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psnet.ahrq.gov/node/36313/psn-pdf
October 26, 2010 - Observational assessment of surgical teamwork: a
feasibility study.
October 26, 2010
Undre S, Healey A, Darzi A, et al. Observational assessment of surgical teamwork: a feasibility study.
World J Surg. 2006;30(10):1774-83.
https://psnet.ahrq.gov/issue/observational-assessment-surgical-teamwork-feasibility-study
T…
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psnet.ahrq.gov/node/35871/psn-pdf
April 21, 2010 - Innovation and teamwork: introducing multidisciplinary
team ward rounds.
April 21, 2010
Moroney N, Knowles C. Innovation and teamwork: introducing multidisciplinary team ward rounds. Nursing
management (Harrow, London, England : 1994). 2006;13(1):28-31.
https://psnet.ahrq.gov/issue/innovation-and-teamwork-introduc…
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psnet.ahrq.gov/node/36600/psn-pdf
January 14, 2011 - Diagnostic pitfalls in paediatric ischaemic stroke.
January 14, 2011
Braun KPJ, Kappelle J, Kirkham FJ, et al. Diagnostic pitfalls in paediatric ischaemic stroke. Dev Med Child
Neurol. 2006;48(12):985-90.
https://psnet.ahrq.gov/issue/diagnostic-pitfalls-paediatric-ischaemic-stroke
The researchers analyzed case his…
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psnet.ahrq.gov/node/40754/psn-pdf
September 07, 2011 - The partnership with patients: a call to action for leaders.
September 7, 2011
Denham CR. The partnership with patients: a call to action for leaders. J Patient Saf. 2011;7(3):113-121.
doi:10.1097/PTS.0b013e31822d6f2a.
https://psnet.ahrq.gov/issue/partnership-patients-call-action-leaders
This commentary discusses …
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psnet.ahrq.gov/node/37445/psn-pdf
May 20, 2015 - Final five: ASCs told to target patient safety.
May 20, 2015
Rollins G. Final five: ASCs told to target patient safety. Hospitals & health networks. 2007;81(12):53-4, 56,
1.
https://psnet.ahrq.gov/issue/final-five-ascs-told-target-patient-safety
This article discusses a National Quality Forum initiative endorsing …
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psnet.ahrq.gov/node/42079/psn-pdf
August 15, 2018 - Ambulatory Safety and Quality Program: Health IT
Portfolio.
August 15, 2018
Rockville,MD: Agency for Healthcare Research and Quality; July 2010. AHRQ Pub. No. 10-P004.
https://psnet.ahrq.gov/issue/ambulatory-safety-and-quality-program-health-it-portfolio-2007-2013
This publication summarizes a funding initiative t…
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psnet.ahrq.gov/node/44313/psn-pdf
November 28, 2023 - Resilient Health Care Society.
November 28, 2023
Sweden.
https://psnet.ahrq.gov/issue/resilient-health-care-society
Resilience engineering provides a structure to enable teams and organizations to respond to emergent
problems. This initiative supports networking and research related to this approach to ensure the …
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psnet.ahrq.gov/node/36035/psn-pdf
June 21, 2006 - Development and implementation of a pediatric patient
safety program.
June 21, 2006
Alton M, Frush K, Brandon D, et al. DEVELOPMENT AND IMPLEMENTATION OF A PEDIATRIC
PATIENT SAFETY PROGRAM. Adv Neonatal Care. 2006;6(3):104-111. doi:10.1016/j.adnc.2006.02.003.
https://psnet.ahrq.gov/issue/development-and-implementa…
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psnet.ahrq.gov/issue/identifying-and-reconciling-patients-allergy-information-within-electronic-health-record
June 15, 2022 - Study
Identifying and reconciling patients' allergy information within the electronic health record.
Citation Text:
Vallamkonda S, Ortega CA, Lo YC, et al. Identifying and reconciling patients' allergy information within the electronic health record. Stud Health Technol Inform. 2022;290:…
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psnet.ahrq.gov/issue/linking-acknowledgement-action-closing-loop-non-urgent-clinically-significant-test-results
July 02, 2019 - Study
Linking acknowledgement to action: closing the loop on non-urgent, clinically significant test results in the electronic health record.
Citation Text:
Dalal A, Pesterev BM, Eibensteiner K, et al. Linking acknowledgement to action: closing the loop on non-urgent, clinically signific…
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psnet.ahrq.gov/issue/association-between-cancer-specific-adverse-event-triggers-and-mortality-validation-study
January 29, 2020 - Study
Association between cancer-specific adverse event triggers and mortality: a validation study.
Citation Text:
Weingart SN, Nelson J, Koethe B, et al. Association between cancer‐specific adverse event triggers and mortality: A validation study. Cancer Med. 2020;9(12):4447-4459. doi:1…
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psnet.ahrq.gov/issue/infusional-chemotherapy-and-medication-errors-tertiary-care-pediatric-cancer-unit-resource
October 29, 2012 - Study
Infusional chemotherapy and medication errors in a tertiary care pediatric cancer unit in a resource-limited setting.
Citation Text:
Dhamija M, Kapoor G, Juneja A. Infusional chemotherapy and medication errors in a tertiary care pediatric cancer unit in a resource-limited setting. …
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psnet.ahrq.gov/issue/physician-prescribing-opioids-patients-increased-risk-overdose-benzodiazepine-use-united
September 27, 2016 - Study
Emerging Classic
Physician prescribing of opioids to patients at increased risk of overdose from benzodiazepine use in the United States.
Citation Text:
Ladapo JA, Larochelle MR, Chen A, et al. Physician Prescribing of Opioids to Patients at Increased Risk…
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psnet.ahrq.gov/issue/system-related-interventions-reduce-diagnostic-errors-narrative-review
May 29, 2015 - Review
Classic
System-related interventions to reduce diagnostic errors: a narrative review.
Citation Text:
Singh H, Graber ML, Kissam SM, et al. System-related interventions to reduce diagnostic errors: a narrative review. BMJ Qual Saf. 2012;21(2):160-170. do…
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psnet.ahrq.gov/issue/cognitive-interventions-reduce-diagnostic-error-narrative-review
October 16, 2012 - Review
Classic
Cognitive interventions to reduce diagnostic error: a narrative review.
Citation Text:
Graber ML, Kissam S, Payne VL, et al. Cognitive interventions to reduce diagnostic error: a narrative review. BMJ Qual Saf. 2012;21(7):535-557. doi:10.1136/bmjq…
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psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-preventable-complications
January 22, 2014 - Commentary
Classic
The wisdom and justice of not paying for "preventable complications."
Citation Text:
Pronovost P, Goeschel CA, Wachter R. The wisdom and justice of not paying for "preventable complications". JAMA. 2008;299(18):2197-9. doi:10.1001/jama.299.1…
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psnet.ahrq.gov/issue/multiple-component-patient-safety-intervention-english-hospitals-controlled-evaluation-second
February 23, 2011 - Study
Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase.
Citation Text:
Benning A, Dixon-Woods M, Nwulu U, et al. Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase. BMJ. 20…
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psnet.ahrq.gov/issue/developing-perioperative-covid-19-testing-protocols-restore-surgical-services
February 12, 2020 - Commentary
Developing perioperative Covid-19 testing protocols to restore surgical services.
Citation Text:
Hamilton BCS, Kratz JR, Sosa JA, et al. Developing perioperative Covid-19 testing protocols to restore surgical services. NEJM Catalyst. 2020;June 19.
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psnet.ahrq.gov/issue/maintaining-maternal-newborn-safety-during-covid-19-pandemic
November 16, 2022 - Commentary
Maintaining maternal-newborn safety during the COVID-19 pandemic.
Citation Text:
Patrick NA, Johnson TS. Maintaining maternal-newborn safety during the COVID-19 pandemic. Nurs Womens Health. 2021;25(3):212-220. doi:10.1016/j.nwh.2021.03.003.
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psnet.ahrq.gov/issue/crying-wolf-alarm-safety-and-management-paediatrics-scoping-review
April 24, 2018 - Review
Crying wolf, alarm safety and management in paediatrics: a scoping review.
Citation Text:
Cole R, Roderick G, Cheema O, et al. Crying wolf, alarm safety and management in paediatrics: a scoping review. J Adv Nurs. 2024;Epub Sep 25. doi:10.1111/jan.16398.
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