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  1. Association between surgeon stress and major surgical complications. | PSNet

    psnet.ahrq.gov/issue/association-between-surgeon-stress-and-major-surgical-complications
    November 29, 2023 - Study Association between surgeon stress and major surgical complications. Citation Text: Awtry J, Skinner S, Polazzi S, et al. Association between surgeon stress and major surgical complications. JAMA Surg. 2025;160(3):332-340. doi:10.1001/jamasurg.2024.6072. Copy Citation Format:…

  2. Understanding factors influencing safety and team functionality at operative vaginal birth through multidisciplinary perspectives: a mixed methods study. | PSNet

    psnet.ahrq.gov/issue/understanding-factors-influencing-safety-and-team-functionality-operative-vaginal-birth
    September 01, 2016 - Study Understanding factors influencing safety and team functionality at operative vaginal birth through multidisciplinary perspectives: a mixed methods study. Citation Text: Skinner SM, Kippen E, Rolnik DL, et al. Understanding factors influencing safety and team functionality at operat…

  3. Who's covering our loved ones: surprising barriers in the sign-out process. | PSNet

    psnet.ahrq.gov/issue/whos-covering-our-loved-ones-surprising-barriers-sign-out-process
    October 19, 2022 - Study Who's covering our loved ones: surprising barriers in the sign-out process. Citation Text: Antonoff MB, Berdan EA, Kirchner VA, et al. Who's covering our loved ones: surprising barriers in the sign-out process. Am J Surg. 2013;205(1):77-84. doi:10.1016/j.amjsurg.2012.05.009. Co…

  4. Systemic failures in nursing home care--a scoping study. | PSNet

    psnet.ahrq.gov/issue/systemic-failures-nursing-home-care-scoping-study
    July 17, 2013 - Review Systemic failures in nursing home care--a scoping study. Citation Text: Sturmberg JP, Gainsford L, Goodwin N, et al. Systemic failures in nursing home care—A scoping study. J Eval Clin Pract. 2024. doi:10.1111/jep.13961. Copy Citation Format: DOI Google Scholar BibTe…

  5. Current surgical instrument labeling techniques may increase the risk of unintentionally retained foreign objects: a hypothesis. | PSNet

    psnet.ahrq.gov/issue/current-surgical-instrument-labeling-techniques-may-increase-risk-unintentionally-retained
    February 08, 2012 - Commentary Current surgical instrument labeling techniques may increase the risk of unintentionally retained foreign objects: a hypothesis. Citation Text: Ipaktchi K, Kolnik A, Messina M, et al. Current surgical instrument labeling techniques may increase the risk of unintentionally ret…

  6. Use of simulation to measure the effects of just-in-time information to prevent nursing medication errors: a randomized controlled study. | PSNet

    psnet.ahrq.gov/issue/use-simulation-measure-effects-just-time-information-prevent-nursing-medication-errors
    August 04, 2021 - Study Use of simulation to measure the effects of just-in-time information to prevent nursing medication errors: a randomized controlled study. Citation Text: Berg TA, Hebert SH, Chyka D, et al. Use of Simulation to Measure the Effects of Just-in-Time Information to Prevent Nursing Medi…

  7. Long-term sustainability and adaptation of I-PASS handovers. | PSNet

    psnet.ahrq.gov/issue/long-term-sustainability-and-adaptation-i-pass-handovers
    September 09, 2020 - Study Long-term sustainability and adaptation of I-PASS handovers. Citation Text: Ryan SL, Logan M, Liu X, et al. Long-term sustainability and adaptation of I-PASS handovers. Jt Comm J Qual Patient Saf. 2023;19(12):689-697. doi:10.1016/j.jcjq.2023.07.007. Copy Citation Format: …

  8. Influence of state laws mandating reporting of healthcare-associated infections: the case of central line–associated bloodstream infections. | PSNet

    psnet.ahrq.gov/issue/influence-state-laws-mandating-reporting-healthcare-associated-infections-case-central-line
    December 21, 2017 - Study Influence of state laws mandating reporting of healthcare-associated infections: the case of central line–associated bloodstream infections. Citation Text: Pakyz AL, Edmond MB. Influence of state laws mandating reporting of healthcare-associated infections: the case of central lin…

  9. 'Speaking Up' for patient safety and staff well-being: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/speaking-patient-safety-and-staff-well-being-qualitative-study
    November 16, 2016 - Study 'Speaking Up' for patient safety and staff well-being: a qualitative study. Citation Text: Delpino R, Lees-Deutsch L, Solanki B. ‘Speaking Up’ for patient safety and staff well-being: a qualitative study. BMJ Open Qual. 2023;12(2):e002047. doi:10.1136/bmjoq-2022-002047. Copy Cita…

  10. The courage to speak out: a study describing nurses' attitudes to report unsafe practices in patient care. | PSNet

    psnet.ahrq.gov/issue/courage-speak-out-study-describing-nurses-attitudes-report-unsafe-practices-patient-care
    April 24, 2018 - Study The courage to speak out: a study describing nurses' attitudes to report unsafe practices in patient care. Citation Text: Cole DA, Bersick E, Skarbek A, et al. The courage to speak out: A study describing nurses' attitudes to report unsafe practices in patient care. J Nurs Manag. 2…

  11. Impact of patient safety culture on missed nursing care and adverse patient events. | PSNet

    psnet.ahrq.gov/issue/impact-patient-safety-culture-missed-nursing-care-and-adverse-patient-events
    March 16, 2022 - Study Emerging Classic Impact of patient safety culture on missed nursing care and adverse patient events. Citation Text: Hessels AJ, Paliwal M, Weaver SH, et al. Impact of Patient Safety Culture on Missed Nursing Care and Adverse Patient Events. J Nurs Care Qua…

  12. Public sector organizational failure: a study of collective denial in the UK national health service. | PSNet

    psnet.ahrq.gov/issue/public-sector-organizational-failure-study-collective-denial-uk-national-health-service
    June 03, 2020 - Study Public sector organizational failure: a study of collective denial in the UK national health service. Citation Text: Hendy J, Tucker DA. Public sector organizational failure: a study of collective denial in the UK national health service. J Bus Ethics. 2020;2021;172:691–706. doi:10…

  13. Incorporating nursing complexity in reimbursement coding systems: the potential impact on missed care. | PSNet

    psnet.ahrq.gov/issue/incorporating-nursing-complexity-reimbursement-coding-systems-potential-impact-missed-care
    September 28, 2022 - Commentary Incorporating nursing complexity in reimbursement coding systems: the potential impact on missed care. Citation Text: Sasso L, Bagnasco A, Aleo G, et al. Incorporating nursing complexity in reimbursement coding systems: the potential impact on missed care. BMJ Qual Saf. 2017;2…

  14. Interdisciplinary ICU cardiac arrest debriefing improves survival outcomes. | PSNet

    psnet.ahrq.gov/issue/interdisciplinary-icu-cardiac-arrest-debriefing-improves-survival-outcomes
    September 02, 2020 - Study Interdisciplinary ICU cardiac arrest debriefing improves survival outcomes. Citation Text: Wolfe H, Zebuhr C, Topjian AA, et al. Interdisciplinary ICU cardiac arrest debriefing improves survival outcomes*. Crit Care Med. 2014;42(7):1688-95. doi:10.1097/CCM.0000000000000327. Copy …

  15. Debriefing to improve interprofessional teamwork in the operating room: a systematic review. | PSNet

    psnet.ahrq.gov/issue/debriefing-improve-interprofessional-teamwork-operating-room-systematic-review
    January 31, 2024 - Review Debriefing to improve interprofessional teamwork in the operating room: a systematic review. Citation Text: Skegg E, McElroy C, Mudgway M, et al. Debriefing to improve interprofessional teamwork in the operating room: a systematic review. J Nurs Scholarsh. 2023;55(6):1179-1188. do…

  16. Impact of pharmacist involvement in the transitional care of high-risk patients through medication reconciliation, medication education, and postdischarge call-backs (IPITCH Study). | PSNet

    psnet.ahrq.gov/issue/impact-pharmacist-involvement-transitional-care-high-risk-patients-through-medication
    August 25, 2011 - Review Impact of pharmacist involvement in the transitional care of high-risk patients through medication reconciliation, medication education, and postdischarge call-backs (IPITCH Study). Citation Text: Phatak A, Prusi R, Ward B, et al. Impact of pharmacist involvement in the transition…

  17. Just culture: the foundation of staff safety in the perioperative environment. | PSNet

    psnet.ahrq.gov/issue/just-culture-foundation-staff-safety-perioperative-environment
    June 09, 2021 - Commentary Just culture: the foundation of staff safety in the perioperative environment. Citation Text: Fencl JL, Willoughby C, Jackson K. Just culture: the foundation of staff safety in the perioperative environment. AORN J. 2021;113(4):329-336. doi:10.1002/aorn.13352. Copy Citation …

  18. Debriefing in the emergency department after clinical events: a practical guide. | PSNet

    psnet.ahrq.gov/issue/debriefing-emergency-department-after-clinical-events-practical-guide
    November 16, 2022 - Commentary Debriefing in the emergency department after clinical events: a practical guide. Citation Text: Kessler DO, Cheng A, Mullan PC. Debriefing in the Emergency Department After Clinical Events: A Practical Guide. Ann Emerg Med. 2015;65(6):690-698. doi:10.1016/j.annemergmed.2014.10…

  19. Analysis of surgical errors in closed malpractice claims at 4 liability insurers. | PSNet

    psnet.ahrq.gov/issue/analysis-surgical-errors-closed-malpractice-claims-4-liability-insurers
    February 17, 2011 - Study Analysis of surgical errors in closed malpractice claims at 4 liability insurers. Citation Text: Rogers SO, Gawande AA, Kwaan M, et al. Analysis of surgical errors in closed malpractice claims at 4 liability insurers. Surgery. 2006;140(1):25-33. Copy Citation Format: …

  20. Operating room briefings and wrong-site surgery. | PSNet

    psnet.ahrq.gov/issue/operating-room-briefings-and-wrong-site-surgery
    November 26, 2008 - Study Classic Operating room briefings and wrong-site surgery. Citation Text: Makary MA, Mukherjee A, Sexton B, et al. Operating room briefings and wrong-site surgery. J Am Coll Surg. 2007;204(2):236-43. Copy Citation Format: Google Scholar PubMe…
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