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psnet.ahrq.gov/node/39266/psn-pdf
March 05, 2010 - The impact of stress on surgical performance: a
systematic review of the literature.
March 5, 2010
Arora S, Sevdalis N, Nestel D, et al. The impact of stress on surgical performance: a systematic review of
the literature. Surgery. 2010;147(3):318-30, 330.e1-6. doi:10.1016/j.surg.2009.10.007.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/45405/psn-pdf
November 18, 2016 - Relationship between operating room teamwork,
contextual factors, and safety checklist performance.
November 18, 2016
Singer SJ, Molina G, Li Z, et al. Relationship Between Operating Room Teamwork, Contextual Factors,
and Safety Checklist Performance. J Am Coll Surg. 2016;223(4):568-580.e2.
doi:10.1016/j.jamcollsu…
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psnet.ahrq.gov/node/45323/psn-pdf
June 28, 2017 - Effects of health information technology on patient
outcomes: a systematic review.
June 28, 2017
Brenner SK, Kaushal R, Grinspan Z, et al. Effects of health information technology on patient outcomes: a
systematic review. J Am Med Inform Assoc. 2016;23(5):1016-36. doi:10.1093/jamia/ocv138.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/40763/psn-pdf
July 03, 2014 - Technology-enhanced simulation for health professions
education: a systematic review and meta-analysis.
July 3, 2014
Cook DA, Hatala R, Brydges R, et al. Technology-enhanced simulation for health professions education: a
systematic review and meta-analysis. JAMA. 2011;306(9):978-88. doi:10.1001/jama.2011.1234.
htt…
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psnet.ahrq.gov/node/37327/psn-pdf
March 03, 2011 - Patterns of technical error among surgical malpractice
claims: an analysis of strategies to prevent injury to
surgical patients.
March 3, 2011
Regenbogen SE, Greenberg CC, Studdert DM, et al. Patterns of technical error among surgical malpractice
claims: an analysis of strategies to prevent injury to surgical pati…
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psnet.ahrq.gov/node/38145/psn-pdf
March 04, 2011 - Validity of selected AHRQ Patient Safety Indicators based
on VA National Surgical Quality Improvement program
data.
March 4, 2011
Romano PS, Mull HJ, Rivard PE, et al. Validity of selected AHRQ patient safety indicators based on VA
National Surgical Quality Improvement Program data. Health Serv Res. 2009;44(1):182…
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psnet.ahrq.gov/node/40766/psn-pdf
September 14, 2011 - Medicines reconciliation using a shared electronic health
care record.
September 14, 2011
Moore P, Armitage G, Wright J, et al. Medicines reconciliation using a shared electronic health care record.
J Patient Saf. 2011;7(3):148-154. doi:10.1097/PTS.0b013e31822c5bf9.
https://psnet.ahrq.gov/issue/medicines-reconcili…
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psnet.ahrq.gov/node/36168/psn-pdf
August 31, 2011 - Computerized prescribing alerts and group academic
detailing to reduce the use of potentially inappropriate
medications in older people.
August 31, 2011
Simon SR, Smith DH, Feldstein AC, et al. Computerized prescribing alerts and group academic detailing to
reduce the use of potentially inappropriate medications i…
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psnet.ahrq.gov/node/46599/psn-pdf
August 20, 2018 - Effect of standardized handoff curriculum on improved
clinician preparedness in the intensive care unit: a
stepped-wedge cluster randomized clinical trial.
August 20, 2018
Parent B, LaGrone LN, Albirair MT, et al. Effect of Standardized Handoff Curriculum on Improved Clinician
Preparedness in the Intensive Care Un…
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psnet.ahrq.gov/node/42396/psn-pdf
July 31, 2013 - Developing and implementing a standardized process for
Global Trigger Tool application across a large health
system.
July 31, 2013
Garrett PR, Sammer C, Nelson A, et al. Developing and implementing a standardized process for global
trigger tool application across a large health system. Jt Comm J Qual Saf. 2013;39(…
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psnet.ahrq.gov/node/40675/psn-pdf
November 28, 2016 - Patients' and family members' views on how clinicians
enact and how they should enact incident disclosure: the
"100 patient stories" qualitative study.
November 28, 2016
Iedema R, Allen S, Britton K, et al. Patients' and family members' views on how clinicians enact and how
they should enact incident disclosure: t…
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psnet.ahrq.gov/node/45541/psn-pdf
September 28, 2016 - Is there evidence for a better health care for cancer
patients after a second opinion? A systematic review.
September 28, 2016
Ruetters D, Keinki C, Schroth S, et al. Is there evidence for a better health care for cancer patients after a
second opinion? A systematic review. J Cancer Res Clin Oncol. 2016;142(7):1521…
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psnet.ahrq.gov/node/46587/psn-pdf
January 23, 2019 - Association between workarounds and medication
administration errors in bar-code-assisted medication
administration in hospitals.
January 23, 2019
van der Veen W, van den Bemt PMLA, Wouters H, et al. Association between workarounds and medication
administration errors in bar-code-assisted medication administration…
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psnet.ahrq.gov/node/37768/psn-pdf
April 27, 2010 - The wisdom and justice of not paying for "preventable
complications."
April 27, 2010
Pronovost P, Goeschel CA, Wachter R. The wisdom and justice of not paying for "preventable
complications". JAMA. 2008;299(18):2197-9. doi:10.1001/jama.299.18.2197.
https://psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-prevent…
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psnet.ahrq.gov/node/39404/psn-pdf
March 31, 2010 - Incidence and root cause analysis of wrong-site pain
management procedures: a multicenter study.
March 31, 2010
Cohen SP, Hayek SM, Datta S, et al. Incidence and root cause analysis of wrong-site pain management
procedures: a multicenter study. Anesthesiology. 2010;112(3):711-8. doi:10.1097/ALN.0b013e3181cf892d.
h…
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psnet.ahrq.gov/node/38401/psn-pdf
February 18, 2011 - Trends in primary care clinician perceptions of a new
electronic health record.
February 18, 2011
El-Kareh R, Gandhi TK, Poon EG, et al. Trends in primary care clinician perceptions of a new electronic
health record. J Gen Intern Med. 2009;24(4):464-8. doi:10.1007/s11606-009-0906-z.
https://psnet.ahrq.gov/issue/tr…
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psnet.ahrq.gov/node/44034/psn-pdf
January 19, 2016 - Surgical checklist implementation project: the impact of
variable WHO checklist compliance on risk-adjusted
clinical outcomes after national implementation: a
longitudinal study.
January 19, 2016
Mayer EK, Sevdalis N, Rout S, et al. Surgical Checklist Implementation Project: The Impact of Variable
WHO Checklist C…
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psnet.ahrq.gov/node/46856/psn-pdf
June 20, 2018 - Visual acuity, literacy, and unintentional misuse of
nonprescription medications.
June 20, 2018
Mullen RJ, Curtis LM, O'Conor R, et al. Visual acuity, literacy, and unintentional misuse of nonprescription
medications. Am J Health-Syst Pharm. 2018;75(9):e213-e220. doi:10.2146/ajhp170303.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/43037/psn-pdf
October 31, 2014 - Adverse Events in Skilled Nursing Facilities: National
Incidence Among Medicare Beneficiaries.
October 31, 2014
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector
General; February 2014. Report No. OEI-06-11-00370.
https://psnet.ahrq.gov/issue/adverse-events-skilled-nu…
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psnet.ahrq.gov/node/38645/psn-pdf
February 15, 2011 - A comprehensive pharmacist intervention to reduce
morbidity in patients 80 years or older: a randomized
controlled trial.
February 15, 2011
Gillespie U, Alassaad A, Henrohn D, et al. A comprehensive pharmacist intervention to reduce morbidity in
patients 80 years or older: a randomized controlled trial. Arch Inter…