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psnet.ahrq.gov/issue/overview-use-and-implementation-checklists-surgical-specialities-systematic-review
July 31, 2013 - Review
An overview of the use and implementation of checklists in surgical specialities - a systematic review.
Citation Text:
Patel J, Ahmed K, Guru KA, et al. An overview of the use and implementation of checklists in surgical specialities - a systematic review. Int J Surg. 2014;12(12):…
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psnet.ahrq.gov/issue/problem-my-five-moments-hand-hygiene
September 09, 2020 - Commentary
The problem with 'My Five Moments for Hand Hygiene'.
Citation Text:
Gould D, Purssell E, Jeanes A, et al. The problem with ‘My Five Moments for Hand Hygiene’. BMJ Qual Saf. 2022;31(4):322-326. doi:10.1136/bmjqs-2020-011911.
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psnet.ahrq.gov/issue/representative-case-series-public-hospital-admissions-1998-ii-surgical-adverse-events
June 07, 2023 - Study
Representative case series from public hospital admissions 1998 II: surgical adverse events.
Citation Text:
Briant R, Morton J, Lay-Yee R, et al. Representative case series from public hospital admissions 1998 II: surgical adverse events. N Z Med J. 2005;118(1219):U1591.
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psnet.ahrq.gov/issue/association-between-surgeon-technical-skills-and-patient-outcomes
September 02, 2020 - Commentary
Emerging Classic
Association between surgeon technical skills and patient outcomes.
Citation Text:
Stulberg JJ, Huang R, Kreutzer L, et al. Association Between Surgeon Technical Skills and Patient Outcomes. JAMA Surg. 2022;157(3):219-220. doi:10.1001/…
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psnet.ahrq.gov/issue/identification-warning-signs-during-selection-surgical-trainees
March 17, 2021 - Study
Identification of warning signs during selection of surgical trainees.
Citation Text:
Hagelsteen K, Johansson B-M, Bergenfelz A, et al. Identification of Warning Signs During Selection of Surgical Trainees. J Surg Educ. 2019;76(3):684-693. doi:10.1016/j.jsurg.2018.12.002.
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www.ahrq.gov/teamstepps-program/evidence-base/research.html
June 01, 2023 - TeamSTEPPS Research and Tools
Agency for Healthcare Research and Quality. (2006). TeamSTEPPS™ Guide to Action: Creating a Safety Net for your Healthcare Organization . AHRQ Publication No. 06-0020-4.
Castner, J. (2012). Validity and reliability of the Brief TeamSTEPPS Teamwork Perceptions Questionnaire. Jo…
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psnet.ahrq.gov/issue/management-anesthesia-equipment-failure-simulation-based-resident-skill-assessment
December 20, 2017 - Study
Management of anesthesia equipment failure: a simulation-based resident skill assessment.
Citation Text:
Waldrop WB, Murray DJ, Boulet JR, et al. Management of Anesthesia Equipment Failure: A Simulation-Based Resident Skill Assessment. Anesthesia & Analgesia. 2009;109(2). doi:10.…
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psnet.ahrq.gov/issue/acquisition-critical-intraoperative-event-management-skills-novice-anesthesiology-residents
March 19, 2019 - Study
Acquisition of critical intraoperative event management skills in novice anesthesiology residents by using high-fidelity simulation-based training.
Citation Text:
Park C, Rochlen LR, Yaghmour E, et al. Acquisition of critical intraoperative event management skills in novice anest…
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psnet.ahrq.gov/issue/managing-safety-perioperative-settings-strategies-meso-level-nurse-leaders
April 06, 2011 - Study
Managing safety in perioperative settings: strategies of meso-level nurse leaders.
Citation Text:
Brooks JV, Nelson-Brantley H. Managing safety in perioperative settings: strategies of meso-level nurse leaders. Health Care Manage Rev. 2023;48(2):175-184. doi:10.1097/hmr.00000000000…
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psnet.ahrq.gov/issue/application-who-surgical-safety-checklist-outside-operating-theatre-medicine-can-learn
March 17, 2021 - Study
Application of the WHO surgical safety checklist outside the operating theatre: medicine can learn from surgery.
Citation Text:
Braham DL, Richardson AL, Malik IS. Application of the WHO surgical safety checklist outside the operating theatre: medicine can learn from surgery. Clin …
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psnet.ahrq.gov/issue/changes-prognosis-after-first-postoperative-complication
June 29, 2022 - Study
Changes in prognosis after the first postoperative complication.
Citation Text:
Silber JH, Rosenbaum PR, Trudeau ME, et al. Changes in prognosis after the first postoperative complication. Med Care. 2005;43(2):122-31.
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psnet.ahrq.gov/issue/using-simulation-improve-systems-based-practices
January 22, 2016 - Review
Using simulation to improve systems-based practices.
Citation Text:
Gardner AK, Johnston MJ, Korndorffer JR, et al. Using Simulation to Improve Systems-Based Practices. Jt Comm J Qual Patient Saf. 2017;43(9):484-491. doi:10.1016/j.jcjq.2017.05.006.
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psnet.ahrq.gov/issue/high-cost-low-frequency-events-anatomy-and-economics-surgical-mishaps
October 19, 2022 - Study
Classic
The high cost of low-frequency events: the anatomy and economics of surgical mishaps.
Citation Text:
Couch NP, Tilney NL, Rayner AA, et al. The high cost of low-frequency events: the anatomy and economics of surgical mishaps. N Engl J Med. 1981;3…
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psnet.ahrq.gov/issue/adverse-event-reporting-tool-standardize-reporting-and-tracking-adverse-events-during
April 20, 2016 - Commentary
Adverse event reporting tool to standardize the reporting and tracking of adverse events during procedural sedation: a consensus document from the World SIVA International Sedation Task Force.
Citation Text:
Mason KP, Mason KP, Green SM, et al. Adverse event reporting tool t…
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psnet.ahrq.gov/issue/global-oximetry-international-anaesthesia-quality-improvement-project
November 12, 2014 - Study
Global oximetry: an international anaesthesia quality improvement project.
Citation Text:
Walker IA, Merry AF, Wilson IH, et al. Global oximetry: an international anaesthesia quality improvement project. Anaesthesia. 2009;64(10):1051-60. doi:10.1111/j.1365-2044.2009.06067.x.
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psnet.ahrq.gov/issue/team-based-care-changing-face-cardiothoracic-surgery
October 07, 2013 - Review
Team-based care: the changing face of cardiothoracic surgery.
Citation Text:
Crawford TC, Conte J, Sanchez JA. Team-Based Care: The Changing Face of Cardiothoracic Surgery. Surg Clin North Am. 2017;97(4):801-810. doi:10.1016/j.suc.2017.03.003.
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psnet.ahrq.gov/issue/protocol-safe-use-hazardous-drugs-or
May 13, 2015 - Study
A protocol for the safe use of hazardous drugs in the OR.
Citation Text:
Hemingway MW, Meleis L, Oliver J, et al. A protocol for the safe use of hazardous drugs in the OR. AORN J. 2020;111(3). doi:10.1002/aorn.12960.
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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