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psnet.ahrq.gov/node/47864/psn-pdf
April 08, 2019 - Healthcare scandals and the failings of doctors: do
official inquiries hold the profession to account?
April 8, 2019
Mannion R, Davies H, Powell M, et al. Healthcare scandals and the failings of doctors. J Health Organ
Manag. 2019;33(2):221-240. doi:10.1108/JHOM-04-2018-0126.
https://psnet.ahrq.gov/issue/healthcar…
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psnet.ahrq.gov/node/73166/psn-pdf
April 21, 2021 - Trust and medical AI: the challenges we face and the
expertise needed to overcome them.
April 21, 2021
Quinn TP, Senadeera M, Jacobs S, et al. Trust and medical AI: the challenges we face and the expertise
needed to overcome them. J Amer Med Inform Assoc. 2021;28(4):890-894. doi:10.1093/jamia/ocaa268.
https://psne…
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psnet.ahrq.gov/node/838310/psn-pdf
October 12, 2022 - Intravenous smart pumps at the point of care: a
descriptive, observational study.
October 12, 2022
Giuliano KK, Blake JWC, Bittner NP, et al. Intravenous smart pumps at the point of care: a descriptive,
observational study. J Patient Saf. 2022;18(6):553-558. doi:10.1097/pts.0000000000001057.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/40365/psn-pdf
February 12, 2014 - Strategies for learning from failure.
February 12, 2014
Edmondson A. Strategies of learning from failure. Harv Bus Rev. 2011;89(4):48-55, 137.
https://psnet.ahrq.gov/issue/strategies-learning-failure
Failures are inevitable in any industry, especially in one as complex as health care. The ability to learn from
fai…
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psnet.ahrq.gov/node/49763/psn-pdf
June 01, 2016 - July Syndrome
June 1, 2016
Young JQ. July Syndrome. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/july-syndrome
The Case
A 64-year-old man was seen in the thoracic surgery clinic in June after being diagnosed with a right lower
lobe lung cancer. The attending surgeon saw the patient along with his fellow,…
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psnet.ahrq.gov/web-mm/pregnant-danger
January 12, 2011 - March 23, 2011
Operating room–to-ICU patient handovers: a multidisciplinary human-centered
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psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy
March 18, 2020 - 2018
View More
See More About The Topic
Outpatient Surgery
Operating
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psnet.ahrq.gov/node/60721/psn-pdf
July 21, 2020 - Special Edition Perspective: Technology Responses to
COVID-19
July 21, 2020
Marcin JP, Cohen NM, Lowery C, et al. Special Edition Perspective: Technology Responses to COVID-19.
PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/special-edition-perspective-technology-responses-covid-19
Editor’s note: This …
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psnet.ahrq.gov/node/34729/psn-pdf
October 31, 2016 - Set Phasers on Stun: And Other True Tales of Design,
Technology, and Human Error, Second Edition.
October 31, 2016
Casey SM. Santa Barbara, CA: Aegean; 1998. ISBN 9780963617880.
https://psnet.ahrq.gov/issue/set-phasers-stun-and-other-true-tales-design-technology-and-human-error-
second-edition
This book introduce…
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psnet.ahrq.gov/node/60295/psn-pdf
May 06, 2020 - 2019 Novel Coronavirus (COVID-19) pandemic: built
environment considerations to reduce transmission.
May 6, 2020
Dietz L, Horve PF, Coil DA, et al. 2019 Novel Coronavirus (COVID-19) pandemic: built environment
considerations to reduce transmission. mSystems. 2020;5(2):e00245-20. doi:10.1128/msystems.00245-20.
http…
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psnet.ahrq.gov/node/73709/psn-pdf
September 15, 2021 - Crisis management for surgical teams and their leaders,
lessons from the COVID-19 pandemic; a structured
approach to developing resilience or natural
organisational responses.
September 15, 2021
Pring ET, Malietzis G, Kendall SWH, et al. Crisis management for surgical teams and their leaders, lessons
from the COV…
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psnet.ahrq.gov/node/843416/psn-pdf
February 01, 2023 - Nursing home patient safety culture perceptions among
licensed practical nurses.
February 1, 2023
Weaver SH, de Cordova PB, Ravichandran A, et al. Nursing home patient safety culture perceptions
among licensed practical nurses. J Nurs Care Qual. 2023;38(3):203-210.
doi:10.1097/ncq.0000000000000684.
https://psnet.…
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psnet.ahrq.gov/node/39893/psn-pdf
November 02, 2010 - Surgical safety and hospital volume across a wide range
of interventions.
November 2, 2010
Eggli Y, Halfon P, Meylan D, et al. Surgical safety and hospital volume across a wide range of
interventions. Med Care. 2010;48(11):962-71. doi:10.1097/MLR.0b013e3181eaf9f6.
https://psnet.ahrq.gov/issue/surgical-safety-and-h…
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psnet.ahrq.gov/node/35840/psn-pdf
May 27, 2011 - Development of the Leapfrog methodology for evaluating
hospital implemented inpatient computerized physician
order entry systems.
May 27, 2011
Kilbridge PM, Welebob EM, Classen DC. Development of the Leapfrog methodology for evaluating hospital
implemented inpatient computerized physician order entry systems. Qual…
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psnet.ahrq.gov/node/34694/psn-pdf
February 10, 2011 - Computerized surveillance of adverse drug events in
hospital patients.
February 10, 2011
Classen DC, Pestotnik SL, Evans RS, et al. Computerized surveillance of adverse drug events in hospital
patients. JAMA. 1991;266(20):2847-51.
https://psnet.ahrq.gov/issue/computerized-surveillance-adverse-drug-events-hospital-…
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psnet.ahrq.gov/node/865520/psn-pdf
April 10, 2024 - The prevalence of incivility in hospitals and the effects of
incivility on patient safety culture and outcomes: a
systematic review and meta-analysis.
April 10, 2024
Freedman B, Li WW, Liang Z, et al. The prevalence of incivility in hospitals and the effects of incivility on
patient safety culture and outcomes: a …
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psnet.ahrq.gov/node/61059/psn-pdf
October 28, 2020 - Long-term effects of teamwork training on
communication and teamwork climate in ambulatory
reproductive health care.
October 28, 2020
Dodge LE, Nippita S, Hacker MR, et al. Long?term effects of teamwork training on communication and
teamwork climate in ambulatory reproductive health care. J Healthc Risk Manag. 202…
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psnet.ahrq.gov/node/35404/psn-pdf
March 11, 2011 - Improving patient safety by identifying side effects from
introducing bar coding in medication administration.
March 11, 2011
Patterson ES, Cook RI, Render ML. Improving patient safety by identifying side effects from introducing bar
coding in medication administration. J Am Med Inform Assoc. 2002;9(5):540-53.
htt…
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psnet.ahrq.gov/node/74263/psn-pdf
January 19, 2022 - "Some version, most of the time": the surgical safety
checklist, patient safety, and the everyday experience of
practice variation.
January 19, 2022
Hammond Mobilio M, Paradis E, Moulton C-A. “Some version, most of the time”: The surgical safety
checklist, patient safety, and the everyday experience of practice va…
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psnet.ahrq.gov/node/43905/psn-pdf
March 04, 2015 - Suboptimal compliance with surgical safety checklists in
Colorado: a prospective observational study reveals
differences between surgical specialties.
March 4, 2015
Biffl WL, Gallagher AW, Pieracci FM, et al. Suboptimal compliance with surgical safety checklists in
Colorado: A prospective observational study revea…