Acute Care Edition. January 11, 2018;23:1-4. Copy Citation Save Save to your library …

9848. Nurses' perceptions of multidisciplinary team work in acute health-care. | PSNet
      psnet.ahrq.gov/issue/nurses-perceptions-multidisciplinary-team-work-acute-health-care
      January 06, 2017 - Image/Poster Nurses' perceptions of multidisciplinary team work in acute health-care. Citation Text: Atwal A, Caldwell K. Nurses' perceptions of multidisciplinary team work in acute health-care. Int J Nurs Pract. 2006;12(6):359-65. Copy Citation Format: Google Scholar Pub…

9849. Miro's dots and lines. | PSNet
      psnet.ahrq.gov/issue/miros-dots-and-lines
      September 21, 2016 - Commentary Miro's dots and lines. Citation Text: Taran S, Detsky AS. Miro’s Dots and Lines. JAMA Intern Med. 2019;179(8):1019–1020. doi:10.1001/jamainternmed.2019.1922. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

9850. The Patients' View: 2004 ISQSH National Survey. | PSNet
      psnet.ahrq.gov/issue/patients-view-2004-isqsh-national-survey
      July 20, 2022 - Book/Report The Patients' View: 2004 ISQSH National Survey. Citation Text: The Patients' View: 2004 ISQSH National Survey. Dublin: Irish Society for Quality and Safety in Healthcare; 2004. Copy Citation Save Save to your library Print Download PDF…

9851. Twelve best practices for team training evaluation in health care. | PSNet
      psnet.ahrq.gov/issue/twelve-best-practices-team-training-evaluation-health-care
      July 02, 2014 - Commentary Twelve best practices for team training evaluation in health care. Citation Text: Weaver SJ, Salas E, King HB. Twelve best practices for team training evaluation in health care. Jt Comm J Qual Patient Saf. 2011;37(8):341-9. Copy Citation Format: Google Scholar …

9852. Do panels vary when assessing intrapartum adverse events? The reproducibility of assessments by hospital risk management groups. | PSNet
      psnet.ahrq.gov/issue/do-panels-vary-when-assessing-intrapartum-adverse-events-reproducibility-assessments-hospital
      July 07, 2021 - Study Do panels vary when assessing intrapartum adverse events? The reproducibility of assessments by hospital risk management groups. Citation Text: Do panels vary when assessing intrapartum adverse events? The reproducibility of assessments by hospital risk management groups. Kerna…

9853. Introduction | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/grants-transform/introduction.html
      October 01, 2023 - Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report Introduction Previous Page Next Page Table of Contents Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report Executive Summary Introduction Methods Overview of the 14 Transfo…

9854. Saying "I'm sorry": error disclosure for ophthalmologists. | PSNet
      psnet.ahrq.gov/issue/saying-im-sorry-error-disclosure-ophthalmologists
      November 20, 2019 - Commentary Saying "I'm sorry": error disclosure for ophthalmologists. Citation Text: Lee BS, Gallagher TH. Saying "I'm sorry": error disclosure for ophthalmologists. Am J Ophthalmol. 2014;158(6):1108-1110.e2. doi:10.1016/j.ajo.2014.09.010. Copy Citation Format: DOI Google S…

9855. The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy.  | PSNet
      psnet.ahrq.gov/issue/health-literacy-americas-adults-results-2003-national-assessment-adult-literacy
      January 16, 2019 - Government Resource The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy.  Citation Text: The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy.  Kutner M, Greenberg E, Jin Y, et al. Washin…

9856. Path to safety: benefits of the 2005 Patient Safety and Quality Improvement Act. | PSNet
      psnet.ahrq.gov/issue/path-safety-benefits-2005-patient-safety-and-quality-improvement-act
      June 03, 2015 - Commentary Path to safety: benefits of the 2005 Patient Safety and Quality Improvement Act. Citation Text: McBride D, Greening A, Redmond D. Path to safety: benefits of the 2005 Patient Safety and Quality Improvement Act. Healthc Financ Manage. 2006;60(6):84-8. Copy Citation Form…

9857. Hearing: Broken Promises: Assessing VA’s Systems for Protecting Veterans from Clinical Harm. | PSNet
      psnet.ahrq.gov/issue/hearing-broken-promises-assessing-vas-systems-protecting-veterans-clinical-harm
      December 23, 2012 - Congressional Testimony Hearing: Broken Promises: Assessing VA’s Systems for Protecting Veterans from Clinical Harm. Citation Text: Hearing: Broken Promises: Assessing VA’s Systems for Protecting Veterans from Clinical Harm. US House of Representatives Committee on Veterans Affairs Subco…

9858. A new method to guard inpatient medication safety by the implementation of RFID. | PSNet
      psnet.ahrq.gov/issue/new-method-guard-inpatient-medication-safety-implementation-rfid
      June 29, 2011 - Study A new method to guard inpatient medication safety by the implementation of RFID. Citation Text: Sun PR, Wang BH, Wu F. A new method to guard inpatient medication safety by the implementation of RFID. J Med Syst. 2008;32(4):327-32. Copy Citation Format: Google Schola…

9859. Hospital bosses ignored months of doctors' warnings about Lucy Letby. | PSNet
      psnet.ahrq.gov/issue/hospital-bosses-ignored-months-doctors-warnings-about-lucy-letby
      September 01, 2010 - Newspaper/Magazine Article Hospital bosses ignored months of doctors' warnings about Lucy Letby. Citation Text: Hospital bosses ignored months of doctors' warnings about Lucy Letby. Moritz J, Coffey J, Buchanan M. BBC News. August 19, 2023. Copy Citation Save Save…

9860. Workplace bullying in the OR: results of a descriptive study. | PSNet
      psnet.ahrq.gov/issue/workplace-bullying-or-results-descriptive-study
      December 21, 2017 - Study Workplace bullying in the OR: results of a descriptive study. Citation Text: Chipps E, Stelmaschuk S, Albert NM, et al. Workplace Bullying in the OR: Results of a Descriptive Study. AORN J. 2013;98(5). doi:10.1016/j.aorn.2013.08.015. Copy Citation Format: DOI Googl…