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psnet.ahrq.gov/node/60983/psn-pdf
October 07, 2020 - A qualitative exploration of the impact of a distressed
family member on pediatric resuscitation teams.
October 7, 2020
Deacon A, O’Neill T, Delaloye N, et al. A qualitative exploration of the impact of a distressed family member
on pediatric resuscitation teams. Hosp Pediatr. 2020;10(9):758-766. doi:10.1542/hpeds.…
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psnet.ahrq.gov/node/44204/psn-pdf
June 17, 2015 - Effectiveness of interventions to improve patient
handover in surgery: a systematic review.
June 17, 2015
Pucher PH, Johnston MJ, Aggarwal R, et al. Effectiveness of interventions to improve patient handover in
surgery: A systematic review. Surgery. 2015;158(1):85-95. doi:10.1016/j.surg.2015.02.017.
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psnet.ahrq.gov/node/41080/psn-pdf
May 29, 2012 - Development and evaluation of a checklist to support
decision making in cancer multidisciplinary team
meetings: MDT-QuIC.
May 29, 2012
Lamb BW, Sevdalis N, Vincent C, et al. Development and evaluation of a checklist to support decision
making in cancer multidisciplinary team meetings: MDT-QuIC. Ann Surg Oncol. 201…
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psnet.ahrq.gov/node/35182/psn-pdf
April 11, 2011 - Standard drug concentrations and smart-pump
technology reduce continuous-medication-infusion errors
in pediatric patients.
April 11, 2011
Larsen G, Parker HB, Cash J, et al. Standard drug concentrations and smart-pump technology reduce
continuous-medication-infusion errors in pediatric patients. Pediatrics. 2005;1…
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psnet.ahrq.gov/node/47009/psn-pdf
December 21, 2018 - Perceptions of rounding checklists in the intensive care
unit: a qualitative study.
December 21, 2018
Hallam BD, Kuza CC, Rak K, et al. Perceptions of rounding checklists in the intensive care unit: a
qualitative study. BMJ Qual Saf. 2018;27(10):836-843. doi:10.1136/bmjqs-2017-007218.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/47810/psn-pdf
March 13, 2019 - Debriefing in the OR: a quality improvement project.
March 13, 2019
Finch EP, Langston M, Erickson D, et al. Debriefing in the OR: A Quality Improvement Project. AORN J.
2019;109(3):336-344. doi:10.1002/aorn.12616.
https://psnet.ahrq.gov/issue/debriefing-or-quality-improvement-project
Debriefing has emerged as a s…
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psnet.ahrq.gov/node/42117/psn-pdf
March 20, 2013 - Nurse–patient ratios as a patient safety strategy: a
systematic review.
March 20, 2013
Shekelle PG. Nurse-patient ratios as a patient safety strategy: a systematic review. Ann Intern Med.
2013;158(5 Pt 2):404-409. doi:10.7326/0003-4819-158-5-201303051-00007.
https://psnet.ahrq.gov/issue/nurse-patient-ratios-patien…
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psnet.ahrq.gov/node/44088/psn-pdf
May 13, 2015 - Safety culture and care: a program to prevent surgical
errors.
May 13, 2015
Hemingway MW, O'Malley C, Silvestri S. Safety culture and care: a program to prevent surgical errors.
AORN J. 2015;101(4):404-12; quiz 413-5. doi:10.1016/j.aorn.2015.01.002.
https://psnet.ahrq.gov/issue/safety-culture-and-care-program-prev…
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psnet.ahrq.gov/node/38143/psn-pdf
February 18, 2011 - A multidisciplinary teamwork training program: The Triad
for Optimal Patient Safety (TOPS) experience.
February 18, 2011
Sehgal NL, Fox M, Vidyarthi A, et al. A multidisciplinary teamwork training program: the Triad for Optimal
Patient Safety (TOPS) experience. J Gen Intern Med. 2008;23(12):2053-7. doi:10.1007/s116…
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psnet.ahrq.gov/node/42382/psn-pdf
July 16, 2014 - Huddling for high reliability and situation awareness.
July 16, 2014
Goldenhar LM, Brady PW, Sutcliffe K, et al. Huddling for high reliability and situation awareness. BMJ Qual
Saf. 2013;22(11):899-906. doi:10.1136/bmjqs-2012-001467.
https://psnet.ahrq.gov/issue/huddling-high-reliability-and-situation-awareness
Se…
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psnet.ahrq.gov/node/35356/psn-pdf
May 27, 2011 - Computerized physician order entry, a factor in
medication errors: descriptive analysis of events in the
intensive care unit safety reporting system.
May 27, 2011
Thompson DA; Duling L; Holzmueller CG; et al. JCOM. 2(8):407-412
https://psnet.ahrq.gov/issue/computerized-physician-order-entry-factor-medication-error…
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psnet.ahrq.gov/node/837517/psn-pdf
June 22, 2022 - Zero: Eliminating Unnecessary Deaths in a Post-
pandemic NHS.
June 22, 2022
Hunt J. London, UK: Swift Press; 2022. ISBN: ? 9781800751224.
https://psnet.ahrq.gov/issue/zero-eliminating-unnecessary-deaths-post-pandemic-nhs
The National Health Service (NHS) has been a leader in patient safety for over 20 years, and y…
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psnet.ahrq.gov/node/73592/psn-pdf
August 11, 2021 - Using performance improvement to enhance time-out
compliance and prevent wrong-site surgery.
August 11, 2021
Vance ME, Proctor T, Schmidt KA. Using performance improvement to enhance time-out compliance and
prevent wrong-site surgery. AORN J. 2021;113(6):635-642. doi:10.1002/aorn.13413.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/48006/psn-pdf
May 15, 2019 - Limits on opioid prescribing leave patients with chronic
pain vulnerable.
May 15, 2019
Rubin R. Limits on Opioid Prescribing Leave Patients With Chronic Pain Vulnerable. JAMA.
2019;321(21):2059-2062. doi:10.1001/jama.2019.5188.
https://psnet.ahrq.gov/issue/limits-opioid-prescribing-leave-patients-chronic-pain-vuln…
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psnet.ahrq.gov/node/45846/psn-pdf
January 07, 2019 - Medication safety in the operating room: literature and
expert-based recommendations.
January 7, 2019
Wahr JA, Abernathy JH, Lazarra EH, et al. Medication safety in the operating room: literature and expert-
based recommendations. Br J Anaesth. 2017;118(1):32-43. doi:10.1093/bja/aew379.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/862613/psn-pdf
February 14, 2024 - Standardizing medication reconciliation in a pediatric
emergency department.
February 14, 2024
Sheth S, Bialostozky M, Hollenbach K, et al. Standardizing medication reconciliation in a pediatric
emergency department. Pediatrics. 2024;153(2):e2023061964. doi:10.1542/peds.2023-061964.
https://psnet.ahrq.gov/issue/st…
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psnet.ahrq.gov/node/38274/psn-pdf
March 31, 2009 - Time motion study in a pediatric emergency department
before and after computer physician order entry.
March 31, 2009
Yen K, Shane EL, Pawar SS, et al. Time motion study in a pediatric emergency department before and
after computer physician order entry. Ann Emerg Med. 2009;53(4):462-468.e1.
doi:10.1016/j.annemerg…
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psnet.ahrq.gov/node/861285/psn-pdf
January 24, 2024 - Analysis of a medication safety intervention in the
pediatric emergency department.
January 24, 2024
Samuels-Kalow ME, Tassone R, Manning W, et al. Analysis of a medication safety intervention in the
pediatric emergency department. JAMA Netw Open. 2024;7(1):e2351629.
doi:10.1001/jamanetworkopen.2023.51629.
https:…
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psnet.ahrq.gov/node/50782/psn-pdf
January 08, 2020 - What can patient safety teach us about clinician burnout?
January 8, 2020
Wu AW, Dzau VJ. What Can Patient Safety Teach Us About Clinician Burnout? Ann Intern Med.
2019;171(12):933-934. doi:10.7326/m19-2397.
https://psnet.ahrq.gov/issue/what-can-patient-safety-teach-us-about-clinician-burnout
This commentary discu…
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psnet.ahrq.gov/node/35253/psn-pdf
April 06, 2011 - Real time patient safety audits: improving safety every
day.
April 6, 2011
Ursprung R. Real time patient safety audits: improving safety every day. Qual Saf Health Care.
2005;14(4):284-289. doi:10.1136/qshc.2004.012542.
https://psnet.ahrq.gov/issue/real-time-patient-safety-audits-improving-safety-every-day
This p…