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psnet.ahrq.gov/issue/utility-and-assessment-non-technical-skills-rapid-response-systems-and-medical-emergency
June 22, 2009 - Review
Utility and assessment of non-technical skills for rapid response systems and medical emergency teams.
Citation Text:
Chalwin RP, Flabouris A. Utility and assessment of non-technical skills for rapid response systems and medical emergency teams. Intern Med J. 2013;43(9):962-9. d…
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psnet.ahrq.gov/issue/scrutinizing-incident-reporting-anaesthesia-why-incident-perceived-critical
February 23, 2011 - Study
Scrutinizing incident reporting in anaesthesia: why is an incident perceived as critical?
Citation Text:
Maaløe R, la Cour M, Hansen A, et al. Scrutinizing incident reporting in anaesthesia: why is an incident perceived as critical? Acta Anaesthesiol Scand. 2006;50(8):1005-13.
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psnet.ahrq.gov/issue/nature-human-error-implications-surgical-practice
March 24, 2021 - Review
Nature of human error: implications for surgical practice.
Citation Text:
Cuschieri A. Nature of human error: implications for surgical practice. Ann Surg. 2006;244(5):642-8.
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psnet.ahrq.gov/issue/building-safer-systems-ecological-design-using-restoration-science-develop-medication-safety
February 14, 2024 - Study
Building safer systems by ecological design: using restoration science to develop a medication safety intervention.
Citation Text:
Marck PB, Kwan JA, Preville B, et al. Building safer systems by ecological design: using restoration science to develop a medication safety intervent…
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psnet.ahrq.gov/issue/covid-19-can-last-several-months-diseases-long-haulers-have-endured-relentless-waves
April 03, 2005 - Newspaper/Magazine Article
COVID-19 can last for several months. The disease’s “long-haulers” have endured relentless waves of debilitating symptoms—and disbelief from doctors and friends.
Citation Text:
Young E. COVID-19 can last for several months. The disease’s “long-haulers” have end…
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psnet.ahrq.gov/issue/developing-and-testing-tool-measure-nursephysician-communication-intensive-care-unit
June 01, 2011 - Study
Developing and testing a tool to measure nurse/physician communication in the intensive care unit.
Citation Text:
Carbo AR, Tess AV, Roy CL, et al. Developing a High-Performance Team Training Framework for Internal Medicine Residents. J Patient Saf. 2011;7(2). doi:10.1097/pts.0b0…
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psnet.ahrq.gov/issue/patient-safety-nicu-comprehensive-review
September 12, 2016 - Review
Patient safety in the NICU: a comprehensive review.
Citation Text:
Samra HA, McGrath JM, Rollins W. Patient safety in the NICU: a comprehensive review. J Perinat Neonatal Nurs. 2011;25(2):123-132. doi:10.1097/JPN.0b013e31821693b2.
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psnet.ahrq.gov/issue/pediatric-antidepressant-medication-errors-national-error-reporting-database
September 21, 2008 - Study
Pediatric antidepressant medication errors in a national error reporting database.
Citation Text:
Rinke ML, Bundy DG, Shore AD, et al. Pediatric antidepressant medication errors in a national error reporting database. J Dev Behav Pediatr. 2010;31(2):129-36. doi:10.1097/DBP.0b013e…
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psnet.ahrq.gov/issue/pediatric-vaccination-errors-application-5-rights-framework-national-error-reporting-database
September 21, 2008 - Study
Pediatric vaccination errors: application of the "5 rights" framework to a national error reporting database.
Citation Text:
Bundy DG, Shore AD, Morlock L, et al. Pediatric vaccination errors: application of the "5 rights" framework to a national error reporting database. Vaccine.…
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psnet.ahrq.gov/issue/what-patient-safety-culture-review-literature
July 19, 2023 - Review
What is patient safety culture? A review of the literature.
Citation Text:
Sammer CE, Lykens K, Singh KP, et al. What is patient safety culture? A review of the literature. J Nurs Scholarsh. 2010;42(2):156-65. doi:10.1111/j.1547-5069.2009.01330.x.
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psnet.ahrq.gov/issue/patient-monitoring-alarms-icu-and-operating-room
May 26, 2021 - Review
Patient monitoring alarms in the ICU and in the operating room.
Citation Text:
Schmid F, Goepfert MS, Reuter DA. Patient monitoring alarms in the ICU and in the operating room. Crit Care. 2013;17(2):216. doi:10.1186/cc12525.
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psnet.ahrq.gov/issue/variation-medication-information-elderly-patients-during-initial-interventions-emergency
October 20, 2021 - Study
Variation in medication information for elderly patients during initial interventions by emergency department physicians.
Citation Text:
Cohen V, Jellinek SP, Likourezos A, et al. Variation in medication information for elderly patients during initial interventions by emergency d…
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psnet.ahrq.gov/issue/communication-critical-care-environments-mobile-telephones-improve-patient-care
June 27, 2018 - Study
Communication in critical care environments: mobile telephones improve patient care.
Citation Text:
Soto RG, Chu LF, Goldman JM, et al. Communication in critical care environments: mobile telephones improve patient care. Anesth Analg. 2006;102(2):535-41.
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psnet.ahrq.gov/issue/physical-and-verbal-violence-against-health-care-workers
December 23, 2016 - Sentinel Event Alerts
Physical and verbal violence against health care workers.
Citation Text:
Physical and verbal violence against health care workers. Sentinel Event Alert. 2018;59:1-9 (revised June 18, 2021).
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psnet.ahrq.gov/issue/protecting-patients-unsafe-system-etiology-and-recovery-intraoperative-deviations-care
October 19, 2012 - Study
Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care.
Citation Text:
Hu Y-Y, Arriaga AF, Roth EM, et al. Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care. Ann Surg. 2012;…
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psnet.ahrq.gov/issue/handing-over-patient-care-it-just-old-broken-telephone-game
March 01, 2017 - Study
Handing over patient care: is it just the old broken telephone game?
Citation Text:
Zendejas B, Ali SM, Huebner M, et al. Handing over patient care: is it just the old broken telephone game? J Surg Educ. 2011;68(6):465-71. doi:10.1016/j.jsurg.2011.05.011.
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psnet.ahrq.gov/issue/prospective-review-adverse-events-during-interhospital-transfers-neonates-dedicated-neonatal
March 03, 2011 - Study
A prospective review of adverse events during interhospital transfers of neonates by a dedicated neonatal transfer service.
Citation Text:
Lim MTC, Ratnavel N. A prospective review of adverse events during interhospital transfers of neonates by a dedicated neonatal transfer servi…
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psnet.ahrq.gov/issue/why-do-interns-make-prescribing-errors-qualitative-study
December 16, 2009 - Study
Why do interns make prescribing errors? A qualitative study.
Citation Text:
Coombes ID, Stowasser DA, Coombes JA, et al. Why do interns make prescribing errors? A qualitative study. Med J Aust. 2008;188(2):89-94.
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psnet.ahrq.gov/issue/quality-and-safety-educators-academy-fulfilling-unmet-need-faculty-development
January 15, 2020 - Commentary
The Quality and Safety Educators Academy: fulfilling an unmet need for faculty development.
Citation Text:
Myers JS, Tess A, Glasheen JJ, et al. The Quality and Safety Educators Academy: fulfilling an unmet need for faculty development. Am J Med Qual. 2014;29(1):5-12. doi:10…
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psnet.ahrq.gov/issue/quality-and-safety-intensive-care-unit
January 19, 2011 - Review
Quality and safety in the intensive care unit.
Citation Text:
Stockwell DC, Slonim A. Quality and safety in the intensive care unit. J Intensive Care Med. 2006;21(4):199-210.
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