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psnet.ahrq.gov/issue/disruptions-surgical-flow-and-their-relationship-surgical-errors-exploratory-investigation
August 26, 2011 - Study
Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation.
Citation Text:
Wiegmann DA, Elbardissi AW, Dearani JA, et al. Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation. Surgery. 2007;…
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psnet.ahrq.gov/issue/rating-raters-inconsistent-quality-health-care-performance-measurement
March 27, 2018 - Commentary
Rating the raters: the inconsistent quality of health care performance measurement.
Citation Text:
Shahian DM, Normand S-LT, Friedberg MW, et al. Rating the Raters: The Inconsistent Quality of Health Care Performance Measurement. Ann Surg. 2016;264(1):36-8. doi:10.1097/SLA.000…
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psnet.ahrq.gov/issue/qualitative-study-comparing-experiences-surgical-safety-checklist-hospitals-high-income-and
June 16, 2021 - Study
A qualitative study comparing experiences of the surgical safety checklist in hospitals in high-income and low-income countries.
Citation Text:
Aveling E-L, McCulloch P, Dixon-Woods M. A qualitative study comparing experiences of the surgical safety checklist in hospitals in high-…
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psnet.ahrq.gov/issue/what-do-family-physicians-consider-error-comparison-definitions-and-physician-perception
February 15, 2011 - Study
What do family physicians consider an error? A comparison of definitions and physician perception.
Citation Text:
Elder NC, Pallerla H, Regan S. What do family physicians consider an error? A comparison of definitions and physician perception. BMC Fam Pract. 2006;7:73.
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psnet.ahrq.gov/issue/ten-challenges-improving-quality-healthcare-lessons-health-foundations-programme-evaluations
February 19, 2020 - Commentary
Ten challenges in improving quality in healthcare: lessons from the Health Foundation's programme evaluations and relevant literature.
Citation Text:
Dixon-Woods M, McNicol S, Martin G. Ten challenges in improving quality in healthcare: lessons from the Health Foundation's p…
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psnet.ahrq.gov/issue/prospective-daily-review-discharge-medications-pharmacists-effects-measures-safety-and
July 14, 2010 - Commentary
Prospective daily review of discharge medications by pharmacists: effects on measures of safety and efficiency.
Citation Text:
Craynon R, Hager DR, Reed M, et al. Prospective daily review of discharge medications by pharmacists: Effects on measures of safety and efficiency. Am…
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psnet.ahrq.gov/issue/wear-face-masks-no-metal-during-mri-exams
April 08, 2020 - Press Release/Announcement
Wear face masks with no metal during MRI exams.
Citation Text:
Wear face masks with no metal during MRI exams. FDA Safety Communication. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; December 7, 2020.
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psnet.ahrq.gov/issue/patient-centered-prescription-opioid-tapering-community-outpatients-chronic-pain
May 17, 2017 - Study
Emerging Classic
Patient-centered prescription opioid tapering in community outpatients with chronic pain.
Citation Text:
Darnall BD, Ziadni MS, Stieg RL, et al. Patient-Centered Prescription Opioid Tapering in Community Outpatients With Chronic Pain. JAMA…
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psnet.ahrq.gov/issue/improvement-medication-event-interventions-through-use-electronic-database
December 19, 2014 - Study
Improvement of medication event interventions through use of an electronic database.
Citation Text:
Merandi J, Morvay S, Lewe D, et al. Improvement of medication event interventions through use of an electronic database. Am J Health Syst Pharm. 2013;70(19):1708-14. doi:10.2146/ajh…
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psnet.ahrq.gov/issue/initiative-improve-management-clinically-significant-test-results-large-health-care-network
November 26, 2014 - Study
An initiative to improve the management of clinically significant test results in a large health care network.
Citation Text:
Roy CL, Rothschild JM, Dighe AS, et al. An initiative to improve the management of clinically significant test results in a large health care network. Jt …
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psnet.ahrq.gov/issue/sustaining-teamwork-behaviors-through-reinforcement-teamstepps-principles
September 02, 2015 - Study
Sustaining teamwork behaviors through reinforcement of TeamSTEPPS principles.
Citation Text:
Lee S-H, Khanuja HS, Blanding RJ, et al. Sustaining Teamwork Behaviors Through Reinforcement of TeamSTEPPS Principles. J Patient Saf. 2021;17(7):e582-e586. doi:10.1097/pts.0000000000000414.…
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psnet.ahrq.gov/issue/2016-updated-american-society-clinical-oncologyoncology-nursing-society-chemotherapy
February 15, 2023 - Commentary
2016 Updated American Society of Clinical Oncology/Oncology Nursing Society Chemotherapy Administration Safety Standards, including standards for pediatric oncology.
Citation Text:
Belderson KM, Billett AL. Chemotherapy safety standards: A pediatric perspective. J Oncol Pract.…
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psnet.ahrq.gov/issue/patient-falls-while-under-supervision-trends-incident-reporting
January 11, 2023 - Study
Patient falls while under supervision: trends from incident reporting.
Citation Text:
Roberts M. Patient falls while under supervision: trends from incident reporting. Br J Nurs. 2023;32(11):508-513. doi:10.12968/bjon.2023.32.11.508.
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psnet.ahrq.gov/issue/health-care-worker-fatigue
July 08, 2020 - Commentary
Health care worker fatigue.
Citation Text:
Gardner LA, Dubeck D. Health Care Worker Fatigue. Am J Nurs. 2016;116(8):58-62. doi:10.1097/01.NAJ.0000490182.21432.85.
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psnet.ahrq.gov/issue/critical-incident-stress-management-cism-complex-systems-cultural-adaptation-and-safety
December 29, 2014 - Study
Critical incident stress management (CISM) in complex systems: cultural adaptation and safety impacts in healthcare.
Citation Text:
Müller-Leonhardt A, Mitchell SG, Vogt J, et al. Critical Incident Stress Management (CISM) in complex systems: cultural adaptation and safety impacts …
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psnet.ahrq.gov/issue/oxford-notechs-system-reliability-and-validity-tool-measuring-teamwork-behaviour-operating
March 03, 2011 - Study
The Oxford NOTECHS System: reliability and validity of a tool for measuring teamwork behaviour in the operating theatre.
Citation Text:
Mishra A, Catchpole K, McCulloch P. The Oxford NOTECHS System: reliability and validity of a tool for measuring teamwork behaviour in the operat…
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psnet.ahrq.gov/issue/addressing-elephant-room-shame-resilience-seminar-medical-students
June 07, 2023 - Commentary
Addressing the elephant in the room: a shame resilience seminar for medical students.
Citation Text:
Bynum WE, Adams A, Edelman CE, et al. Addressing the Elephant in the Room: A Shame Resilience Seminar for Medical Students. Acad Med. 2019;94(8):1132-1136. doi:10.1097/ACM.0000…
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psnet.ahrq.gov/issue/misuse-pediatric-medications-and-parent-physician-communication-interactive-voice-response
May 27, 2011 - Study
Misuse of pediatric medications and parent–physician communication: an interactive voice response intervention.
Citation Text:
Walsh KE, Bacic J, Phillips BD, et al. Misuse of Pediatric Medications and Parent-Physician Communication: An Interactive Voice Response Intervention. J Pa…
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psnet.ahrq.gov/issue/growth-mindset-approach-preparing-trainees-medical-error
August 19, 2020 - Commentary
A growth mindset approach to preparing trainees for medical error.
Citation Text:
Klein J, Delany C, Fischer MD, et al. A growth mindset approach to preparing trainees for medical error. BMJ Qual Saf. 2017;26(9):771-774. doi:10.1136/bmjqs-2016-006416.
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psnet.ahrq.gov/issue/perioperative-team-based-morbidity-and-mortality-conferences-systematic-review-literature
November 29, 2023 - Review
Perioperative team-based morbidity and mortality conferences: a systematic review of the literature.
Citation Text:
Samost-Williams A, Rosen R, Hannenberg A, et al. Perioperative team-based morbidity and mortality conferences: a systematic review of the literature. Ann Surg Open. …