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psnet.ahrq.gov/issue/implementation-safety-huddle
November 03, 2021 - Commentary
Implementation of the safety huddle.
Citation Text:
Kylor C, Napier T, Rephann A, et al. Implementation of the Safety Huddle. Crit Care Nurse. 2016;36(6):80-82.
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psnet.ahrq.gov/issue/improving-papanicolaou-test-quality-and-reducing-medical-errors-using-toyota-production
April 08, 2008 - Study
Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods.
Citation Text:
Raab SS, Andrew-JaJa C, Condel JL, et al. Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods. Am J Obst…
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psnet.ahrq.gov/issue/teamwork-and-error-operating-room-analysis-skills-and-roles
April 15, 2009 - Study
Teamwork and error in the operating room: analysis of skills and roles.
Citation Text:
Catchpole K, Mishra A, Handa A, et al. Teamwork and error in the operating room: analysis of skills and roles. Ann Surg. 2008;247(4):699-706. doi:10.1097/SLA.0b013e3181642ec8.
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psnet.ahrq.gov/issue/use-surgical-safety-checklist-improve-team-communication
August 08, 2018 - Commentary
Use of a surgical safety checklist to improve team communication.
Citation Text:
Cabral RA, Eggenberger T, Keller K, et al. Use of a surgical safety checklist to improve team communication. AORN J. 2016;104(3):206-216. doi:10.1016/j.aorn.2016.06.019.
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psnet.ahrq.gov/issue/cascade-iatrogenesis-factors-leading-development-adverse-events-hospitalized-older-adults
June 27, 2012 - Commentary
Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults.
Citation Text:
Thornlow D, Anderson RA, Oddone E. Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. Int J Nurs Stud…
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psnet.ahrq.gov/issue/crew-resource-management-training-clinicians-reactions-and-attitudes
November 16, 2022 - Study
Crew resource management training--clinicians' reactions and attitudes.
Citation Text:
France DJ, Stiles RA, Gaffney FA, et al. Crew resource management training-Clinicians' reactions and attitudes. AORN J. 2006;82(2):213-224. doi:10.1016/s0001-2092(06)60313-x.
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psnet.ahrq.gov/issue/patient-raceethnicity-age-gender-and-education-are-not-related-preference-or-response
April 11, 2011 - Study
Patient race/ethnicity, age, gender and education are not related to preference for or response to disclosure.
Citation Text:
Hobgood C, Tamayo-Sarver JH, Weiner B. Patient race/ethnicity, age, gender and education are not related to preference for or response to disclosure. Qual…
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psnet.ahrq.gov/issue/dental-patient-safety-military-health-system-joining-medicine-journey-high-reliability
October 19, 2022 - Study
Dental patient safety in the military health system: joining medicine in the journey to high reliability.
Citation Text:
Stahl JM, Mack K, Cebula S, et al. Dental Patient Safety in the Military Health System: Joining Medicine in the Journey to High Reliability. Mil Med. 2019. doi:1…
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psnet.ahrq.gov/issue/no-interruptions-please-impact-no-interruption-zone-medication-safety-intensive-care-units
July 19, 2023 - Study
No interruptions please: impact of a no interruption zone on medication safety in intensive care units.
Citation Text:
Anthony K, Wiencek C, Bauer C, et al. No interruptions please: impact of a No Interruption Zone on medication safety in intensive care units. Crit Care Nurse. 2010…
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psnet.ahrq.gov/issue/how-develop-second-victim-support-program-toolkit-health-care-organizations
April 03, 2019 - Commentary
How to develop a second victim support program: a toolkit for health care organizations.
Citation Text:
Pratt SD, Kenney L, Scott SD, et al. How to develop a second victim support program: a toolkit for health care organizations. Jt Comm J Qual Patient Saf. 2012;38(5):235-40, …
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psnet.ahrq.gov/issue/effectiveness-surgical-safety-checklist-high-standard-care-environment
July 06, 2012 - Study
Effectiveness of the surgical safety checklist in a high standard care environment.
Citation Text:
Lübbeke A, Hovaguimian F, Wickboldt N, et al. Effectiveness of the surgical safety checklist in a high standard care environment. Med Care. 2013;51(5):425-9. doi:10.1097/MLR.0b013e31…
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psnet.ahrq.gov/issue/how-one-hospital-improved-patient-safety-10-minutes-day
April 11, 2018 - Newspaper/Magazine Article
How one hospital improved patient safety in 10 minutes a day.
Citation Text:
How one hospital improved patient safety in 10 minutes a day. van der Heijde R, Deichmann D. Harv Bus Rev. October 30, 2018.
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psnet.ahrq.gov/issue/improving-patient-safety-through-simulation-training-anesthesiology-where-are-we
October 13, 2018 - Review
Improving patient safety through simulation training in anesthesiology: where are we?
Citation Text:
Green M, Tariq R, Green P. Improving Patient Safety through Simulation Training in Anesthesiology: Where Are We? Anesthesiol Res Pract. 2016;2016:4237523. doi:10.1155/2016/4237523.…
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psnet.ahrq.gov/issue/fixing-healthcare-inside-today
February 28, 2011 - Commentary
Classic
Fixing healthcare from the inside, today.
Citation Text:
Spear SJ. Fixing health care from the inside, today. Harv Bus Rev. 2005;83(9):78-91, 158.
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psnet.ahrq.gov/issue/differential-impact-crew-resource-management-program-according-professional-specialty
July 31, 2013 - Study
Differential impact of a crew resource management program according to professional specialty.
Citation Text:
Suva D, Haller G, Lübbeke A, et al. Differential impact of a crew resource management program according to professional specialty. Am J Med Qual. 2012;27(4):313-20. doi:1…
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psnet.ahrq.gov/issue/disruptive-behaviors-among-physicians
August 14, 2014 - Commentary
Disruptive behaviors among physicians.
Citation Text:
Sanchez LT. Disruptive behaviors among physicians. JAMA. 2014;312(21):2209-2210. doi:10.1001/jama.2014.10218.
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psnet.ahrq.gov/issue/doctors-views-attitudes-towards-peer-medical-error
April 04, 2012 - Study
Doctors' views of attitudes towards peer medical error.
Citation Text:
Asghari F, Fotouhi A, Jafarian A. Doctors' views of attitudes towards peer medical error. Qual Saf Health Care. 2009;18(3):209-12. doi:10.1136/qshc.2007.025015.
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psnet.ahrq.gov/issue/quick-response-codes-surgical-safety-prospective-pilot-study
June 07, 2016 - Study
Quick Response codes for surgical safety: a prospective pilot study.
Citation Text:
Dixon JL, Smythe WR, Momsen LS, et al. Quick Response codes for surgical safety: a prospective pilot study. Journal of Surgical Research. 2013;184(1). doi:10.1016/j.jss.2013.06.036.
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psnet.ahrq.gov/issue/creating-stronger-culture-safety-within-us-community-pharmacies
June 14, 2023 - Commentary
Creating a stronger culture of safety within US community pharmacies.
Citation Text:
Lewis NJW, Marwitz KK, Gaither CA, et al. Creating a stronger culture of safety within US community pharmacies. Jt Comm J Qual Patient Saf. 2023;49(5):280-284. doi:10.1016/j.jcjq.2023.01.012. …
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psnet.ahrq.gov/node/39098/psn-pdf
November 11, 2009 - Building team and technical competency for obstetric
emergencies: the mobile obstetric emergencies simulator
(MOES) system.
November 11, 2009
Deering S, Rosen MA, Salas E, et al. Building team and technical competency for obstetric emergencies:
the mobile obstetric emergencies simulator (MOES) system. Simul Health…