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psnet.ahrq.gov/issue/surgical-site-signing-and-time-out-issues-compliance-or-complacence
January 07, 2011 - Study
Surgical site signing and "time out": issues of compliance or complacence.
Citation Text:
Johnston G, Ekert L, Pally E. Surgical site signing and "time out": issues of compliance or complacence. J Bone Joint Surg Am. 2009;91(11):2577-80. doi:10.2106/JBJS.H.01615.
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psnet.ahrq.gov/issue/can-you-multitask-evidence-and-limitations-task-switching-and-multitasking-emergency-medicine
October 19, 2022 - Review
Can you multitask? Evidence and limitations of task switching and multitasking in emergency medicine.
Citation Text:
Skaugset M, Farrell S, Carney M, et al. Can You Multitask? Evidence and Limitations of Task Switching and Multitasking in Emergency Medicine. Ann Emerg Med. 2016;68…
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psnet.ahrq.gov/issue/maturity-hospitals-quality-improvement-systems-associated-measures-quality-and-patient-safety
May 26, 2014 - Study
Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety?
Citation Text:
Groene O, Mora N, Thompson A, et al. Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety? B…
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psnet.ahrq.gov/issue/reasons-accident-causation-model-application-adverse-events-acute-care
October 29, 2014 - Commentary
Reason's accident causation model: application to adverse events in acute care.
Citation Text:
Elliott M, Page K, Worrall-Carter L. Reason's accident causation model: application to adverse events in acute care. Contemp Nurse. 2012;43(1):22-8. doi:10.5172/conu.2012.43.1.22.
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psnet.ahrq.gov/issue/infection-prevention-emergency-department
July 13, 2016 - Review
Infection prevention in the emergency department.
Citation Text:
Liang SY, Theodoro DL, Schuur JD, et al. Infection prevention in the emergency department. Ann Emerg Med. 2014;64(3):299-313. doi:10.1016/j.annemergmed.2014.02.024.
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psnet.ahrq.gov/issue/time-out-patient-safety
October 26, 2022 - Commentary
Time out for patient safety.
Citation Text:
Meginniss A, Damian F, Falvo F. Time out for patient safety. J Emerg Nurs. 2012;38(1):51-53. doi:10.1016/j.jen.2011.04.007.
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psnet.ahrq.gov/issue/swapping-horses-midstream-factors-related-physicians-changing-their-minds-about-diagnosis
January 29, 2020 - Study
Swapping horses midstream: factors related to physicians' changing their minds about a diagnosis.
Citation Text:
Eva KW, Link CL, Lutfey KE, et al. Swapping horses midstream: factors related to physicians' changing their minds about a diagnosis. Acad Med. 2010;85(7):1112-7. doi:10.…
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psnet.ahrq.gov/issue/innovative-mobile-approach-patient-safety-services-case-taiwan-health-care-provider
September 27, 2017 - Commentary
An innovative mobile approach for patient safety services: the case of a Taiwan health care provider.
Citation Text:
Chao CC, Jen WY, Hung MC, et al. An innovative mobile approach for patient safety services: The case of a Taiwan health care provider. Technovation. 2007;2…
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psnet.ahrq.gov/issue/identified-safety-risks-splitting-and-crushing-oral-medications
September 24, 2010 - Commentary
Identified safety risks with splitting and crushing oral medications.
Citation Text:
Paparella S. Identified safety risks with splitting and crushing oral medications. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 201…
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psnet.ahrq.gov/issue/making-health-care-safer-ambulatory-care-settings-and-long-term-care-facilities-r18
May 30, 2018 - Grant Announcement
Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R18).
Citation Text:
Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R18). Rockville, MD: Agency for Healthcare Research and Quality; April 10, 2018.…
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psnet.ahrq.gov/issue/diagnostic-performance-medical-students-working-individually-or-teams
January 26, 2022 - Study
Diagnostic performance by medical students working individually or in teams.
Citation Text:
Hautz WE, Kämmer JE, Schauber SK, et al. Diagnostic performance by medical students working individually or in teams. JAMA. 2015;313(3):303-4. doi:10.1001/jama.2014.15770.
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psnet.ahrq.gov/issue/assessment-healthcare-professionals-knowledge-managing-emergency-complications-patients
March 14, 2018 - Slideset
Assessment of healthcare professionals' knowledge of managing emergency complications in patients with a tracheostomy.
Citation Text:
Casserly P, Lang E, Fenton JE, et al. Assessment of healthcare professionals' knowledge of managing emergency complications in patients with a …
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psnet.ahrq.gov/issue/future-emergency-care-united-states-health-system
June 16, 2012 - Book/Report
The Future of Emergency Care in the United States Health System.
Citation Text:
The Future of Emergency Care in the United States Health System. Institute of Medicine. Washington DC; National Academies Press: 2007.
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psnet.ahrq.gov/issue/markers-enhancing-team-cognition-complex-environments-power-team-performance-diagnosis
August 30, 2006 - Review
Markers for enhancing team cognition in complex environments: the power of team performance diagnosis.
Citation Text:
Salas E, Rosen MA, Burke S, et al. Markers for enhancing team cognition in complex environments: the power of team performance diagnosis. Aviat Space Environ Med…
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psnet.ahrq.gov/issue/patient-safety-culture-factors-influence-clinician-involvement-patient-safety-behaviours
April 16, 2014 - Study
Patient safety culture: factors that influence clinician involvement in patient safety behaviours.
Citation Text:
Wakefield JG, McLaws M-L, Whitby M, et al. Patient safety culture: factors that influence clinician involvement in patient safety behaviours. Qual Saf Health Care. 20…
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psnet.ahrq.gov/issue/sharing-process-diagnostic-decision-making
January 19, 2022 - Commentary
Sharing the process of diagnostic decision making.
Citation Text:
Brush JE, Brophy JM. Sharing the Process of Diagnostic Decision Making. JAMA Intern Med. 2017;177(9):1245-1246. doi:10.1001/jamainternmed.2017.1929.
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psnet.ahrq.gov/issue/impact-high-reliability-education-adverse-event-reporting-registered-nurses
January 07, 2011 - Study
Impact of high-reliability education on adverse event reporting by registered nurses.
Citation Text:
McFarland DM, Doucette JN. Impact of High-Reliability Education on Adverse Event Reporting by Registered Nurses. J Nurs Care Qual. 2018;33(3):285-290. doi:10.1097/NCQ.00000000000002…
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psnet.ahrq.gov/issue/building-and-sustaining-systemwide-culture-safety
July 21, 2009 - Commentary
Building and sustaining a systemwide culture of safety.
Citation Text:
Yates GR, Bernd DL, Sayles SM, et al. Building and sustaining a systemwide culture of safety. Jt Comm J Qual Patient Saf. 2005;31(12):684-689.
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psnet.ahrq.gov/issue/human-factors-engineering-its-place-and-potential-or-safety
May 24, 2017 - Commentary
Human factors engineering: its place and potential in OR safety.
Citation Text:
Criscitelli T. Human factors engineering: its place and potential in OR safety. AORN J. 2015;101(5):571-3. doi:10.1016/j.aorn.2015.02.013.
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psnet.ahrq.gov/issue/patient-safety-perioperative-medication-through-lens-digital-health-and-artificial
September 02, 2020 - Commentary
Patient safety of perioperative medication through the lens of digital health and artificial intelligence.
Citation Text:
Ye J. Patient safety of perioperative medication through the lens of digital health and artificial intelligence. JMIR Periop Med. 2023;6:e34453. doi:10.219…