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psnet.ahrq.gov/issue/adverse-events-robotic-surgery-retrospective-study-14-years-fda-data
June 24, 2020 - Study
Adverse events in robotic surgery: a retrospective study of 14 years of FDA data.
Citation Text:
Alemzadeh H, Raman J, Leveson N, et al. Adverse Events in Robotic Surgery: A Retrospective Study of 14 Years of FDA Data. PLoS One. 2016;11(4):e0151470. doi:10.1371/journal.pone.0151470…
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psnet.ahrq.gov/issue/hospital-medication-errors-cross-sectional-study
September 30, 2020 - Study
Hospital medication errors: a cross sectional study.
Citation Text:
ISAACS AN, Ch'ng K, DELHIWALE N, et al. Hospital medication errors: a cross-sectional study. Int J Qual Health Care. 2021;33(1):mzaa136. doi:10.1093/intqhc/mzaa136.
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psnet.ahrq.gov/issue/call-shift-fatigue-and-use-countermeasures-and-avoidance-strategies-certified-registered
March 15, 2023 - Study
Call-shift fatigue and use of countermeasures and avoidance strategies by certified registered nurse anesthetists: a national survey.
Citation Text:
Domen R, Connelly CD, Spence D. Call-shift fatigue and use of countermeasures and avoidance strategies by certified registered nurse …
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psnet.ahrq.gov/issue/patients-expectations-benefits-and-harms-treatments-screening-and-tests-systematic-review
September 29, 2017 - Review
Patients' expectations of the benefits and harms of treatments, screening, and tests: a systematic review.
Citation Text:
Hoffmann TC, Del Mar C. Patients' expectations of the benefits and harms of treatments, screening, and tests: a systematic review. JAMA Intern Med. 2015;175(2)…
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psnet.ahrq.gov/issue/impact-preoperative-briefings-operating-room-delays
July 28, 2010 - Study
Impact of preoperative briefings on operating room delays.
Citation Text:
Nundy S, Mukherjee A, Sexton B, et al. Impact of preoperative briefings on operating room delays: a preliminary report. Arch Surg. 2008;143(11):1068-72. doi:10.1001/archsurg.143.11.1068.
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psnet.ahrq.gov/issue/interventions-improve-communication-hospital-discharge-and-rates-readmission-systematic
January 12, 2022 - Review
Interventions to improve communication at hospital discharge and rates of readmission: a systematic review and meta-analysis.
Citation Text:
Becker C, Zumbrunn S, Beck K, et al. Interventions to improve communication at hospital discharge and rates of readmission. JAMA Netw Open. …
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psnet.ahrq.gov/issue/mislabeled-units-umbilical-cord-blood-detected-quality-assurance-program-transplantation
October 19, 2022 - Study
Mislabeled units of umbilical cord blood detected by a quality assurance program at the transplantation center.
Citation Text:
McCullough JS, McKenna D, Kadidlo D, et al. Mislabeled units of umbilical cord blood detected by a quality assurance program at the transplantation cente…
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psnet.ahrq.gov/issue/speaking-about-dangers-hidden-curriculum
September 30, 2020 - Commentary
Speaking up about the dangers of the hidden curriculum.
Citation Text:
Liao JM, Thomas EJ, Bell SK. Speaking up about the dangers of the hidden curriculum. Health Aff (Millwood). 2014;33(1):168-171. doi:10.1377/hlthaff.2013.1073.
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psnet.ahrq.gov/issue/nurse-burnout-and-patient-safety-outcomes-nurse-safety-perception-versus-reporting-behavior
September 29, 2017 - Study
Nurse burnout and patient safety outcomes: nurse safety perception versus reporting behavior.
Citation Text:
Halbesleben JRB, Wakefield BJ, Wakefield DS, et al. Nurse burnout and patient safety outcomes: nurse safety perception versus reporting behavior. West J Nurs Res. 2008;30(…
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psnet.ahrq.gov/issue/experimental-study-nurse-physician-relationships
July 14, 2010 - Study
Classic
An experimental study in nurse-physician relationships.
Citation Text:
Hofling CK, Brotzman E, Dalrymple S, et al. An experimental study in nurse-physician relationships. J Nerv Ment Dis. 1966;143(2):171-80.
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psnet.ahrq.gov/issue/learning-mistakes-and-near-mistakes-using-root-cause-analysis-risk-management-tool
June 19, 2024 - Commentary
Learning from mistakes and near mistakes: using root cause analysis as a risk management tool.
Citation Text:
Cerniglia-Lowensen J. Learning From Mistakes and Near Mistakes: Using Root Cause Analysis as a Risk Management Tool. J Radiol Nurs. 2015;34(1). doi:10.1016/j.jradnu.20…
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psnet.ahrq.gov/issue/improving-communication-and-resolution-following-adverse-events-using-patient-created
September 01, 2018 - Study
Improving communication and resolution following adverse events using a patient-created simulation exercise.
Citation Text:
Gallagher TH, Etchegaray J, Bergstedt B, et al. Improving Communication and Resolution Following Adverse Events Using a Patient-Created Simulation Exercise. H…
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psnet.ahrq.gov/issue/ethnography-parents-perceptions-patient-safety-neonatal-intensive-care-unit
September 01, 2018 - Study
An ethnography of parents' perceptions of patient safety in the neonatal intensive care unit.
Citation Text:
Ottosen MJ, Engebretson J, Etchegaray J, et al. An Ethnography of Parents' Perceptions of Patient Safety in the Neonatal Intensive Care Unit. Adv Neonatal Care. 2019;19(6):5…
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psnet.ahrq.gov/issue/step-toward-high-reliability-implementation-daily-safety-brief-childrens-hospital
August 23, 2023 - Study
A step toward high reliability: implementation of a daily safety brief in a children's hospital.
Citation Text:
Saysana M, McCaskey M, Cox E, et al. A Step Toward High Reliability: Implementation of a Daily Safety Brief in a Children's Hospital. J Patient Saf. 2017;13(3):149-152. d…
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psnet.ahrq.gov/issue/parental-involvement-preoperative-surgical-safety-checklist-welcomed-both-parents-and-staff
April 12, 2011 - Study
Parental involvement in the preoperative surgical safety checklist is welcomed by both parents and staff.
Citation Text:
Corbally MT, Tierney E. Parental involvement in the preoperative surgical safety checklist is welcomed by both parents and staff. Int J Pediatr. 2014;2014:791490…
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psnet.ahrq.gov/issue/avoiding-second-wave-medical-errors-importance-human-factors-context-pandemic
March 09, 2022 - Commentary
Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic.
Citation Text:
Tejos R, Navia A, Cuadra A, et al. Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic. Aesthetic Plast Sur…
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psnet.ahrq.gov/issue/effect-critical-access-hospital-conversion-patient-safety
October 19, 2022 - Study
Effect of critical access hospital conversion on patient safety.
Citation Text:
Li P, Schneider JE, Ward MM. Effect of critical access hospital conversion on patient safety. Health Serv Res. 2007;42(6 Pt 1):2089-108; discussion 2294-323.
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psnet.ahrq.gov/issue/supporting-psychiatric-hospital-culture-safety
March 11, 2020 - Study
Supporting a psychiatric hospital culture of safety.
Citation Text:
Mahoney JS, Ellis TE, Garland G, et al. Supporting a psychiatric hospital culture of safety. J Am Psychiatr Nurses Assoc. 2012;18(5):299-306. doi:10.1177/1078390312460577.
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psnet.ahrq.gov/issue/influence-resident-involvement-surgical-outcomes
October 11, 2017 - Study
The influence of resident involvement on surgical outcomes.
Citation Text:
Raval M, Wang X, Cohen ME, et al. The influence of resident involvement on surgical outcomes. J Am Coll Surg. 2011;212(5):889-98. doi:10.1016/j.jamcollsurg.2010.12.029.
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psnet.ahrq.gov/issue/risk-management-extreme-honesty-may-be-best-policy
January 04, 2017 - Study
Classic
Risk management: extreme honesty may be the best policy.
Citation Text:
Kraman SS, Hamm G. Risk management: extreme honesty may be the best policy. Ann Intern Med. 1999;131(12):963-967.
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