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psnet.ahrq.gov/issue/patient-safety-tools-improving-safety-point-care-0
September 08, 2021 - Multi-use Website
Patient Safety Tools: Improving Safety at the Point of Care.
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November 14, 2011
Produced in conjunction with it…
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psnet.ahrq.gov/node/42692/psn-pdf
April 21, 2015 - Surgical skill and complication rates after bariatric
surgery.
April 21, 2015
Birkmeyer JD, Finks JF, O'Reilly A, et al. Surgical skill and complication rates after bariatric surgery. N Engl
J Med. 2013;369(15):1434-1442. doi:10.1056/NEJMsa1300625.
https://psnet.ahrq.gov/issue/surgical-skill-and-complication-rates…
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psnet.ahrq.gov/node/72520/psn-pdf
January 01, 2021 - Guidelines for opioid prescribing in children and
adolescents after surgery: an expert panel opinion.
December 2, 2020
Kelley-Quon LI, Kirkpatrick MG, Ricca RL, et al. Guidelines for opioid prescribing in children and
adolescents after surgery: an expert panel opinion. JAMA Surg. 2021;156(1):76.
doi:10.1001/jamasu…
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psnet.ahrq.gov/node/34758/psn-pdf
January 29, 2019 - Normal Accidents: Living with High-Risk Technologies.
January 29, 2019
Perrow C. Princeton NJ: Princeton University Press; 1999.
https://psnet.ahrq.gov/issue/normal-accidents-living-high-risk-technologies
Though less often cited than high-reliability theory in the health care literature, normal accidents theor…
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psnet.ahrq.gov/node/43593/psn-pdf
May 06, 2015 - Reducing the Risks of Wrong-Site Surgery: Safety
Practices from The Joint Commission Center for
Transforming Healthcare Project.
May 6, 2015
Chicago, IL: American Hospital Association, Health Research and Educational Trust, and Joint
Commission Center for Transforming Healthcare; 2014.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/37942/psn-pdf
May 04, 2014 - Improving handoff communications in critical care:
utilizing simulation-based training toward process
improvement in managing patient risk.
May 4, 2014
Berkenstadt H, Haviv Y, Tuval A, et al. Improving handoff communications in critical care: utilizing
simulation-based training toward process improvement in managi…
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psnet.ahrq.gov/node/853428/psn-pdf
September 13, 2023 - Intensive care unit critical incident analysis as an
objective tool to select content for a simulation
curriculum.
September 13, 2023
Yartsev A, Yang F. Intensive care unit critical incident analysis as an objective tool to select content for a
simulation curriculum. Simul Healthc. 2023;18(4):279-282. doi:10.1097/…
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psnet.ahrq.gov/node/43402/psn-pdf
October 20, 2014 - The WHO surgical safety checklist: survey of patients'
views.
October 20, 2014
Russ SJ, Rout S, Caris J, et al. The WHO surgical safety checklist: survey of patients’ views. BMJ Qual
Saf. 2014;23(11). doi:10.1136/bmjqs-2013-002772.
https://psnet.ahrq.gov/issue/who-surgical-safety-checklist-survey-patients-views
T…
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psnet.ahrq.gov/node/38217/psn-pdf
April 26, 2017 - Patient safety climate in US hospitals: variation by
management level.
April 26, 2017
Singer SJ, Falwell A, Gaba DM, et al. Patient safety climate in US hospitals: variation by management
level. Med Care. 2008;46(11):1149-56. doi:10.1097/MLR.0b013e31817925c1.
https://psnet.ahrq.gov/issue/patient-safety-climate-us-…
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psnet.ahrq.gov/node/41319/psn-pdf
May 17, 2012 - Nature and timing of incidents intercepted by the
SURPASS checklist in surgical patients.
May 17, 2012
de Vries EN, Prins HA, Bennink C, et al. Nature and timing of incidents intercepted by the SURPASS
checklist in surgical patients. BMJ Qual Saf. 2012;21(6):503-8. doi:10.1136/bmjqs-2011-000347.
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psnet.ahrq.gov/node/38863/psn-pdf
August 12, 2009 - Use of strategies from high-reliability organisations to the
patient hand-off by resident physicians: practical
implications.
August 12, 2009
Philibert I. Use of strategies from high-reliability organisations to the patient hand-off by resident
physicians: practical implications. Qual Saf Health Care. 2009;18(4):2…
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psnet.ahrq.gov/node/39802/psn-pdf
November 16, 2010 - "Water cooler" learning: knowledge sharing at the clinical
"backstage" and its contribution to patient safety.
November 16, 2010
Waring J, Bishop S. "Water cooler" learning: knowledge sharing at the clinical "backstage" and its
contribution to patient safety. J Health Organ Manag. 2010;24(4):325-42.
https://psnet.…
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psnet.ahrq.gov/node/46459/psn-pdf
August 20, 2018 - Readiness of US general surgery residents for
independent practice.
August 20, 2018
George BC, Bohnen JD, Williams RG, et al. Readiness of US General Surgery Residents for Independent
Practice. Ann Surg. 2017;266(4):582-594. doi:10.1097/SLA.0000000000002414.
https://psnet.ahrq.gov/issue/readiness-us-general-surger…
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psnet.ahrq.gov/node/37453/psn-pdf
March 03, 2011 - Managing the prevention of retained surgical instruments:
what is the value of counting?
March 3, 2011
Egorova NN, Moskowitz A, Gelijns A, et al. Managing the prevention of retained surgical instruments: what
is the value of counting? Ann Surg. 2008;247(1):13-8.
https://psnet.ahrq.gov/issue/managing-prevention-ret…
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psnet.ahrq.gov/node/41794/psn-pdf
January 31, 2013 - Safety culture and complications after bariatric surgery.
January 31, 2013
Birkmeyer NJO, Finks JF, Greenberg CK, et al. Safety culture and complications after bariatric surgery.
Ann Surg. 2013;257(2):260-5. doi:10.1097/SLA.0b013e31826c0085.
https://psnet.ahrq.gov/issue/safety-culture-and-complications-after-bariat…
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psnet.ahrq.gov/node/44646/psn-pdf
November 11, 2015 - The hidden costs of reconciling surgical sponge counts.
November 11, 2015
Steelman VM, Schaapveld AG, Perkhounkova Y, et al. The Hidden Costs of Reconciling Surgical Sponge
Counts. AORN J. 2015;102(5):498-506. doi:10.1016/j.aorn.2015.09.002.
https://psnet.ahrq.gov/issue/hidden-costs-reconciling-surgical-sponge-coun…
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psnet.ahrq.gov/node/72825/psn-pdf
March 10, 2021 - The burden of opioid-related adverse drug events on
hospitalized previously opioid-free surgical patients.
March 10, 2021
Urman RD, Seger DL, Fiskio JM, et al. The burden of opioid-related adverse drug events on hospitalized
previously opioid-free surgical patients. J Patient Saf. 2021;17(2):e76-e83.
doi:10.1097/p…
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psnet.ahrq.gov/node/42232/psn-pdf
May 08, 2013 - The Measurement and Monitoring of Safety.
May 8, 2013
Vincent C, Burnett S, Carthey J. London, UK: Health Foundation; April 2013. ISBN: 9781906461447.
https://psnet.ahrq.gov/issue/measurement-and-monitoring-safety
Despite great effort, health care organizations are still learning how to identify safety problems, es…
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psnet.ahrq.gov/node/73339/psn-pdf
June 02, 2021 - Effects of nurse-to-patient ratio legislation on nurse
staffing and patient mortality, readmissions, and length of
stay: a prospective study in a panel of hospitals.
June 2, 2021
McHugh MD, Aiken LH, Sloane DM, et al. Effects of nurse-to-patient ratio legislation on nurse staffing and
patient mortality, readmissio…
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psnet.ahrq.gov/node/848817/psn-pdf
May 10, 2023 - Impact of patient safety climate on infection prevention
practices and healthcare worker and patient outcomes.
May 10, 2023
Hessels AJ, Guo J, Johnson CT, et al. Impact of patient safety climate on infection prevention practices
and healthcare worker and patient outcomes. Am J Infect Control. 2023;51(5):482-489.
d…