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psnet.ahrq.gov/issue/how-safe-my-intensive-care-unit-overview-error-causation-and-prevention
November 25, 2020 - Review
How safe is my intensive care unit? An overview of error causation and prevention.
Citation Text:
Valentin A, Bion J. How safe is my intensive care unit? An overview of error causation and prevention. Curr Opin Crit Care. 2007;13(6):697-702.
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psnet.ahrq.gov/issue/nosocomial-infection-deficit-reduction-act-and-incentives-hospitals
September 14, 2011 - Commentary
Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals.
Citation Text:
Graves N, McGowan JE. Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals. JAMA. 2008;300(13):1577-9. doi:10.1001/jama.300.13.1577.
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psnet.ahrq.gov/issue/intra-operative-monitoring-many-alarms-minor-impact
June 18, 2014 - Study
Intra-operative monitoring—many alarms with minor impact.
Citation Text:
de Man FR, Greuters S, Boer C, et al. Intra-operative monitoring--many alarms with minor impact. Anaesthesia. 2013;68(8):804-10. doi:10.1111/anae.12289.
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psnet.ahrq.gov/issue/best-practice-protocols-preventing-adverse-drug-events
January 18, 2011 - Commentary
Best-practice protocols: preventing adverse drug events.
Citation Text:
Weir VL. Best-practice protocols: preventing adverse drug events. Nurs Manage. 2005;36(9):24-30.
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psnet.ahrq.gov/issue/how-develop-effective-obstetric-checklist
November 16, 2022 - Review
How to develop an effective obstetric checklist.
Citation Text:
Fausett B, Propst A, Van Doren K, et al. How to develop an effective obstetric checklist. Am J Obstet Gynecol. 2011;205(3):165-70. doi:10.1016/j.ajog.2011.06.003.
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psnet.ahrq.gov/issue/impact-organizations-healthcare-associated-infections
December 11, 2024 - Commentary
Impact of organizations on healthcare-associated infections.
Citation Text:
Castro-Sánchez E, Holmes AH. Impact of organizations on healthcare-associated infections. J Hosp Infect. 2015;89(4):346-50. doi:10.1016/j.jhin.2015.01.012.
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psnet.ahrq.gov/issue/relationship-between-safety-culture-and-patient-outcomes-results-pilot-meta-analyses
January 08, 2020 - Study
The relationship between safety culture and patient outcomes: results from pilot meta-analyses.
Citation Text:
Groves PS. The relationship between safety culture and patient outcomes: results from pilot meta-analyses. West J Nurs Res. 2014;36(1):66-83. doi:10.1177/019394591349008…
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psnet.ahrq.gov/issue/residual-anaesthesia-drugs-intravenous-lines-silent-threat
July 13, 2010 - Commentary
Residual anaesthesia drugs in intravenous lines—a silent threat?
Citation Text:
Bowman S, Raghavan K, Walker IA. Residual anaesthesia drugs in intravenous lines--a silent threat? Anaesthesia. 2013;68(6):557-61. doi:10.1111/anae.12287.
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psnet.ahrq.gov/issue/business-case-investing-physician-well-being
June 05, 2019 - Commentary
The business case for investing in physician well-being.
Citation Text:
Shanafelt TD, Goh J, Sinsky CA. The Business Case for Investing in Physician Well-being. JAMA Intern Med. 2017;177(12):1826-1832. doi:10.1001/jamainternmed.2017.4340.
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psnet.ahrq.gov/issue/observational-study-laterality-errors-sample-clinical-records
April 19, 2011 - Study
An observational study of laterality errors in a sample of clinical records.
Citation Text:
Elghrably I, Fraser SG. An observational study of laterality errors in a sample of clinical records. Eye (Lond). 2008;22(3):340-3.
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psnet.ahrq.gov/issue/medication-errors-routines-and-differences-between-perioperative-and-non-perioperative-nurses
June 27, 2018 - Study
Medication errors, routines, and differences between perioperative and non-perioperative nurses.
Citation Text:
Treiber LA, Jones JH. Medication errors, routines, and differences between perioperative and non-perioperative nurses. AORN J. 2012;96(3):285-94. doi:10.1016/j.aorn.201…
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psnet.ahrq.gov/issue/making-it-easier-do-right-thing-modern-communication-qi-agenda
January 20, 2016 - Commentary
Making it easier to do the right thing: a modern communication QI agenda.
Citation Text:
Wynia M. Making it easier to do the right thing: a modern communication QI agenda. Patient Educ Couns. 2012;88(3):364-6. doi:10.1016/j.pec.2012.06.027.
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psnet.ahrq.gov/issue/implementing-patient-safety-and-quality-improvement-dermatology
September 30, 2015 - Commentary
Implementing patient safety and quality improvement in dermatology.
Citation Text:
Implementing patient safety and quality improvement in dermatology. Marsch A, Khodosh R, Porter M, et al. J Am Acad Dermatol. 2023;89(4):641-54; 57-67.
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psnet.ahrq.gov/issue/medical-error-and-human-factors-engineering-where-are-we-now
August 04, 2021 - Review
Medical error and human factors engineering: where are we now?
Citation Text:
Gawron VJ, Drury CG, Fairbanks RJ, et al. Medical error and human factors engineering: where are we now? Am J Med Qual. 2006;21(1):57-67.
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psnet.ahrq.gov/issue/building-cultures-high-reliability-lessons-high-reliability-organization-paradigm
September 05, 2018 - Review
Building cultures of high reliability: lessons from the high reliability organization paradigm.
Citation Text:
Sutcliffe KM. Building cultures of high reliability: lessons from the high reliability organization paradigm. Anesthesiol Clin. 2023;41(4):707-717. doi:10.1016/j.anclin.2…
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psnet.ahrq.gov/issue/diseases-medical-progress
June 27, 2018 - Review
Classic
Diseases of medical progress.
Citation Text:
MOSER RH. Diseases of medical progress. N Engl J Med. 1956;255(13):606-14.
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psnet.ahrq.gov/issue/how-deliver-safer-and-effective-patient-care-tips-team-leaders-and-educators
April 24, 2018 - Commentary
How to deliver safer and effective patient care: tips for team leaders and educators.
Citation Text:
Shah BJ. How to Deliver Safer and Effective Patient Care: Tips for Team Leaders and Educators. Gastroenterology. 2019;156(4):852-855. doi:10.1053/j.gastro.2019.02.017.
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psnet.ahrq.gov/issue/teaching-teamwork-during-neonatal-resuscitation-program-randomized-trial
April 08, 2011 - Study
Teaching teamwork during the Neonatal Resuscitation Program: a randomized trial.
Citation Text:
Thomas EJ, Taggart B, Crandell S, et al. Teaching teamwork during the Neonatal Resuscitation Program: a randomized trial. Journal of Perinatology. 2007;27(7). doi:10.1038/sj.jp.7211771…
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psnet.ahrq.gov/issue/patient-safety-not-elective-debate-npsf-patient-safety-congress
March 18, 2019 - Commentary
Patient safety is not elective: a debate at the NPSF Patient Safety Congress.
Citation Text:
McTiernan P, Wachter R, Meyer GS, et al. Patient safety is not elective: a debate at the NPSF Patient Safety Congress. BMJ Qual Saf. 2015;24(2):162-6. doi:10.1136/bmjqs-2014-003429.
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psnet.ahrq.gov/issue/development-high-value-care-culture-survey-modified-delphi-process-and-psychometric
December 22, 2018 - Study
Development of a high-value care culture survey: a modified Delphi process and psychometric evaluation.
Citation Text:
Gupta R, Moriates C, Harrison JD, et al. Development of a high-value care culture survey: a modified Delphi process and psychometric evaluation. BMJ Qual Saf. 2017…