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psnet.ahrq.gov/issue/non-technical-skills-used-anaesthetic-technicians-critical-incidents-reported-australian
January 19, 2011 - Study
The non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Incident Monitoring System between 2002 and 2008.
Citation Text:
Rutherford JS, Flin R, Irwin A. The non-technical skills used by anaesthetic technicians in critical incidents …
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psnet.ahrq.gov/issue/bringing-perioperative-emergency-manuals-your-institution-how-concept-implementation-10-steps
November 15, 2018 - Commentary
Bringing perioperative emergency manuals to your institution: a "How To" from concept to implementation in 10 steps.
Citation Text:
Agarwala A, McRichards K, Rao V, et al. Bringing Perioperative Emergency Manuals to Your Institution: A "How To" from Concept to Implementation i…
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psnet.ahrq.gov/issue/impact-intervention-reduce-prescribing-errors-pediatric-intensive-care-unit
March 09, 2022 - Study
Impact of an intervention to reduce prescribing errors in a pediatric intensive care unit.
Citation Text:
Martinez-Anton A, Sanchez I, Casanueva L. Impact of an intervention to reduce prescribing errors in a pediatric intensive care unit. Intensive Care Med. 2012;38(9):1532-8. do…
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psnet.ahrq.gov/issue/monitoring-and-reducing-central-line-associated-bloodstream-infections-national-survey-state
December 01, 2010 - Study
Monitoring and reducing central line-associated bloodstream infections: a national survey of state hospital associations.
Citation Text:
Murphy DJ, Needham DM, Goeschel CA, et al. Monitoring and reducing central line-associated bloodstream infections: a national survey of state h…
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psnet.ahrq.gov/issue/understanding-complaints-made-about-surgical-departments-uk-district-general-hospital
September 23, 2020 - Study
Understanding complaints made about surgical departments in a UK district general hospital.
Citation Text:
Claydon O, Keeler B, Khanna A. Understanding complaints made about surgical departments in a UK district general hospital. Int J Qual Health Care. 2021;33(3). doi:10.1093/intq…
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psnet.ahrq.gov/issue/workarounds-workplace-second-look
December 08, 2021 - Commentary
Workarounds in the workplace: a second look.
Citation Text:
Seaman JB, Erlen JA. Workarounds in the Workplace: A Second Look. Orthop Nurs. 2015;34(4):235-242. doi:10.1097/NOR.0000000000000161.
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psnet.ahrq.gov/issue/nurses-perspectives-intersection-safety-and-informed-decision-making-maternity-care
May 21, 2019 - Study
Nurses' perspectives on the intersection of safety and informed decision making in maternity care.
Citation Text:
Jacobson CH, Zlatnik MG, Kennedy HP, et al. Nurses' perspectives on the intersection of safety and informed decision making in maternity care. J Obstet Gynecol Neonata…
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psnet.ahrq.gov/issue/non-clinical-errors-using-voice-recognition-dictation-software-radiology-reports
December 29, 2014 - Study
Non-clinical errors using voice recognition dictation software for radiology reports: a retrospective audit.
Citation Text:
Chang CA, Strahan R, Jolley D. Non-clinical errors using voice recognition dictation software for radiology reports: a retrospective audit. J Digit Imaging. …
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psnet.ahrq.gov/issue/are-measurements-patient-safety-culture-and-adverse-events-valid-and-reliable-results-cross
February 04, 2015 - Study
Are measurements of patient safety culture and adverse events valid and reliable? Results from a cross sectional study.
Citation Text:
Farup PG. Are measurements of patient safety culture and adverse events valid and reliable? Results from a cross sectional study. BMC Health Serv R…
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psnet.ahrq.gov/issue/increased-mortality-associated-after-hours-and-weekend-admission-intensive-care-unit
May 31, 2023 - Study
Increased mortality associated with after-hours and weekend admission to the intensive care unit: a retrospective analysis.
Citation Text:
Bhonagiri D, Pilcher D, Bailey MJ. Increased mortality associated with after-hours and weekend admission to the intensive care unit: a retros…
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psnet.ahrq.gov/issue/improvement-detection-wrong-patient-errors-when-radiologists-include-patient-photographs
June 13, 2015 - Study
Improvement in detection of wrong-patient errors when radiologists include patient photographs in their interpretation of portable chest radiographs.
Citation Text:
Tridandapani S, Olsen K, Bhatti P. Improvement in Detection of Wrong-Patient Errors When Radiologists Include Patient…
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psnet.ahrq.gov/issue/error-and-patient-safety-ethical-analysis-cases-occupational-and-physical-therapy-practice
July 14, 2010 - Commentary
Error and patient safety: ethical analysis of cases in occupational and physical therapy practice.
Citation Text:
Scheirton LS, Mu K, Lohman H, et al. Error and patient safety: ethical analysis of cases in occupational and physical therapy practice. Med Health Care Philos. 2…
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psnet.ahrq.gov/issue/computerized-surveillance-adverse-drug-events-pediatric-hospital
January 03, 2017 - Study
Computerized surveillance for adverse drug events in a pediatric hospital.
Citation Text:
Kilbridge PM, Noirot LA, Reichley RM, et al. Computerized surveillance for adverse drug events in a pediatric hospital. J Am Med Inform Assoc. 2009;16(5):607-12. doi:10.1197/jamia.M3167.
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psnet.ahrq.gov/issue/changes-practice-and-organisation-surrounding-blood-transfusion-nhs-trusts-england-1995-2005
August 04, 2021 - Study
Changes in practice and organisation surrounding blood transfusion in NHS trusts in England 1995-2005.
Citation Text:
Taylor CJC, Murphy MF, Lowe D, et al. Changes in practice and organisation surrounding blood transfusion in NHS trusts in England 1995-2005. Qual Saf Health Care. 2…
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psnet.ahrq.gov/issue/types-prevalence-and-potential-clinical-significance-medication-administration-errors
October 11, 2023 - Study
Types, prevalence, and potential clinical significance of medication administration errors in assisted living.
Citation Text:
Young HM, Gray SL, McCormick WC, et al. Types, prevalence, and potential clinical significance of medication administration errors in assisted living. J A…
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psnet.ahrq.gov/issue/safety-part-quality-proposal-continuum-performance-measurement
February 25, 2009 - Study
Safety is part of quality: a proposal for a continuum in performance measurement.
Citation Text:
Kazandjian VA, Wicker KG, Matthes N, et al. Safety is part of quality: a proposal for a continuum in performance measurement. J Eval Clin Pract. 2008;14(2):354-359. doi:10.1111/j.1365…
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psnet.ahrq.gov/issue/quality-and-health-system-becoming-high-reliability-organization
November 16, 2022 - Review
Quality and the health system: becoming a high reliability organization.
Citation Text:
Gaw M, Rosinia F, Diller T. Quality and the health system: becoming a high reliability organization. Anesthesiol Clin. 2018;36(2):217-226. doi:10.1016/j.anclin.2018.01.010.
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psnet.ahrq.gov/issue/protocol-safe-use-hazardous-drugs-or
May 13, 2015 - Study
A protocol for the safe use of hazardous drugs in the OR.
Citation Text:
Hemingway MW, Meleis L, Oliver J, et al. A protocol for the safe use of hazardous drugs in the OR. AORN J. 2020;111(3). doi:10.1002/aorn.12960.
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psnet.ahrq.gov/issue/august-always-nightmare-results-royal-college-physicians-edinburgh-and-society-acute-medicine
November 05, 2014 - Study
'August is always a nightmare': results of the Royal College of Physicians of Edinburgh and Society of Acute Medicine August transition survey.
Citation Text:
Vaughan L, McAlister G, Bell D. 'August is always a nightmare': results of the Royal College of Physicians of Edinburgh a…
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psnet.ahrq.gov/issue/implementation-pediatric-rapid-response-team-experience-hospital-sick-children-toronto
September 10, 2014 - Commentary
Implementation of a pediatric rapid response team: experience of the Hospital for Sick Children in Toronto.
Citation Text:
Kukreti V, Gaiteiro R, Mohseni-Bod H. Implementation of a pediatric rapid response team: experience of the Hospital for Sick Children in Toronto. Indian …