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  1. Supporting perioperative safety during a disaster through clinical crisis education. | PSNet

    psnet.ahrq.gov/issue/supporting-perioperative-safety-during-disaster-through-clinical-crisis-education
    July 05, 2017 - Commentary Supporting perioperative safety during a disaster through clinical crisis education. Citation Text: Kirkman A, Tripp H, Ward L, et al. Supporting perioperative safety during a disaster through clinical crisis education. AORN J. 2024;120(4):226-237. doi:10.1002/aorn.14217. Co…

  2. Can we make airway management (even) safer?—lessons from national audit. | PSNet

    psnet.ahrq.gov/issue/can-we-make-airway-management-even-safer-lessons-national-audit
    March 01, 2023 - Review Can we make airway management (even) safer?—lessons from national audit. Citation Text: Woodall N, Frerk C, Cook TM. Can we make airway management (even) safer?--lessons from national audit. Anaesthesia. 2011;66 Suppl 2:27-33. doi:10.1111/j.1365-2044.2011.06931.x. Copy Citatio…

  3. The impact of interruptions on clinical task completion. | PSNet

    psnet.ahrq.gov/issue/impact-interruptions-clinical-task-completion
    September 26, 2016 - Study The impact of interruptions on clinical task completion. Citation Text: Westbrook JI, Coiera E, Dunsmuir WTM, et al. The impact of interruptions on clinical task completion. Qual Saf Health Care. 2010;19(4):284-9. doi:10.1136/qshc.2009.039255. Copy Citation Format: DO…

  4. Expanded pharmacy technician roles: accepting verbal prescriptions and communicating prescription transfers. | PSNet

    psnet.ahrq.gov/issue/expanded-pharmacy-technician-roles-accepting-verbal-prescriptions-and-communicating
    October 05, 2011 - Commentary Expanded pharmacy technician roles: accepting verbal prescriptions and communicating prescription transfers. Citation Text: Frost TP, Adams AJ. Expanded pharmacy technician roles: Accepting verbal prescriptions and communicating prescription transfers. Res Social Adm Pharm. 20…

  5. Transfer of accountability: transforming shift handover to enhance patient safety. | PSNet

    psnet.ahrq.gov/issue/transfer-accountability-transforming-shift-handover-enhance-patient-safety
    April 24, 2018 - Commentary Transfer of accountability: transforming shift handover to enhance patient safety. Citation Text: Alvarado K, Lee R, Christoffersen E, et al. Transfer of accountability: transforming shift handover to enhance patient safety. Healthc Q. 2006;9 Spec No:75-79. Copy Citation …

  6. Systematic review: antimicrobial urinary catheters to prevent catheter-associated urinary tract infection in hospitalized patients. | PSNet

    psnet.ahrq.gov/issue/systematic-review-antimicrobial-urinary-catheters-prevent-catheter-associated-urinary-tract
    October 19, 2022 - Review Systematic review: antimicrobial urinary catheters to prevent catheter-associated urinary tract infection in hospitalized patients. Citation Text: Johnson JR, Kuskowski MA, Wilt TJ. Systematic review: antimicrobial urinary catheters to prevent catheter-associated urinary tract i…

  7. Examining medical office owners and clinicians perceptions on patient safety climate. | PSNet

    psnet.ahrq.gov/issue/examining-medical-office-owners-and-clinicians-perceptions-patient-safety-climate
    December 21, 2018 - Study Examining medical office owners and clinicians perceptions on patient safety climate. Citation Text: Mazurenko O, Richter J, Kazley AS, et al. Examining Medical Office Owners and Clinicians Perceptions on Patient Safety Climate. J Patient Saf. 2021;17(8):e1537-e1545. doi:10.1097/PT…

  8. Understanding patient safety performance and educational needs using the 'Safety-II' approach for complex systems. | PSNet

    psnet.ahrq.gov/issue/understanding-patient-safety-performance-and-educational-needs-using-safety-ii-approach
    September 28, 2016 - Commentary Understanding patient safety performance and educational needs using the 'Safety-II' approach for complex systems. Citation Text: McNab D, Bowie P, Morrison J, et al. Understanding patient safety performance and educational needs using the 'Safety-II' approach for complex syst…

  9. Is communication improved with the implementation of an obstetrical version of the World Health Organization safe surgery checklist? | PSNet

    psnet.ahrq.gov/issue/communication-improved-implementation-obstetrical-version-world-health-organization-safe
    February 02, 2022 - Study Is communication improved with the implementation of an obstetrical version of the World Health Organization safe surgery checklist? Citation Text: Govindappagari S, Guardado A, Goffman D, et al. Is Communication Improved With the Implementation of an Obstetrical Version of the Wor…

  10. Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general medical service. | PSNet

    psnet.ahrq.gov/issue/emergency-department-boarding-and-adverse-hospitalization-outcomes-among-patients-admitted
    July 13, 2016 - Study Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general medical service. Citation Text: Lord K, Parwani V, Ulrich A, et al. Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general medica…

  11. Extraneous tissue a potential source for diagnostic error in surgical pathology. | PSNet

    psnet.ahrq.gov/issue/extraneous-tissue-potential-source-diagnostic-error-surgical-pathology
    October 27, 2010 - Study Extraneous tissue a potential source for diagnostic error in surgical pathology. Citation Text: Layfield LJ, Witt BL, Metzger KG, et al. Extraneous tissue: a potential source for diagnostic error in surgical pathology. Am J Clin Pathol. 2011;136(5):767-72. doi:10.1309/AJCP4FFSBPHA…

  12. A systematic review of teamwork training interventions in medical student and resident education. | PSNet

    psnet.ahrq.gov/issue/systematic-review-teamwork-training-interventions-medical-student-and-resident-education
    November 18, 2016 - Review A systematic review of teamwork training interventions in medical student and resident education. Citation Text: Chakraborti C, Boonyasai R, Wright SM, et al. A systematic review of teamwork training interventions in medical student and resident education. J Gen Intern Med. 2008…

  13. Examining the July Effect: a national survey of academic leaders in medicine. | PSNet

    psnet.ahrq.gov/issue/examining-july-effect-national-survey-academic-leaders-medicine
    July 05, 2016 - Study Examining the July Effect: a national survey of academic leaders in medicine. Citation Text: Levy K, Voit J, Gupta A, et al. Examining the July Effect: A National Survey of Academic Leaders in Medicine. Am J Med. 2016;129(7):754.e1-5. doi:10.1016/j.amjmed.2016.05.001. Copy Citati…

  14. Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. | PSNet

    psnet.ahrq.gov/issue/nursing-assessment-continuous-vital-sign-surveillance-improve-patient-safety-medicalsurgical
    May 01, 2019 - Study Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. Citation Text: Watkins T, Whisman L, Booker P. Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. J Clin Nu…

  15. Change in intern calls at night after a work hour restriction process change. | PSNet

    psnet.ahrq.gov/issue/change-intern-calls-night-after-work-hour-restriction-process-change
    September 01, 2017 - Study Change in intern calls at night after a work hour restriction process change. Citation Text: Spellberg B, Sue D, Chang D, et al. Change in intern calls at night after a work hour restriction process change. JAMA Intern Med. 2013;173(8):707-9; discussion 663. doi:10.1001/jamainternm…

  16. Description and yield of current quality and safety review in selected US academic emergency departments. | PSNet

    psnet.ahrq.gov/issue/description-and-yield-current-quality-and-safety-review-selected-us-academic-emergency
    July 13, 2016 - Study Description and yield of current quality and safety review in selected US academic emergency departments. Citation Text: Griffey RT, Schneider RM, Sharp BR, et al. Description and Yield of Current Quality and Safety Review in Selected US Academic Emergency Departments. J Patient Sa…

  17. Disrupting diagnostic reasoning: do interruptions, instructions, and experience affect the diagnostic accuracy and response time of residents and emergency physicians? | PSNet

    psnet.ahrq.gov/issue/disrupting-diagnostic-reasoning-do-interruptions-instructions-and-experience-affect
    February 06, 2014 - Study Disrupting diagnostic reasoning: do interruptions, instructions, and experience affect the diagnostic accuracy and response time of residents and emergency physicians? Citation Text: Monteiro SD, Sherbino JD, Ilgen JS, et al. Disrupting diagnostic reasoning: do interruptions, instr…

  18. Association of overlapping cardiac surgery with short-term patient outcomes. | PSNet

    psnet.ahrq.gov/issue/association-overlapping-cardiac-surgery-short-term-patient-outcomes
    November 09, 2022 - Study Association of overlapping cardiac surgery with short-term patient outcomes. Citation Text: Glauser G, Goodrich S, McClintock SD, et al. Association of overlapping cardiac surgery with short-term patient outcomes. J Thorac Cardiovasc Surg. 2021;162(1):155-164.e2. doi:10.1016/j.jtc…

  19. Beliefs of ambulatory care physicians about accuracy of patient medication records and technology-enhanced solutions to improve accuracy. | PSNet

    psnet.ahrq.gov/issue/beliefs-ambulatory-care-physicians-about-accuracy-patient-medication-records-and-technology
    December 03, 2014 - Study Beliefs of ambulatory care physicians about accuracy of patient medication records and technology-enhanced solutions to improve accuracy. Citation Text: Weeks DL, Corbett CF, Stream G. Beliefs of ambulatory care physicians about accuracy of patient medication records and technolo…

  20. Adverse event reporting tool to standardize the reporting and tracking of adverse events during procedural sedation: a consensus document from the World SIVA International Sedation Task Force. | PSNet

    psnet.ahrq.gov/issue/adverse-event-reporting-tool-standardize-reporting-and-tracking-adverse-events-during
    April 20, 2016 - Commentary Adverse event reporting tool to standardize the reporting and tracking of adverse events during procedural sedation: a consensus document from the World SIVA International Sedation Task Force. Citation Text: Mason KP, Mason KP, Green SM, et al. Adverse event reporting tool t…
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