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psnet.ahrq.gov/issue/applying-hierarchical-task-analysis-medication-administration-errors
December 18, 2017 - Commentary
Applying hierarchical task analysis to medication administration errors.
Citation Text:
Lane R, Stanton NA, Harrison DA. Applying hierarchical task analysis to medication administration errors. Appl Ergon. 2006;37(5):669-79.
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psnet.ahrq.gov/issue/differential-impact-crew-resource-management-program-according-professional-specialty
July 31, 2013 - Study
Differential impact of a crew resource management program according to professional specialty.
Citation Text:
Suva D, Haller G, Lübbeke A, et al. Differential impact of a crew resource management program according to professional specialty. Am J Med Qual. 2012;27(4):313-20. doi:1…
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psnet.ahrq.gov/issue/errors-and-burden-errors-attitudes-perceptions-and-culture-safety-pediatric-cardiac-surgical
June 16, 2019 - Study
Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac surgical teams.
Citation Text:
Bognár A, Barach P, Johnson J, et al. Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac sur…
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psnet.ahrq.gov/issue/national-patient-safety-agency-combining-stories-statistics-minimise-harm
November 18, 2020 - Study
National Patient Safety Agency: combining stories with statistics to minimise harm.
Citation Text:
Lamont T, Scarpello J. National Patient Safety Agency: combining stories with statistics to minimise harm. BMJ. 2009;339:b4489. doi:10.1136/bmj.b4489.
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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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psnet.ahrq.gov/issue/managing-risk-hazardous-conditions-improvisation-not-enough
November 06, 2024 - Commentary
Managing risk in hazardous conditions: improvisation is not enough.
Citation Text:
Amalberti R, Vincent CA. Managing risk in hazardous conditions: improvisation is not enough. BMJ Qual Saf. 2020;29(1):60-63. doi:10.1136/bmjqs-2019-009443.
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psnet.ahrq.gov/issue/impact-surgical-safety-checklists-theatre-departments-critical-review-literature
October 19, 2012 - Review
The impact of surgical safety checklists on theatre departments: a critical review of the literature.
Citation Text:
Cadman V. The impact of surgical safety checklists on theatre departments: a critical review of the literature. J Perioper Pract. 2016;26(4):62-71.
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psnet.ahrq.gov/issue/conducting-root-cause-analysis-nursing-students-best-practice-nursing-education
September 09, 2015 - Commentary
Conducting root cause analysis with nursing students: best practice in nursing education.
Citation Text:
Lambton J, Mahlmeister L. Conducting root cause analysis with nursing students: best practice in nursing education. J Nurs Educ. 2010;49(8):444-8. doi:10.3928/01484834-…
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psnet.ahrq.gov/issue/who-responsible-safe-introduction-new-surgical-technology-important-legal-precedent-da-vinci
April 15, 2015 - Commentary
Who is responsible for the safe introduction of new surgical technology? An important legal precedent from the da Vinci Surgical System Trials.
Citation Text:
Pradarelli J, Thornton JP, Dimick JB. Who Is Responsible for the Safe Introduction of New Surgical Technology?: An Imp…
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psnet.ahrq.gov/issue/challenges-health-care-simulation-are-we-learning-anything-new
February 27, 2019 - Commentary
Challenges in health care simulation: are we learning anything new?
Citation Text:
Henriksen K, Rodrick D, Grace EN, et al. Challenges in Health Care Simulation: Are We Learning Anything New? Acad Med. 2018;93(5):705-708. doi:10.1097/ACM.0000000000001891.
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psnet.ahrq.gov/issue/recommendations-and-low-technology-safety-solutions-following-neuromuscular-blocking-agent
October 02, 2024 - Commentary
Recommendations and low-technology safety solutions following neuromuscular blocking agent incidents.
Citation Text:
Graudins L, Downey G, Bui T, et al. Recommendations and Low-Technology Safety Solutions Following Neuromuscular Blocking Agent Incidents. Jt Comm J Qual Patient…
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psnet.ahrq.gov/issue/quick-response-codes-surgical-safety-prospective-pilot-study
June 07, 2016 - Study
Quick Response codes for surgical safety: a prospective pilot study.
Citation Text:
Dixon JL, Smythe WR, Momsen LS, et al. Quick Response codes for surgical safety: a prospective pilot study. Journal of Surgical Research. 2013;184(1). doi:10.1016/j.jss.2013.06.036.
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psnet.ahrq.gov/issue/scoring-no-goal-further-adventures-transparency
August 02, 2015 - Commentary
Scoring no goal—further adventures in transparency.
Citation Text:
Rosenbaum L. Scoring No Goal--Further Adventures in Transparency. N Engl J Med. 2015;373(15):1385-8. doi:10.1056/NEJMp1510094.
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psnet.ahrq.gov/issue/quest-safe-surgical-care-are-we-missing-obvious
September 12, 2018 - Commentary
The quest for safe surgical care: are we missing the obvious?
Citation Text:
Shuhaiber J. The quest for safe surgical care: are we missing the obvious? Bull Am Coll Surg. 2014;99(2):42-5.
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psnet.ahrq.gov/issue/medication-errors-overview-clinicians
September 20, 2011 - Review
Medication errors: an overview for clinicians.
Citation Text:
Wittich CM, Burkle CM, Lanier WL. Medication errors: an overview for clinicians. Mayo Clin Proc. 2014;89(8):1116-25. doi:10.1016/j.mayocp.2014.05.007.
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psnet.ahrq.gov/issue/bar-code-label-requirement-human-drug-products-and-biological-products
October 21, 2015 - Regulation
Bar code label requirement for human drug products and biological products.
Citation Text:
Bar code label requirement for human drug products and biological products. Food and Drug Administration. Fed Register. February 26, 2004;69 9119-9171.
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psnet.ahrq.gov/issue/guideline-implementation-team-communication
October 15, 2014 - Commentary
Guideline implementation: team communication.
Citation Text:
Link T. Guideline Implementation: Team Communication: 1.8 www.aornjournal.org/content/cme. AORN J. 2018;108(2):165-177. doi:10.1002/aorn.12300.
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psnet.ahrq.gov/issue/using-simulation-teach-nursing-students-and-licensed-clinicians-obstetric-emergencies
November 11, 2020 - Commentary
Using simulation to teach nursing students and licensed clinicians obstetric emergencies.
Citation Text:
Alderman JT. Using simulation to teach nursing students and licensed clinicians obstetric emergencies. MCN Am J Matern Child Nurs. 2012;37(6):394-400. doi:10.1097/NMC.0b0…
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psnet.ahrq.gov/issue/quality-initiatives-developing-radiology-quality-and-safety-program-primer
March 04, 2015 - Commentary
Quality initiatives: developing a radiology quality and safety program: a primer.
Citation Text:
Johnson D, Krecke KN, Miranda R, et al. Quality initiatives: developing a radiology quality and safety program: a primer. Radiographics. 2009;29(4):951-9. doi:10.1148/rg.29409500…
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psnet.ahrq.gov/issue/relational-leadership-perspective-unit-level-safety-climate
April 24, 2018 - Study
A relational leadership perspective on unit-level safety climate.
Citation Text:
Thompson DN, Hoffman LA, Sereika SM, et al. A relational leadership perspective on unit-level safety climate. J Nurs Adm. 2011;41(11):479-87. doi:10.1097/NNA.0b013e3182346e31.
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