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psnet.ahrq.gov/sites/default/files/2020-11/final_nov_spotlight_case_premature_closing-snycope_11.20.2020-revised.pdf
January 01, 2020 - hematoma with mass
effect on the brain and surrounding cerebral edema
• Patient was transported to the operating
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psnet.ahrq.gov/node/33697/psn-pdf
June 01, 2010 - to continue for at least 20
years despite the 143 emergency medicine residency programs currently operating
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psnet.ahrq.gov/node/33666/psn-pdf
October 01, 2008 - their hands, so this must be a ritual similar to the ritualistic surgical scrub prior to entering the
operating
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.272_slideshow.ppt
July 01, 2012 - Virtual reality training improves operating room performance: results of a randomized, double-blinded
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psnet.ahrq.gov/node/33684/psn-pdf
May 01, 2009 - potential for safety
improvement will come not from deeper medical knowledge but from designing and operating
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psnet.ahrq.gov/node/49622/psn-pdf
March 01, 2011 - games with a system creates the potential for increased risk by placing users outside their normal
operating
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psnet.ahrq.gov/node/864868/psn-pdf
March 27, 2024 - H is transferred to the operating room for repair
of multiple fractures. Subsequently, Mr.
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psnet.ahrq.gov/web-mm/near-miss-neonate
August 15, 2018 - WebM&M Cases
If You Say So: Taking a Syringe at Face Value in the Operating
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psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
March 01, 2018 - Missed Nursing Care: A Key Measure for Patient Safety
Jane Ball, PhD, and Peter Griffiths, PhD | March 1, 2018
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Ball JE, Griffiths P. Missed Nursing Care: A Key Measure for Patient…
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psnet.ahrq.gov/issue/impact-diagnostic-management-team-patient-time-diagnosis-and-percent-accurate-and-clinically
October 19, 2022 - Study
Impact of diagnostic management team on patient time to diagnosis and percent of accurate and clinically actionable diagnoses.
Citation Text:
Brashear J, Mize R, Laposata M, et al. Impact of diagnostic management team on patient time to diagnosis and percent of accurate and clinica…
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psnet.ahrq.gov/issue/family-and-hospitals-journey-and-commitment-improving-diagnostic-safety
July 06, 2022 - Commentary
A family and hospital's journey and commitment to improving diagnostic safety.
Citation Text:
Wyner D, Wyner F, Brumbaugh D, et al. A family and hospital's journey and commitment to improving diagnostic safety. Pediatrics. 2021;148(6):e2021053091. doi:10.1542/peds.2021-053091.…
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psnet.ahrq.gov/issue/through-eyes-workforce-creating-joy-meaning-and-safer-health-care
November 23, 2016 - Book/Report
Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer Health Care.
Citation Text:
Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer Health Care. Roundtable on Joy and Meaning in Work and Workforce Safety, The Lucian Leape Institute. Boston, MA:…
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psnet.ahrq.gov/issue/implementing-standardized-reporting-and-safety-checklists
September 29, 2017 - Study
Implementing standardized reporting and safety checklists.
Citation Text:
Stevens JD, Bader MK, Luna MA, et al. Cultivating quality: implementing standardized reporting and safety checklists. Am J Nurs. 2011;111(5):48-53. doi:10.1097/01.naj.0000398051.07923.69.
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psnet.ahrq.gov/issue/acgme-summary-report-pursuing-excellence-pathway-leaders-patient-safety-collaborative
October 18, 2017 - Book/Report
ACGME Summary Report: The Pursuing Excellence Pathway Leaders Patient Safety Collaborative.
Citation Text:
ACGME Summary Report: The Pursuing Excellence Pathway Leaders Patient Safety Collaborative. Passiment M, Wagner R, Weiss KB for the Pursuing Excellence in Clinical Learn…
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psnet.ahrq.gov/issue/5-year-analysis-rapid-response-system-activation-hospital-haemodialysis-unit
March 24, 2011 - Study
A 5-year analysis of rapid response system activation at an in-hospital haemodialysis unit.
Citation Text:
Galhotra S, Devita MA, Dew MA, et al. A 5-year analysis of rapid response system activation at an in-hospital haemodialysis unit. Qual Saf Health Care. 2010;19(6):e38. doi:1…
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psnet.ahrq.gov/issue/teaching-students-administer-medications-safely
December 04, 2019 - Commentary
Teaching students to administer medications safely.
Citation Text:
Koharchik L, Flavin PM. Teaching Students to Administer Medications Safely. Am J Nurs. 2017;117(1):62-66. doi:10.1097/01.NAJ.0000511573.73435.72.
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DOI Google Scholar PubMed Bi…
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psnet.ahrq.gov/issue/patient-safety-culture-home-care-experiences-home-care-nurses
July 02, 2008 - Study
Patient safety culture in home care: experiences of home-care nurses.
Citation Text:
Berland A, Holm AL, Gundersen D, et al. Patient safety culture in home care: experiences of home-care nurses. J Nurs Manag. 2012;20(6):794-801. doi:10.1111/j.1365-2834.2012.01461.x.
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psnet.ahrq.gov/issue/handoffs-and-teamwork-framework-care-transition-communication
September 28, 2022 - Commentary
Handoffs and teamwork: a framework for care transition communication.
Citation Text:
Webster KLW, Keebler JR, Lazzara EH, et al. Handoffs and teamwork: a framework for care transition communication. Jt Comm Qual Patient Saf. 2022;48(6-7):343-353. doi:10.1016/j.jcjq.2022.04.001…
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psnet.ahrq.gov/issue/identifying-psychiatric-diagnostic-errors-safer-dx-instrument
October 12, 2022 - Study
Identifying psychiatric diagnostic errors with the Safer Dx Instrument.
Citation Text:
Fletcher TL, Helm A, Vaghani V, et al. Identifying psychiatric diagnostic errors with the Safer Dx Instrument. Int J Qual Health Care. 2020;32(6):405-411. doi:10.1093/intqhc/mzaa066.
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psnet.ahrq.gov/issue/mandating-limits-workload-duty-and-speed-radiology
August 11, 2021 - Review
Mandating limits on workload, duty, and speed in radiology.
Citation Text:
Alexander R, Waite S, Bruno MA, et al. Mandating limits on workload, duty, and speed in radiology. Radiology. 2022:212631. doi:10.1148/radiol.212631.
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