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psnet.ahrq.gov/issue/reduction-hospital-mortality-over-time-hospital-without-pediatric-medical-emergency-team
August 20, 2018 - 2014
High-alert medication stratification tool-revised: an exploratory study of an objective
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psnet.ahrq.gov/issue/impact-online-education-intern-behaviour-around-joint-commission-national-patient-safety
September 30, 2012 - Download Citation
Related Resources From the Same Author(s)
Using an objective
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psnet.ahrq.gov/issue/development-measure-patient-safety-event-learning-responses
June 28, 2010 - August 26, 2011
Development and testing of an objective structured clinical exam (OSCE
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psnet.ahrq.gov/issue/housestaff-and-medical-student-attitudes-toward-medical-errors-and-adverse-events
March 06, 2013 - May 2, 2018
Development and testing of an objective structured clinical exam (OSCE) to
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psnet.ahrq.gov/node/841761/psn-pdf
December 21, 2022 - Are the World Health Organization's patient safety
learning objectives still up-to-date: a group concept
mapping study.
December 21, 2022
Vogt L, Stoyanov S, Bergs J, et al. Are the World Health Organization's patient safety learning objectives
still up-to-date: a group concept mapping study. J Patient Saf. 2022;1…
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psnet.ahrq.gov/node/859343/psn-pdf
December 20, 2023 - Reducing retained foreign objects in the operating room:
a quality improvement initiative.
December 20, 2023
Keane OA, Chambers C, Brady CM, et al. Reducing retained foreign objects in the operating room: a
quality improvement initiative. J Am Coll Surg. 2023;237(6):864-872. doi:10.1097/xcs.0000000000000847.
https…
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psnet.ahrq.gov/node/851457/psn-pdf
July 19, 2023 - Root causes and preventability of unintentionally retained
foreign objects after surgery: a national expert survey
from Switzerland.
July 19, 2023
Schwappach DLB, Pfeiffer Y. Root causes and preventability of unintentionally retained foreign objects
after surgery: a national expert survey from Switzerland. Patient…
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psnet.ahrq.gov/issue/unintentionally-retained-foreign-objects-descriptive-study-308-sentinel-events-and
March 20, 2019 - Study
Emerging Classic
Unintentionally retained foreign objects: a descriptive study of 308 sentinel events and contributing factors.
Citation Text:
Steelman VM, Shaw C, Shine L, et al. Unintentionally Retained Foreign Objects: A Descriptive Study of 308 Sentine…
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psnet.ahrq.gov/issue/tapping-teamstepps-prevent-medical-error-focus-retained-foreign-objects
August 25, 2021 - Upcoming Meeting/Conference
July 28, 2021
Tapping into TeamSTEPPS to Prevent Medical Error: Focus on Retained Foreign Objects.
Citation Text:
CHPSO. August 24, 2021. 2:00 PM - 3:00 PM (eastern).
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psnet.ahrq.gov/issue/patients-teachers-randomised-controlled-trial-use-personal-stories-harm-raise-awareness
September 04, 2013 - December 2, 2015
Development and testing of an objective structured clinical exam (OSCE
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psnet.ahrq.gov/issue/increased-risk-burnout-physicians-and-nurses-involved-patient-safety-incident
September 21, 2016 - October 17, 2016
Emotional exhaustion and workload predict clinician-rated and objective
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psnet.ahrq.gov/issue/patient-safety-climate-strength-concept-requires-more-attention
March 04, 2011 - October 13, 2021
Development and testing of an objective structured clinical exam (OSCE
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psnet.ahrq.gov/node/46849/psn-pdf
May 23, 2018 - 1,300 days and counting: a risk model approach to
preventing retained foreign objects (RFOs).
May 23, 2018
Duggan EG, Fernandez J, Saulan MM, et al. 1,300 Days and Counting: A Risk Model Approach to
Preventing Retained Foreign Objects (RFOs). Jt Comm J Qual Patient Saf. 2018;44(5):260-269.
doi:10.1016/j.jcjq.2017.…
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psnet.ahrq.gov/node/42693/psn-pdf
December 23, 2016 - Preventing unintended retained foreign objects.
December 23, 2016
Preventing unintended retained foreign objects. Sentinel event alert. 2013;(51):1-5.
https://psnet.ahrq.gov/issue/preventing-unintended-retained-foreign-objects
Sentinel event alerts are issued periodically by The Joint Commission to identify common …
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psnet.ahrq.gov/issue/incidence-and-characteristics-potential-and-actual-retained-foreign-object-events-surgical
January 02, 2017 - Study
Classic
Incidence and characteristics of potential and actual retained foreign object events in surgical patients.
Citation Text:
Cima RR, Kollengode A, Garnatz J, et al. Incidence and characteristics of potential and actual retained foreign object event…
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psnet.ahrq.gov/issue/reducing-retained-foreign-objects-operating-room-quality-improvement-initiative
April 19, 2023 - Study
Reducing retained foreign objects in the operating room: a quality improvement initiative.
Citation Text:
Keane OA, Chambers C, Brady CM, et al. Reducing retained foreign objects in the operating room: a quality improvement initiative. J Am Coll Surg. 2023;237(6):864-872. doi:10.10…
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psnet.ahrq.gov/periodic-issue/periodic-issue-443
May 29, 2024 - Safety Action Plan 2021–2030 to examine the impact of unsafe care worldwide and the status of plan objective … Safety Action Plan 2021–2030 to examine the impact of unsafe care worldwide and the status of plan objective
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psnet.ahrq.gov/node/38775/psn-pdf
April 16, 2018 - Beyond the count: preventing the retention of foreign
objects.
April 16, 2018
PA-PSRS Patient Saf Advis. June 2009;6:39-45.
https://psnet.ahrq.gov/issue/beyond-count-preventing-retention-foreign-objects
This piece identifies risk factors associated with retention of foreign objects and suggests several tactics to…
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psnet.ahrq.gov/node/38453/psn-pdf
January 02, 2017 - A multidisciplinary team approach to retained foreign
objects.
January 2, 2017
Cima RR, Kollengode A, Storsveen AS, et al. A multidisciplinary team approach to retained foreign objects.
Jt Comm J Qual Saf. 2009;35(3):123-132.
https://psnet.ahrq.gov/issue/multidisciplinary-team-approach-retained-foreign-objects
Th…
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psnet.ahrq.gov/node/37059/psn-pdf
September 30, 2011 - Preventable errors in the operating room--part 2: retained
foreign objects, sharps injuries, and wrong site surgery.
September 30, 2011
Dagi F, Berguer R, Moore S, et al. Preventable errors in the operating room--part 2: retained foreign
objects, sharps injuries, and wrong site surgery. Curr Probl Surg. 2007;44(6):…