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psnet.ahrq.gov/issue/theory-based-instrument-evaluate-team-communication-operating-room-balancing-measurement
June 23, 2010 - Commentary
A theory-based instrument to evaluate team communication in the operating room: balancing measurement authenticity and reliability.
Citation Text:
Lingard LA, Regehr G, Espin S, et al. A theory-based instrument to evaluate team communication in the operating room: balancing …
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psnet.ahrq.gov/issue/paediatric-adverse-drug-reactions-reported-sweden-1987-2001
June 17, 2014 - Study
Paediatric adverse drug reactions reported in Sweden from 1987 to 2001.
Citation Text:
Kimland E, Rane A, Ufer M, et al. Paediatric adverse drug reactions reported in Sweden from 1987 to 2001. Pharmacoepidemiol Drug Saf. 2005;14(7):493-9.
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psnet.ahrq.gov/issue/delayed-or-missed-diagnosis-cervical-spine-injuries
May 05, 2010 - Study
Delayed or missed diagnosis of cervical spine injuries.
Citation Text:
Platzer P, Hauswirth N, Jaindl M, et al. Delayed or Missed Diagnosis of Cervical Spine Injuries. The Journal of Trauma: Injury, Infection, and Critical Care. 2006;61(1). doi:10.1097/01.ta.0000196673.58429.2a. …
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psnet.ahrq.gov/issue/experience-wrong-site-surgery-and-surgical-marking-practices-among-clinicians-uk
October 20, 2010 - Study
Experience of wrong site surgery and surgical marking practices among clinicians in the UK.
Citation Text:
Giles SJ, Rhodes P, Clements G, et al. Experience of wrong site surgery and surgical marking practices among clinicians in the UK. Qual Saf Health Care. 2006;15(5):363-8.
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psnet.ahrq.gov/issue/post-discharge-medication-reviews-patients-heart-failure-pilot-study
May 21, 2009 - Study
Post-discharge medication reviews for patients with heart failure: a pilot study.
Citation Text:
Ponniah A, Shakib S, Doecke CJ, et al. Post-discharge medication reviews for patients with heart failure: a pilot study. Pharm World Sci. 2008;30(6):810-5. doi:10.1007/s11096-008-92…
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psnet.ahrq.gov/issue/operating-room-briefings-working-same-page
September 28, 2010 - Commentary
Operating room briefings: working on the same page.
Citation Text:
Makary MA, Holzmueller CG, Thompson DA, et al. Operating room briefings: working on the same page. Jt Comm J Qual Patient Saf. 2006;32(6):351-5.
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psnet.ahrq.gov/issue/what-happens-when-things-go-wrong
April 24, 2018 - Commentary
What happens when things go wrong?
Citation Text:
Brandom BW, Callahan P, Micalizzi DA. What happens when things go wrong? Paediatr Anaesth. 2011;21(7):730-6. doi:10.1111/j.1460-9592.2010.03513.x.
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psnet.ahrq.gov/issue/interruptions-wild-development-sociotechnical-systems-model-interruptions-emergency
August 31, 2016 - Review
Interruptions in the wild: development of a sociotechnical systems model of interruptions in the emergency department through a systematic review.
Citation Text:
Werner N, Holden RJ. Interruptions in the wild: Development of a sociotechnical systems model of interruptions in the e…
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psnet.ahrq.gov/issue/multitasking-during-patient-handover-recovery-room
October 05, 2011 - Study
Multitasking during patient handover in the recovery room.
Citation Text:
van Rensen ELJ, Groen EST, Numan SC, et al. Multitasking during patient handover in the recovery room. Anesth Analg. 2012;115(5):1183-7. doi:10.1213/ANE.0b013e31826996a2.
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psnet.ahrq.gov/issue/view-world-through-different-lens-shadowing-another-provider
January 22, 2017 - Commentary
View the world through a different lens: shadowing another provider.
Citation Text:
Thompson DA, Holzmueller CG, Lubomski LH, et al. View the world through a different lens: shadowing another provider. Jt Comm J Qual Patient Saf. 2008;34(10):614-8, 561.
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psnet.ahrq.gov/issue/medical-resident-pharmacist-collaboration-improves-rate-medication-reconciliation
September 24, 2010 - Study
A medical resident–pharmacist collaboration improves the rate of medication reconciliation verification at discharge.
Citation Text:
Caroff DA, Bittermann T, Leonard CE, et al. A Medical Resident-Pharmacist Collaboration Improves the Rate of Medication Reconciliation Verification a…
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psnet.ahrq.gov/issue/hard-talk-dealing-disruptive-physician
April 24, 2018 - Review
The hard talk: dealing with the disruptive physician.
Citation Text:
Rossano JW, Berger S, Penny DJ. The hard talk: dealing with the disruptive physician. Prog Pediatr Cardiol. 2020;59:101315. doi:10.1016/j.ppedcard.2020.101315.
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psnet.ahrq.gov/issue/systematic-quantitative-assessment-risks-associated-poor-communication-surgical-care
August 11, 2010 - Study
A systematic quantitative assessment of risks associated with poor communication in surgical care.
Citation Text:
Nagpal K, Vats A, Ahmed K, et al. A systematic quantitative assessment of risks associated with poor communication in surgical care. Arch Surg. 2010;145(6):582-8. doi:1…
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psnet.ahrq.gov/issue/heroism-safe-design-leveraging-technology
August 17, 2017 - Commentary
From heroism to safe design: leveraging technology.
Citation Text:
Pronovost P, Bo-Linn GW, Sapirstein A. From heroism to safe design: leveraging technology. Anesthesiology. 2014;120(3):526-9. doi:10.1097/ALN.0000000000000127.
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psnet.ahrq.gov/issue/simulated-laparoscopic-operating-room-crisis-approach-enhance-surgical-team-performance
March 28, 2012 - Study
Simulated laparoscopic operating room crisis: an approach to enhance the surgical team performance.
Citation Text:
Powers KA, Rehrig ST, Irias N, et al. Simulated laparoscopic operating room crisis: An approach to enhance the surgical team performance. Surg Endosc. 2008;22(4):885…
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psnet.ahrq.gov/issue/what-stands-way-technology-mediated-patient-safety-improvements-study-facilitators-and
May 16, 2012 - Study
What stands in the way of technology-mediated patient safety improvements? A study of facilitators and barriers to physicians' use of electronic health records.
Citation Text:
Holden RJ. What stands in the way of technology-mediated patient safety improvements?: a study of facili…
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psnet.ahrq.gov/issue/implementing-root-cause-analysis-area-health-service-views-participants
December 03, 2014 - Study
Implementing root cause analysis in an area health service: views of the participants.
Citation Text:
Middleton S, Walker C, Chester R. Implementing root cause analysis in an area health service: views of the participants. Aust Health Rev. 2005;29(4):422-8.
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psnet.ahrq.gov/issue/high-fidelity-simulation-and-safety-integrative-review
September 09, 2015 - Review
High-fidelity simulation and safety: an integrative review.
Citation Text:
Shearer JE. High-fidelity simulation and safety: an integrative review. J Nurs Edu. 2013;52(1):39-45. doi:10.3928/01484834-20121121-01.
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psnet.ahrq.gov/issue/assessing-quality-patient-handoffs-care-transitions
April 24, 2013 - Study
Assessing the quality of patient handoffs at care transitions.
Citation Text:
Manser T, Foster S, Gisin S, et al. Assessing the quality of patient handoffs at care transitions. Qual Saf Health Care. 2010;19(6):e44. doi:10.1136/qshc.2009.038430.
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psnet.ahrq.gov/issue/medication-safety-education-program-reduce-risk-harm-caused-medication-errors
June 27, 2018 - Commentary
A medication safety education program to reduce the risk of harm caused by medication errors.
Citation Text:
Dennison RD. A medication safety education program to reduce the risk of harm caused by medication errors. J Contin Educ Nurs. 2007;38(4):176-84.
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