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psnet.ahrq.gov/issue/post-event-debriefings-during-neonatal-care-why-are-we-not-doing-them-and-how-can-we-start
January 15, 2014 - Commentary
Post-event debriefings during neonatal care: why are we not doing them, and how can we start?
Citation Text:
Sawyer T, Loren D, Halamek LP. Post-event debriefings during neonatal care: why are we not doing them, and how can we start? J Perinatol. 2016;36(6):415-9. doi:10.1038/…
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psnet.ahrq.gov/issue/role-parents-promotion-hand-hygiene-paediatric-setting-systematic-literature-review
January 27, 2021 - Review
Role of parents in the promotion of hand hygiene in the paediatric setting: a systematic literature review.
Citation Text:
Bellissimo-Rodrigues F, Pires D, Zingg W, et al. Role of parents in the promotion of hand hygiene in the paediatric setting: a systematic literature review. J…
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psnet.ahrq.gov/issue/improving-radiology-report-quality-rapidly-notifying-radiologist-report-errors
May 29, 2019 - Study
Improving radiology report quality by rapidly notifying radiologist of report errors.
Citation Text:
Minn MJ, Zandieh AR, Filice RW. Improving Radiology Report Quality by Rapidly Notifying Radiologist of Report Errors. J Digit Imaging. 2015;28(4):492-8. doi:10.1007/s10278-015-9781-…
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psnet.ahrq.gov/issue/scaffolding-our-systems-patients-and-families-reaching-source-healthcare-resilience
February 23, 2022 - Commentary
Scaffolding our systems? Patients and families 'reaching in' as a source of healthcare resilience.
Citation Text:
O'Hara JK, Aase K, Waring J. Scaffolding our systems? Patients and families 'reaching in' as a source of healthcare resilience. BMJ Qual Saf. 2019;28(1):3-6. doi:1…
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psnet.ahrq.gov/issue/web-based-incident-reporting-system-and-multidisciplinary-collaborative-projects-patient
October 27, 2010 - Study
A web-based incident reporting system and multidisciplinary collaborative projects for patient safety in a Japanese hospital.
Citation Text:
Nakajima K, Kurata Y, Takeda H. A web-based incident reporting system and multidisciplinary collaborative projects for patient safety in a …
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psnet.ahrq.gov/issue/awareness-recall-during-general-anaesthesia-prospective-observational-evaluation-4001
March 09, 2022 - Study
Awareness with recall during general anaesthesia: a prospective observational evaluation of 4001 patients.
Citation Text:
Errando CL, Sigl JC, Robles M, et al. Awareness with recall during general anaesthesia: a prospective observational evaluation of 4001 patients. Br J Anaesth.…
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psnet.ahrq.gov/issue/patient-safety-obstetrics-what-aviators-firefighters-and-others-can-teach-us
January 22, 2017 - Commentary
Patient safety in obstetrics: what aviators, firefighters and others can teach us.
Citation Text:
Guise J-M, Lowe NK, Connell L. Patient Safety in Obstetrics: What Aviators, Firefighters and Others Can Teach Us. Nurs Womens Health. 2008;12(3):208-215. doi:10.1111/j.1751-486x…
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psnet.ahrq.gov/issue/healthcare-utilizing-deliberate-discussion-linking-events-huddle-systematic-review
November 16, 2022 - Review
Healthcare Utilizing Deliberate Discussion Linking Events (HUDDLE): a systematic review.
Citation Text:
Glymph DC, Olenick M, Barbera S, et al. Healthcare Utilizing Deliberate Discussion Linking Events (HUDDLE): A Systematic Review. AANA J. 2015;83(3):183-188.
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psnet.ahrq.gov/issue/mortality-related-anaesthesia-france-analysis-deaths-related-airway-complications
June 20, 2011 - Study
Mortality related to anaesthesia in France: analysis of deaths related to airway complications.
Citation Text:
Auroy Y, Benhamou D, Péquignot F, et al. Mortality related to anaesthesia in France: analysis of deaths related to airway complications. Anaesthesia. 2009;64(4):366-70. …
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psnet.ahrq.gov/issue/untenable-expectations-nurses-work-context-medication-administration-error-and-organization
September 21, 2022 - Study
Untenable expectations: nurses' work in the context of medication administration, error, and the organization.
Citation Text:
Hawkins SF, Morse JM. Untenable expectations: nurses' work in the context of medication administration, error, and the organization. Glob Qual Nurs Res. 202…
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psnet.ahrq.gov/issue/time-change-injury-and-trauma-care-delivery-trauma-death-review-analysis
November 21, 2021 - Study
Time for a change in injury and trauma care delivery: a trauma death review analysis.
Citation Text:
Sugrue M, Caldwell E, D'Amours S, et al. Time for a change in injury and trauma care delivery: a trauma death review analysis. ANZ J Surg. 2008;78(11):949-954. doi:10.1111/j.1445-…
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psnet.ahrq.gov/node/33716/psn-pdf
September 01, 2011 - In Conversation With…Kaveh G. Shojania, MD
September 1, 2011
In Conversation With…Kaveh G. Shojania, MD. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
Editor's note: Kaveh G. Shojania, MD, is the Canada Research Chair in Patient Safety and Quality
Improvement and t…
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psnet.ahrq.gov/issue/nursing-homes-cited-1000-times-medication-errors
May 18, 2005 - Audiovisual
Nursing homes cited 1,000 times for medication errors.
Citation Text:
Pierrotti A. USA Today. August 18, 2014.
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psnet.ahrq.gov/issue/computerized-medication-order-errors-studied
March 26, 2014 - Newspaper/Magazine Article
Computerized medication order errors studied.
Citation Text:
Computerized medication order errors studied. McGee MK. Information Week. April 28, 2010.
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psnet.ahrq.gov/issue/leaders-va-eastern-colorado-health-care-system-aurora-created-environment-undermined-culture
May 28, 2024 - Book/Report
Leaders at the VA Eastern Colorado Health Care System in Aurora Created an Environment That Undermined the Culture of Safety.
Citation Text:
Leaders At The Va Eastern Colorado Health Care System In Aurora Created An Environment That Undermined The Culture Of Safety. Washingto…
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psnet.ahrq.gov/issue/patient-safety-resource-center-0
February 08, 2006 - Multi-use Website
Patient Safety Resource Center.
Citation Text:
Patient Safety Resource Center. American Society of Health-System Pharmacists.
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psnet.ahrq.gov/issue/safety-critical-care-medicine
July 14, 2021 - Special or Theme Issue
Safety in Critical Care Medicine.
Citation Text:
Safety in Critical Care Medicine. Fein AM, Heffner JE, eds. Crit Care Clin. 2005;21(1):1-176.
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psnet.ahrq.gov/issue/speak-video-posters
November 27, 2018 - Image/Poster
Speak Up video posters.
Citation Text:
Speak Up video posters. Oakbrook Terrace, IL: Joint Commission.
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psnet.ahrq.gov/issue/va-takes-lead-paperless-care
March 27, 2013 - Newspaper/Magazine Article
VA takes the lead in paperless care.
Citation Text:
VA takes the lead in paperless care. Brown D.
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psnet.ahrq.gov/issue/how-can-we-save-next-victim
January 23, 2008 - Newspaper/Magazine Article
How can we save the next victim?
Citation Text:
How can we save the next victim? Belkin L
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