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psnet.ahrq.gov/issue/pediatric-clinician-comfort-discussing-diagnostic-errors-improving-patient-safety-survey
July 06, 2022 - Study
Pediatric clinician comfort discussing diagnostic errors for improving patient safety: a survey.
Citation Text:
Grubenhoff JA, Ziniel SI, Cifra CL, et al. Pediatric Clinician Comfort Discussing Diagnostic Errors for Improving Patient Safety. Pediatr Qual Saf. 2020;5(2):e259. doi:10…
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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.…
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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.
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psnet.ahrq.gov/issue/learning-defects-enhance-morbidity-and-mortality-conferences
May 20, 2009 - Commentary
Learning from defects to enhance morbidity and mortality conferences.
Citation Text:
Berenholtz SM, Hartsell TL, Pronovost P. Learning from defects to enhance morbidity and mortality conferences. Am J Med Qual. 2009;24(3):192-5. doi:10.1177/1062860609332370.
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psnet.ahrq.gov/issue/impact-workplace-mistreatment-patient-safety-risk-and-nurse-assessed-patient-outcomes
September 24, 2010 - Study
Impact of workplace mistreatment on patient safety risk and nurse-assessed patient outcomes.
Citation Text:
Laschinger HKS. Impact of workplace mistreatment on patient safety risk and nurse-assessed patient outcomes. J Nurs Adm. 2014;44(5):284-90. doi:10.1097/NNA.0000000000000068. …
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psnet.ahrq.gov/issue/formalizing-hidden-curriculum-performance-enhancing-errors
February 17, 2021 - Review
Formalizing the hidden curriculum of performance enhancing errors.
Citation Text:
Kerray FM, Yule SJ, Tambyraja AL. Formalizing the hidden curriculum of performance enhancing errors. J Surg Educ. 2023;80(5):619-623. doi:10.1016/j.jsurg.2023.01.009.
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psnet.ahrq.gov/issue/association-resident-fatigue-and-distress-perceived-medical-errors
February 02, 2011 - Study
Association of resident fatigue and distress with perceived medical errors.
Citation Text:
West CP, Tan AD, Habermann TM, et al. Association of resident fatigue and distress with perceived medical errors. JAMA. 2009;302(12):1294-300. doi:10.1001/jama.2009.1389.
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psnet.ahrq.gov/issue/childrens-hospital-investigated-five-patient-deaths-deadly-fungal-disease-2009
June 14, 2017 - Newspaper/Magazine Article
Children's Hospital investigated five patient deaths from deadly fungal disease in 2009.
Citation Text:
Duffy J, Harris J, Gade L, et al. Mucormycosis outbreak associated with hospital linens. The Pediatric infectious disease journal. 2014;33(5):472-6. doi:10.1…
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psnet.ahrq.gov/issue/use-board-certification-and-recertification-pediatricians-health-plan-credentialing-policies
February 02, 2011 - Study
Use of board certification and recertification of pediatricians in health plan credentialing policies.
Citation Text:
Freed GL, Singer D, Lakhani I, et al. Use of board certification and recertification of pediatricians in health plan credentialing policies. JAMA. 2006;295(8):913…
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psnet.ahrq.gov/issue/standardised-proformas-improve-patient-handover-audit-trauma-handover-practice
October 19, 2022 - Study
Standardised proformas improve patient handover: audit of trauma handover practice.
Citation Text:
Ferran NA, Metcalfe AJ, O'Doherty D. Standardised proformas improve patient handover: Audit of trauma handover practice. Patient Saf Surg. 2008;2:24. doi:10.1186/1754-9493-2-24.
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psnet.ahrq.gov/issue/implementation-protocol-reduce-occurrence-retained-sponges-after-vaginal-delivery
May 18, 2022 - Commentary
Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery.
Citation Text:
Lutgendorf MA, Schindler LL, Hill JB, et al. Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. Mil Med. 2011;176(6):702-704.…
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psnet.ahrq.gov/issue/effect-short-term-pretrial-practice-surgical-proficiency-simulated-environments-randomized
January 20, 2010 - Study
Effect of short-term pretrial practice on surgical proficiency in simulated environments: a randomized trial of the "preoperative warm-up" effect.
Citation Text:
Kahol K, Satava RM, Ferrara JJ, et al. Effect of Short-Term Pretrial Practice on Surgical Proficiency in Simulated Env…
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psnet.ahrq.gov/issue/delays-and-errors-cardiopulmonary-resuscitation-and-defibrillation-pediatric-residents-during
January 02, 2017 - Study
Delays and errors in cardiopulmonary resuscitation and defibrillation by pediatric residents during simulated cardiopulmonary arrests.
Citation Text:
Hunt EA, Vera K, Diener-West M, et al. Delays and errors in cardiopulmonary resuscitation and defibrillation by pediatric residents…
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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.…
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psnet.ahrq.gov/issue/framework-direct-observation-performance-and-safety-healthcare
November 15, 2023 - Commentary
Framework for direct observation of performance and safety in healthcare.
Citation Text:
Catchpole K, Neyens DM, Abernathy J, et al. Framework for direct observation of performance and safety in healthcare. BMJ Qual Saf. 2017;26(12):1015-1021. doi:10.1136/bmjqs-2016-006407.
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psnet.ahrq.gov/issue/patients-and-health-care-professionals-attitudes-towards-pink-patient-safety-video
December 16, 2013 - Study
Patients' and health care professionals' attitudes towards the PINK patient safety video.
Citation Text:
Davis R, Pinto A, Sevdalis N, et al. Patients' and health care professionals' attitudes towards the PINK patient safety video. J Eval Clin Pract. 2012;18(4):848-53. doi:10.111…
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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. …
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psnet.ahrq.gov/issue/interruption-handling-strategies-during-paediatric-medication-administration
July 27, 2018 - Study
Interruption handling strategies during paediatric medication administration.
Citation Text:
Colligan L, Bass EJ. Interruption handling strategies during paediatric medication administration. BMJ Qual Saf. 2012;21(11):912-7. doi:10.1136/bmjqs-2011-000292.
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psnet.ahrq.gov/issue/health-care-associated-invasive-mrsa-infections-2005-2008
February 17, 2011 - Study
Health care-associated invasive MRSA infections, 2005-2008.
Citation Text:
Kallen AJ, Mu Y, Bulens S, et al. Health care-associated invasive MRSA infections, 2005-2008. JAMA. 2010;304(6):641-8. doi:10.1001/jama.2010.1115.
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psnet.ahrq.gov/issue/why-patients-need-leaders-introducing-ward-safety-checklist
October 28, 2020 - Commentary
Why patients need leaders: introducing a ward safety checklist.
Citation Text:
Amin Y, Grewcock D, Andrews S, et al. Why patients need leaders: introducing a ward safety checklist. J R Soc Med. 2012;105(9):377-83. doi:10.1258/jrsm.2012.120098.
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