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psnet.ahrq.gov/issue/improving-rca-performance-cornerstone-award-and-power-positive-reinforcement
September 03, 2015 - Study
Improving RCA performance: the Cornerstone Award and the power of positive reinforcement.
Citation Text:
Bagian JP, King BJ, Mills PD, et al. Improving RCA performance: the Cornerstone Award and the power of positive reinforcement. BMJ Qual Saf. 2011;20(11):974-82. doi:10.1136/bm…
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psnet.ahrq.gov/issue/perianesthesia-nurses-role-prevention-opioid-related-sentinel-events
November 25, 2020 - Commentary
The perianesthesia nurse's role in the prevention of opioid-related sentinel events.
Citation Text:
Pasero C. The perianesthesia nurse's role in the prevention of opioid-related sentinel events. J Perianesth Nurs. 2013;28(1):31-7. doi:10.1016/j.jopan.2012.11.001.
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psnet.ahrq.gov/issue/double-gloves-randomized-trial-evaluate-simple-strategy-reduce-contamination-operating-room
November 09, 2015 - Study
Double gloves: a randomized trial to evaluate a simple strategy to reduce contamination in the operating room.
Citation Text:
Birnbach DJ, Rosen LF, Fitzpatrick M, et al. Double gloves: a randomized trial to evaluate a simple strategy to reduce contamination in the operating room. …
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psnet.ahrq.gov/issue/medication-kit-conundrum-considerations-enhance-safety-and-efficiency
June 07, 2017 - Commentary
The medication kit conundrum: considerations to enhance safety and efficiency.
Citation Text:
Arthur KJ, Fuller J, Dossett HA, et al. The medication kit conundrum: considerations to enhance safety and efficiency. Am J Health Syst Pharm. 2024;Epub Sep 4. doi:10.1093/ajhp/zxae23…
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psnet.ahrq.gov/issue/doctors-thinking-about-system-threat-patient-safety
December 09, 2020 - Study
Doctors' thinking about 'the system' as a threat to patient safety.
Citation Text:
Waring J. Doctors' thinking about 'the system' as a threat to patient safety. Health (London). 2007;11(1):29-46.
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psnet.ahrq.gov/issue/targeted-communication-intervention-using-nursing-crew-resource-management-principles
August 12, 2015 - Study
Targeted communication intervention using nursing crew resource management principles.
Citation Text:
Tschannen D, McClish D, Aebersold M, et al. Targeted communication intervention using nursing crew resource management principles. J Nurs Care Qual. 2015;30(1):7-11. doi:10.1097/NC…
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psnet.ahrq.gov/issue/infusing-fun-quality-and-safety-initiatives
October 19, 2022 - Commentary
Infusing fun into quality and safety initiatives.
Citation Text:
Foulk KC, Tocydlowski P, Snow TM, et al. Infusing fun into quality and safety initiatives. Nursing (Brux). 2012;42(11):14-16. doi:10.1097/01.NURSE.0000421386.36112.a9.
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psnet.ahrq.gov/issue/findings-ismp-medication-safety-self-assessment-hospitals
September 26, 2017 - Study
Findings from the ISMP Medication Safety Self-Assessment for hospitals.
Citation Text:
Smetzer JL, Vaida AJ, Cohen MR, et al. Findings from the ISMP Medication Safety Self-Assessment for hospitals. Jt Comm J Qual Patient Saf. 2003;29(11):586-597.
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psnet.ahrq.gov/issue/good-better-toward-patient-safety-initiative-dentistry
September 06, 2017 - Commentary
From good to better: toward a patient safety initiative in dentistry.
Citation Text:
Ramoni R, Walji MF, White J, et al. From good to better: toward a patient safety initiative in dentistry. J Am Dent Assoc. 2012;143(9):956-60.
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psnet.ahrq.gov/issue/patients-and-families-perspectives-patient-safety-end-life-video-reflexive-ethnography-study
December 18, 2013 - Study
Patients' and families' perspectives of patient safety at the end of life: a video-reflexive ethnography study.
Citation Text:
Collier A, Sorensen R, Iedema R. Patients' and families' perspectives of patient safety at the end of life: a video-reflexive ethnography study. Int J Qual…
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psnet.ahrq.gov/issue/review-bringing-patient-safety-forefront-through-structured-computerisation-during-clinical
January 13, 2021 - Review
Review: bringing patient safety to the forefront through structured computerisation during clinical handover.
Citation Text:
Matic J, Davidson PM, Salamonson Y. Review: bringing patient safety to the forefront through structured computerisation during clinical handover. J Clin N…
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psnet.ahrq.gov/issue/can-aviation-industry-be-useful-teaching-oncology-about-safety
June 13, 2011 - Commentary
Can the aviation industry be useful in teaching oncology about safety?
Citation Text:
Davies JM, Delaney G. Can the Aviation Industry be Useful in Teaching Oncology about Safety? Clin Oncol (R Coll Radiol). 2017;29(10):669-675. doi:10.1016/j.clon.2017.06.007.
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psnet.ahrq.gov/issue/patterns-medical-and-nursing-staff-communication-nursing-homes-implications-and-insights
December 22, 2018 - Study
Patterns of medical and nursing staff communication in nursing homes: implications and insights from complexity science.
Citation Text:
Colón-Emeric CS, Ammarell N, Bailey D, et al. Patterns of medical and nursing staff communication in nursing homes: implications and insights fr…
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psnet.ahrq.gov/issue/eliminating-perioperative-adverse-events-ascension-health
November 16, 2022 - Commentary
Eliminating perioperative adverse events at Ascension Health.
Citation Text:
Ewing H, Bruder G, Baroco P, et al. Eliminating perioperative adverse events at Ascension Health. Jt Comm J Qual Patient Saf. 2007;33(5):256-66.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/or_briefing_audit.docx
December 01, 2017 - Tool: OR Briefing and Debriefing Audit Tool
AHRQ Safety Program for Surgery
Operating Room Briefing and Debriefing Audit Tool
Introduction
Problem Statement
One of the strongest determinants of safety culture is whether local and hospital leadership respond to staff patient safety concerns. Frontline providers unde…
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psnet.ahrq.gov/issue/workplace-bullying-risk-and-safety-professionals
May 05, 2021 - Study
Workplace bullying in risk and safety professionals.
Citation Text:
Brewer G, Holt B, Malik S. Workplace bullying in risk and safety professionals. J Safety Res. 2018;64:129-133. doi:10.1016/j.jsr.2017.12.015.
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psnet.ahrq.gov/issue/application-failure-mode-and-effect-analysis-radiology-department
October 13, 2010 - Commentary
Application of failure mode and effect analysis in a radiology department.
Citation Text:
Thornton E, Brook OR, Mendiratta-Lala M, et al. Application of Failure Mode and Effect Analysis in a Radiology Department. RadioGraphics. 2010;31(1):281-293. doi:10.1148/rg.311105018.
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psnet.ahrq.gov/issue/drug-shortages-root-causes-and-potential-solutions
January 13, 2021 - Book/Report
Emerging Classic
Drug Shortages: Root Causes and Potential Solutions.
Citation Text:
Drug Shortages: Root Causes and Potential Solutions. Drug Shortage Task Force. Silver Spring, MD: US Food and Drug Administration; 2020.
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psnet.ahrq.gov/issue/disclosure-harmful-medical-error-patients-review-recommendations-pathologists
September 21, 2022 - Review
Disclosure of harmful medical error to patients: a review with recommendations for pathologists.
Citation Text:
Heher YK, Dintzis SM. Disclosure of Harmful Medical Error to Patients: A Review With Recommendations for Pathologists. Adv Anat Pathol. 2018;25(2):124-130. doi:10.1097/P…
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psnet.ahrq.gov/issue/model-chemotherapy-education-novice-oncology-nurses-supports-culture-safety
September 24, 2010 - Commentary
A model of chemotherapy education for novice oncology nurses that supports a culture of safety.
Citation Text:
Sheridan-Leos N. A model of chemotherapy education for novice oncology nurses that supports a culture of safety. Clin J Oncol Nurs. 2007;11(4):545-51.
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