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psnet.ahrq.gov/issue/realistic-distractions-and-interruptions-impair-simulated-surgical-performance-novice
August 04, 2021 - Study
Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons.
Citation Text:
Feuerbacher RL, Funk KH, Spight DH, et al. Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons. Arch Surg. 2012;…
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psnet.ahrq.gov/issue/surgical-checklists-human-factor
December 10, 2014 - Study
Surgical checklists: the human factor.
Citation Text:
O'Connor P, Reddin C, O'Sullivan M, et al. Surgical checklists: the human factor. Patient Saf Surg. 2013;7(1):14. doi:10.1186/1754-9493-7-14.
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psnet.ahrq.gov/issue/barriers-staff-adoption-surgical-safety-checklist
February 25, 2015 - Study
Barriers to staff adoption of a surgical safety checklist.
Citation Text:
Fourcade A, Blache J-L, Grenier C, et al. Barriers to staff adoption of a surgical safety checklist. BMJ Qual Saf. 2012;21(3):191-7. doi:10.1136/bmjqs-2011-000094.
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psnet.ahrq.gov/issue/time-out-rethinking-surgical-safety-more-just-checklist
April 27, 2022 - Commentary
Time out! Rethinking surgical safety: more than just a checklist.
Citation Text:
Weinger MB. Time out! Rethinking surgical safety: more than just a checklist. BMJ Qual Saf. 2021;30(8):613-617. doi:10.1136/bmjqs-2020-012600.
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psnet.ahrq.gov/issue/use-safety-climate-questionnaire-uk-health-care-factor-structure-reliability-and-usability
June 15, 2011 - Study
Use of a safety climate questionnaire in UK health care: factor structure, reliability and usability.
Citation Text:
Hutchinson A, Cooper KL, Dean JE, et al. Use of a safety climate questionnaire in UK health care: factor structure, reliability and usability. Qual Saf Health Care…
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psnet.ahrq.gov/issue/allowing-failure-educational-purposes-postgraduate-clinical-training-narrative-review
February 08, 2023 - Review
Allowing failure for educational purposes in postgraduate clinical training: a narrative review.
Citation Text:
Klasen JM, Lingard LA. Allowing failure for educational purposes in postgraduate clinical training: A narrative review. Med Teach. 2019;41(11):1263-1269. doi:10.1080/014…
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psnet.ahrq.gov/issue/surgical-site-infection-prevention-review
February 15, 2023 - Review
Surgical site infection prevention: a review.
Citation Text:
Seidelman JL, Mantyh CR, Anderson DJ. Surgical site infection prevention: a review. JAMA. 2023;329(3):244-252. doi:10.1001/jama.2022.24075.
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psnet.ahrq.gov/issue/implementation-safety-checklists-surgery-realist-synthesis-evidence
November 20, 2015 - Review
Implementation of safety checklists in surgery: a realist synthesis of evidence.
Citation Text:
Gillespie BM, Marshall AP. Implementation of safety checklists in surgery: a realist synthesis of evidence. Implement Sci. 2015;10:137. doi:10.1186/s13012-015-0319-9.
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psnet.ahrq.gov/issue/human-factors-and-ergonomics-and-quality-improvement-science-integrating-approaches-safety
December 06, 2013 - Commentary
Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare.
Citation Text:
Hignett S, Jones EL, Miller D, et al. Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare. BM…
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psnet.ahrq.gov/issue/hospital-credentialing-and-privileging-surgeons-potential-safety-blind-spot
September 24, 2017 - Commentary
Hospital credentialing and privileging of surgeons: a potential safety blind spot.
Citation Text:
Pradarelli J, Campbell D, Dimick JB. Hospital credentialing and privileging of surgeons: a potential safety blind spot. JAMA. 2015;313(13):1313-4. doi:10.1001/jama.2015.1943.
Co…
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psnet.ahrq.gov/issue/engaging-patient-and-family-surgical-safety-process-utilizing-safestart
October 19, 2022 - Study
Engaging the patient and family in the surgical safety process utilizing SafeStart.
Citation Text:
Elger BM, Esparaz JR, Nierstedt RT, et al. Engaging the patient and family in the surgical safety process utilizing. J Pediatr Surg. 2020;55(4). doi:10.1016/j.jpedsurg.2019.06.012.
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psnet.ahrq.gov/issue/aviation-pediatric-surgery
January 12, 2022 - Commentary
From aviation to pediatric surgery.
Citation Text:
Arredondo Montero J, Bardají Pascual C. From aviation to pediatric surgery. Clin Pediatr (Phila). 2024;63(4):557-559. doi:10.1177/00099228231176631.
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psnet.ahrq.gov/issue/pediatric-surgical-errors-systematic-scoping-review
August 17, 2022 - Review
Pediatric surgical errors: a systematic scoping review.
Citation Text:
Marsh KM, Fleming MA, Turrentine FE, et al. Pediatric surgical errors: a systematic scoping review. J Pediatr Surg. 2022;57(4):616-621. doi:10.1016/j.jpedsurg.2021.07.019.
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psnet.ahrq.gov/issue/classification-opioid-dependence-abuse-or-overdose-opioid-naive-patients-never-event
September 21, 2022 - Commentary
Classification of opioid dependence, abuse, or overdose in opioid-naive patients as a "Never Event".
Citation Text:
Barth RJ, Waljee JF. Classification of opioid dependence, abuse, or overdose in opioid-naive patients as a "Never Event". JAMA Surg. 2020;155(7):543-544. doi:10.…
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psnet.ahrq.gov/issue/validity-selected-patient-safety-indicators-opportunities-and-concerns
June 04, 2014 - Study
Validity of selected patient safety indicators: opportunities and concerns.
Citation Text:
Kaafarani HMA, Borzecki AM, Itani KMF, et al. Validity of Selected Patient Safety Indicators: Opportunities and Concerns. J Am Coll Surg. 2010;212(6):924-934. doi:10.1016/j.jamcollsurg.2010…
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psnet.ahrq.gov/issue/effectiveness-interventions-improve-patient-handover-surgery-systematic-review
June 25, 2018 - Review
Effectiveness of interventions to improve patient handover in surgery: a systematic review.
Citation Text:
Pucher PH, Johnston MJ, Aggarwal R, et al. Effectiveness of interventions to improve patient handover in surgery: A systematic review. Surgery. 2015;158(1):85-95. doi:10.1016…
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psnet.ahrq.gov/issue/ritualisation-surgical-safety-checklist-and-its-decoupling-patient-safety-goals
January 19, 2022 - Study
The ritualisation of the surgical safety checklist and its decoupling from patient safety goals.
Citation Text:
Facey M, Baxter NN, Hammond Mobilio M, et al. The ritualisation of the surgical safety checklist and its decoupling from patient safety goals. Sociol Health Illn. 2024;46…
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psnet.ahrq.gov/node/33777/psn-pdf
January 01, 2015 - is remarkable that the Virginia Mason has integrated innovation and lean at
both the strategic and operational … The organization
has also developed an innovative culture that encourages clinical and operational associates
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digital.ahrq.gov/sites/default/files/docs/page/ImprovingQualityofHealthcareThruHIE.pdf
January 01, 2007 - 45 are in the implementation stage (stage four) and 26 have identified
themselves as fully operational … HIE efforts expected to be in implementation within six months, and 25 expected to be fully
operational
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cds.ahrq.gov/sites/default/files/cds/artifact/18/Pilot%20Report_Final_0.docx
March 01, 2018 - and timely execution of CDS artifacts.
2) Utilize the pilot organization’s technical, clinical, and operational … Identification and support of clinical, operational, and technical staff.
4. … Organizational commitment and operational resources to meet pilot needs pre, during, and post implementation … There is substantial value in clinical, operational, and technical validation of newly developed CDS … Through collaboration with Alliance, MITRE benefitted from Alliance’s technical, clinical, and operational