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  1. Frequency of medication error in pediatric anesthesia: a systematic review and meta-analytic estimate. | PSNet

    psnet.ahrq.gov/issue/frequency-medication-error-pediatric-anesthesia-systematic-review-and-meta-analytic-estimate
    December 11, 2024 - Review Frequency of medication error in pediatric anesthesia: a systematic review and meta-analytic estimate. Citation Text: Feinstein MM, Pannunzio AE, Castro P. Frequency of medication error in pediatric anesthesia: A systematic review and meta-analytic estimate. Paediatr Anaesth. 2018…

  2. ACOG Committee Opinion #621: patient safety and health information technology. | PSNet

    psnet.ahrq.gov/issue/acog-committee-opinion-621-patient-safety-and-health-information-technology
    May 22, 2019 - Commentary ACOG Committee Opinion #621: patient safety and health information technology. Citation Text: Improvement C on PS and Q, Management C on P. Committee opinion no. 621: Patient safety and health information technology. Obstet Gynecol. 2015;125(1):282-3. doi:10.1097/01.AOG.000045…

  3. Benefits of direct observation in medication administration to detect errors. | PSNet

    psnet.ahrq.gov/issue/benefits-direct-observation-medication-administration-detect-errors
    March 09, 2022 - Study Benefits of direct observation in medication administration to detect errors. Citation Text: Diaz-Navarlaz T, Pronovost P, Beortegui E, et al. Benefits of Direct Observation in Medication Administration to Detect Errors. J Patient Saf. 2009;3(4). doi:10.1097/pts.0b013e31815b4cc3.…

  4. More to teamwork than knowledge, skill and attitude. | PSNet

    psnet.ahrq.gov/issue/more-teamwork-knowledge-skill-and-attitude
    July 13, 2009 - Study More to teamwork than knowledge, skill and attitude. Citation Text: Siassakos D, Draycott TJ, Crofts JF, et al. More to teamwork than knowledge, skill and attitude. BJOG. 2010;117(10):1262-9. doi:10.1111/j.1471-0528.2010.02654.x. Copy Citation Format: DOI Google Sc…

  5. Establishing a rapid response team (RRT) in an academic hospital: one year's experience. | PSNet

    psnet.ahrq.gov/issue/establishing-rapid-response-team-rrt-academic-hospital-one-years-experience
    September 28, 2010 - Study Establishing a rapid response team (RRT) in an academic hospital: one year's experience. Citation Text: King E, Horvath R, Shulkin DJ. Establishing a rapid response team (RRT) in an academic hospital: One year's experience. J Hosp Med. 2006;1(5). doi:10.1002/jhm.114. Copy Citat…

  6. Health literacy in primary care practice. | PSNet

    psnet.ahrq.gov/issue/health-literacy-primary-care-practice
    September 06, 2017 - Commentary Health literacy in primary care practice. Citation Text: Hersh L, Salzman B, Snyderman D. Health Literacy in Primary Care Practice. Am Fam Physician. 2015;92(2):118-124. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

  7. Stress and burnout among surgeons: understanding and managing the syndrome and avoiding the adverse consequences. | PSNet

    psnet.ahrq.gov/issue/stress-and-burnout-among-surgeons-understanding-and-managing-syndrome-and-avoiding-adverse
    June 28, 2010 - Review Stress and burnout among surgeons: understanding and managing the syndrome and avoiding the adverse consequences. Citation Text: Balch CM, Freischlag JA, Shanafelt TD. Stress and burnout among surgeons: understanding and managing the syndrome and avoiding the adverse consequences.…

  8. Do safety checklists improve teamwork and communication in the operating room? A systematic review. | PSNet

    psnet.ahrq.gov/issue/do-safety-checklists-improve-teamwork-and-communication-operating-room-systematic-review
    January 19, 2016 - Review Do safety checklists improve teamwork and communication in the operating room? A systematic review. Citation Text: Russ S, Rout S, Sevdalis N, et al. Do safety checklists improve teamwork and communication in the operating room? A systematic review. Ann Surg. 2013;258(6):856-71. …

  9. Remaking surgical socialization: work hour restrictions, rites of passage, and occupational identity. | PSNet

    psnet.ahrq.gov/issue/remaking-surgical-socialization-work-hour-restrictions-rites-passage-and-occupational
    March 15, 2023 - Study Remaking surgical socialization: work hour restrictions, rites of passage, and occupational identity. Citation Text: Veazey Brooks J, Bosk CL. Remaking surgical socialization: Work hour restrictions, rites of passage, and occupational identity. Soc Sci Med. 2012;75(9). doi:10.1016…

  10. Measuring the cost of hospital adverse patient safety events. | PSNet

    psnet.ahrq.gov/issue/measuring-cost-hospital-adverse-patient-safety-events
    November 16, 2022 - Study Measuring the cost of hospital adverse patient safety events. Citation Text: Carey K, Stefos T. Measuring the cost of hospital adverse patient safety events. Health Econ. 2011;20(12):1417-30. doi:10.1002/hec.1680. Copy Citation Format: DOI Google Scholar PubMed BibT…

  11. Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety. | PSNet

    psnet.ahrq.gov/issue/sentara-norfolk-general-hospital-accelerating-improvement-focusing-building-culture-safety
    June 08, 2010 - Commentary Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety. Citation Text: Yates GR, Hochman RF, Sayles SM, et al. Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety. Jt Comm J Qu…

  12. Teaching nurses to make clinical judgments that ensure patient safety. | PSNet

    psnet.ahrq.gov/issue/teaching-nurses-make-clinical-judgments-ensure-patient-safety
    August 17, 2022 - Commentary Teaching nurses to make clinical judgments that ensure patient safety. Citation Text: Billings DM. Teaching Nurses to Make Clinical Judgments That Ensure Patient Safety. J Contin Educ Nurs. 2019;50(7):300-302. doi:10.3928/00220124-20190612-04. Copy Citation Format: …

  13. Teaching quality improvement. | PSNet

    psnet.ahrq.gov/issue/teaching-quality-improvement
    July 19, 2023 - Commentary Teaching quality improvement. Citation Text: Murray ME, Douglas S, Girdley D, et al. Teaching quality improvement. J Nurs Educ. 2010;49(8):466-9. doi:10.3928/01484834-20100430-09. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …

  14. A case for improving measurement of intraoperative iatrogenic injuries. | PSNet

    psnet.ahrq.gov/issue/case-improving-measurement-intraoperative-iatrogenic-injuries
    February 14, 2017 - Commentary A case for improving measurement of intraoperative iatrogenic injuries. Citation Text: Paruch JL, Ko CY, Bilimoria KY. A case for improving measurement of intraoperative iatrogenic injuries. JAMA Surg. 2014;149(9):887-8. doi:10.1001/jamasurg.2013.5237. Copy Citation Form…

  15. A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology. | PSNet

    psnet.ahrq.gov/issue/trigger-tool-fails-identify-serious-errors-and-adverse-events-pediatric-otolaryngology
    May 06, 2009 - Study A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology. Citation Text: Lander L, Roberson DW, Plummer KM, et al. A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology. Otolaryngol Head Neck Surg. 201…

  16. Information needs in operating room teams: what is right, what is wrong, and what is needed? | PSNet

    psnet.ahrq.gov/issue/information-needs-operating-room-teams-what-right-what-wrong-and-what-needed
    August 18, 2017 - Study Information needs in operating room teams: what is right, what is wrong, and what is needed? Citation Text: Forrest D, Healey A, Shirafkan H, et al. Information needs in operating room teams: what is right, what is wrong, and what is needed? Surg Endosc. 2011;25(6):1913-20. doi:1…

  17. Patient Safety: Emerging Applications of Safety Science. | PSNet

    psnet.ahrq.gov/issue/patient-safety-emerging-applications-safety-science
    February 09, 2022 - Book/Report Patient Safety: Emerging Applications of Safety Science. Citation Text: Cox C, Hughes H, Nicholls J. Patient Safety: Emerging Applications Of Safety Science. Somerset, UK: Class Publishing; 2024. ISBN 9781801610834. Copy Citation Format: Google Scholar BibTeX En…

  18. HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics. | PSNet

    psnet.ahrq.gov/issue/hhs-guide-clinicians-appropriate-dosage-reduction-or-discontinuation-long-term-opioid
    October 15, 2008 - Book/Report HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics. Citation Text: HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics. HHS Guide for Clinicians on the App…

  19. Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes. | PSNet

    psnet.ahrq.gov/issue/using-orgahead-computational-modeling-program-improve-patient-care-unit-safety-and-quality
    June 22, 2011 - Commentary Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes. Citation Text: Effken JA, Brewer BB, Patil A, et al. Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes. Int J …

  20. 'Skating on thin ice?' Consultant surgeon's contemporary experience of adverse surgical events. | PSNet

    psnet.ahrq.gov/issue/skating-thin-ice-consultant-surgeons-contemporary-experience-adverse-surgical-events
    April 17, 2024 - Study 'Skating on thin ice?' Consultant surgeon's contemporary experience of adverse surgical events. Citation Text: Skevington SM, Langdon JE, Giddins G. ‘Skating on thin ice?’ Consultant surgeon's contemporary experience of adverse surgical events. Psychol Health Med. 2011;17(1). doi…
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