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psnet.ahrq.gov/issue/effectiveness-surgical-safety-checklist-correcting-errors-literature-review-applying-reasons
January 10, 2018 - Review
Effectiveness of the surgical safety checklist in correcting errors: a literature review applying Reason's Swiss cheese model.
Citation Text:
Collins SJ, Newhouse R, Porter J, et al. Effectiveness of the surgical safety checklist in correcting errors: a literature review applying …
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psnet.ahrq.gov/issue/ritualisation-surgical-safety-checklist-and-its-decoupling-patient-safety-goals
January 19, 2022 - Study
The ritualisation of the surgical safety checklist and its decoupling from patient safety goals.
Citation Text:
Facey M, Baxter NN, Hammond Mobilio M, et al. The ritualisation of the surgical safety checklist and its decoupling from patient safety goals. Sociol Health Illn. 2024;46…
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psnet.ahrq.gov/issue/sleep-deprivation-and-medication-administration-errors-registered-nurses-scoping-review
September 23, 2020 - Review
Sleep deprivation and medication administration errors in registered nurses- a scoping review.
Citation Text:
Martin CV, Joyce‐McCoach J, Peddle M, et al. Sleep deprivation and medication administration errors in registered nurses- a scoping review. J Clin Nurs. 2024;33(3):859-873…
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psnet.ahrq.gov/issue/hospital-workload-and-adverse-events
August 31, 2011 - Study
Classic
Hospital workload and adverse events.
Citation Text:
Weissman JS, Rothschild JM, Bendavid E, et al. Hospital workload and adverse events. Med Care. 2007;45(5):448-55.
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psnet.ahrq.gov/issue/usability-evaluation-order-sets-computerized-provider-order-entry-system
May 04, 2011 - Study
Usability evaluation of order sets in a computerized provider order entry system.
Citation Text:
Chan J, Shojania KG, Easty AC, et al. Usability evaluation of order sets in a computerised provider order entry system. BMJ Qual Saf. 2011;20(11):932-40. doi:10.1136/bmjqs.2010.050021…
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psnet.ahrq.gov/issue/acr-guidance-document-mr-safe-practices-updates-and-critical-information-2019
June 22, 2022 - Commentary
ACR guidance document on MR safe practices: updates and critical information 2019.
Citation Text:
ACR guidance document on MR safe practices: updates and critical information 2019. ACR Committee on MR Safety, Greenberg TD, Hoff MN, Gilk TB, et al. J Magn Reson Imaging. 20…
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psnet.ahrq.gov/issue/differentiating-between-detrimental-and-beneficial-interruptions-mixed-methods-study
May 03, 2017 - Study
Differentiating between detrimental and beneficial interruptions: a mixed-methods study.
Citation Text:
Myers RA, McCarthy MC, Whitlatch A, et al. Differentiating between detrimental and beneficial interruptions: a mixed-methods study. BMJ Qual Saf. 2016;25(11):881-888. doi:10.1136…
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psnet.ahrq.gov/issue/preventable-deaths-patients-admitted-emergency-department
September 27, 2017 - Study
Preventable deaths in patients admitted from emergency department.
Citation Text:
Lu T-C, Tsai C-L, Lee C-C, et al. Preventable deaths in patients admitted from emergency department. Emerg Med J. 2006;23(6):452-5.
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psnet.ahrq.gov/issue/diagnostic-errors-next-frontier-patient-safety
October 14, 2020 - Commentary
Diagnostic errors--The next frontier for patient safety.
Citation Text:
Newman-Toker DE, Pronovost P. Diagnostic errors--the next frontier for patient safety. JAMA. 2009;301(10):1060-2. doi:10.1001/jama.2009.249.
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psnet.ahrq.gov/issue/ordering-interruptions-tertiary-care-center-prospective-observational-study
July 15, 2020 - Study
Ordering interruptions in a tertiary care center: a prospective observational study.
Citation Text:
Dadlez NM, Azzarone G, Sinnett MJ, et al. Ordering Interruptions in a Tertiary Care Center: A Prospective Observational Study. Hosp Pediatr. 2017;7(3):134-139. doi:10.1542/hpeds.2016…
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psnet.ahrq.gov/issue/tension-between-needing-improve-care-and-knowing-how-do-it
June 03, 2010 - Commentary
Classic
The tension between needing to improve care and knowing how to do it.
Citation Text:
Auerbach AD, Landefeld S, Shojania KG. The tension between needing to improve care and knowing how to do it. N Engl J Med. 2007;357(6):608-13.
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psnet.ahrq.gov/issue/aviation-and-healthcare-comparative-review-implications-patient-safety
February 14, 2018 - Review
Aviation and healthcare: a comparative review with implications for patient safety.
Citation Text:
Kapur N, Parand A, Soukup T, et al. Aviation and healthcare: a comparative review with implications for patient safety. JRSM Open. 2016;7(1):2054270415616548. doi:10.1177/20542704156…
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psnet.ahrq.gov/issue/utilizing-quality-improvement-methods-prevent-falls-and-injury-falls-enhancing-resident
September 01, 2021 - Commentary
Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety in long-term care.
Citation Text:
MacLaurin A, McConnell H. Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety in long…
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psnet.ahrq.gov/issue/patient-safety-home-health-care-grounded-theory-study
September 25, 2019 - Study
Patient safety in home health care: a grounded theory study.
Citation Text:
Shahrestanaki SK, Rafii F, Najafi Ghezeljeh T, et al. Patient safety in home health care: a grounded theory study. BMC Health Serv Res. 2023;23(1):467. doi:10.1186/s12913-023-09458-9.
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psnet.ahrq.gov/issue/medication-safety-systems-and-important-role-pharmacists
July 19, 2023 - Review
Medication safety systems and the important role of pharmacists.
Citation Text:
Mansur JM. Medication Safety Systems and the Important Role of Pharmacists. Drugs Aging. 2016;33(3):213-21. doi:10.1007/s40266-016-0358-1.
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psnet.ahrq.gov/issue/proactive-patient-safety-focusing-what-goes-right-perioperative-environment
April 26, 2023 - Study
Proactive patient safety: focusing on what goes right in the perioperative environment.
Citation Text:
Duffy C, Menon N, Horak D, et al. Proactive patient safety: focusing on what goes right in the perioperative environment. J Patient Saf. 2023;19(4):281-286. doi:10.1097/pts.000000…
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psnet.ahrq.gov/issue/linking-joint-commission-inpatient-core-measures-and-national-patient-safety-goals-evidence
October 19, 2022 - Commentary
Linking Joint Commission inpatient core measures and National Patient Safety Goals with evidence.
Citation Text:
Masica AL, Richter KM, Convery P, et al. Linking joint commission inpatient core measures and national patient safety goals with evidence. Proc (Bayl Univ Med Cen…
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psnet.ahrq.gov/issue/she-lay-dying-how-i-fought-stop-medical-errors-killing-my-mom
December 19, 2012 - Commentary
As she lay dying: how I fought to stop medical errors from killing my mom.
Citation Text:
Welch JR. As she lay dying: how I fought to stop medical errors from killing my mom. Health Aff (Millwood). 2012;31(12):2817-2820. doi:10.1377/hlthaff.2012.0833.
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psnet.ahrq.gov/issue/provencare-quality-improvement-model-designing-highly-reliable-care-cardiac-surgery
February 09, 2011 - Study
ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery.
Citation Text:
Berry SA, Doll MC, McKinley KE, et al. ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery. Qual Saf Health Care. 2009;18(5):360-8. d…
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psnet.ahrq.gov/issue/peer-support-and-second-victim-programs-anesthesia-professionals-involved-stressful-or
October 26, 2022 - Study
Peer support and second victim programs for anesthesia professionals involved in stressful or traumatic clinical events.
Citation Text:
Finney RE, Jacob AK. Peer support and second victim programs for anesthesia professionals involved in stressful or traumatic clinical events. Adv …