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psnet.ahrq.gov/issue/what-are-we-missing-quality-intraoperative-handover-and-after-introduction-checklist
January 12, 2022 - Study
What are we missing? The quality of intraoperative handover before and after introduction of a checklist.
Citation Text:
Lane S, Gross M, Arzola C, et al. What are we missing? The quality of intraoperative handover before and after introduction of a checklist. Can J Anaesth. 2022;6…
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psnet.ahrq.gov/issue/design-and-testing-safety-agenda-mobile-app-managing-health-care-managers-patient-safety
July 12, 2017 - Study
Design and testing of the safety agenda mobile app for managing health care managers' patient safety responsibilities.
Citation Text:
Mira JJ, Carrillo I, Fernandez C, et al. Design and Testing of the Safety Agenda Mobile App for Managing Health Care Managers' Patient Safety Respon…
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psnet.ahrq.gov/issue/hospital-home-setting-regulatory-course-ensure-safe-high-quality-care
June 30, 2021 - Commentary
Hospital at Home: setting a regulatory course to ensure safe, high-quality care.
Citation Text:
DeCherrie LV, Leff B, Levine DM, et al. Hospital at Home: setting a regulatory course to ensure safe, high-quality care. Jt Comm J Qual Patient Saf. 2022;48(3):180-184. doi:10.1016/…
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psnet.ahrq.gov/issue/deficiencies-provider-reported-interpreter-use-clinical-trial-comparing-telephonic-and-video
August 12, 2020 - Study
Deficiencies in provider-reported interpreter use in a clinical trial comparing telephonic and video interpretation in a pediatric emergency department.
Citation Text:
Gutman CK, Klein EJ, Follmer K, et al. Deficiencies in provider-reported interpreter use in a clinical trial compa…
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psnet.ahrq.gov/issue/drug-related-problem-outcomes-and-program-satisfaction-comprehensive-brown-bag-medication
September 23, 2020 - Review
Drug-related-problem outcomes and program satisfaction from a comprehensive brown bag medication review.
Citation Text:
O'Connell MB, Chang F, Tocco A, et al. Drug-Related-Problem Outcomes and Program Satisfaction from a Comprehensive Brown Bag Medication Review. J Am Geriatr Soc.…
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psnet.ahrq.gov/issue/risks-implementation-and-use-smart-pumps-pediatric-intensive-care-unit-application-failure
March 09, 2022 - Study
Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis.
Citation Text:
Manrique-Rodríguez S, Sánchez-Galindo AC, López-Herce J, et al. Risks in the implementation and use of smart pumps in a pediat…
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psnet.ahrq.gov/issue/five-reasons-optimism-world-patient-safety-day
March 30, 2022 - Commentary
Five reasons for optimism on World Patient Safety Day.
Citation Text:
Fontana G, Flott K, Dhingra-Kumar N, et al. Five reasons for optimism on World Patient Safety Day. Lancet. 2019;394(10203):993-995. doi:10.1016/S0140-6736(19)32134-8.
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psnet.ahrq.gov/issue/medical-team-training-improves-team-performance-aoa-critical-issues
April 24, 2018 - Commentary
Medical team training improves team performance: AOA critical issues.
Citation Text:
Carpenter JE, Bagian JP, Snider RG, et al. Medical Team Training Improves Team Performance: AOA Critical Issues. J Bone Joint Surg Am. 2017;99(18):1604-1610. doi:10.2106/JBJS.16.01290.
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psnet.ahrq.gov/issue/safety-cases-digital-health-innovations-can-they-work
April 13, 2022 - Commentary
Safety cases for digital health innovations: can they work?
Citation Text:
Sujan M, Habli I. Safety cases for digital health innovations: can they work? BMJ Qual Saf. 2021;30(12):1047-1050. doi:10.1136/bmjqs-2021-012983.
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psnet.ahrq.gov/issue/teaching-medical-error-disclosure-physicians-training-scoping-review
June 09, 2015 - Review
Teaching medical error disclosure to physicians-in-training: a scoping review.
Citation Text:
Stroud L, Wong BM, Hollenberg E, et al. Teaching medical error disclosure to physicians-in-training: a scoping review. Acad Med. 2013;88(6):884-92. doi:10.1097/ACM.0b013e31828f898f.
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psnet.ahrq.gov/issue/devil-detail-how-closed-loop-documentation-system-iv-infusion-administration-contributes-and
February 12, 2020 - Study
The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes to and compromises patient safety.
Citation Text:
Furniss D, Dean Franklin B, Blandford A. The devil is in the detail: how a closed-loop documentation system for IV infusi…
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psnet.ahrq.gov/issue/promises-project
January 30, 2019 - Multi-use Website
The PROMISES Project.
Citation Text:
The PROMISES Project. Brigham and Women's Hospital; Institute for Healthcare Improvement; Massachusetts Coalition for the Prevention of Medical Errors; Coverys; CRICO; Harvard School of Public Health; Harvard Medical School; Health…
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psnet.ahrq.gov/issue/challenges-and-opportunities-shared-decision-making-highlighted-covid-19
June 15, 2022 - Commentary
The challenges and opportunities for shared decision making highlighted by COVID-19.
Citation Text:
Abrams EM, Shaker M, Oppenheimer J, et al. The challenges and opportunities for shared decision making highlighted by COVID-19. J Allergy Clin Immunol Pract. 2020;8(8):2474-2480…
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psnet.ahrq.gov/issue/burns-surgery-handover-study-trainees-assessment-current-practice-british-isles
February 01, 2013 - Study
Burns surgery handover study: trainees' assessment of current practice in the British Isles.
Citation Text:
Al-Benna S, Al-Ajam Y, Alzoubaidi D. Burns surgery handover study: trainees' assessment of current practice in the British Isles. Burns. 2009;35(4):509-12. doi:10.1016/j.bu…
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psnet.ahrq.gov/issue/mobilising-or-standing-still-narrative-review-surgical-safety-checklist-knowledge-developed
August 21, 2019 - Review
Mobilising or standing still? A narrative review of Surgical Safety Checklist knowledge as developed in 25 highly cited papers from 2009 to 2016.
Citation Text:
Mitchell B, Cristancho S, Nyhof BB, et al. Mobilising or standing still?A narrative review of Surgical Safety Checklist …
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psnet.ahrq.gov/issue/impact-improving-teamwork-patient-outcomes-surgery-systematic-review
May 13, 2020 - Review
The impact of improving teamwork on patient outcomes in surgery: a systematic review.
Citation Text:
Sun R, Marshall DC, Sykes MC, et al. The impact of improving teamwork on patient outcomes in surgery: A systematic review. Int J Surg. 2018;53:171-177. doi:10.1016/j.ijsu.2018.03.0…
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psnet.ahrq.gov/issue/blueprint-success-implementation-center-medicare-and-medicaid-services-mandated
September 09, 2020 - Commentary
A blueprint for success: implementation of the Center for Medicare and Medicaid Services mandated anesthesiology oversight for procedural sedation in a large health system.
Citation Text:
Abdelmalak BB, Adhami T, Simmons W, et al. A blueprint for success: implementation of the…
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psnet.ahrq.gov/issue/implementation-simulation-training-during-covid-19-pandemic-new-york-hospital-experience
February 15, 2023 - Commentary
Implementation of simulation training during the COVID-19 pandemic: a New York hospital experience.
Citation Text:
Pan D, Rajwani K. Implementation of simulation training during the COVID-19 pandemic: a New York hospital experience. Simul Healthc. 2020;16(1):46-51. doi:10.1097…
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psnet.ahrq.gov/issue/first-year-analysis-operating-room-black-box-study
October 16, 2019 - Study
Emerging Classic
First-year analysis of the Operating Room Black Box study.
Citation Text:
Jung JJ, Jüni P, Lebovic G, et al. First-year Analysis of the Operating Room Black Box Study. Ann Surg. 2020;271(1):122-127. doi:10.1097/SLA.0000000000002863.
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psnet.ahrq.gov/issue/learning-overcome-hierarchical-pressures-achieve-safer-patient-care-interprofessional
November 18, 2016 - Commentary
Learning to overcome hierarchical pressures to achieve safer patient care: an interprofessional simulation for nursing, medical, and physician assistant students.
Citation Text:
Reeves SA, Denault D, Huntington JT, et al. Learning to Overcome Hierarchical Pressures to Achieve …