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psnet.ahrq.gov/issue/assessing-and-improving-safety-climate-large-cohort-intensive-care-units
September 20, 2011 - Study
Assessing and improving safety climate in a large cohort of intensive care units.
Citation Text:
Sexton B, Berenholtz SM, Goeschel CA, et al. Assessing and improving safety climate in a large cohort of intensive care units. Crit Care Med. 2011;39(5):934-9. doi:10.1097/CCM.0b013e3…
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psnet.ahrq.gov/issue/how-communication-among-members-health-care-team-affects-maternal-morbidity-and-mortality
November 12, 2014 - Commentary
How communication among members of the health care team affects maternal morbidity and mortality.
Citation Text:
Brennan RA, Keohane CA. How Communication Among Members of the Health Care Team Affects Maternal Morbidity and Mortality. J Obstet Gynecol Neonatal Nurs. 2016;45(6)…
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psnet.ahrq.gov/issue/redesigning-surgical-decision-making-high-risk-patients
July 20, 2016 - Commentary
Redesigning surgical decision making for high-risk patients.
Citation Text:
Glance LG, Osler T, Neuman MD. Redesigning surgical decision making for high-risk patients. N Engl J Med. 2014;370(15):1379-1381. doi:10.1056/NEJMp1315538.
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psnet.ahrq.gov/issue/80-hour-duty-week-rationale-early-attitudes-and-future-questions
September 28, 2010 - Commentary
The 80-hour duty week: rationale, early attitudes, and future questions.
Citation Text:
Friedlaender GE. The 80-hour duty week: rationale, early attitudes, and future questions. Clin Orthop Relat Res. 2006;449:138-142.
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psnet.ahrq.gov/issue/minimizing-inappropriate-medications-older-populations-ten-step-conceptual-framework
June 23, 2021 - Commentary
Minimizing inappropriate medications in older populations: a ten-step conceptual framework.
Citation Text:
Scott IA, Gray LC, Martin J, et al. Minimizing inappropriate medications in older populations: a 10-step conceptual framework. Am J Med. 2012;125(6):529-37.e4. doi:10.1…
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psnet.ahrq.gov/issue/why-dont-nurses-consistently-take-patient-respiratory-rates
October 10, 2012 - Study
Why don't nurses consistently take patient respiratory rates?
Citation Text:
Ansell H, Meyer A, Thompson S. Why don't nurses consistently take patient respiratory rates? Br J Nurs. 2014;23(8):414-8.
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psnet.ahrq.gov/issue/barriers-and-facilitators-nursing-handoffs-recommendations-redesign
January 22, 2016 - Study
Barriers and facilitators to nursing handoffs: recommendations for redesign.
Citation Text:
Welsh CA, Flanagan ME, Ebright PR. Barriers and facilitators to nursing handoffs: Recommendations for redesign. Nurs Outlook. 2010;58(3):148-154. doi:10.1016/j.outlook.2009.10.005.
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psnet.ahrq.gov/issue/systematic-review-factors-enable-psychological-safety-healthcare-teams
October 28, 2020 - Review
Classic
A systematic review of factors that enable psychological safety in healthcare teams.
Citation Text:
O’Donovan R, McAuliffe E. A systematic review of factors that enable psychological safety in healthcare teams. Int J Qual Health Care. 2020;32(4):2…
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psnet.ahrq.gov/issue/taking-challenge-improve-name-and-role-recognition-operating-room
July 12, 2023 - Review
Taking up the challenge to improve name and role recognition in the operating room.
Citation Text:
Thota B, Rabinowitz A, Guttman OT. Taking up the challenge to improve name and role recognition in the operating room. J Patient Saf. 2024;20(1):45-47. doi:10.1097/pts.00000000000011…
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psnet.ahrq.gov/issue/underappreciated-role-habit-highly-reliable-healthcare
April 25, 2016 - Commentary
The underappreciated role of habit in highly reliable healthcare.
Citation Text:
Vogus TJ, Hilligoss B. The underappreciated role of habit in highly reliable healthcare. BMJ Qual Saf. 2016;25(3):141-6. doi:10.1136/bmjqs-2015-004512.
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psnet.ahrq.gov/issue/fallacy-single-diagnosis
October 05, 2022 - Study
The fallacy of a single diagnosis.
Citation Text:
Redelmeier DA, Shafir E. The fallacy of a single diagnosis. Med Decis Making. 2023;43(2):183-190. doi:10.1177/0272989x221121343.
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psnet.ahrq.gov/issue/prevalence-risk-factors-and-outcomes-idle-intravenous-catheters-integrative-review
August 29, 2018 - Review
Prevalence, risk factors, and outcomes of idle intravenous catheters: an integrative review.
Citation Text:
Becerra MB, Shirley D, Safdar N. Prevalence, risk factors, and outcomes of idle intravenous catheters: An integrative review. Am J Infect Control. 2016;44(10):e167-e172. doi…
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psnet.ahrq.gov/issue/limits-clinician-vigilance-ai-safety-bulwark
September 07, 2022 - Commentary
The limits of clinician vigilance as an AI safety bulwark.
Citation Text:
Adler-Milstein J, Redelmeier DA, Wachter RM. The limits of clinician vigilance as an AI safety bulwark. JAMA. 2024;331(14):1173-1174. doi:10.1001/jama.2024.3620.
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psnet.ahrq.gov/issue/reporting-and-learning-systems-medication-errors-role-pharmacovigilance-centres
May 18, 2022 - Book/Report
Reporting and Learning Systems for Medication Errors: The Role of Pharmacovigilance Centres.
Citation Text:
Reporting and Learning Systems for Medication Errors: The Role of Pharmacovigilance Centres. Bencheikh SR, Cousins D, Benabdallah G, et al. Geneva, Switzerland: World H…
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psnet.ahrq.gov/issue/preventable-mortality-after-common-urological-surgery-failing-rescue
July 17, 2013 - Study
Preventable mortality after common urological surgery: failing to rescue?
Citation Text:
Sammon JD, Pucheril D, Abdollah F, et al. Preventable mortality after common urological surgery: failing to rescue? BJU Int. 2015;115(4):666-674. doi:10.1111/bju.12833.
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psnet.ahrq.gov/issue/intern-attending-assessing-stress-among-physicians
February 22, 2011 - Study
Intern to attending: assessing stress among physicians.
Citation Text:
Stucky E, Dresselhaus TR, Dollarhide A, et al. Intern to attending: assessing stress among physicians. Acad Med. 2009;84(2):251-7. doi:10.1097/ACM.0b013e3181938aad.
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psnet.ahrq.gov/issue/notes-healing-after-missed-diagnosis
May 18, 2022 - Commentary
Notes on healing after a missed diagnosis.
Citation Text:
Fleming EA. Notes on healing after a missed diagnosis. JAMA. 2022;328(13):1297-1298. doi:10.1001/jama.2022.15724.
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psnet.ahrq.gov/issue/patient-safety-checklist-cardiac-catheterisation-laboratory
October 19, 2022 - Commentary
A patient safety checklist for the cardiac catheterisation laboratory.
Citation Text:
Cahill TJ, Clarke SC, Simpson IA, et al. A patient safety checklist for the cardiac catheterisation laboratory. Heart. 2015;101(2):91-3. doi:10.1136/heartjnl-2014-306927.
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psnet.ahrq.gov/issue/medication-errors-pediatrics-octopus-evading-defeat
March 14, 2022 - Review
Medication errors in pediatrics—the octopus evading defeat.
Citation Text:
Sullivan JE, Buchino JJ. Medication errors in pediatrics--the octopus evading defeat. J Surg Oncol. 2004;88(3):182-8.
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psnet.ahrq.gov/issue/strategies-reduce-medication-errors-pediatric-ambulatory-settings
August 04, 2021 - Review
Strategies to reduce medication errors in pediatric ambulatory settings.
Citation Text:
Mehndiratta S. Strategies to reduce medication errors in pediatric ambulatory settings. J Postgrad Med. 2012;58(1):47-53. doi:10.4103/0022-3859.93252.
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