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psnet.ahrq.gov/issue/what-do-healthcare-incident-reporting-systems
November 12, 2014 - Review
What to do with healthcare incident reporting systems.
Citation Text:
Pham JC, Girard T, Pronovost PJ. What to do with healthcare Incident Reporting Systems. J Public Health Res. 2013;2(3). doi:10.4081/jphr.2013.e27.
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psnet.ahrq.gov/issue/nurse-reports-adverse-events-during-sedation-procedures-pediatric-hospital
November 02, 2016 - Study
Nurse reports of adverse events during sedation procedures at a pediatric hospital.
Citation Text:
Lightdale JR, Mahoney LB, Fredette ME, et al. Nurse reports of adverse events during sedation procedures at a pediatric hospital. J Perianesth Nurs. 2009;24(5):300-6. doi:10.1016/j.j…
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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/failure-mode-and-effects-analysis-application-critical-care-medicine
June 10, 2013 - Review
Failure mode and effects analysis application to critical care medicine.
Citation Text:
Duwe B, Fuchs BD, Hansen-Flaschen J. Failure mode and effects analysis application to critical care medicine. Crit Care Clin. 2005;21(1):21-30, vii.
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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/identifying-and-addressing-preventable-process-errors-trauma-care
June 17, 2015 - Study
Identifying and addressing preventable process errors in trauma care.
Citation Text:
Pucher PH, Aggarwal R, Twaij A, et al. Identifying and addressing preventable process errors in trauma care. World J Surg. 2013;37(4):752-8. doi:10.1007/s00268-013-1917-9.
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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/safe-and-equitable-pediatric-clinical-use-ai
February 26, 2025 - Commentary
Safe and equitable pediatric clinical use of AI.
Citation Text:
Handley JL, Lehmann CU, Ratwani RM. Safe and equitable pediatric clinical use of AI. JAMA Pediatr. 2024;178(7):637-638. doi:10.1001/jamapediatrics.2024.0897.
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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/preventing-health-care-associated-harm-children
March 14, 2022 - Commentary
Preventing health care–associated harm in children.
Citation Text:
Walsh KE, Bundy DG, Landrigan CP. Preventing health care-associated harm in children. JAMA. 2014;311(17):1731-2. doi:10.1001/jama.2014.2038.
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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/whos-surgical-safety-checklist-being-hyped
February 07, 2018 - Commentary
Is WHO's surgical safety checklist being hyped?
Citation Text:
Urbach DR, Dimick JB, Haynes AB, et al. Is WHO's surgical safety checklist being hyped? BMJ. 2019;366:l4700. doi:10.1136/bmj.l4700.
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psnet.ahrq.gov/issue/changing-narratives-patient-safety
April 17, 2019 - Commentary
Changing the narratives for patient safety.
Citation Text:
Pronovost P, Sutcliffe K, Basu L, et al. Changing the narratives for patient safety. Bull World Health Organ. 2017;95(6):478-480. doi:10.2471/BLT.16.178392.
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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/scoring-no-goal-further-adventures-transparency
August 02, 2015 - Commentary
Scoring no goal—further adventures in transparency.
Citation Text:
Rosenbaum L. Scoring No Goal--Further Adventures in Transparency. N Engl J Med. 2015;373(15):1385-8. doi:10.1056/NEJMp1510094.
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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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