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psnet.ahrq.gov/issue/multi-level-strategies-achieve-resilience-organisation-operating-capacity-case-study-trauma
November 20, 2024 - February 2, 2022
Critical phase distractions in anaesthesia and the sterile cockpit concept
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psnet.ahrq.gov/issue/perruche-case-and-issue-compensation-consequences-medical-error
July 31, 2024 - April 28, 2021
Response of practicing chiropractors during the early phase of the COVID
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psnet.ahrq.gov/issue/evolution-error-error-management-cognitive-constraints-and-adaptive-decision-making-biases
June 03, 2020 - November 16, 2022
Response of practicing chiropractors during the early phase of the
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psnet.ahrq.gov/issue/medication-safety-pharmacy-technician-large-tertiary-care-community-hospital
July 08, 2020 - Resources From the Same Author(s)
Response of practicing chiropractors during the early phase
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psnet.ahrq.gov/issue/error-tracking-clinical-biochemistry-laboratory
June 10, 2020 - September 1, 2012
Incident reporting practices in the preanalytical phase: low reported
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psnet.ahrq.gov/issue/through-and-beyond-anaesthesia-awareness
September 20, 2023 - October 6, 2021
Critical phase distractions in anaesthesia and the sterile cockpit concept
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psnet.ahrq.gov/issue/missed-steps-preanesthetic-set
June 26, 2019 - February 3, 2021
Critical phase distractions in anaesthesia and the sterile cockpit concept
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psnet.ahrq.gov/issue/medication-handling-towards-practical-human-centred-approach
September 23, 2020 - March 20, 2019
Critical phase distractions in anaesthesia and the sterile cockpit concept
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psnet.ahrq.gov/issue/root-cause-analysis-project-medication-safety-course
October 07, 2020 - May 18, 2022
Response of practicing chiropractors during the early phase of the COVID
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psnet.ahrq.gov/node/73416/psn-pdf
June 23, 2021 - An observational study of postoperative handoff
standardization failures.
June 23, 2021
Abraham J, Meng A, Sona C, et al. An observational study of postoperative handoff standardization
failures. Int J Med Inform. 2021;151:104458. doi:10.1016/j.ijmedinf.2021.104458.
https://psnet.ahrq.gov/issue/observational-study…
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psnet.ahrq.gov/node/37556/psn-pdf
November 21, 2016 - Unexpected intraoperative patient death: the imperatives
of family- and surgeon-centered care.
November 21, 2016
Taylor D, Hassan MA, Luterman A, et al. Unexpected intraoperative patient death: the imperatives of
family- and surgeon-centered care. Arch Surg. 2008;143(1):87-92. doi:10.1001/archsurg.2007.27.
https:/…
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psnet.ahrq.gov/perspective/african-partnerships-patient-safety-lessons-learned
December 01, 2014 - Phase 1: Co-development and program design (2009–2011)
Unlike other patient safety initiatives to date … This phase involved co-development of a first batch of tools and resources and early components of a … 2: Managed partnership expansion (2011–2013)
The lessons from phase 1 of APPS were then applied to … During this phase, France also began to support APPS hospital partnerships involving five additional … development across African countries, thus moving toward implementation-informed policymaking.( 16 )
Phase
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psnet.ahrq.gov/issue/national-study-frequency-types-causes-and-consequences-voluntarily-reported-emergency
April 15, 2014 - The administration phase was the most error-prone, and the most common error type was improper dose/quantity
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psnet.ahrq.gov/node/837058/psn-pdf
May 11, 2022 - Establishing psychological safety in clinical supervision:
multi-professional perspectives.
May 11, 2022
Lee EH, Pitts S, Pignataro S, et al. Establishing psychological safety in clinical supervision: multi?
professional perspectives. Clin Teach. 2022;19(2):71-78. doi:10.1111/tct.13451.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/issue/quality-and-safety-anesthesia-and-perioperative-care
March 09, 2016 - April 3, 2019
Critical phase distractions in anaesthesia and the sterile cockpit concept
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psnet.ahrq.gov/issue/use-dimensional-analysis-reduce-medication-errors
August 06, 2014 - 2011
Characteristics of medication errors made by students during the administration phase
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psnet.ahrq.gov/node/46160/psn-pdf
June 07, 2017 - ISMP Guidelines for Optimizing Safe Subcutaneous
Insulin Use in Adults.
June 7, 2017
Horsham, PA: Institute for Safe Medication Practices; May 2017.
https://psnet.ahrq.gov/issue/ismp-guidelines-optimizing-safe-subcutaneous-insulin-use-adults
Insulin is a widely used medication that can contribute to serious patien…
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psnet.ahrq.gov/issue/simulation-based-training-missing-link-lastingly-improved-patient-safety-and-health
January 17, 2024 - November 16, 2016
Leaders' and followers' individual experiences during the early phase
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psnet.ahrq.gov/issue/prospective-controlled-trial-electronic-hand-hygiene-reminder-system
April 07, 2021 - feedback of current hygiene compliance rates resulted in an increase that lasted throughout the study phase
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psnet.ahrq.gov/issue/harmful-medication-errors-involving-unfractionated-and-low-molecular-weight-heparin-three
October 23, 2018 - 300,000 medication events reported, approximately 4% involved heparin products, with the administration phase