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psnet.ahrq.gov/issue/effective-surgical-safety-checklist-implementation
July 30, 2014 - Study
Effective surgical safety checklist implementation.
Citation Text:
Conley DM, Singer SJ, Edmondson L, et al. Effective surgical safety checklist implementation. J Am Coll Surg. 2011;212(5):873-9. doi:10.1016/j.jamcollsurg.2011.01.052.
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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/hospital-safety-scores-do-grades-really-matter
September 24, 2017 - Study
Hospital safety scores: do grades really matter?
Citation Text:
Gonzalez AA, Ghaferi AA. Hospital Safety Scores: do grades really matter? JAMA Surg. 2014;149(5):413-4.
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psnet.ahrq.gov/issue/just-culture-its-more-policy
July 05, 2017 - Study
Just culture: it's more than policy.
Citation Text:
Paradiso L, Sweeney N. Just culture: It's more than policy. Nurs Manage. 2019;50(6):38-45. doi:10.1097/01.NUMA.0000558482.07815.ae.
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psnet.ahrq.gov/issue/oral-chemotherapy-safety-practices-us-cancer-centres-questionnaire-survey
July 23, 2014 - Study
Oral chemotherapy safety practices at US cancer centres: questionnaire survey.
Citation Text:
Weingart SN, Flug J, Brouillard D, et al. Oral chemotherapy safety practices at US cancer centres: questionnaire survey. BMJ. 2007;334(7590). doi:10.1136/bmj.39069.489757.55.
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psnet.ahrq.gov/issue/adverse-events-hospitals-overview-key-issues
January 14, 2009 - Book/Report
Adverse Events in Hospitals: Overview of Key Issues.
Citation Text:
Adverse Events in Hospitals: Overview of Key Issues. Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-07-00470. …
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psnet.ahrq.gov/issue/medication-safety-emergency-medical-services-approaching-evidence-based-method-verification
September 28, 2022 - Study
Medication safety in emergency medical services: approaching an evidence-based method of verification to reduce errors.
Citation Text:
Misasi P, Keebler JR. Medication safety in emergency medical services: approaching an evidence-based method of verification to reduce errors. Ther …
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psnet.ahrq.gov/issue/oversight-hearing-recent-patient-safety-issues
November 06, 2019 - Congressional Testimony
Oversight Hearing on Recent Patient Safety Issues.
Citation Text:
Oversight Hearing on Recent Patient Safety Issues. U.S. Department of Veterans Affairs. Hearing before the Committee on Veterans’ Affairs, House of Representatives, Subcommittee on Oversight and…
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psnet.ahrq.gov/issue/ensuring-healthcare-safety-throughout-covid-19-pandemic
January 13, 2021 - Webinar
Ensuring Healthcare Safety Throughout the COVID-19 Pandemic.
Citation Text:
Ensuring Healthcare Safety Throughout the COVID-19 Pandemic. US Health and Human Services Office of the Assistant Secretary for Preparedness and Response’s Technical Resources, Assistance Center, & In…
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psnet.ahrq.gov/issue/implicit-bias-stroke-care-recurring-old-problem-rising-incidence-young-stroke
June 08, 2010 - Review
Implicit bias in stroke care: a recurring old problem in the rising incidence of young stroke.
Citation Text:
Bhat A, Mahajan V, Wolfe N. Implicit bias in stroke care: A recurring old problem in the rising incidence of young stroke. J Clin Neurosci. 2021;85(Mar):27-35. doi:10.1016…
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psnet.ahrq.gov/issue/drug-shortages-fdas-ability-respond-should-be-strengthened
April 15, 2009 - Congressional Testimony
Drug Shortages: FDA's Ability to Respond Should Be Strengthened.
Citation Text:
Drug Shortages: FDA's Ability to Respond Should Be Strengthened. Testimony before the Committee on Health, Education, Labor, and Pensions, US Senate. US Government Accountability Offic…
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psnet.ahrq.gov/issue/few-adverse-events-hospitals-were-reported-state-adverse-event-reporting-systems
January 20, 2010 - Book/Report
Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems.
Citation Text:
Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems. Wright S. Washington, DC: US Department of Health and Human Services, Office of t…
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psnet.ahrq.gov/issue/nurse-interruptions-pre-and-post-implementation-point-care-medication-administration-system
March 11, 2015 - Study
Nurse interruptions pre- and post-implementation of a point-of-care medication administration system.
Citation Text:
Stamp KD, Willis DG. Nurse interruptions pre- and postimplementation of a point-of-care medication administration system. J Nurs Care Qual. 2010;25(3):231-239. doi:1…
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psnet.ahrq.gov/issue/time-out-analysis
October 19, 2022 - Commentary
Time out: an analysis.
Citation Text:
Dillon KA. Time out: an analysis. AORN J. 2008;88(3):437-442. doi:10.1016/j.aorn.2008.03.003.
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psnet.ahrq.gov/issue/noise-operating-room-what-do-we-know-review-literature
August 13, 2014 - Review
Noise in the operating room—what do we know? A review of the literature.
Citation Text:
Hasfeldt D, Laerkner E, Birkelund R. Noise in the operating room--what do we know? A review of the literature. J Perianesth Nurs. 2010;25(6):380-6. doi:10.1016/j.jopan.2010.10.001.
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psnet.ahrq.gov/issue/motion-study-surgery
September 02, 2020 - Study
Classic
Motion study in surgery.
Citation Text:
Motion study in surgery. Gilbreth FB. Can J Med Surg. 1916:22-31.
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psnet.ahrq.gov/issue/bar-code-technology-medication-administration-medication-errors-and-nurse-satisfaction
July 29, 2020 - Study
Bar-code technology for medication administration: medication errors and nurse satisfaction.
Citation Text:
Fowler SB, Sohler P, Zarillo DF. Bar-code technology for medication administration: medication errors and nurse satisfaction. Medsurg Nurs. 2009;18(2):103-9.
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psnet.ahrq.gov/issue/nature-human-error-implications-surgical-practice
March 24, 2021 - Review
Nature of human error: implications for surgical practice.
Citation Text:
Cuschieri A. Nature of human error: implications for surgical practice. Ann Surg. 2006;244(5):642-8.
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psnet.ahrq.gov/issue/human-factors-engineering-healthcare-systems-problem-human-error-and-accident-management
June 13, 2011 - Commentary
Human factors engineering in healthcare systems: the problem of human error and accident management.
Citation Text:
Cacciabue PC, Vella G. Human factors engineering in healthcare systems: the problem of human error and accident management. Int J Med Inform. 2010;79(4):e1-17.…
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psnet.ahrq.gov/issue/what-do-we-know-about-financial-returns-investments-patient-safety-literature-review
April 06, 2011 - Review
What do we know about financial returns on investments in patient safety? A literature review.
Citation Text:
Schmidek JM, Weeks WB. What do we know about financial returns on investments in patient safety? A literature review. Jt Comm J Qual Patient Saf. 2005;31(12):690-699.
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