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psnet.ahrq.gov/node/853964/psn-pdf
September 27, 2023 - Surgeon's narcissism, hostility, stress, bullying, meaning
in life and work environment: a two-centered analysis.
September 27, 2023
El Boghdady M, Ewalds-Kvist BM. Surgeon’s narcissism, hostility, stress, bullying, meaning in life and work
environment: a two-centered analysis. Langenbecks Arch Surg. 2023;408(1):34…
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psnet.ahrq.gov/node/861765/psn-pdf
January 31, 2024 - Observational study of conformity in yet another medical
learning environment: conformity to preceptors during
high-fidelity simulation.
January 31, 2024
Beran T, Altabbaa G, Oddone Paolucci E. Observational study of conformity in yet another medical
learning environment: conformity to preceptors during high-fidel…
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psnet.ahrq.gov/node/50852/psn-pdf
January 29, 2020 - Failure mode and effects analysis to reduce risk of
heparin use.
January 29, 2020
Pino FA, Weidemann DK, Schroeder LL, et al. Failure mode and effects analysis to reduce risk of heparin
use. Am J Health Syst Pharm. 2019;76(23):1972-1979. doi:10.1093/ajhp/zxz229.
https://psnet.ahrq.gov/issue/failure-mode-and-effect…
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psnet.ahrq.gov/node/44163/psn-pdf
October 13, 2015 - Characterising 'near miss' events in complex
laparoscopic surgery through video analysis.
October 13, 2015
Bonrath EM, Gordon LE, Grantcharov T. Characterising 'near miss' events in complex laparoscopic surgery
through video analysis. BMJ Qual Saf. 2015;24(8):516-21. doi:10.1136/bmjqs-2014-003816.
https://psnet.ah…
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psnet.ahrq.gov/node/74263/psn-pdf
January 19, 2022 - "Some version, most of the time": the surgical safety
checklist, patient safety, and the everyday experience of
practice variation.
January 19, 2022
Hammond Mobilio M, Paradis E, Moulton C-A. “Some version, most of the time”: The surgical safety
checklist, patient safety, and the everyday experience of practice va…
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psnet.ahrq.gov/node/43905/psn-pdf
March 04, 2015 - Suboptimal compliance with surgical safety checklists in
Colorado: a prospective observational study reveals
differences between surgical specialties.
March 4, 2015
Biffl WL, Gallagher AW, Pieracci FM, et al. Suboptimal compliance with surgical safety checklists in
Colorado: A prospective observational study revea…
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psnet.ahrq.gov/node/854381/psn-pdf
October 11, 2023 - Addressing bias in acute postoperative pain
management.
October 11, 2023
Harbell MW, Maloney J, Anderson MA, et al. Addressing bias in acute postoperative pain management.
Curr Pain Headache Rep. 2023;27(9):407-415. doi:10.1007/s11916-023-01135-0.
https://psnet.ahrq.gov/issue/addressing-bias-acute-postoperative-pa…
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psnet.ahrq.gov/node/46571/psn-pdf
October 25, 2017 - Incorporating nursing complexity in reimbursement
coding systems: the potential impact on missed care.
October 25, 2017
Sasso L, Bagnasco A, Aleo G, et al. Incorporating nursing complexity in reimbursement coding systems:
the potential impact on missed care. BMJ Qual Saf. 2017;26(11):929-932. doi:10.1136/bmjqs-2017…
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psnet.ahrq.gov/node/841485/psn-pdf
December 14, 2022 - Factors causing variation in World Health Organization
surgical safety checklist effectiveness-a rapid scoping
review.
December 14, 2022
Wani MM, Gilbert JHV, Mohammed CA, et al. Factors causing variation in World Health Organization
surgical safety checklist effectiveness-a rapid scoping review. J Patient Saf. 20…
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psnet.ahrq.gov/node/846443/psn-pdf
March 22, 2023 - Closed-loop communication in interprofessional
emergency teams: a cross-sectional observation study on
the use of closed-loop communication among anesthesia
personnel.
March 22, 2023
Gjøvikli K, Valeberg BT. Closed-loop communication in interprofessional emergency teams: a cross-
sectional observation study on th…
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psnet.ahrq.gov/node/846709/psn-pdf
March 29, 2023 - The safety and acceptability of using telehealth for follow-
up of patients following cancer surgery: a systematic
review.
March 29, 2023
Xiao K, Yeung JC, Bolger JC. The safety and acceptability of using telehealth for follow-up of patients
following cancer surgery: a systematic review. Eur J Surg Oncol. 2023;49(…
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psnet.ahrq.gov/node/42621/psn-pdf
October 31, 2014 - The global burden of unsafe medical care: analytic
modelling of observational studies.
October 31, 2014
Jha AK, Larizgoitia I, Audera-Lopez C, et al. The global burden of unsafe medical care: analytic modelling
of observational studies. BMJ Qual Saf. 2013;22(10):809-15. doi:10.1136/bmjqs-2012-001748.
https://psnet…
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psnet.ahrq.gov/node/45384/psn-pdf
November 18, 2016 - Inter-professional clinical handover in post-anaesthetic
care units: tools to improve quality and safety.
November 18, 2016
Redley B, Bucknall T, Evans S, et al. Inter-professional clinical handover in post-anaesthetic care units:
tools to improve quality and safety. Int J Qual Health Care. 2016;28(5):573-579.
htt…
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psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
August 01, 2018 - In Conversation With… Matthew Weinger, MD
August 1, 2018
Also Read an Essay
Citation Text:
In Conversation With… Matthew Weinger, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
…
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psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
August 01, 2012 - SPOTLIGHT CASE
The Risks of a Malpositioned Gastrostomy Tube and Poor Communication
Citation Text:
Hight RA. The Risks of a Malpositioned Gastrostomy Tube and Poor Communication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Servic…
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psnet.ahrq.gov/print/pdf/node/867659
July 10, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Rapid Response Systems
Curated Library
Primers
Rapid Response Systems
UC Davis PSNet Editorial Team | September, 15 2024
Rapid response teams represent an intuitively simple concept: when a patient demonstrates signs of
imminent clinical de…
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psnet.ahrq.gov/web-mm/lap-burn
March 01, 2018 - Lap Burn
Citation Text:
Ball K. Lap Burn. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Download Cita…
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psnet.ahrq.gov/node/866395/psn-pdf
July 23, 2024 - Rescue Improvement Conference Innovation Summary
July 23, 2024
https://psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
Summary
The Rescue Improvement Conference (RIC)1 was designed at the University of Michigan to address failure
to rescue with a particular focus on communication and com…
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psnet.ahrq.gov/node/843736/psn-pdf
February 01, 2023 - Saved by ECMO
February 1, 2023
Weiss NA. Saved by ECMO . PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/saved-ecmo
The Case
A 27-year-old pregnant woman was admitted at an estimated gestational age (EGA) of 29 weeks for
increased shortness of breath. She was diagnosed with severe pulmonary arterial hyperte…
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psnet.ahrq.gov/node/33761/psn-pdf
February 01, 2014 - Interruptions and Distractions in Health Care: Improved
Safety With Mindfulness
February 1, 2014
Beyea SC. Interruptions and Distractions in Health Care: Improved Safety With Mindfulness. PSNet
[internet]. 2014.
https://psnet.ahrq.gov/perspective/interruptions-and-distractions-health-care-improved-safety-mindfulne…