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psnet.ahrq.gov/issue/improving-situation-awareness-advance-patient-outcomes-systematic-literature-review
January 16, 2010 - Review
Improving situation awareness to advance patient outcomes: a systematic literature review.
Citation Text:
Alqarrain Y, Roudsari A, Courtney KL, et al. Improving situation awareness to advance patient outcomes: a systematic literature review. Comput Inform Nurs. 2024;42(4):277-288.…
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psnet.ahrq.gov/issue/checking-it-twice-evaluation-checklists-detecting-medication-errors-bedside-using
September 26, 2016 - Study
Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a chemotherapy model.
Citation Text:
White RE, Trbovich PL, Easty AC, et al. Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a c…
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psnet.ahrq.gov/issue/practice-indicators-suboptimal-care-and-avoidable-adverse-events-content-analysis-national
May 13, 2015 - Study
Practice indicators of suboptimal care and avoidable adverse events: a content analysis of a national qualifying examination.
Citation Text:
Bordage G, Meguerditchian A-N, Tamblyn R. Practice indicators of suboptimal care and avoidable adverse events: a content analysis of a natio…
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psnet.ahrq.gov/issue/postoperative-handover-problems-pitfalls-and-prevention-error
September 26, 2012 - Image/Poster
Postoperative handover: problems, pitfalls, and prevention of error.
Citation Text:
Nagpal K, Arora S, Abboudi M, et al. Postoperative handover: problems, pitfalls, and prevention of error. Ann Surg. 2010;252(1):171-6. doi:10.1097/SLA.0b013e3181dc3656.
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psnet.ahrq.gov/issue/surgical-intraoperative-handoff-initiative-standardizing-operating-room-communication-using
October 04, 2023 - Study
Surgical intraoperative handoff initiative: standardizing operating room communication using SHRIMPS.
Citation Text:
Stephens WA, Anderson MJ, Levy BE, et al. Surgical intraoperative handoff initiative: standardizing operating room communication using SHRIMPS. J Am Coll Surg. 2024;…
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psnet.ahrq.gov/issue/using-objective-structured-clinical-examination-test-adherence-joint-commission-national
September 26, 2012 - Study
Using an objective structured clinical examination to test adherence to Joint Commission National Patient Safety Goal–associated behaviors.
Citation Text:
Pernar LIM, Shaw T, Pozner CN, et al. Using an Objective Structured Clinical Examination to test adherence to Joint Commissio…
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psnet.ahrq.gov/issue/adverse-effects-computers-during-bedside-rounds-critical-care-unit
August 02, 2015 - Study
Adverse effects of computers during bedside rounds in a critical care unit.
Citation Text:
Dhillon NK, Francis SE, Tatum JM, et al. Adverse Effects of Computers During Bedside Rounds in a Critical Care Unit. JAMA Surg. 2018;153(11):1052-1053. doi:10.1001/jamasurg.2018.1752.
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psnet.ahrq.gov/issue/patient-safety-incidents-caused-poor-quality-surgical-instruments
April 06, 2022 - Study
Patient safety incidents caused by poor quality surgical instruments.
Citation Text:
Dominguez ED, Rocos B. Patient Safety Incidents Caused by Poor Quality Surgical Instruments. Cureus. 2019;11(6):e4877. doi:10.7759/cureus.4877.
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psnet.ahrq.gov/issue/use-checklist-pediatric-oncology-clinic
April 24, 2019 - Study
The use of a checklist in a pediatric oncology clinic.
Citation Text:
McLean TW, White GM, Bagliani AF, et al. The use of a checklist in a pediatric oncology clinic. Pediatr Blood Cancer. 2013;60(11):1855-9. doi:10.1002/pbc.24657.
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psnet.ahrq.gov/issue/patients-politicians-cognitive-engineering-view-patient-safety
January 29, 2020 - Commentary
From patients to politicians: a cognitive engineering view of patient safety.
Citation Text:
Vicente KJ. From patients to politicians: a cognitive engineering view of patient safety. Qual Saf Health Care. 2002;11(4):302-4.
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psnet.ahrq.gov/issue/increasing-patient-safety-event-reporting-2-intensive-care-units-prospective-interventional
January 11, 2017 - Study
Increasing patient safety event reporting in 2 intensive care units: A prospective interventional study.
Citation Text:
Ilan R, Squires M, Panopoulos C, et al. Increasing patient safety event reporting in 2 intensive care units: a prospective interventional study. J Crit Care. 20…
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psnet.ahrq.gov/issue/association-between-surgeon-technical-skills-and-patient-outcomes
September 02, 2020 - Commentary
Emerging Classic
Association between surgeon technical skills and patient outcomes.
Citation Text:
Stulberg JJ, Huang R, Kreutzer L, et al. Association Between Surgeon Technical Skills and Patient Outcomes. JAMA Surg. 2022;157(3):219-220. doi:10.1001/…
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psnet.ahrq.gov/issue/anaesthetic-drug-administration-potential-contributor-healthcare-associated-infections
January 07, 2015 - Study
Anaesthetic drug administration as a potential contributor to healthcare-associated infections: a prospective simulation-based evaluation of aseptic techniques in the administration of anaesthetic drugs.
Citation Text:
Gargiulo DA, Sheridan J, Webster CS, et al. Anaesthetic drug …
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psnet.ahrq.gov/issue/medical-malpractice-claims-members-uniformed-services
November 14, 2011 - Regulation
Medical malpractice claims by members of the uniformed services.
Citation Text:
Medical malpractice claims by members of the uniformed services. Department of Defense Office of General Counsel. 32 CFR Part 45. Fed Register. 86(115); June 17, 2021:32194-32215.
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psnet.ahrq.gov/issue/unintended-consequences-electronic-health-record-and-cognitive-load-emergency-department
June 22, 2011 - Study
Unintended consequences of the electronic health record and cognitive load in emergency department nurses.
Citation Text:
Harmon CS, Adams SA, Davis JE, et al. Unintended consequences of the electronic health record and cognitive load in emergency department nurses. Appl Nurs Res. …
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psnet.ahrq.gov/issue/quality-measures-clinical-pharmacy-services-during-transitions-care
December 05, 2012 - Commentary
Quality measures of clinical pharmacy services during transitions of care.
Citation Text:
King PK, Burkhardt CDO, Rafferty A, et al. Quality measures of clinical pharmacy services during transitions of care. J Am Coll Clin Pharm. 2021;4(7):883-907. doi:10.1002/jac5.1479.
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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/are-measurements-patient-safety-culture-and-adverse-events-valid-and-reliable-results-cross
February 04, 2015 - Study
Are measurements of patient safety culture and adverse events valid and reliable? Results from a cross sectional study.
Citation Text:
Farup PG. Are measurements of patient safety culture and adverse events valid and reliable? Results from a cross sectional study. BMC Health Serv R…
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psnet.ahrq.gov/issue/double-checking-medicines-defence-against-error-or-contributory-factor
January 31, 2024 - Study
Double checking medicines: defence against error or contributory factor?
Citation Text:
Armitage G. Double checking medicines: defence against error or contributory factor? J Eval Clin Pract. 2008;14(4):513-9.
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psnet.ahrq.gov/issue/supporting-patient-safety-examining-communication-within-delivery-suite-teams-through
March 25, 2009 - Study
Supporting patient safety: examining communication within delivery suite teams through contrasting approaches to research observation.
Citation Text:
Berridge E-J, Mackintosh NJ, Freeth DS. Supporting patient safety: Examining communication within delivery suite teams through con…