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psnet.ahrq.gov/perspective/peacehealth-governance-journey-support-quality-and-safety
August 01, 2007 - has resulted in an interesting journey as the boards have sought to define their leadership roles and operational
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psnet.ahrq.gov/perspective/conversation-withwilliam-b-munier-md-mba
July 01, 2011 - Becoming a High Reliability Organization: Operational Advice for Hospital Leaders.
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psnet.ahrq.gov/node/43857/psn-pdf
August 02, 2015 - A checklist-based intervention to improve surgical
outcomes in Michigan: evaluation of the Keystone
Surgery program.
August 2, 2015
Reames BN, Krell RW, Campbell D, et al. A checklist-based intervention to improve surgical outcomes in
Michigan: evaluation of the Keystone Surgery program. JAMA Surg. 2015;150(3):208…
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psnet.ahrq.gov/issue/aorn-guidance-statement-safe-medication-practices-perioperative-settings-across-life-span
September 22, 2021 - Organizational Policy/Guidelines
AORN Guidance Statement: Safe Medication Practices in Perioperative Settings Across the Life Span.
Citation Text:
AORN guidance statement: safe medication practices in perioperative settings across the life span. AORN J. 2006;84(2):276-283.
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psnet.ahrq.gov/issue/preventing-and-managing-impact-anesthesia-awareness
May 27, 2020 - Sentinel Event Alerts
Preventing, and managing the impact of, anesthesia awareness.
Citation Text:
Preventing, and managing the impact of, anesthesia awareness. Sentinel Event Alert. 2004;32:1-3.
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psnet.ahrq.gov/node/38359/psn-pdf
May 27, 2010 - A surgical safety checklist to reduce morbidity and
mortality in a global population.
May 27, 2010
Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a
global population. N Engl J Med. 2009;360(5):491-9. doi:10.1056/NEJMsa0810119.
https://psnet.ahrq.gov/issue/su…
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psnet.ahrq.gov/issue/pressing-better-quality-across-healthcare
July 14, 2010 - Newspaper/Magazine Article
Pressing for better quality across healthcare.
Citation Text:
Pressing for better quality across healthcare. Levey NN.
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psnet.ahrq.gov/node/39566/psn-pdf
January 03, 2017 - Impact of the Comprehensive Unit-Based Safety Program
(CUSP) on safety culture in a surgical inpatient unit.
January 3, 2017
Timmel J, Kent P, Holzmueller CG, et al. Impact of the Comprehensive Unit-based Safety Program (CUSP)
on safety culture in a surgical inpatient unit. Jt Comm J Qual Saf. 2010;36(6):252-260.
…
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psnet.ahrq.gov/issue/tackling-disrespectful-unprofessional-provider-behaviors
January 13, 2021 - Newspaper/Magazine Article
Tackling disrespectful, unprofessional provider behaviors.
Citation Text:
Tackling Disrespectful, Unprofessional Provider Behaviors. ED Manage. 2016;28(6):S1-S4.
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psnet.ahrq.gov/node/44813/psn-pdf
February 15, 2017 - Remote video auditing with real-time feedback in an
academic surgical suite improves safety and efficiency
metrics: a cluster randomised study.
February 15, 2017
Overdyk FJ, Dowling O, Newman S, et al. Remote video auditing with real-time feedback in an academic
surgical suite improves safety and efficiency metric…
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psnet.ahrq.gov/node/47949/psn-pdf
July 10, 2019 - Association of coworker reports about unprofessional
behavior by surgeons with surgical complications in their
patients.
July 10, 2019
Cooper WO, Spain DA, Guillamondegui O, et al. Association of Coworker Reports About Unprofessional
Behavior by Surgeons With Surgical Complications in Their Patients. JAMA Surg. 20…
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psnet.ahrq.gov/node/46990/psn-pdf
July 25, 2018 - Analysis of errors in dictated clinical documents assisted
by speech recognition software and professional
transcriptionists.
July 25, 2018
Zhou L, Blackley SV, Kowalski L, et al. Analysis of Errors in Dictated Clinical Documents Assisted by
Speech Recognition Software and Professional Transcriptionists. JAMA Netw…
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psnet.ahrq.gov/primer/checklists
September 15, 2024 - Checklists
Citation Text:
Checklists. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/issue/when-bullying-affects-patient-safety
March 13, 2019 - Commentary
When bullying affects patient safety.
Citation Text:
When Bullying Affects Patient Safety. AORN J. 2018;108(1):78-80. doi:10.1002/aorn.12294.
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Downlo…
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psnet.ahrq.gov/issue/what-correct-site-surgery
October 15, 2018 - Fact Sheet/FAQs
What is Correct-Site Surgery?
Citation Text:
What is Correct-Site Surgery? American College of Surgeons.
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psnet.ahrq.gov/issue/your-safer-surgery-survival-guide
November 15, 2024 - Newspaper/Magazine Article
Your safer-surgery survival guide.
Citation Text:
Your safer-surgery survival guide: our ratings of 2,463 U.S. hospitals can help you find the right one. Consumer reports. 2013;78(9):31-41.
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psnet.ahrq.gov/node/43953/psn-pdf
March 04, 2015 - Psychological safety and error reporting within Veterans
Health Administration hospitals.
March 4, 2015
Derickson R, Fishman J, Osatuke K, et al. Psychological safety and error reporting within Veterans Health
Administration hospitals. J Patient Saf. 2015;11(1):60-66. doi:10.1097/PTS.0000000000000082.
https://psne…
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psnet.ahrq.gov/node/44434/psn-pdf
June 21, 2016 - Hospital board and management practices are strongly
related to hospital performance on clinical quality
metrics.
June 21, 2016
Tsai TC, Jha AK, Gawande AA, et al. Hospital board and management practices are strongly related to
hospital performance on clinical quality metrics. Health Aff (Millwood). 2015;34(8):130…
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psnet.ahrq.gov/issue/revolutionary
September 07, 2016 - Newspaper/Magazine Article
The revolutionary.
Citation Text:
The revolutionary. Swidey N.
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February 19, 2…
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psnet.ahrq.gov/node/845356/psn-pdf
March 29, 2023 - A novel approach for engagement in team training in
high-technology surgery: the robotic-assisted surgery
olympics.
March 29, 2023
Cohen TN, Anger JT, Kanji FF, et al. A novel approach for engagement in team training in high-technology
surgery: the robotic-assisted surgery olympics. J Patient Saf. 2022;18(6):570-5…