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psnet.ahrq.gov/issue/cardinal-health-recalls-argyle-uvc-insertion-tray-due-missing-instructions-use-safety-scalpel
August 20, 2021 - Press Release/Announcement
Cardinal Health recalls Argyle UVC insertion tray due to missing instructions for use for the Safety Scalpel N11.
Citation Text:
Cardinal Health recalls Argyle UVC insertion tray due to missing instructions for use for the Safety Scalpel N11. MedWatch Safety Al…
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psnet.ahrq.gov/issue/using-prospective-clinical-surveillance-identify-adverse-events-hospital
November 11, 2015 - Study
Using prospective clinical surveillance to identify adverse events in hospital.
Citation Text:
Forster AJ, Worthington JR, Hawken S, et al. Using prospective clinical surveillance to identify adverse events in hospital. BMJ Qual Saf. 2011;20(9):756-63. doi:10.1136/bmjqs.2010.0486…
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psnet.ahrq.gov/issue/multiple-interacting-factors-influence-adherence-and-outcomes-associated-surgical-safety
June 21, 2016 - Study
Multiple interacting factors influence adherence, and outcomes associated with surgical safety checklists: a qualitative study.
Citation Text:
Gagliardi AR, Straus SE, Shojania KG, et al. Multiple interacting factors influence adherence, and outcomes associated with surgical safety…
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psnet.ahrq.gov/issue/practical-challenges-introducing-who-surgical-checklist-uk-pilot-experience
September 26, 2012 - Study
Practical challenges of introducing WHO surgical checklist: UK pilot experience.
Citation Text:
Vats A, Vincent CA, Nagpal K, et al. Practical challenges of introducing WHO surgical checklist: UK pilot experience. BMJ. 2010;340(jan13 2). doi:10.1136/bmj.b5433.
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psnet.ahrq.gov/issue/improving-medication-safety-primary-care-using-electronic-health-records
April 23, 2008 - Study
Improving medication safety in primary care using electronic health records.
Citation Text:
Nemeth LS, Wessell AM. Improving medication safety in primary care using electronic health records. J Patient Saf. 2010;6(4):238-43.
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psnet.ahrq.gov/issue/barriers-and-facilitators-taking-action-after-classroom-based-crew-resource-management
July 10, 2013 - Study
Barriers and facilitators for taking action after classroom-based crew resource management training at three ICUs.
Citation Text:
Kemper PE, van Dyck C, Wagner C, et al. Barriers and facilitators for taking action after classroom-based crew resource management training at three ICU…
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psnet.ahrq.gov/issue/why-do-nurses-miss-nursing-care-qualitative-meta-synthesis
January 23, 2017 - Review
Why do nurses miss nursing care? A qualitative meta-synthesis.
Citation Text:
Peng M, Saito S, Mo W, et al. Why do nurses miss nursing care? A qualitative meta‐synthesis. Jpn J Nurs Sci. 2024;21(2):e12578. doi:10.1111/jjns.12578.
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psnet.ahrq.gov/issue/successful-use-rapid-response-team-pediatric-oncology-outpatient-setting
December 21, 2016 - Commentary
Successful use of a rapid response team in the pediatric oncology outpatient setting.
Citation Text:
Avent Y, Johnson S, Henderson N, et al. Successful use of a rapid response team in the pediatric oncology outpatient setting. Jt Comm J Qual Patient Saf. 2010;36(1):43-5.
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psnet.ahrq.gov/issue/impact-pharmacist-led-discharge-medication-reconciliation-error-and-patient-harm-prevention
March 27, 2019 - Study
Impact of pharmacist-led discharge medication reconciliation on error and patient harm prevention at a large academic medical center.
Citation Text:
Zheng L, Pon T, Bajorek SA, et al. Impact of pharmacist‐led discharge medication reconciliation on error and patient harm prevention …
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psnet.ahrq.gov/issue/perceptions-use-names-recognition-roles-and-teamwork-after-labeling-surgical-caps
March 18, 2009 - Study
Perceptions of use of names, recognition of roles, and teamwork after labeling surgical caps.
Citation Text:
Wong BJ, Nassar AK, Earley M, et al. Perceptions of use of names, recognition of roles, and teamwork after labeling surgical caps. JAMA Netw Open. 2023;6(11):e2341182. doi:1…
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psnet.ahrq.gov/issue/covid-19-pandemic-and-tension-between-need-act-and-need-know
July 28, 2021 - Commentary
COVID-19 pandemic and the tension between the need to act and the need to know.
Citation Text:
Scott IA. COVID-19 pandemic and the tension between the need to act and the need to know. Intern Med J. 2020;50(8):904-909. doi:10.1111/imj.14929.
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psnet.ahrq.gov/issue/thematic-reviews-patient-safety-incidents-tool-systems-thinking-quality-improvement-report
January 15, 2020 - Commentary
Thematic reviews of patient safety incidents as a tool for systems thinking: a quality improvement report.
Citation Text:
Machen S. Thematic reviews of patient safety incidents as a tool for systems thinking: a quality improvement report. BMJ Open Qual. 2023;12(2):e002020. doi…
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psnet.ahrq.gov/issue/pay-practices-and-safety-organizing-evidence-hospital-nursing-units
December 21, 2017 - Study
Pay practices and safety organizing: evidence from hospital nursing units.
Citation Text:
Conroy SA, Vogus TJ. Pay practices and safety organizing: evidence from hospital nursing units. Health Care Manage Rev. 2023;49(1):68-73. doi:10.1097/hmr.0000000000000392.
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psnet.ahrq.gov/issue/health-care-professionals-second-victims-after-adverse-events-systematic-review
September 19, 2016 - Review
Health care professionals as second victims after adverse events: a systematic review.
Citation Text:
Seys D, Wu AW, Gerven EV, et al. Health Care Professionals as Second Victims after Adverse Events. Eval Health Prof. 2012;36(2). doi:10.1177/0163278712458918.
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psnet.ahrq.gov/issue/debriefing-emergency-department-after-clinical-events-practical-guide
November 16, 2022 - Commentary
Debriefing in the emergency department after clinical events: a practical guide.
Citation Text:
Kessler DO, Cheng A, Mullan PC. Debriefing in the Emergency Department After Clinical Events: A Practical Guide. Ann Emerg Med. 2015;65(6):690-698. doi:10.1016/j.annemergmed.2014.10…
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psnet.ahrq.gov/issue/poor-resident-attending-intraoperative-communication-may-compromise-patient-safety
September 23, 2020 - Study
Poor resident–attending intraoperative communication may compromise patient safety.
Citation Text:
Belyansky I, Martin TR, Prabhu AS, et al. Poor resident-attending intraoperative communication may compromise patient safety. J Surg Res. 2011;171(2):386-94. doi:10.1016/j.jss.2011.…
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psnet.ahrq.gov/issue/support-strategies-health-care-professionals-who-are-second-victims
December 22, 2021 - Commentary
Support strategies for health care professionals who are second victims.
Citation Text:
Hauk L. Support strategies for health care professionals who are second victims. AORN J. 2018;107(6):P7-P9. doi:10.1002/aorn.12291.
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psnet.ahrq.gov/issue/impact-electronic-medical-records-hospital-acquired-adverse-safety-events-differential
October 24, 2012 - Study
The impact of electronic medical records on hospital-acquired adverse safety events: differential effects between single-source and multiple-source systems.
Citation Text:
Bae J, Rask KJ, Becker ER. The Impact of Electronic Medical Records on Hospital-Acquired Adverse Safety Events…
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psnet.ahrq.gov/issue/learning-through-simulated-independent-practice-leads-better-future-performance-simulated
June 14, 2019 - Study
Learning through simulated independent practice leads to better future performance in a simulated crisis than learning through simulated supervised practice.
Citation Text:
Goldberg A, Silverman E, Samuelson S, et al. Learning through simulated independent practice leads to better …
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psnet.ahrq.gov/issue/missed-nursing-care-emergency-departments-scoping-review
November 03, 2021 - Review
Missed nursing care in emergency departments: a scoping review.
Citation Text:
Duhalde H, Bjuresäter K, Karlsson I, et al. Missed nursing care in emergency departments: a scoping review. Int Emerg Nurs. 2023;69:101296. doi:10.1016/j.ienj.2023.101296.
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