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psnet.ahrq.gov/issue/critical-phase-distractions-anaesthesia-and-sterile-cockpit-concept
April 24, 2018 - Study
Critical phase distractions in anaesthesia and the sterile cockpit concept.
Citation Text:
Broom MA, Capek AL, Carachi P, et al. Critical phase distractions in anaesthesia and the sterile cockpit concept. Anaesthesia. 2011;66(3):175-179. doi:10.1111/j.1365-2044.2011.06623.x.
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psnet.ahrq.gov/issue/information-chaos-primary-care-implications-physician-performance-and-patient-safety
July 02, 2019 - Commentary
Information chaos in primary care: implications for physician performance and patient safety.
Citation Text:
Beasley JW, Wetterneck TB, Temte J, et al. Information chaos in primary care: implications for physician performance and patient safety. J Am Board Fam Med. 2011;24(6…
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psnet.ahrq.gov/issue/surgical-confusions-ophthalmology
November 16, 2022 - Study
Surgical confusions in ophthalmology.
Citation Text:
Simon JW, Ngo Y, Khan S, et al. Surgical confusions in ophthalmology. Arch Ophthalmol. 2007;125(11):1515-22.
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psnet.ahrq.gov/issue/natural-history-retained-surgical-items-supports-need-team-training-early-recognition-and
January 18, 2013 - Study
Natural history of retained surgical items supports the need for team training, early recognition, and prompt retrieval.
Citation Text:
Stawicki P, Cook CH, Anderson HL, et al. Natural history of retained surgical items supports the need for team training, early recognition, and pr…
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psnet.ahrq.gov/issue/safe-use-cellular-telephones-hospitals-fundamental-principles-and-case-studies
August 04, 2021 - Commentary
Safe use of cellular telephones in hospitals: fundamental principles and case studies.
Citation Text:
Cohen T, Ellis WS, Morrissey JJ, et al. Safe use of cellular telephones in hospitals: fundamental principles and case studies. J Healthc Inf Manag. 2005;19(4):38-48.
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psnet.ahrq.gov/issue/patient-reports-preventable-problems-and-harms-primary-health-care
February 03, 2011 - Study
Patient reports of preventable problems and harms in primary health care.
Citation Text:
Kuzel AJ, Woolf SH, Gilchrist VJ, et al. Patient reports of preventable problems and harms in primary health care. Ann Fam Med. 2004;2(4):333-40.
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psnet.ahrq.gov/issue/effectiveness-management-walking-around-randomized-field-study
October 01, 2014 - Study
The effectiveness of management-by-walking-around: a randomized field study.
Citation Text:
Tucker AL, Singer SJ. The Effectiveness of Management-By-Walking-Around: A Randomized Field Study. Prod Oper Manag. 2014;24(2). doi:10.1111/poms.12226.
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DO…
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psnet.ahrq.gov/issue/framework-operationalizing-risk-practical-approach-patient-safety
October 13, 2018 - Commentary
A framework for operationalizing risk: a practical approach to patient safety.
Citation Text:
Mathews SC, Sutcliffe K, Garrett MR, et al. A framework for operationalizing risk: A practical approach to patient safety. J Healthc Risk Manag. 2018;38(1):38-46. doi:10.1002/jhrm.21…
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psnet.ahrq.gov/issue/disruptive-behaviors-among-physicians
August 14, 2014 - Commentary
Disruptive behaviors among physicians.
Citation Text:
Sanchez LT. Disruptive behaviors among physicians. JAMA. 2014;312(21):2209-2210. doi:10.1001/jama.2014.10218.
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psnet.ahrq.gov/issue/advances-prevention-and-control-hais
August 20, 2018 - Book/Report
Advances in the Prevention and Control of HAIs.
Citation Text:
Advances in the Prevention and Control of HAIs. Battles JB, Cleeman JI, Kahn KL, Weinberg DA, eds. Rockville, MD: Agency for Healthcare Research and Quality; June 2014. AHRQ Publication No. 14-0003.
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psnet.ahrq.gov/issue/using-quantitative-risk-register-promote-learning-patient-safety-reporting-system
September 24, 2010 - Study
Using a quantitative risk register to promote learning from a patient safety reporting system.
Citation Text:
Mansfield JG, Caplan RA, Campos JS, et al. Using a quantitative risk register to promote learning from a patient safety reporting system. Jt Comm J Qual Patient Saf. 2015;4…
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psnet.ahrq.gov/issue/incorporating-metacognition-morbidity-and-mortality-rounds-next-frontier-quality-improvement
September 21, 2016 - Review
Incorporating metacognition into morbidity and mortality rounds: the next frontier in quality improvement.
Citation Text:
Katz D, Detsky AS. Incorporating metacognition into morbidity and mortality rounds: The next frontier in quality improvement. J Hosp Med. 2016;11(2):120-2. doi…
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psnet.ahrq.gov/issue/detecting-adverse-drug-events-through-data-mining
February 17, 2009 - Commentary
Detecting adverse drug events through data mining.
Citation Text:
Glasgow JM, Kaboli PJ. Detecting adverse drug events through data mining. Am J Health Syst Pharm. 2010;67(4):317-20. doi:10.2146/ajhp090115.
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psnet.ahrq.gov/issue/method-identify-pediatric-high-risk-diagnoses-missed-emergency-department
October 26, 2022 - Study
A method to identify pediatric high-risk diagnoses missed in the emergency department.
Citation Text:
Sundberg M, Perron CO, Kimia A, et al. A method to identify pediatric high-risk diagnoses missed in the emergency department. Diagnosis (Berl). 2018;5(2):63-69. doi:10.1515/dx-2018…
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psnet.ahrq.gov/issue/multidisciplinary-approach-adverse-drug-events-pediatric-trauma-patients-adult-trauma-center
April 07, 2019 - Study
A multidisciplinary approach to adverse drug events in pediatric trauma patients in an adult trauma center.
Citation Text:
Kalina M, Tinkoff G, Gleason W, et al. A multidisciplinary approach to adverse drug events in pediatric trauma patients in an adult trauma center. Ped Emerg …
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psnet.ahrq.gov/issue/comprehensive-perinatal-patient-safety-program-reduce-preventable-adverse-outcomes-and-costs
September 29, 2010 - Study
A comprehensive perinatal patient safety program to reduce preventable adverse outcomes and costs of liability claims.
Citation Text:
Simpson KR, Kortz CC, Knox E. A comprehensive perinatal patient safety program to reduce preventable adverse outcomes and costs of liability claims.…
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psnet.ahrq.gov/issue/improved-obstetric-safety-through-programmatic-collaboration
September 23, 2020 - Commentary
Improved obstetric safety through programmatic collaboration.
Citation Text:
Goffman D, Brodman M, Friedman AJ, et al. Improved obstetric safety through programmatic collaboration. J Healthc Risk Manag. 2014;33(3):14-22. doi:10.1002/jhrm.21131.
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psnet.ahrq.gov/issue/adverse-drug-events-incidence-and-risk-reduction-across-care-continuum
April 12, 2019 - Image/Poster
ADVERSE drug events: incidence and risk reduction across the care continuum.
Citation Text:
Wanderer JP, Rathmell JP. ADVERSE Drug Events: Incidence & risk reduction across the care continuum. Anesthesiology. 2016;124(1):A23. doi:10.1097/01.anes.0000473722.20007.03.
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psnet.ahrq.gov/issue/using-smart-pumps-understand-and-evaluate-clinician-practice-patterns-ensure-patient-safety
September 01, 2016 - Study
Using smart pumps to understand and evaluate clinician practice patterns to ensure patient safety.
Citation Text:
Mansfield J, Jarrett S. Using smart pumps to understand and evaluate clinician practice patterns to ensure patient safety. Hosp Pharm. 2013;48(11):942-950. doi:10.1310…
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psnet.ahrq.gov/issue/wake-safe-usa-international-patient-safety
August 23, 2023 - Study
Wake Up Safe in the USA & international patient safety.
Citation Text:
Iyer RS, Dave N, Du T, et al. Wake Up Safe in the USA & international patient safety. Paediatr Anaesth. 2024;34(9):958-969. doi:10.1111/pan.14920.
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