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psnet.ahrq.gov/issue/implementing-obstetric-emergency-team-response-system-overcoming-barriers-and-sustaining
January 16, 2010 - Study
Implementing an obstetric emergency team response system: overcoming barriers and sustaining response dose.
Citation Text:
Richardson MG, Domaradzki KA, McWeeney DT. Implementing an Obstetric Emergency Team Response System: Overcoming Barriers and Sustaining Response Dose. Jt Comm …
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psnet.ahrq.gov/issue/error-training-missing-link-surgical-education
December 21, 2014 - Review
Error training: missing link in surgical education.
Citation Text:
DaRosa DA, Pugh CM. Error training: missing link in surgical education. Surgery. 2012;151(2):139-45. doi:10.1016/j.surg.2011.08.008.
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psnet.ahrq.gov/issue/using-abcs-situational-awareness-patient-safety
November 16, 2022 - Commentary
Using the ABCs of situational awareness for patient safety.
Citation Text:
Cohen NL. Using the ABCs of situational awareness for patient safety. Nursing (Brux). 2013;43(4):64-5. doi:10.1097/01.NURSE.0000428332.23978.82.
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psnet.ahrq.gov/issue/different-roles-same-goal-risk-and-quality-management-partnering-patient-safety-ashrm
January 27, 2021 - Book/Report
Different roles, same goal: risk and quality management partnering for patient safety. By the ASHRM Monographs Task Force.
Citation Text:
Bokar V, Perry DG. Different Roles, Same Goal: Risk And Quality Management Partnering For Patient Safety. By The Ashrm Monographs Task Fo…
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psnet.ahrq.gov/issue/use-complex-adaptive-systems-metaphor-achieve-professional-and-organizational-change
November 11, 2020 - Commentary
Use of complex adaptive systems metaphor to achieve professional and organizational change.
Citation Text:
Rowe A, Hogarth A. Use of complex adaptive systems metaphor to achieve professional and organizational change. J Adv Nurs. 2005;51(4). doi:10.1111/j.1365-2648.2005.0351…
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psnet.ahrq.gov/issue/drug-errors-qualitative-research-and-some-reflections-ethics
January 31, 2024 - Commentary
Drug errors, qualitative research and some reflections on ethics.
Citation Text:
Armitage G. Drug errors, qualitative research and some reflections on ethics. J Clin Nurs. 2005;14(7):869-75.
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psnet.ahrq.gov/issue/involving-users-design-system-sharing-lessons-adverse-incidents-anaesthesia
April 24, 2018 - Study
Involving users in the design of a system for sharing lessons from adverse incidents in anaesthesia.
Citation Text:
Sharma S, Smith AF, Rooksby J, et al. Involving users in the design of a system for sharing lessons from adverse incidents in anaesthesia. Anaesthesia. 2006;61(4):3…
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psnet.ahrq.gov/issue/do-split-side-rails-present-increased-risk-patient-safety
November 02, 2010 - Study
Do split-side rails present an increased risk to patient safety?
Citation Text:
Hignett S, Griffiths P. Do split-side rails present an increased risk to patient safety? Qual Saf Health Care. 2005;14(2):113-6.
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psnet.ahrq.gov/issue/evolving-role-health-educators-advancing-patient-safety-forging-partnerships-and-leading
July 22, 2020 - Commentary
The evolving role of health educators in advancing patient safety: forging partnerships and leading change.
Citation Text:
Mercurio A. The evolving role of health educators in advancing patient safety: forging partnerships and leading change. Health Promot Pract. 2007;8(2):119…
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psnet.ahrq.gov/issue/jcaho-views-medication-reconciliation-adverse-event-prevention
March 06, 2013 - Newspaper/Magazine Article
JCAHO views medication reconciliation as adverse-event prevention.
Citation Text:
Thompson CA. JCAHO views medication reconciliation as adverse-event prevention. American journal of health-system pharmacy : AJHP : official journal of the American Society of H…
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psnet.ahrq.gov/issue/munson-medical-center-embedding-culture-safety-and-qi-organization
March 20, 2024 - Commentary
Munson Medical Center: embedding a culture of safety and QI into the organization.
Citation Text:
Haslinger T. Munson Medical Center: embedding a culture of safety and QI into the organization. Jt Comm J Qual Patient Saf. 2008;34(11):665-70.
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psnet.ahrq.gov/issue/monitoring-teamwork-narrative-review
November 06, 2015 - Review
Monitoring teamwork: a narrative review.
Citation Text:
Rutherford JS. Monitoring teamwork: a narrative review. Anaesthesia. 2017;72 Suppl 1:84-94. doi:10.1111/anae.13744.
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psnet.ahrq.gov/issue/implementing-nurse-shadowing-program-first-year-medical-students-improve-interprofessional
January 15, 2025 - Commentary
Implementing a nurse-shadowing program for first-year medical students to improve interprofessional collaborations on health care teams.
Citation Text:
Jain A, Luo E, Yang J, et al. Implementing a nurse-shadowing program for first-year medical students to improve interprofessi…
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psnet.ahrq.gov/issue/human-factor-improve-patients-safety-hospitals-urged-adjust-how-staff-use-new-technology
April 22, 2016 - Newspaper/Magazine Article
The human factor. To improve patients safety, hospitals urged to adjust for how staff use new technology.
Citation Text:
Rice S, Tahir D. The human factor. To improve patients safety, hospitals urged to adjust for how staff use new technology. Modern healthcare…
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psnet.ahrq.gov/issue/morbidity-and-mortality-meeting-time-different-approach
August 30, 2023 - Commentary
The morbidity and mortality meeting: time for a different approach?
Citation Text:
Fraser J. The morbidity and mortality meeting: time for a different approach? Arch Dis Child. 2016;101(1):4-8. doi:10.1136/archdischild-2015-309536.
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psnet.ahrq.gov/issue/novel-tool-organisational-learning-and-its-impact-safety-culture-hospital-dispensary
January 21, 2015 - Study
A novel tool for organisational learning and its impact on safety culture in a hospital dispensary.
Citation Text:
Sujan MA. A novel tool for organisational learning and its impact on safety culture in a hospital dispensary. Reliab Eng Syst Saf. 2012;101:21-34. doi:10.1016/j.ress…
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psnet.ahrq.gov/issue/clinical-decision-making-heuristics-and-cognitive-biases-ophthalmologist
November 01, 2023 - Review
Clinical decision-making: heuristics and cognitive biases for the ophthalmologist.
Citation Text:
Hussain A, Oestreicher J. Clinical decision-making: heuristics and cognitive biases for the ophthalmologist. Surv Ophthalmol. 2018;63(1):119-124. doi:10.1016/j.survophthal.2017.08.007…
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psnet.ahrq.gov/issue/first-year-who-surgical-safety-checklist-7148-otorhinolaryngological-operations-use-and-user
October 30, 2019 - Study
First year with WHO Surgical Safety Checklist in 7148 otorhinolaryngological operations: use and user attitudes.
Citation Text:
Helmiö P, Takala A, Aaltonen L-M, et al. First year with WHO Surgical Safety Checklist in 7148 otorhinolaryngological operations: use and user attitudes…
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psnet.ahrq.gov/issue/creating-highly-reliable-neonatal-intensive-care-unit-through-safer-systems-care
January 12, 2011 - Review
Creating a highly reliable neonatal intensive care unit through safer systems of care.
Citation Text:
Panagos PG, Pearlman SA. Creating a Highly Reliable Neonatal Intensive Care Unit Through Safer Systems of Care. Clin Perinatol. 2017;44(3):645-662. doi:10.1016/j.clp.2017.05.006. …
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psnet.ahrq.gov/issue/systems-approach-address-impact-second-victim-phenomenon
December 07, 2022 - Commentary
A systems approach to address the impact of second victim phenomenon.
Citation Text:
Gamble B, Gamble KJ. A systems approach to address the impact of second victim phenomenon. Health Serv Manage Res. 2022;35(2):110-113. doi:10.1177/0951484820971455.
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