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psnet.ahrq.gov/issue/defining-speaking-healthcare-system-systematic-review
September 27, 2023 - Review
Defining speaking up in the healthcare system: a systematic review.
Citation Text:
Kane J, Munn L, Kane SF, et al. Defining speaking up in the healthcare system: a systematic review. J Gen Intern Med. 2023;38(15):3406-3413. doi:10.1007/s11606-023-08322-0.
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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/engaging-front-line-tapping-hospital-wide-quality-and-safety-initiatives
March 20, 2019 - Commentary
Engaging the front line: tapping into hospital-wide quality and safety initiatives.
Citation Text:
Wolpaw J, Schwengel D, Hensley N, et al. Engaging the Front Line: Tapping into Hospital-Wide Quality and Safety Initiatives. J Cardiothorac Vasc Anesth. 2018;32(1):522-533. doi:1…
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psnet.ahrq.gov/issue/standardization-and-visualization-surgical-time-out
November 06, 2024 - Study
Standardization and visualization of the surgical time-out.
Citation Text:
Levy BE, Wilt WS, Lantz S, et al. Standardization and visualization of the surgical time-out. J Patient Saf. 2023;19(7):453-459. doi:10.1097/pts.0000000000001156.
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psnet.ahrq.gov/issue/using-performance-improvement-enhance-time-out-compliance-and-prevent-wrong-site-surgery
October 06, 2021 - Commentary
Using performance improvement to enhance time-out compliance and prevent wrong-site surgery.
Citation Text:
Vance ME, Proctor T, Schmidt KA. Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. AORN J. 2021;113(6):635-642. doi:10.1002/ao…
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psnet.ahrq.gov/issue/automated-identification-diagnostic-labelling-errors-medicine
September 23, 2020 - Study
Automated identification of diagnostic labelling errors in medicine.
Citation Text:
Hautz WE, Kündig MM, Tschanz R, et al. Automated identification of diagnostic labelling errors in medicine. Diagnosis. 2021;9(2):241-249. doi:10.1515/dx-2021-0039.
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psnet.ahrq.gov/issue/applying-root-cause-analysis-improve-patient-safety-decreasing-falls-postpartum-women
August 04, 2021 - Study
Applying root cause analysis to improve patient safety: decreasing falls in postpartum women.
Citation Text:
Chen K-H, Chen L-R, Su S. Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. Qual Saf Health Care. 2010;19(2):138-43. doi:10.113…
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psnet.ahrq.gov/issue/electronic-test-result-communication-era-21st-century-cures-act
May 25, 2022 - Book/Report
Electronic Test Result Communication in the Era of the 21st Century Cures Act
Citation Text:
Bradford A, Ehsan S, Shahid U, et al. Electronic Test Result Communication In The Era Of The 21St Century Cures Act. Rockville, MD: Agency for Healthcare Research and Quality; July 20…
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psnet.ahrq.gov/issue/implementation-and-evaluation-laboratory-safety-process-improvement-toolkit
July 12, 2010 - Study
Implementation and evaluation of a laboratory safety process improvement toolkit.
Citation Text:
Kwan BM, Fernald D, Ferrarone P, et al. Implementation and Evaluation of a Laboratory Safety Process Improvement Toolkit. J Am Board Fam Med. 2019;32(2):136-145. doi:10.3122/jabfm.2019.…
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psnet.ahrq.gov/issue/intraoperative-adverse-events-abdominal-surgery-what-happens-operating-room-does-not-stay
January 23, 2017 - Study
Intraoperative adverse events in abdominal surgery: what happens in the operating room does not stay in the operating room.
Citation Text:
Bohnen JD, Mavros MN, Ramly EP, et al. Intraoperative Adverse Events in Abdominal Surgery: What Happens in the Operating Room Does Not Stay in …
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psnet.ahrq.gov/issue/effect-day-week-short-and-long-term-mortality-after-emergency-general-surgery
January 23, 2019 - Study
Effect of day of the week on short- and long-term mortality after emergency general surgery.
Citation Text:
Gillies MA, Lone NI, Pearse RM, et al. Effect of day of the week on short- and long-term mortality after emergency general surgery. Br J Surg. 2017;104(7):936-945. doi:10.100…
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psnet.ahrq.gov/issue/ladder-based-safety-culture-assessments-inversely-predict-safety-outcomes
January 22, 2025 - Commentary
‘Ladder’-based safety culture assessments inversely predict safety outcomes.
Citation Text:
Boskeljon‐Horst L, Sillem S, Dekker SWA. ‘Ladder’‐based safety culture assessments inversely predict safety outcomes. J Contingencies Crisis Manag. 2022;31(3):372-391. doi:10.1111/1468-…
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psnet.ahrq.gov/issue/closing-gap-and-raising-bar-assessing-board-competency-quality-and-safety
July 20, 2022 - Study
Closing the gap and raising the bar: assessing board competency in quality and safety.
Citation Text:
McGaffigan PA, Ullem BD, Gandhi TK. Closing the Gap and Raising the Bar: Assessing Board Competency in Quality and Safety. Jt Comm J Qual Patient Saf. 2017;43(6):267-274. doi:10.10…
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psnet.ahrq.gov/issue/things-we-carry-scope-and-impact-second-victim-syndrome
November 12, 2014 - Commentary
The things we carry: the scope and impact of second victim syndrome.
Citation Text:
Nosanov L, Elseth AJ, Maxwell J, et al. The things we carry: the scope and impact of second victim syndrome. Am J Surg. 2023;226(5):726-728. doi:10.1016/j.amjsurg.2023.06.035.
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psnet.ahrq.gov/issue/health-care-failure-mode-and-effect-analysis-reduce-nicu-line-associated-bloodstream
April 24, 2018 - Study
Health care failure mode and effect analysis to reduce NICU line–associated bloodstream infections.
Citation Text:
Chandonnet CJ, Kahlon PS, Rachh P, et al. Health care failure mode and effect analysis to reduce NICU line-associated bloodstream infections. Pediatrics. 2013;131(6):e…
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psnet.ahrq.gov/issue/competencies-patient-safety-and-quality-improvement-synthesis-recommendations-influential
March 31, 2022 - Review
Competencies for patient safety and quality improvement: a synthesis of recommendations in influential position papers.
Citation Text:
Moran KM, Harris IB, Valenta AL. Competencies for Patient Safety and Quality Improvement: A Synthesis of Recommendations in Influential Position P…
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psnet.ahrq.gov/issue/unconscious-bias-among-health-professionals-scoping-review
December 10, 2008 - Review
Unconscious bias among health professionals: a scoping review.
Citation Text:
Meidert U, Dönnges G, Bucher T, et al. Unconscious bias among health professionals: a scoping review. Int J Environ Res Public Health. 2023;20(16):6569. doi:10.3390/ijerph20166569.
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psnet.ahrq.gov/issue/year-end-resident-clinic-handoffs-narrative-review-and-recommendations-improvement
March 28, 2018 - Review
Year-end resident clinic handoffs: narrative review and recommendations for improvement.
Citation Text:
Pincavage A, Donnelly MJ, Young JQ, et al. Year-End Resident Clinic Handoffs: Narrative Review and Recommendations for Improvement. Jt Comm J Qual Patient Saf. 2017;43(2):71-79.…
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psnet.ahrq.gov/issue/exploring-relationship-between-contact-frequency-leader-member-relationships-and-patient
February 10, 2021 - Study
Exploring the relationship between contact frequency, leader-member relationships, and patient safety culture
Citation Text:
Anderson AD, Floegel TA, Hofler L, et al. Exploring the Relationship Between Contact Frequency, Leader-Member Relationships, and Patient Safety Culture. J Nu…
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psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-empirical-comparison-failure-mode-scoring-procedures
January 03, 2017 - Study
Failure mode and effects analysis: an empirical comparison of failure mode scoring procedures.
Citation Text:
Ashley L, Armitage G. Failure Mode and Effects Analysis. J Patient Saf. 2010;6(4):210-215. doi:10.1097/pts.0b013e3181fc98d7.
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