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psnet.ahrq.gov/node/33883/psn-pdf
July 01, 2019 - We're starting to see more progress in clinical operational areas as well, but relatively early in terms
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psnet.ahrq.gov/issue/anatomy-health-care-team-training-and-state-practice-critical-review
March 21, 2017 - Review
The anatomy of health care team training and the state of practice: a critical review.
Citation Text:
Weaver SJ, Lyons R, DiazGranados D, et al. The anatomy of health care team training and the state of practice: a critical review. Acad Med. 2010;85(11):1746-60. doi:10.1097/ACM.0b…
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psnet.ahrq.gov/issue/can-your-nurses-stop-surgeon
September 02, 2020 - Newspaper/Magazine Article
Can your nurses stop a surgeon?
Citation Text:
Weinstock M. Can your nurses stop a surgeon? Hosp Health Netw. 2007;81(9):38-42.
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psnet.ahrq.gov/issue/applying-trigger-tools-detect-adverse-events-associated-outpatient-surgery
November 10, 2015 - Study
Applying trigger tools to detect adverse events associated with outpatient surgery.
Citation Text:
Rosen AK, Mull HJ, Kaafarani HMA, et al. Applying trigger tools to detect adverse events associated with outpatient surgery. J Patient Saf. 2011;7(1):45-59. doi:10.1097/PTS.0b013e3182…
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psnet.ahrq.gov/issue/joint-statement-multiple-patients-ventilator
May 24, 2015 - Organizational Policy/Guidelines
Joint Statement on Multiple Patients Per Ventilator.
Citation Text:
Joint Statement on Multiple Patients Per Ventilator. The Anesthesia Patient Safety Foundation, Society of Critical Care Medicine, American Association for Respiratory Care, American Soc…
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psnet.ahrq.gov/issue/identifying-safety-hazards-associated-intravenous-vancomycin-through-analysis-patient-safety
January 25, 2023 - Study
Identifying safety hazards associated with intravenous vancomycin through the analysis of patient safety event reports.
Citation Text:
Krukas A, Franklin ES, Bonk C, et al. Identifying safety hazards associated with intravenous vancomycin through the analysis of patient safety even…
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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/missed-diagnosis-critical-congenital-heart-disease
September 09, 2020 - Study
Missed diagnosis of critical congenital heart disease.
Citation Text:
Chang R-KR, Gurvitz M, Rodriguez S. Missed diagnosis of critical congenital heart disease. Arch Pediatr Adolesc Med. 2008;162(10):969-74. doi:10.1001/archpedi.162.10.969.
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psnet.ahrq.gov/issue/cognitive-forcing-tool-mitigate-cognitive-bias-randomised-control-trial
November 07, 2018 - Study
A cognitive forcing tool to mitigate cognitive bias—a randomised control trial.
Citation Text:
O'Sullivan ED, Schofield SJ. A cognitive forcing tool to mitigate cognitive bias - a randomised control trial. BMC Med Educ. 2019;19(1):12. doi:10.1186/s12909-018-1444-3.
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psnet.ahrq.gov/issue/impact-declining-clinical-autopsy-need-revised-healthcare-policy
February 14, 2018 - Review
The impact of declining clinical autopsy: need for revised healthcare policy.
Citation Text:
Xiao J, Krueger GRF, Buja M, et al. The impact of declining clinical autopsy: need for revised healthcare policy. Am J Med Sci. 2009;337(1):41-6. doi:10.1097/MAJ.0b013e318184ce2b.
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psnet.ahrq.gov/issue/recurring-problem-retained-swabs-and-instruments
June 19, 2019 - Review
The recurring problem of retained swabs and instruments.
Citation Text:
Mahran MA, Toeima E, Morris EP. The recurring problem of retained swabs and instruments. Best Pract Res Clin Obstet Gynaecol. 2013;27(4):489-95. doi:10.1016/j.bpobgyn.2013.03.001.
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psnet.ahrq.gov/issue/top-10-list-safe-and-effective-sign-out
April 12, 2019 - Commentary
The top 10 list for a safe and effective sign-out.
Citation Text:
Kemp CD, Bath JM, Berger J, et al. The top 10 list for a safe and effective sign-out. Arch Surg. 2008;143(10):1008-10. doi:10.1001/archsurg.143.10.1008.
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psnet.ahrq.gov/issue/medication-safety-emergency-medical-services-approaching-evidence-based-method-verification
September 28, 2022 - Study
Medication safety in emergency medical services: approaching an evidence-based method of verification to reduce errors.
Citation Text:
Misasi P, Keebler JR. Medication safety in emergency medical services: approaching an evidence-based method of verification to reduce errors. Ther …
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psnet.ahrq.gov/issue/cutting-edge-efforts-surgical-patient-safety
August 02, 2015 - Commentary
Cutting-edge efforts in surgical patient safety.
Citation Text:
Varghese TK, Ghaferi AA. Cutting-edge Efforts in Surgical Patient Safety. JAMA Surg. 2017;152(8):719-720. doi:10.1001/jamasurg.2017.0858.
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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/human-factors-anaesthesia-narrative-review
March 01, 2023 - Review
Human factors in anaesthesia: a narrative review.
Citation Text:
Kelly FE, Frerk C, Bailey CR, et al. Human factors in anaesthesia: a narrative review. Anaesthesia. 2023;78(4):479-490. doi:10.1111/anae.15920.
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psnet.ahrq.gov/issue/chemotherapy-safety-and-severe-adverse-events-cancer-patients-strategies-efficiently-avoid
May 31, 2017 - Study
Chemotherapy safety and severe adverse events in cancer patients: strategies to efficiently avoid chemotherapy errors in in- and outpatient treatment.
Citation Text:
Markert A, Thierry V, Kleber M, et al. Chemotherapy safety and severe adverse events in cancer patients: Strategi…
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psnet.ahrq.gov/issue/association-workflow-interruptions-and-hospital-doctors-workload-prospective-observational
March 06, 2013 - Study
The association of workflow interruptions and hospital doctors' workload: a prospective observational study.
Citation Text:
Weigl M, Müller A, Vincent C, et al. The association of workflow interruptions and hospital doctors' workload: a prospective observational study. BMJ Qual Saf…
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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/incidence-and-types-non-ideal-care-events-emergency-department
April 27, 2010 - Study
Incidence and types of non-ideal care events in an emergency department.
Citation Text:
Hall KK, Schenkel SM, Hirshon JM, et al. Incidence and types of non-ideal care events in an emergency department. Qual Saf Health Care. 2010;19 Suppl 3:i20-5. doi:10.1136/qshc.2010.040246.
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