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psnet.ahrq.gov/node/46654/psn-pdf
December 13, 2017 - Organisational paradoxes in speaking up for safety:
implications for the interprofessional field.
December 13, 2017
Rowland P. Organisational paradoxes in speaking up for safety: Implications for the interprofessional field.
J Interprof Care. 2017;31(5):553-556. doi:10.1080/13561820.2017.1321305.
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September 11, 2019 - Use of "Doctor" badges for physician role identification
during clinical training.
September 11, 2019
Foote MB, DeFilippis EM, Rome BN, et al. Use of "Doctor" Badges for Physician Role Identification During
Clinical Training. JAMA Intern Med. 2019. doi:10.1001/jamainternmed.2019.2416.
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psnet.ahrq.gov/node/43147/psn-pdf
July 19, 2017 - ACOG Committee Opinion #590: preparing for clinical
emergencies in obstetrics and gynecology.
July 19, 2017
Improvement AC of O and GC on PS and Q. Committee opinion no. 590: preparing for clinical emergencies
in obstetrics and gynecology. Obstet Gynecol. 2014;123(3):722-5.
doi:10.1097/01.AOG.0000444442.04111.c6.
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April 03, 2024 - Characteristics and contributing factors of diagnostic
error in surgery: analysis of closed medico-legal cases
and complaints in Canada.
April 3, 2024
Kwan JL, Calder LA, Bowman CL, et al. Characteristics and contributing factors of diagnostic error in
surgery: analysis of closed medico-legal cases and complaints …
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psnet.ahrq.gov/node/47263/psn-pdf
January 01, 2021 - Dissecting communication barriers in healthcare: a path
to enhancing communication resiliency, reliability, and
patient safety.
November 28, 2018
Guttman OT, Lazzara EH, Keebler JR, et al. Dissecting Communication Barriers in Healthcare: A Path to
Enhancing Communication Resiliency, Reliability, and Patient Safety…
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psnet.ahrq.gov/node/860732/psn-pdf
April 16, 2024 - Retained Swabs Following Invasive Procedures: Themes
Identified from a Review of NHS Serious Incident Reports.
April 16, 2024
Dorset, UK: Health Services Safety Investigations Body; April 2024.
https://psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs-
serious-incident
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June 05, 2024 - The impact of sensory stimuli on healthcare workers and
outcomes in trauma rooms: a focus group study.
June 5, 2024
Bayramzadeh S, Ahmadpour S. The impact of sensory stimuli on healthcare workers and outcomes in
trauma rooms: a focus group study. HERD. 2024;17(2):115-128. doi:10.1177/19375867231215080.
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psnet.ahrq.gov/node/43807/psn-pdf
June 21, 2015 - Implementation of a standardized postanesthesia care
handoff increases information transfer without increasing
handoff duration.
June 21, 2015
Caruso TJ, Marquez JL, Wu DS, et al. Implementation of a standardized postanesthesia care handoff
increases information transfer without increasing handoff duration. Jt Com…
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psnet.ahrq.gov/node/35511/psn-pdf
May 31, 2011 - An objective methodology for task analysis and workload
assessment in anesthesia providers.
May 31, 2011
Weinger M B, Herndon O W, Zornow M H, et al. An Objective Methodology for Task Analysis and Workload
Assessment in Anesthesia Providers. Anesthesiology. 2006;80(1):77-92. doi:10.1097/00000542-
199401000-00015.
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February 28, 2011 - Coordinating care across diseases, settings, and
clinicians: a key role for the generalist in practice.
February 28, 2011
Stille CJ, Jerant A, Bell D, et al. Coordinating care across diseases, settings, and clinicians: a key role for
the generalist in practice. Ann Intern Med. 2005;142(8):700-708.
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January 27, 2021 - Analysis of patient safety risk management call data
during the COVID?19 pandemic.
January 27, 2021
Wessels R, McCorkle LM. Analysis of patient safety risk management call data during the COVID?19
pandemic. J Healthc Risk Manag. 2021;40(4):30-37. doi:10.1002/jhrm.21457.
https://psnet.ahrq.gov/issue/analysis-patien…
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psnet.ahrq.gov/node/47732/psn-pdf
February 06, 2019 - Surgical safety checklists in children's surgery: surgeons'
attitudes and review of the literature.
February 6, 2019
Roybal J, Tsao KJ, Rangel S, et al. Surgical Safety Checklists in Children's Surgery: Surgeons' Attitudes
and Review of the Literature. Pediatr Qual Saf. 2018;3(5):e108. doi:10.1097/pq9.0000000000000…
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psnet.ahrq.gov/node/46048/psn-pdf
July 05, 2017 - Association between elements of electronic health record
systems and the weekend effect in urgent general
surgery.
July 5, 2017
Kothari A, Brownlee SA, Blackwell RH, et al. Association Between Elements of Electronic Health Record
Systems and the Weekend Effect in Urgent General Surgery. JAMA Surg. 2017;152(6):602-…
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psnet.ahrq.gov/node/867759/psn-pdf
March 12, 2025 - Intrahospital patient transport: checklists, adverse
events, and other considerations for the anesthesia
professional.
March 12, 2025
Andrew C, Fitzsimons M. Intrahospital patient transport: checklists, adverse events, and other
considerations for the anesthesia professional. APSF Newsletter. 2025;40(1):24-26.
ht…
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March 24, 2021 - Timeout procedure in paediatric surgery: effective tool or
lip service? A randomised prospective observational
study.
March 24, 2021
Muensterer OJ, Kreutz H, Poplawski A, et al. Timeout procedure in paediatric surgery: effective tool or lip
service? A randomised prospective observational study. BMJ Qual Saf. 2021;…
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psnet.ahrq.gov/node/74084/psn-pdf
November 17, 2021 - Healthcare failure mode and effect analysis in the
chemotherapy preparation process.
November 17, 2021
Pueyo-López C, Sánchez-Cuervo M, Vélez-Díaz-Pallarés M, et al. Healthcare failure mode and effect
analysis in the chemotherapy preparation process. J Oncol Pharm Pract. 2021;27(7):1588-1595.
doi:10.1177/107815522…
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psnet.ahrq.gov/node/60708/psn-pdf
July 22, 2020 - Are you surgically current? Lessons from aviation for
returning to non-urgent surgery following COVID-19.
July 22, 2020
Hardie JA, Brennan PA. Are you surgically current? Lessons from aviation for returning to non-urgent
surgery following COVID-19. Br J Oral Maxillofac Surg. 2020;58(7):843-847.
doi:10.1016/j.bjoms…
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July 31, 2024 - Influences of leadership, organizational culture, and
hierarchy on raising concerns about patient deterioration:
a qualitative study.
July 31, 2024
Vehvilainen E, Charles A, Sainsbury J, et al. Influences of leadership, organizational culture, and hierarchy
on raising concerns about patient deterioration: a qualit…
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psnet.ahrq.gov/node/46421/psn-pdf
November 08, 2017 - A novel ICU hand-over tool: the glass door of the patient
room.
November 8, 2017
Wessman BT, Sona C, Schallom M. A Novel ICU Hand-Over Tool: The Glass Door of the Patient Room. J
Intensive Care Med. 2017;32(8):514-519. doi:10.1177/0885066616653947.
https://psnet.ahrq.gov/issue/novel-icu-hand-over-tool-glass-door-p…
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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.
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