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  1. Orienting frames and private routines: the role of cultural process in critical care safety. | PSNet

    psnet.ahrq.gov/issue/orienting-frames-and-private-routines-role-cultural-process-critical-care-safety
    December 31, 2014 - Study Orienting frames and private routines: the role of cultural process in critical care safety. Citation Text: Hazlehurst B, McMullen C. Orienting frames and private routines: the role of cultural process in critical care safety. Int J Med Inform. 2007;76 Suppl 1:S129-35. Copy Cit…

  2. Clinical nurse specialists as leaders in rapid response. | PSNet

    psnet.ahrq.gov/issue/clinical-nurse-specialists-leaders-rapid-response
    July 19, 2023 - Commentary Clinical nurse specialists as leaders in rapid response. Citation Text: Jenkins SD, Lindsey PL. Clinical nurse specialists as leaders in rapid response. Clin Nurse Spec. 2010;24(1):24-30. doi:10.1097/NUR.0b013e3181c4abe9. Copy Citation Format: DOI Google Schola…

  3. Tune-in and time-out: toward surgeon-led prevention of "never" events. | PSNet

    psnet.ahrq.gov/issue/tune-and-time-out-toward-surgeon-led-prevention-never-events
    July 24, 2024 - Study Tune-in and time-out: toward surgeon-led prevention of "never" events. Citation Text: Jones N. Tune-In and Time-Out: Toward Surgeon-Led Prevention of "Never" Events. J Patient Saf. 2019;15(4):e36-e39. doi:10.1097/PTS.0000000000000259. Copy Citation Format: DOI Google …

  4. A medication safety education program to reduce the risk of harm caused by medication errors. | PSNet

    psnet.ahrq.gov/issue/medication-safety-education-program-reduce-risk-harm-caused-medication-errors
    June 27, 2018 - Commentary A medication safety education program to reduce the risk of harm caused by medication errors. Citation Text: Dennison RD. A medication safety education program to reduce the risk of harm caused by medication errors. J Contin Educ Nurs. 2007;38(4):176-84. Copy Citation Fo…

  5. The role of practice guidelines and evidence-based medicine in perioperative patient safety. | PSNet

    psnet.ahrq.gov/issue/role-practice-guidelines-and-evidence-based-medicine-perioperative-patient-safety
    June 26, 2024 - Review The role of practice guidelines and evidence-based medicine in perioperative patient safety. Citation Text: Crosby E. Review article: the role of practice guidelines and evidence-based medicine in perioperative patient safety. Can J Anaesth. 2013;60(2):143-51. doi:10.1007/s12630…

  6. Distracting communications in the operating theatre. | PSNet

    psnet.ahrq.gov/issue/distracting-communications-operating-theatre
    August 18, 2017 - Study Distracting communications in the operating theatre. Citation Text: Sevdalis N, Healey AN, Vincent CA. Distracting communications in the operating theatre. J Eval Clin Pract. 2007;13(3). doi:10.1111/j.1365-2753.2006.00712.x. Copy Citation Format: DOI Google Scholar …

  7. Postoperative video debriefing reduces technical errors in laparoscopic surgery. | PSNet

    psnet.ahrq.gov/issue/postoperative-video-debriefing-reduces-technical-errors-laparoscopic-surgery
    March 14, 2022 - Study Postoperative video debriefing reduces technical errors in laparoscopic surgery. Citation Text: Hamad GG, Brown MT, Clavijo-Alvarez JA. Postoperative video debriefing reduces technical errors in laparoscopic surgery. Am J Surg. 2007;194(1):110-4. Copy Citation Format: …

  8. Training in quality and safety: the current landscape. | PSNet

    psnet.ahrq.gov/issue/training-quality-and-safety-current-landscape
    July 03, 2016 - Commentary Training in quality and safety: the current landscape. Citation Text: Karasick AS, Nash DB. Training in quality and safety: the current landscape. Am J Med Qual. 2015;30(6):526-38. doi:10.1177/1062860614544194. Copy Citation Format: DOI Google Scholar PubMed BibT…

  9. Disclosure of patient safety incidents: a comprehensive review. | PSNet

    psnet.ahrq.gov/issue/disclosure-patient-safety-incidents-comprehensive-review
    November 10, 2010 - Review Disclosure of patient safety incidents: a comprehensive review. Citation Text: O'Connor E, Coates HM, Yardley I, et al. Disclosure of patient safety incidents: a comprehensive review. Int J Qual Health Care. 2010;22(5):371-9. doi:10.1093/intqhc/mzq042. Copy Citation Format: …

  10. Safety culture includes "good catches." | PSNet

    psnet.ahrq.gov/issue/safety-culture-includes-good-catches
    August 21, 2024 - Commentary Safety culture includes "good catches." Citation Text: Traynor K. Safety culture includes "good catches". Am J Health Syst Pharm. 2015;72(19):1597-1599. doi:10.2146/news150065. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

  11. Nurse staffing and medication errors: cross-sectional or longitudinal relationships? | PSNet

    psnet.ahrq.gov/issue/nurse-staffing-and-medication-errors-cross-sectional-or-longitudinal-relationships
    February 15, 2011 - Study Nurse staffing and medication errors: cross-sectional or longitudinal relationships? Citation Text: Mark BA, Belyea M. Nurse staffing and medication errors: cross-sectional or longitudinal relationships? Res Nurs Health. 2009;32(1):18-30. doi:10.1002/nur.20305. Copy Citation …

  12. Fatal errors in nitrous oxide delivery. | PSNet

    psnet.ahrq.gov/issue/fatal-errors-nitrous-oxide-delivery
    March 02, 2011 - Review Fatal errors in nitrous oxide delivery. Citation Text: Herff H, Paal P, Von Goedecke A, et al. Fatal errors in nitrous oxide delivery. Anaesthesia. 2007;62(12):1202-1206. doi:10.1111/j.1365-2044.2007.05193.x. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3…

  13. Driving surgical quality using operative video. | PSNet

    psnet.ahrq.gov/issue/driving-surgical-quality-using-operative-video
    July 29, 2020 - Commentary Driving surgical quality using operative video. Citation Text: O'Mahoney PRA, Yeo HL, Lange MM, et al. Driving Surgical Quality Using Operative Video. Surg Innov. 2016;23(4):337-40. doi:10.1177/1553350616643616. Copy Citation Format: DOI Google Scholar PubMed Bib…

  14. A cross-cultural survey of residents' perceived barriers in questioning/challenging authority. | PSNet

    psnet.ahrq.gov/issue/cross-cultural-survey-residents-perceived-barriers-questioningchallenging-authority
    June 15, 2012 - Study A cross-cultural survey of residents' perceived barriers in questioning/challenging authority. Citation Text: Kobayashi H, Pian-Smith M, Sato M, et al. A cross-cultural survey of residents' perceived barriers in questioning/challenging authority. Qual Saf Health Care. 2006;15(4):…

  15. Medication administration errors by nurses: adherence to guidelines. | PSNet

    psnet.ahrq.gov/issue/medication-administration-errors-nurses-adherence-guidelines
    July 08, 2020 - Study Medication administration errors by nurses: adherence to guidelines. Citation Text: Kim J, Bates DW. Medication administration errors by nurses: adherence to guidelines. J Clin Nurs. 2013;22(3-4):590-8. doi:10.1111/j.1365-2702.2012.04344.x. Copy Citation Format: DOI …

  16. Follow-up study of medication errors reported to the Vaccine Adverse Event Reporting System (VAERS). | PSNet

    psnet.ahrq.gov/issue/follow-study-medication-errors-reported-vaccine-adverse-event-reporting-system-vaers
    May 27, 2011 - Study Follow-up study of medication errors reported to the Vaccine Adverse Event Reporting System (VAERS). Citation Text: Varricchio F, Reed J, Group VAERSW. Follow-up study of medication errors reported to the vaccine adverse event reporting system (VAERS). South Med J. 2006;99(5):486…

  17. American Society of Clinical Oncology/Oncology Nursing Society chemotherapy administration safety standards. | PSNet

    psnet.ahrq.gov/issue/american-society-clinical-oncologyoncology-nursing-society-chemotherapy-administration-safety
    October 19, 2022 - Commentary American Society of Clinical Oncology/Oncology Nursing Society chemotherapy administration safety standards. Citation Text: Jacobson J, Polovich M, McNiff KK, et al. American Society of Clinical Oncology/Oncology Nursing Society Chemotherapy Administration Safety Standards. …

  18. Adverse events in anaesthetic practice: qualitative study of definition, discussion and reporting. | PSNet

    psnet.ahrq.gov/issue/adverse-events-anaesthetic-practice-qualitative-study-definition-discussion-and-reporting
    April 18, 2011 - Study Adverse events in anaesthetic practice: qualitative study of definition, discussion and reporting. Citation Text: Smith AF, Goodwin D, Mort M, et al. Adverse events in anaesthetic practice: qualitative study of definition, discussion and reporting. Br J Anaesth. 2006;96(6):715-21…

  19. The moderate success of quality of care improvement efforts: three observations on the situation. | PSNet

    psnet.ahrq.gov/issue/moderate-success-quality-care-improvement-efforts-three-observations-situation
    May 06, 2015 - Commentary The moderate success of quality of care improvement efforts: three observations on the situation. Citation Text: Katz-Navon T, Naveh E, Stern Z. The moderate success of quality of care improvement efforts: three observations on the situation. International Journal for Qualit…

  20. Retractions in the medical literature: how many patients are put at risk by flawed research? | PSNet

    psnet.ahrq.gov/issue/retractions-medical-literature-how-many-patients-are-put-risk-flawed-research
    August 31, 2011 - Study Retractions in the medical literature: how many patients are put at risk by flawed research? Citation Text: Steen G. Retractions in the medical literature: how many patients are put at risk by flawed research? J Med Ethics. 2011;37(11):688-92. doi:10.1136/jme.2011.043133. Copy …
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