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psnet.ahrq.gov/issue/annotated-bibliography-understanding-ambulatory-care-practices-context-patient-safety-and
March 02, 2010 - Commentary
Annotated bibliography: an update to: "Understanding ambulatory care practices in the context of patient safety and quality improvement."
Citation Text:
Kumar PR, Nash DB. Annotated Bibliography: An Update to “Understanding Ambulatory Care Practices in the Context of Patient S…
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psnet.ahrq.gov/issue/teamwork-operating-theatre-cohesion-or-confusion
July 26, 2011 - Study
Teamwork in the operating theatre: cohesion or confusion?
Citation Text:
Undre S, Sevdalis N, Healey A, et al. Teamwork in the operating theatre: cohesion or confusion? J Eval Clin Pract. 2006;12(2):182-9.
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psnet.ahrq.gov/issue/multi-level-strategies-achieve-resilience-organisation-operating-capacity-case-study-trauma
November 20, 2024 - Study
Multi-level strategies to achieve resilience for an organisation operating at capacity: a case study at a trauma centre.
Citation Text:
Miller A, Xiao Y. Multi-level strategies to achieve resilience for an organisation operating at capacity: a case study at a trauma centre. Cogni…
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psnet.ahrq.gov/issue/addressing-health-worker-burnout
May 25, 2022 - Book/Report
Addressing Health Worker Burnout.
Citation Text:
Addressing Health Worker Burnout. The U.S. Surgeon General’s Advisory on Building a Thriving Health Workforce. Washington DC: Office of the Surgeon General; May 2022.
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psnet.ahrq.gov/issue/strategic-work-arounds-accommodate-new-technology-case-smart-pumps-hospital-care
July 14, 2010 - Study
Strategic work-arounds to accommodate new technology: the case of smart pumps in hospital care.
Citation Text:
McAlearney AS, Vrontos J, Schneider PJ, et al. Strategic Work-Arounds to Accommodate New Technology. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000242987.93789.63.
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psnet.ahrq.gov/issue/critical-review-systems-approach-within-patient-safety-research
June 16, 2021 - Review
A critical review of the systems approach within patient safety research.
Citation Text:
Waterson P. A critical review of the systems approach within patient safety research. Ergonomics. 2009;52(10):1185-1195. doi:10.1080/00140130903042782.
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psnet.ahrq.gov/issue/quality-safety-and-outcomes-anaesthesia-whats-be-done-international-perspective
November 11, 2020 - Commentary
Quality, safety, and outcomes in anaesthesia: what's to be done? An international perspective.
Citation Text:
Peden CJ, Campbell M, Aggarwal G. Quality, safety, and outcomes in anaesthesia: what's to be done? An international perspective. Br J Anaesth. 2017;119. doi:10.1093/bj…
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psnet.ahrq.gov/issue/under-mined
October 27, 2010 - Newspaper/Magazine Article
Under-mined.
Citation Text:
Greene J. Under-mined. Hospitals & health networks. 2006;80(12):38-40, 42, 44, 1.
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psnet.ahrq.gov/issue/effectiveness-management-walking-around-randomized-field-study
October 01, 2014 - Study
The effectiveness of management-by-walking-around: a randomized field study.
Citation Text:
Tucker AL, Singer SJ. The Effectiveness of Management-By-Walking-Around: A Randomized Field Study. Prod Oper Manag. 2014;24(2). doi:10.1111/poms.12226.
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psnet.ahrq.gov/issue/protecting-patients-unsafe-system-etiology-and-recovery-intraoperative-deviations-care
October 19, 2012 - Study
Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care.
Citation Text:
Hu Y-Y, Arriaga AF, Roth EM, et al. Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care. Ann Surg. 2012;…
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psnet.ahrq.gov/issue/implementing-distraction-free-practice-red-zone-medication-safety-initiative
November 16, 2022 - Commentary
Implementing a distraction-free practice with the Red Zone Medication Safety initiative.
Citation Text:
Connor JA, Ahern JP, Cuccovia B, et al. Implementing a Distraction-Free Practice With the Red Zone Medication Safety Initiative. Dimens Crit Care Nurs. 2016;35(3):116-24. do…
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psnet.ahrq.gov/issue/managing-risk-hazardous-conditions-improvisation-not-enough
November 06, 2024 - Commentary
Managing risk in hazardous conditions: improvisation is not enough.
Citation Text:
Amalberti R, Vincent CA. Managing risk in hazardous conditions: improvisation is not enough. BMJ Qual Saf. 2020;29(1):60-63. doi:10.1136/bmjqs-2019-009443.
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psnet.ahrq.gov/issue/problem-plan-do-study-act-cycles
June 26, 2019 - Commentary
The problem with Plan-Do-Study-Act cycles.
Citation Text:
Reed JE, Card AJ. The problem with Plan-Do-Study-Act cycles. BMJ Qual Saf. 2016;25(3):147-52. doi:10.1136/bmjqs-2015-005076.
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psnet.ahrq.gov/issue/patients-count-it-initiative-reduce-incorrect-counts-and-prevent-retained-surgical-items
September 29, 2017 - Commentary
Patients count on it: an initiative to reduce incorrect counts and prevent retained surgical items.
Citation Text:
Norton EK, Martin C, Micheli AJ. Patients Count on It: An Initiative to Reduce Incorrect Counts and Prevent Retained Surgical Items. AORN J. 2011;95(1). doi:10.…
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psnet.ahrq.gov/issue/observational-teamwork-assessment-surgery-feasibility-clinical-and-nonclinical-assessor
January 19, 2016 - Study
Observational teamwork assessment for surgery: feasibility of clinical and nonclinical assessor calibration with short-term training.
Citation Text:
Russ S, Hull L, Rout S, et al. Observational teamwork assessment for surgery: feasibility of clinical and nonclinical assessor cali…
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psnet.ahrq.gov/issue/quick-response-codes-surgical-safety-prospective-pilot-study
June 07, 2016 - Study
Quick Response codes for surgical safety: a prospective pilot study.
Citation Text:
Dixon JL, Smythe WR, Momsen LS, et al. Quick Response codes for surgical safety: a prospective pilot study. Journal of Surgical Research. 2013;184(1). doi:10.1016/j.jss.2013.06.036.
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psnet.ahrq.gov/issue/risk-adverse-drug-events-and-hospital-related-morbidity-and-mortality-among-older-adults
October 10, 2012 - Study
The risk of adverse drug events and hospital-related morbidity and mortality among older adults with potentially inappropriate medication use.
Citation Text:
Page RL, Ruscin M. The risk of adverse drug events and hospital-related morbidity and mortality among older adults with po…
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psnet.ahrq.gov/issue/quest-safe-surgical-care-are-we-missing-obvious
September 12, 2018 - Commentary
The quest for safe surgical care: are we missing the obvious?
Citation Text:
Shuhaiber J. The quest for safe surgical care: are we missing the obvious? Bull Am Coll Surg. 2014;99(2):42-5.
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psnet.ahrq.gov/issue/medication-errors-overview-clinicians
September 20, 2011 - Review
Medication errors: an overview for clinicians.
Citation Text:
Wittich CM, Burkle CM, Lanier WL. Medication errors: an overview for clinicians. Mayo Clin Proc. 2014;89(8):1116-25. doi:10.1016/j.mayocp.2014.05.007.
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psnet.ahrq.gov/issue/why-do-hundreds-us-women-die-annually-childbirth
June 14, 2019 - Commentary
Why do hundreds of US women die annually in childbirth?
Citation Text:
Slomski A. Why Do Hundreds of US Women Die Annually in Childbirth? JAMA. 2019;321(13):1239-1241. doi:10.1001/jama.2019.0714.
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