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psnet.ahrq.gov/issue/untenable-expectations-nurses-work-context-medication-administration-error-and-organization
September 21, 2022 - Study
Untenable expectations: nurses' work in the context of medication administration, error, and the organization.
Citation Text:
Hawkins SF, Morse JM. Untenable expectations: nurses' work in the context of medication administration, error, and the organization. Glob Qual Nurs Res. 202…
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psnet.ahrq.gov/issue/health-services-under-pressure-scoping-review-and-development-taxonomy-adaptive-strategies
January 22, 2020 - Commentary
Health services under pressure: a scoping review and development of a taxonomy of adaptive strategies.
Citation Text:
Page B, Irving D, Amalberti R, et al. Health services under pressure: a scoping review and development of a taxonomy of adaptive strategies. BMJ Qual Saf. 2023…
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psnet.ahrq.gov/issue/bedside-shift-shift-handoffs-systematic-review-literature
January 23, 2017 - Review
Bedside shift-to-shift handoffs: a systematic review of the literature.
Citation Text:
Mardis T, Mardis M, Davis JJ, et al. Bedside Shift-to-Shift Handoffs: A Systematic Review of the Literature. J Nurs Care Qual. 2016;31(1):54-60. doi:10.1097/NCQ.0000000000000142.
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psnet.ahrq.gov/issue/effects-emergency-department-staff-rounding-patient-safety-and-satisfaction
November 16, 2022 - Study
The effects of emergency department staff rounding on patient safety and satisfaction.
Citation Text:
Meade CM, Kennedy J, Kaplan J. The effects of emergency department staff rounding on patient safety and satisfaction. J Emerg Med. 2010;38(5):666-74. doi:10.1016/j.jemermed.2008.…
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psnet.ahrq.gov/issue/girl-who-cried-pain-bias-against-women-treatment-pain
February 08, 2023 - Review
Classic
The girl who cried pain: a bias against women in the treatment of pain.
Citation Text:
Hoffmann DE, Tarzian AJ. The girl who cried pain: a bias against women in the treatment of pain. J Law Med Ethics. 2001;29(1):13-27. doi:10.1111/j.1748-720x.200…
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psnet.ahrq.gov/issue/silent-treatment-why-safety-tools-and-checklists-arent-enough-save-lives
April 03, 2009 - Book/Report
Classic
The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives.
Citation Text:
The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives. Maxfield D, Grenny J, Lavandero R, et al. Provo, UT: VitalS…
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psnet.ahrq.gov/issue/multiple-drawer-medication-layout-problem-automated-dispensing-cabinets
December 21, 2017 - Study
A multiple-drawer medication layout problem in automated dispensing cabinets.
Citation Text:
Pazour JA, Meller RD. A multiple-drawer medication layout problem in automated dispensing cabinets. Health Care Manag Sci. 2012;15(4). doi:10.1007/s10729-012-9197-8.
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psnet.ahrq.gov/issue/cognitive-and-implicit-biases-nurses-judgment-and-decision-making-scoping-review
October 20, 2021 - Review
Cognitive and implicit biases in nurses' judgment and decision-making: a scoping review.
Citation Text:
Thirsk LM, Panchuk JT, Stahlke S, et al. Cognitive and implicit biases in nurses' judgment and decision-making: a scoping review. Int J Nurs Stud. 2022;133:104284. doi:10.1016/j…
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psnet.ahrq.gov/node/33710/psn-pdf
May 01, 2011 - The patient began to bleed, and bled out in the operating room.
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psnet.ahrq.gov/perspective/conversation-paul-aylin-mbchb
June 01, 2017 - We looked at 3 years of data and all operating room procedures carried out in English public hospitals
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psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
September 16, 2015 - propagation of errors.( 10,11 ) Checklists are associated with improved communication and teamwork in operating … room ( 12 ) and interventional radiology procedures.( 13,14 ) Checklists have been shown to decrease … Do safety checklists improve teamwork and communication in the operating room? A systematic review.
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psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-physical-examination
April 29, 2020 - In the operating room, a necrotizing infection that tracked from a perirectal horseshoe abscess, through … evaluate perianal pain and tenderness in an acutely ill patient with examination under anesthesia in the operating … room.
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psnet.ahrq.gov/web-mm/postdischarge-follow-phone-call
May 19, 2021 - WebM&M Cases
If You Say So: Taking a Syringe at Face Value in the Operating … Room
June 1, 2019
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Related Resources … April 1, 2006
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Hospitals
Operating … Room
Health Care Providers
Nurse Managers
Gynecology
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psnet.ahrq.gov/perspective/weekend-effect-cardiology-it-real-if-so-can-it-be-fixed
June 01, 2017 - We looked at 3 years of data and all operating room procedures carried out in English public hospitals
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psnet.ahrq.gov/node/33875/psn-pdf
March 01, 2019 - In Conversation With… Susan Haas, MD, MSc
March 1, 2019
In Conversation With… Susan Haas, MD, MSc. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/conversation-susan-haas-md-msc
Editor's note: Dr. Haas is an obstetrician–gynecologist and co-Principal Investigator for Ariadne Labs'
work focused on health…
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psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge
February 23, 2011 - Mitigating distractions in healthcare settings and implementing pre-test pauses, as operating rooms and
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psnet.ahrq.gov/node/865778/psn-pdf
May 29, 2024 - Navigating Complications: The Unintended Journey of a
Guidewire During Dialysis Catheter Placement
May 29, 2024
Vuyyuru S, Kapa N. Navigating Complications: The Unintended Journey of a Guidewire During Dialysis
Catheter Placement. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/navigating-complications-unint…
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psnet.ahrq.gov/web-mm/navigating-complications-unintended-journey-guidewire-during-dialysis-catheter-placement
February 23, 2022 - Navigating Complications: The Unintended Journey of a Guidewire During Dialysis Catheter Placement
Citation Text:
Vuyyuru S, Kapa N. Navigating Complications: The Unintended Journey of a Guidewire During Dialysis Catheter Placement. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qualit…
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psnet.ahrq.gov/primer/surgical-site-infections
December 15, 2024 - 2009
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See More About The Topic
Surgical Site Infections
Operating … Room
Physicians
Surgery
Surgical Site Infections
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psnet.ahrq.gov/primer/triggers-and-trigger-tools
September 15, 2024 - general indications that harm may have occurred such as death, readmission, or unexpected return to the operating … room.