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psnet.ahrq.gov/issue/factors-associated-use-cognitive-aids-operating-room-crises-cross-sectional-study-us
February 07, 2018 - Study
Emerging Classic
Factors associated with the use of cognitive aids in operating room crises: a cross-sectional study of US hospitals and ambulatory surgical centers.
Citation Text:
Alidina S, Goldhaber-Fiebert SN, Hannenberg A, et al. Factors associated wi…
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psnet.ahrq.gov/issue/culture-civility-positively-impacting-practice-and-patient-safety
July 13, 2022 - Commentary
A culture of civility: positively impacting practice and patient safety.
Citation Text:
Makic MBF. A Culture of Civility: Positively Impacting Practice and Patient Safety. J Perianesth Nurs. 2018;33(2):220-222. doi:10.1016/j.jopan.2017.12.006.
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Format:
…
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psnet.ahrq.gov/node/49793/psn-pdf
May 01, 2017 - Hemolysis Holdup
May 1, 2017
Lehman CM. Hemolysis Holdup. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/hemolysis-holdup
The Case
A 72-year-old man with congestive heart failure due to nonischemic cardiomyopathy, stage 3 chronic
kidney disease, atrial fibrillation, and type 2 diabetes mellitus presented t…
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psnet.ahrq.gov/node/41038/psn-pdf
February 10, 2012 - Activating knowledge for patient safety practices: a
Canadian academic-policy partnership.
February 10, 2012
Harrison MB, Nicklin W, Owen M, et al. Activating knowledge for patient safety practices: a Canadian
academic-policy partnership. Worldviews Evid Based Nurs. 2012;9(1):49-58. doi:10.1111/j.1741-
6787.2011.0…
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psnet.ahrq.gov/node/866191/psn-pdf
June 26, 2024 - Quality improvement lessons learned from National
Implementation of the "Patient Safety Events in
Community Care: Reporting, Investigation, and
Improvement Guidebook".
June 26, 2024
Sullivan JL, Shin MH, Chan J, et al. Quality improvement lessons learned from National Implementation of
the “Patient Safety Events …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.173_slideshow.ppt
April 01, 2008 - Spotlight Case [MONTH] 2003
Spotlight Case April 2008
Antibiotics for URI/Sinusitis: A Simple Decision Gone Bad
Source and Credits
This presentation is based on the April 2008
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Sumant Ranji, MD,…
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psnet.ahrq.gov/issue/anaesthesia-and-patient-safety-socio-technical-operating-theatre-narrative-review-spanning
April 10, 2024 - Review
Anaesthesia and patient safety in the socio-technical operating theatre: a narrative review spanning a century.
Citation Text:
Webster CS, Mahajan R, Weller JM. Anaesthesia and patient safety in the socio-technical operating theatre: a narrative review spanning a century. Br J Ana…
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psnet.ahrq.gov/issue/new-approach-assessing-patient-safety-aspects-routine-practice-using-example-doctors
April 24, 2019 - Study
A new approach of assessing patient safety aspects in routine practice using the example of "doctors handwritten prescriptions."
Citation Text:
Sendlhofer G, Pregartner G, Gombotz V, et al. A new approach of assessing patient safety aspects in routine practice using the example of …
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psnet.ahrq.gov/node/33797/psn-pdf
January 01, 2016 - Diagnostic Errors: A New Chapter in Patient Safety
Science, Policy, and Practice
January 1, 2016
Singh H. Diagnostic Errors: A New Chapter in Patient Safety Science, Policy, and Practice. PSNet
[internet]. 2016.
https://psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-prac…
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psnet.ahrq.gov/issue/what-ring-tone-should-be-used-patient-safety-early-results-blackberry-based-telementoring
February 28, 2011 - Study
What ring tone should be used for patient safety? Early results with a Blackberry-based telementoring safety solution.
Citation Text:
Parker A, Rubinfeld IS, Azuh O, et al. What ring tone should be used for patient safety? Early results with a Blackberry-based telementoring safety…
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psnet.ahrq.gov/node/867986/psn-pdf
March 24, 2025 - In Conversation with Edwin Boudreaux about Suicide
Prevention
March 24, 2025
Boudreaux E, Gale B, Mossburg SE. In Conversation with Edwin Boudreaux about Suicide Prevention.
PSNet [internet]. 2025.
https://psnet.ahrq.gov/perspective/conversation-edwin-boudreaux-about-suicide-prevention
Editor’s note: Edwin Boudre…
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psnet.ahrq.gov/issue/improving-reliability-clinical-care-practices-ventilated-patients-context-patient-safety
November 07, 2011 - Study
Improving reliability of clinical care practices for ventilated patients in the context of a patient safety improvement initiative.
Citation Text:
Pinto A, Burnett S, Benn J, et al. Improving reliability of clinical care practices for ventilated patients in the context of a patie…
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psnet.ahrq.gov/node/865778/psn-pdf
May 29, 2024 - (Prepared by the Southern
California-RAND Evidence-based Practice Center under Contract No. 290-2007
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psnet.ahrq.gov/issue/interruptions-during-nurses-work-state-science-review
October 21, 2009 - Review
Interruptions during nurses' work: a state-of-the-science review.
Citation Text:
Hopkinson SG, Jennings BM. Interruptions during nurses' work: A state-of-the-science review. Res Nurs Health. 2013;36(1):38-53. doi:10.1002/nur.21515.
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Format:
DOI Google Sc…
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psnet.ahrq.gov/node/33629/psn-pdf
March 01, 2006 - What Does Simulation Add to Teamwork Training?
March 1, 2006
Gaba DM. What Does Simulation Add to Teamwork Training? PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/what-does-simulation-add-teamwork-training
Editor's Note: In these point–counterpoint articles, Drs. Pratt and Sachs of Beth Israel Deacones…
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psnet.ahrq.gov/issue/error-and-patient-safety-ethical-analysis-cases-occupational-and-physical-therapy-practice
July 14, 2010 - Commentary
Error and patient safety: ethical analysis of cases in occupational and physical therapy practice.
Citation Text:
Scheirton LS, Mu K, Lohman H, et al. Error and patient safety: ethical analysis of cases in occupational and physical therapy practice. Med Health Care Philos. 2…
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psnet.ahrq.gov/issue/using-claims-data-based-sentinel-system-improve-compliance-clinical-guidelines-results
October 19, 2022 - Study
Using a claims data-based sentinel system to improve compliance with clinical guidelines: results of a randomized prospective study.
Citation Text:
Javitt JC, Steinberg G, Locke T, et al. Using a claims data-based sentinel system to improve compliance with clinical guidelines: re…
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psnet.ahrq.gov/node/42086/psn-pdf
March 13, 2013 - Patient safety strategies targeted at diagnostic errors: a
systematic review.
March 13, 2013
McDonald KM, Matesic B, Contopoulos-Ioannidis DG, et al. Patient safety strategies targeted at diagnostic
errors: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):381-389. doi:10.7326/0003-4819-158-5-
201303051-00004.…
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psnet.ahrq.gov/node/47017/psn-pdf
November 28, 2018 - In pursuit of quality and safety: an 8-year study of clinical
peer review best practices in US hospitals.
November 28, 2018
Edwards MT. In pursuit of quality and safety: an 8-year study of clinical peer review best practices in US
hospitals. Int J Qual Health Care. 2018;30(8):602-607. doi:10.1093/intqhc/mzy069.
ht…
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psnet.ahrq.gov/node/43686/psn-pdf
November 26, 2014 - Tools for primary care patient safety: a narrative review.
November 26, 2014
Spencer R, Campbell S. Tools for primary care patient safety: a narrative review. BMC Fam Pract.
2014;15:166. doi:10.1186/1471-2296-15-166.
https://psnet.ahrq.gov/issue/tools-primary-care-patient-safety-narrative-review
Proven methods to …