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psnet.ahrq.gov/issue/litigation-related-inadequate-anaesthesia-analysis-claims-against-nhs-england-1995-2007
November 16, 2022 - Study
Litigation related to inadequate anaesthesia: an analysis of claims against the NHS in England 1995-2007.
Citation Text:
Mihai R, Scott SD, Cook TM. Litigation related to inadequate anaesthesia: an analysis of claims against the NHS in England 1995-2007. Anaesthesia. 2009;64(8):8…
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psnet.ahrq.gov/issue/reviewing-methodologically-disparate-data-practical-guide-patient-safety-research-field
April 24, 2018 - Commentary
Reviewing methodologically disparate data: a practical guide for the patient safety research field.
Citation Text:
Brown KF, Long SJ, Athanasiou T, et al. Reviewing methodologically disparate data: a practical guide for the patient safety research field. J Eval Clin Pract. 2…
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psnet.ahrq.gov/issue/harm-hope-and-purposeful-action-what-could-we-do-after-francis
August 01, 2016 - Commentary
From harm to hope and purposeful action: what could we do after Francis?
Citation Text:
Woodhead T, Lachman P, Mountford J, et al. From harm to hope and purposeful action: what could we do after Francis? BMJ Qual Saf. 2014;23(8):619-23. doi:10.1136/bmjqs-2013-002581.
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psnet.ahrq.gov/issue/framework-analysing-risk-and-safety-clinical-medicine-0
February 19, 2014 - Commentary
Framework for analysing risk and safety in clinical medicine.
Citation Text:
Vincent C, Taylor-Adams S, Stanhope N. Framework for analysing risk and safety in clinical medicine. BMJ. 1998;316(7138):1154-1157.
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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/learning-excellence-healthcare-new-approach-incident-reporting
August 31, 2022 - Commentary
Learning from excellence in healthcare: a new approach to incident reporting.
Citation Text:
Kelly N, Blake S, Plunkett A. Learning from excellence in healthcare: a new approach to incident reporting. Arch Dis Child. 2016;101(9):788-791. doi:10.1136/archdischild-2015-310021.
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psnet.ahrq.gov/issue/medical-errors-orthopaedics-results-aaos-member-survey
August 04, 2021 - Study
Medical errors in orthopaedics. Results of an AAOS member survey.
Citation Text:
Wong DA, Herndon JH, Canale T, et al. Medical errors in orthopaedics. Results of an AAOS member survey. J Bone Joint Surg Am. 2009;91(3):547-57. doi:10.2106/JBJS.G.01439.
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psnet.ahrq.gov/issue/examining-meaning-language-used-communicate-nursing-hand
July 07, 2021 - Study
Examining the meaning of the language used to communicate the nursing hand-off.
Citation Text:
Galatzan BJ, Carrington JM. Examining the meaning of the language used to communicate the nursing hand‐off. Res Nurs Health. 2021;44(5):833-843. doi:10.1002/nur.22175.
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psnet.ahrq.gov/issue/paediatric-nurses-adherence-double-checking-process-during-medication-administration
October 03, 2012 - Study
Paediatric nurses' adherence to the double-checking process during medication administration in a children's hospital: an observational study.
Citation Text:
Alsulami Z, Choonara I, Conroy S. Paediatric nurses' adherence to the double-checking process during medication administrati…
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psnet.ahrq.gov/issue/failure-rescue-patient-safety-indicator-neurosurgical-patients-are-we-there-yet
August 04, 2021 - Review
Failure to rescue as a patient safety indicator for neurosurgical patients: are we there yet?
Citation Text:
Roy JM, Rumalla K, Skandalakis GP, et al. Failure to rescue as a patient safety indicator for neurosurgical patients: are we there yet? A systematic review. Neurosurg Rev. …
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psnet.ahrq.gov/issue/surgical-programs-veterans-health-administration-maintain-briefing-and-debriefing-following
October 24, 2018 - Study
Surgical programs in the Veterans Health Administration maintain briefing and debriefing following medical team training.
Citation Text:
West P, Neily J, Warner L, et al. Surgical programs in the Veterans Health Administration maintain briefing and debriefing following medical team…
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psnet.ahrq.gov/issue/selected-medical-errors-intensive-care-unit-results-iatroref-study-parts-i-and-ii
April 18, 2012 - Study
Selected medical errors in the intensive care unit: results of the IATROREF study: parts I and II.
Citation Text:
Garrouste-Orgeas M, Timsit JF, Vesin A, et al. Selected Medical Errors in the Intensive Care Unit. Am J Respir Crit Care Med. 2009;181(2):134-142. doi:10.1164/rccm.20…
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psnet.ahrq.gov/issue/race-postoperative-complications-and-death-apparently-healthy-children
August 10, 2022 - Study
Classic
Race, postoperative complications, and death in apparently healthy children.
Citation Text:
Nafiu OO, Mpody C, Kim SS, et al. Race, postoperative complications, and death in apparently healthy children. Pediatrics. 2020;146(2):e20194113. doi:10.154…
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psnet.ahrq.gov/issue/communicating-critical-test-results-safe-practice-recommendations
June 13, 2011 - Study
Communicating critical test results: safe practice recommendations.
Citation Text:
Hanna D, Griswold P, Leape L, et al. Communicating critical test results: safe practice recommendations. Jt Comm J Qual Patient Saf. 2005;31(2):68-80.
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psnet.ahrq.gov/issue/making-healthcare-safer-iii
March 27, 2019 - Book/Report
Making Healthcare Safer III.
Citation Text:
Making Healthcare Safer III. Holmes A, Long A, Wyant B, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2020. AHRQ Publication No. 20-0029-EF.
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psnet.ahrq.gov/issue/development-pediatric-adverse-events-terminology
November 16, 2022 - Commentary
Development of a pediatric adverse events terminology.
Citation Text:
Gipson DS, Kirkendall E, Gumbs-Petty B, et al. Development of a Pediatric Adverse Events Terminology. Pediatrics. 2017;139(1). doi:10.1542/peds.2016-0985.
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psnet.ahrq.gov/issue/smartphone-distraction-during-nursing-care-systematic-literature-review
February 09, 2022 - Review
Smartphone distraction during nursing care: systematic literature review.
Citation Text:
Fiorinelli M, Di Mario S, Surace A, et al. Smartphone distraction during nursing care: systematic literature review. Appl Nurs Res. 2021;58:151405. doi:10.1016/j.apnr.2021.151405.
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psnet.ahrq.gov/issue/overview-adverse-events-related-invasive-procedures-intensive-care-unit
November 29, 2023 - Study
Overview of adverse events related to invasive procedures in the intensive care unit.
Citation Text:
Pottier V, Daubin C, Lerolle N, et al. Overview of adverse events related to invasive procedures in the intensive care unit. Am J Infect Control. 2012;40(3):241-6. doi:10.1016/j.a…
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psnet.ahrq.gov/issue/impact-morbidity-and-mortality-conferences-analysis-mortality-and-critical-events-intensive
December 02, 2020 - Study
Impact of morbidity and mortality conferences on analysis of mortality and critical events in intensive care practice.
Citation Text:
Ksouri H, Balanant P-Y, Tadié J-M, et al. Impact of morbidity and mortality conferences on analysis of mortality and critical events in intensive c…
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psnet.ahrq.gov/issue/analysis-deaths-related-anesthesia-period-1996-2004-closed-claims-registered-danish-patient
November 13, 2024 - Study
Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the Danish Patient Insurance Association.
Citation Text:
Hove LD, Steinmetz J, Christoffersen JK, et al. Analysis of deaths related to anesthesia in the period 1996-2004 from closed …