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psnet.ahrq.gov/issue/electronic-checklist-improves-transfer-and-retention-critical-information-intraoperative
July 21, 2021 - Study
An electronic checklist improves transfer and retention of critical information at intraoperative handoff of care.
Citation Text:
Agarwala A, Firth PG, Albrecht MA, et al. An electronic checklist improves transfer and retention of critical information at intraoperative handoff of c…
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psnet.ahrq.gov/issue/medication-errors-pediatric-anesthesia-report-wake-safe-quality-improvement-initiative
October 14, 2020 - Study
Medication errors in pediatric anesthesia: a report from the Wake Up Safe quality improvement initiative.
Citation Text:
M Y Lobaugh L, Martin LD, Schleelein LE, et al. Medication errors in pediatric anesthesia: a report from the Wake Up Safe quality improvement initiative. Anesth …
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psnet.ahrq.gov/issue/overlapping-surgery-orthopaedics-review-efficacy-surgical-costs-surgical-outcomes-and-patient
November 03, 2021 - Review
Overlapping surgery in orthopaedics: a review of efficacy, surgical costs, surgical outcomes, and patient safety.
Citation Text:
Ahmed M, Suhrawardy A, Olszewski A, et al. Overlapping surgery in orthopaedics: a review of efficacy, surgical costs, surgical outcomes, and patient saf…
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psnet.ahrq.gov/issue/pharmacologically-inappropriate-prescriptions-elderly-patients-general-practice-how-common
March 08, 2023 - Study
Pharmacologically inappropriate prescriptions for elderly patients in general practice: how common?
Citation Text:
Brekke M, Rognstad S, Straand J, et al. Pharmacologically inappropriate prescriptions for elderly patients in general practice: How common? Baseline data from The Pr…
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psnet.ahrq.gov/issue/safety-first-using-checklist-intrafacility-transport-adult-intensive-care-patients
October 09, 2024 - Commentary
Safety first! Using a checklist for intrafacility transport of adult intensive care patients.
Citation Text:
Comeau OY, Armendariz-Batiste J, Woodby SA. Safety First! Using a Checklist for Intrafacility Transport of Adult Intensive Care Patients. Crit Care Nurse. 2015;35(5):16…
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psnet.ahrq.gov/issue/systematic-video-game-training-surgical-novices-improves-performance-virtual-reality
January 18, 2011 - Study
Systematic video game training in surgical novices improves performance in virtual reality endoscopic surgical simulators: a prospective randomized study.
Citation Text:
Schlickum MK, Hedman L, Enochsson L, et al. Systematic video game training in surgical novices improves perfor…
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psnet.ahrq.gov/issue/surgeon-agreement-time-handover-prospective-cohort-study
July 19, 2010 - Study
Surgeon agreement at the time of handover, a prospective cohort study.
Citation Text:
Hilsden R, Moffat B, Knowles S, et al. Surgeon agreement at the time of handover, a prospective cohort study. World J Emerg Surg. 2016;11:11. doi:10.1186/s13017-016-0065-6.
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psnet.ahrq.gov/issue/initial-assessment-patient-handoff-accredited-general-surgery-residency-programs-united
October 19, 2022 - Study
Initial assessment of patient handoff in accredited general surgery residency programs in the United States and Canada: a cross-sectional survey.
Citation Text:
Saleem AM, Paulus JK, Vassiliou MC, et al. Initial assessment of patient handoff in accredited general surgery residency …
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psnet.ahrq.gov/issue/no-harm-found-when-nurse-anesthetists-work-without-supervision-physicians
August 04, 2021 - Study
No harm found when nurse anesthetists work without supervision by physicians.
Citation Text:
Dulisse B, Cromwell J. No harm found when nurse anesthetists work without supervision by physicians. Health Aff (Millwood). 2010;29(8):1469-1475. doi:10.1377/hlthaff.2008.0966.
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psnet.ahrq.gov/issue/impact-crisis-resource-management-simulation-based-training-interprofessional-and
November 13, 2019 - Review
Impact of crisis resource management simulation-based training for interprofessional and interdisciplinary teams: a systematic review.
Citation Text:
Fung L, Boet S, Bould D, et al. Impact of crisis resource management simulation-based training for interprofessional and interdisci…
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psnet.ahrq.gov/issue/effect-audible-alarms-anaesthesiologists-response-times-adverse-events-simulated-anaesthesia
September 18, 2013 - Study
The effect of audible alarms on anaesthesiologists' response times to adverse events in a simulated anaesthesia environment: a randomised trial.
Citation Text:
de Man FR, Erwteman M, van Groeningen D, et al. The effect of audible alarms on anaesthesiologists' response times to adve…
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psnet.ahrq.gov/issue/simulation-safety-first-imperative
February 13, 2014 - Commentary
Simulation safety first: an imperative.
Citation Text:
Raemer D, Hannenberg A, Mullen A. Simulation Safety First: An Imperative. Simul Healthc. 2018;13(6):373-375. doi:10.1097/SIH.0000000000000341.
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psnet.ahrq.gov/issue/method-measuring-system-safety-and-latent-errors-associated-pediatric-procedural-sedation
April 11, 2011 - Study
A method for measuring system safety and latent errors associated with pediatric procedural sedation.
Citation Text:
Blike G, Christoffersen K, Cravero JP, et al. A method for measuring system safety and latent errors associated with pediatric procedural sedation. Anesth Analg. 2…
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psnet.ahrq.gov/issue/team-cognition-handoffs-relating-system-factors-team-cognition-functions-and-outcomes-two
February 16, 2022 - Study
Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes.
Citation Text:
Wooldridge AR, Carayon P, Hoonakker PLT, et al. Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two hand…
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psnet.ahrq.gov/issue/beyond-surgical-safety-checklist-using-intraoperative-handoff-facilitate-team-situation
June 13, 2018 - Study
Beyond the surgical safety checklist: using intraoperative handoff to facilitate team situation awareness in the OR.
Citation Text:
Ramjaun A, Hammond Mobilio M, Wright N, et al. Beyond the surgical safety checklist: using intraoperative handoff to facilitate team situation awarene…
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psnet.ahrq.gov/issue/association-safety-culture-surgical-site-infection-outcomes
October 23, 2024 - Study
Classic
Association of safety culture with surgical site infection outcomes.
Citation Text:
Fan CJ, Pawlik TM, Daniels T, et al. Association of safety culture with surgical site infection outcomes. J Am Coll Surg. 2016;222(2):122-128. doi:10.1016/j.jamcoll…
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psnet.ahrq.gov/issue/hospital-not-just-factory-complex-adaptive-system-implications-perioperative-care
May 11, 2019 - Commentary
A hospital is not just a factory, but a complex adaptive system—implications for perioperative care.
Citation Text:
Mahajan A, Islam SD, Schwartz MJ, et al. A Hospital Is Not Just a Factory, but a Complex Adaptive System-Implications for Perioperative Care. Anesth Analg. 2017;…
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psnet.ahrq.gov/issue/effect-surgical-safety-checklist-provider-and-patient-outcomes-systematic-review
March 01, 2023 - Review
Effect of the surgical safety checklist on provider and patient outcomes: a systematic review.
Citation Text:
Armstrong BA, Dutescu IA, Nemoy L, et al. Effect of the surgical safety checklist on provider and patient outcomes: a systematic review. BMJ Qual Saf. 2022;31(6):463-478. …
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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