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psnet.ahrq.gov/issue/interruptions-and-geographic-challenges-nurses-cognitive-workload
March 20, 2019 - Study
Interruptions and geographic challenges to nurses' cognitive workload.
Citation Text:
Redding DA, Robinson S. Interruptions and geographic challenges to nurses' cognitive workload. J Nurs Care Qual. 2009;24(3):194-200; quiz 201-202. doi:10.1097/01.NCQ.0000356907.95076.31.
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psnet.ahrq.gov/issue/delays-and-errors-cardiopulmonary-resuscitation-and-defibrillation-pediatric-residents-during
January 02, 2017 - Study
Delays and errors in cardiopulmonary resuscitation and defibrillation by pediatric residents during simulated cardiopulmonary arrests.
Citation Text:
Hunt EA, Vera K, Diener-West M, et al. Delays and errors in cardiopulmonary resuscitation and defibrillation by pediatric residents…
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psnet.ahrq.gov/issue/fall-risk-and-prevention-agreement-engaging-patients-and-families-partnership-patient-safety
November 13, 2024 - Commentary
Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety.
Citation Text:
Vonnes C, Wolf D. Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety. BMJ Open Qual. 2017;6(2):e000038…
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psnet.ahrq.gov/issue/observational-study-practice-during-transfer-patients-anaesthetic-room-operating-theatre
September 27, 2016 - Study
An observational study of practice during transfer of patients from anaesthetic room to operating theatre.
Citation Text:
Broom MA, Slater J, Ure DS. An observational study of practice during transfer of patients from anaesthetic room to operating theatre. Anaesthesia. 2006;61(10…
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psnet.ahrq.gov/issue/nursing-and-patient-safety-operating-room
November 03, 2010 - Study
Nursing and patient safety in the operating room.
Citation Text:
Alfredsdottir H, Bjornsdottir K. Nursing and patient safety in the operating room. J Adv Nurs. 2010;61(1):29-37. doi:10.1111/j.1365-2648.2007.04462.x.
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psnet.ahrq.gov/issue/second-victim-phenomenon
July 10, 2024 - Review
Second-victim phenomenon.
Citation Text:
New L, Lambeth T. Second-victim phenomenon. Nurs Clin North Am. 2024;59(1):141-152. doi:10.1016/j.cnur.2023.11.011.
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psnet.ahrq.gov/issue/adverse-events-following-emergency-department-visit
April 22, 2011 - Study
Adverse events following an emergency department visit.
Citation Text:
Forster AJ, Rose NGW, van Walraven C, et al. Adverse events following an emergency department visit. Qual Saf Health Care. 2007;16(1):17-22.
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psnet.ahrq.gov/issue/legal-and-policy-interventions-improve-patient-safety
February 17, 2011 - Review
Legal and policy interventions to improve patient safety.
Citation Text:
Kachalia A, Mello MM, Nallamothu BK, et al. Legal and Policy Interventions to Improve Patient Safety. Circulation. 2016;133(7):661-71. doi:10.1161/CIRCULATIONAHA.115.015880.
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psnet.ahrq.gov/issue/incorporating-metacognition-morbidity-and-mortality-rounds-next-frontier-quality-improvement
September 21, 2016 - Review
Incorporating metacognition into morbidity and mortality rounds: the next frontier in quality improvement.
Citation Text:
Katz D, Detsky AS. Incorporating metacognition into morbidity and mortality rounds: The next frontier in quality improvement. J Hosp Med. 2016;11(2):120-2. doi…
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psnet.ahrq.gov/issue/sudden-death-lung-embolism-after-inadvertent-infusion-zinc-oxide-shake-lotion
January 12, 2022 - Commentary
A sudden death with lung embolism after inadvertent infusion of zinc oxide shake lotion.
Citation Text:
Pragst F, Correns A, Priem F, et al. A sudden death with lung embolism after inadvertent infusion of zinc oxide shake lotion. Forensic Sci Int. 2007;170(2-3):207-12.
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psnet.ahrq.gov/issue/disclosing-harmful-pathology-errors-patients
May 18, 2022 - Commentary
Disclosing harmful pathology errors to patients.
Citation Text:
Dintzis SM, Gallagher TH. Disclosing harmful pathology errors to patients. Am J Clin Pathol. 2009;131(4):463-5. doi:10.1309/AJCPIO5SHDOD6URI.
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psnet.ahrq.gov/issue/assessment-teamwork-during-structured-interdisciplinary-rounds-medical-units
December 21, 2014 - Study
Assessment of teamwork during structured interdisciplinary rounds on medical units.
Citation Text:
O'Leary KJ, Boudreau YN, Creden AJ, et al. Assessment of teamwork during structured interdisciplinary rounds on medical units. J Hosp Med. 2012;7(9):679-83. doi:10.1002/jhm.1970.
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psnet.ahrq.gov/issue/six-steps-head-hand-simulator-based-transfer-oriented-psychological-training-improve-patient
August 20, 2018 - Commentary
Six steps from head to hand: a simulator based transfer oriented psychological training to improve patient safety.
Citation Text:
Müller MP, Hänsel M, Stehr SN, et al. Six steps from head to hand: a simulator based transfer oriented psychological training to improve patient …
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psnet.ahrq.gov/issue/more-teamwork-knowledge-skill-and-attitude
July 13, 2009 - Study
More to teamwork than knowledge, skill and attitude.
Citation Text:
Siassakos D, Draycott TJ, Crofts JF, et al. More to teamwork than knowledge, skill and attitude. BJOG. 2010;117(10):1262-9. doi:10.1111/j.1471-0528.2010.02654.x.
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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.
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psnet.ahrq.gov/issue/undiagnosed-breast-cancer-mr-imaging-analysis-causes
August 22, 2015 - Study
Undiagnosed breast cancer at MR imaging: analysis of causes.
Citation Text:
Pages EB, Millet I, Hoa D, et al. Undiagnosed breast cancer at MR imaging: analysis of causes. Radiology. 2012;264(1):40-50. doi:10.1148/radiol.12111917.
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psnet.ahrq.gov/issue/nurses-safety-motivation-examining-predictors-nurses-willingness-report-medication-errors
October 10, 2015 - Study
Nurses' safety motivation: examining predictors of nurses' willingness to report medication errors.
Citation Text:
Farag A, Lose D, Gedney-Lose A. Nurses' Safety Motivation: Examining Predictors of Nurses' Willingness to Report Medication Errors. West J Nurs Res. 2019;41(7):954-972…
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psnet.ahrq.gov/issue/overdiagnosis-primary-care-framing-problem-and-finding-solutions
November 01, 2017 - Review
Emerging Classic
Overdiagnosis in primary care: framing the problem and finding solutions.
Citation Text:
Kale MS, Korenstein D. Overdiagnosis in primary care: framing the problem and finding solutions. BMJ. 2018;362:k2820. doi:10.1136/bmj.k2820.
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psnet.ahrq.gov/issue/technology-governance-and-patient-safety-systems-issues-technology-and-patient-safety
September 14, 2016 - Review
Technology, governance and patient safety: systems issues in technology and patient safety.
Citation Text:
Balka E, Doyle-Waters M, Lecznarowicz D, et al. Technology, governance and patient safety: systems issues in technology and patient safety. Int J Med Inform. 2007;76 Suppl …
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psnet.ahrq.gov/issue/selection-indicators-continuous-monitoring-patient-safety-recommendations-project-safety
June 22, 2016 - Commentary
Selection of indicators for continuous monitoring of patient safety: recommendations of the project 'safety improvement for patients in Europe.'
Citation Text:
Kristensen S, Mainz J, Bartels P. Selection of indicators for continuous monitoring of patient safety: recommendat…