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psnet.ahrq.gov/issue/duke-surgery-patient-safety-open-source-application-anonymous-reporting-adverse-and-near-miss
February 15, 2011 - Commentary
Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse and near-miss surgical events.
Citation Text:
Pietrobon R, Lima R, Shah A, et al. Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse and near-mi…
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psnet.ahrq.gov/issue/improving-rca-performance-cornerstone-award-and-power-positive-reinforcement
September 03, 2015 - Study
Improving RCA performance: the Cornerstone Award and the power of positive reinforcement.
Citation Text:
Bagian JP, King BJ, Mills PD, et al. Improving RCA performance: the Cornerstone Award and the power of positive reinforcement. BMJ Qual Saf. 2011;20(11):974-82. doi:10.1136/bm…
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psnet.ahrq.gov/issue/creating-physician-led-quality-imperative
March 20, 2019 - Commentary
Creating a physician-led quality imperative.
Citation Text:
Nelson MF, Merriman CS, Magnusson PT, et al. Creating a physician-led quality imperative. Am J Med Qual. 2014;29(6):508-16. doi:10.1177/1062860613509683.
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psnet.ahrq.gov/issue/eacts-guidelines-use-patient-safety-checklists
October 31, 2012 - Commentary
EACTS guidelines for the use of patient safety checklists.
Citation Text:
Clark SC, Dunning J, Alfieri OR, et al. EACTS guidelines for the use of patient safety checklists. Eur J Cardiothorac Surg. 2012;41(5):993-1004. doi:10.1093/ejcts/ezs009.
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psnet.ahrq.gov/issue/eliminating-perioperative-adverse-events-ascension-health
November 16, 2022 - Commentary
Eliminating perioperative adverse events at Ascension Health.
Citation Text:
Ewing H, Bruder G, Baroco P, et al. Eliminating perioperative adverse events at Ascension Health. Jt Comm J Qual Patient Saf. 2007;33(5):256-66.
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psnet.ahrq.gov/issue/using-simulation-improve-systems
May 29, 2014 - Review
Using simulation to improve systems.
Citation Text:
Lundberg PW, Korndorffer JR. Using Simulation to Improve Systems. Surg Clin North Am. 2015;95(4):885-92. doi:10.1016/j.suc.2015.04.007.
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psnet.ahrq.gov/issue/high-alert-medications-shared-accountability-risk-identification-and-error-prevention
September 24, 2010 - Commentary
High-alert medications: shared accountability for risk identification and error prevention.
Citation Text:
Paparella S. High-alert medications: shared accountability for risk identification and error prevention. Journal of emergency nursing: JEN : official publication of the …
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psnet.ahrq.gov/issue/teams-psychologists-helping-teams-evolution-science-team-training
February 26, 2020 - Commentary
Emerging Classic
Teams of psychologists helping teams: the evolution of the science of team training.
Citation Text:
Bisbey TM, Reyes DL, Traylor AM, et al. Teams of psychologists helping teams: The evolution of the science of team training. Am Psycho…
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psnet.ahrq.gov/issue/patient-safety-and-medications-home
August 07, 2024 - Commentary
Patient safety and medications in the home.
Citation Text:
McKenzie H. Patient safety and medications in the home. Home Healthc Nurse. 2010;28(3):198-200. doi:10.1097/01.NHH.0000369773.18785.5b.
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psnet.ahrq.gov/issue/adverse-event-reporting-lessons-learned-4-years-florida-office-data
November 16, 2022 - Study
Adverse event reporting: lessons learned from 4 years of Florida office data.
Citation Text:
Coldiron BM, Fisher AH, Adelman E, et al. Adverse event reporting: lessons learned from 4 years of Florida office data. Dermatol Surg. 2005;31(9 Pt 1):1079-92; discussion 1093.
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psnet.ahrq.gov/issue/systematic-review-serious-games-medical-education-and-surgical-skills-training
February 25, 2015 - Review
Systematic review of serious games for medical education and surgical skills training.
Citation Text:
Graafland M, Schraagen JM, Schijven MP. Systematic review of serious games for medical education and surgical skills training. Br J Surg. 2012;99(10):1322-30. doi:10.1002/bjs.88…
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psnet.ahrq.gov/issue/effectiveness-surgical-safety-checklists-improving-patient-safety
May 29, 2019 - Commentary
Effectiveness of surgical safety checklists in improving patient safety.
Citation Text:
Ragusa PS, Bitterman A, Auerbach B, et al. Effectiveness of Surgical Safety Checklists in Improving Patient Safety. Orthopedics. 2016;39(2):e307-10. doi:10.3928/01477447-20160301-02.
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psnet.ahrq.gov/issue/err-human-use-simulation-enhance-training-and-patient-safety-anaesthesia
January 18, 2023 - Review
To err is human: use of simulation to enhance training and patient safety in anaesthesia.
Citation Text:
Higham H, Baxendale B. To err is human: use of simulation to enhance training and patient safety in anaesthesia. Br J Anaesth. 2017;119(suppl_1):i106-i114. doi:10.1093/bja/aex3…
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psnet.ahrq.gov/issue/medical-errors-neurosurgery
February 14, 2018 - Review
Medical errors in neurosurgery.
Citation Text:
Rolston JD, Zygourakis CC, Han SJ, et al. Medical errors in neurosurgery. Surg Neurol Int. 2014;5(Suppl 10):S435-40. doi:10.4103/2152-7806.142777.
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psnet.ahrq.gov/issue/fostering-ethical-conduct-through-psychological-safety
March 30, 2022 - Newspaper/Magazine Article
Fostering ethical conduct through psychological safety.
Citation Text:
Fostering ethical conduct through psychological safety. Ferrere A, Rider C, Renerte B et al. Sloan Manag Rev. Summer 2022;39-43.
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psnet.ahrq.gov/issue/pointing-fingers-verbosity-patient-safety-narratives-associated-attribution-blame
February 02, 2022 - Newspaper/Magazine Article
Pointing fingers: verbosity of patient safety narratives is associated with attribution of blame.
Citation Text:
Pointing fingers: verbosity of patient safety narratives is associated with attribution of blame. Ackerman RS, Patel SY, Costache M, et al. Ane…
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psnet.ahrq.gov/issue/support-and-recovery-strategies-second-victims
January 19, 2022 - Commentary
Support and recovery strategies for second victims.
Citation Text:
Croke L. Support and recovery strategies for second victims. AORN J. 2024;119(2):7-10. doi:10.1002/aorn.14089.
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psnet.ahrq.gov/issue/measure-twice-cut-once
June 14, 2023 - Commentary
Measure twice, cut once.
Citation Text:
Atkinson WK. Measure twice, cut once. AORN J. 2013;98(1):77-80. doi:10.1016/j.aorn.2013.05.004.
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psnet.ahrq.gov/issue/contribution-labelling-safe-medication-administration-anaesthetic-practice
March 17, 2021 - Commentary
The contribution of labelling to safe medication administration in anaesthetic practice.
Citation Text:
Merry A, Shipp DH, Lowinger JS. The contribution of labelling to safe medication administration in anaesthetic practice. Best Pract Res Clin Anaesthesiol. 2011;25(2):145-1…
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psnet.ahrq.gov/issue/team-types-perceived-efficiency-and-team-climate-swedish-cross-professional-teamwork
October 18, 2023 - Study
Team types, perceived efficiency and team climate in Swedish cross-professional teamwork.
Citation Text:
Thylefors I, Persson O, Hellström D. Team types, perceived efficiency and team climate in Swedish cross-professional teamwork. J Interprof Care. 2005;19(2):102-14.
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