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psnet.ahrq.gov/issue/surgeons-vigilance-operating-room
November 12, 2014 - Study
Surgeon's vigilance in the operating room.
Citation Text:
Zheng B, Tien G, Atkins SM, et al. Surgeon's vigilance in the operating room. Am J Surg. 2011;201(5):673-7. doi:10.1016/j.amjsurg.2011.01.016.
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psnet.ahrq.gov/issue/state-science-evolving-perspectives-human-error
February 22, 2023 - Commentary
State of science: evolving perspectives on ‘human error’.
Citation Text:
Read GJM, Shorrock S, Walker GH, et al. State of science: evolving perspectives on ‘human error’. Ergonomics. 2021;64(9):1091-1114. doi:10.1080/00140139.2021.1953615.
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psnet.ahrq.gov/issue/organizational-culture-and-its-implications-infection-prevention-and-control-healthcare
October 06, 2010 - Review
Organizational culture and its implications for infection prevention and control in healthcare institutions.
Citation Text:
De Bono S, Heling G, Borg MA. Organizational culture and its implications for infection prevention and control in healthcare institutions. J Hosp Infect. 20…
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psnet.ahrq.gov/issue/barcode-medication-administration-work-arounds-systematic-review-and-implications-nurse
January 10, 2017 - Review
Barcode medication administration work-arounds: a systematic review and implications for nurse executives.
Citation Text:
Voshall B, Piscotty R, Lawrence J, et al. Barcode medication administration work-arounds: a systematic review and implications for nurse executives. J Nurs A…
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psnet.ahrq.gov/issue/development-rating-system-surgeons-non-technical-skills
June 12, 2008 - Study
Development of a rating system for surgeons' non-technical skills.
Citation Text:
Yule S, Flin R, Paterson-Brown S, et al. Development of a rating system for surgeons' non-technical skills. Med Educ. 2006;40(11):1098-104.
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psnet.ahrq.gov/issue/cutting-edge-efforts-surgical-patient-safety
August 02, 2015 - Commentary
Cutting-edge efforts in surgical patient safety.
Citation Text:
Varghese TK, Ghaferi AA. Cutting-edge Efforts in Surgical Patient Safety. JAMA Surg. 2017;152(8):719-720. doi:10.1001/jamasurg.2017.0858.
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psnet.ahrq.gov/issue/use-cascading-a3s-drive-systemwide-improvement
January 29, 2015 - Commentary
Use of cascading A3s to drive systemwide improvement.
Citation Text:
Winner LE, Burroughs TJ, Cady-Reh JA, et al. Use of Cascading A3s to Drive Systemwide Improvement. Jt Comm J Qual Patient Saf. 2017;43(8):422-428. doi:10.1016/j.jcjq.2017.03.011.
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psnet.ahrq.gov/issue/attitudes-and-experiences-trainees-regarding-disclosing-medical-errors-patients
April 13, 2011 - Study
The attitudes and experiences of trainees regarding disclosing medical errors to patients.
Citation Text:
White AA, Gallagher TH, Krauss MJ, et al. The attitudes and experiences of trainees regarding disclosing medical errors to patients. Acad Med. 2008;83(3):250-6. doi:10.1097/A…
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psnet.ahrq.gov/issue/how-trainees-would-disclose-medical-errors-educational-implications-training-programmes
February 16, 2011 - Study
How trainees would disclose medical errors: educational implications for training programmes.
Citation Text:
White AA, Bell SK, Krauss MJ, et al. How trainees would disclose medical errors: educational implications for training programmes. Med Educ. 2011;45(4):372-80. doi:10.1111…
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psnet.ahrq.gov/issue/implementation-perioperative-checklist-increases-patients-perioperative-safety-and-staff
April 03, 2013 - Study
The implementation of a perioperative checklist increases patients' perioperative safety and staff satisfaction.
Citation Text:
Böhmer AB, Wappler F, Tinschmann T, et al. The implementation of a perioperative checklist increases patients' perioperative safety and staff satisfacti…
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psnet.ahrq.gov/issue/just-culture-its-more-policy
July 05, 2017 - Study
Just culture: it's more than policy.
Citation Text:
Paradiso L, Sweeney N. Just culture: It's more than policy. Nurs Manage. 2019;50(6):38-45. doi:10.1097/01.NUMA.0000558482.07815.ae.
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psnet.ahrq.gov/issue/fake-it-til-you-make-it-pressures-measure-surgical-training
October 25, 2023 - Study
Emerging Classic
Fake it 'til you make it: pressures to measure up in surgical training.
Citation Text:
Patel P, Martimianakis MA, Zilbert NR, et al. Fake It 'Til You Make It: Pressures to Measure Up in Surgical Training. Acad Med. 2018;93(5):769-774. doi:…
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psnet.ahrq.gov/issue/perioperative-patient-safety-multisite-qualitative-analysis
September 20, 2023 - Study
Perioperative patient safety: a multisite qualitative analysis.
Citation Text:
Chappy S. Perioperative patient safety: a multisite qualitative analysis. AORN J. 2006;83(4):871-4, 877-88, 891-7.
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psnet.ahrq.gov/issue/role-intraoperative-cholangiography-avoiding-bile-duct-injury
December 13, 2023 - Review
Role of intraoperative cholangiography in avoiding bile duct injury.
Citation Text:
Massarweh NN, Flum DR. Role of intraoperative cholangiography in avoiding bile duct injury. J Am Coll Surg. 2007;204(4):656-64.
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psnet.ahrq.gov/issue/evidence-and-efficacy-time-think-beyond-traditional-randomised-controlled-trial-patient
January 24, 2024 - Commentary
Evidence and efficacy: time to think beyond the traditional randomised controlled trial in patient safety studies.
Citation Text:
Webster CS. Evidence and efficacy: time to think beyond the traditional randomised controlled trial in patient safety studies. Br J Anaesth. 2019;1…
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psnet.ahrq.gov/issue/epidemiology-prescribing-errors-potential-impact-computerized-prescriber-order-entry
May 04, 2010 - Study
The epidemiology of prescribing errors: the potential impact of computerized prescriber order entry.
Citation Text:
Bobb A, Gleason KM, Husch M, et al. The epidemiology of prescribing errors: the potential impact of computerized prescriber order entry. Arch Intern Med. 2004;164(7…
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psnet.ahrq.gov/issue/nurses-role-medical-error-recovery-integrative-review
September 28, 2005 - Review
Nurses' role in medical error recovery: an integrative review.
Citation Text:
Gaffney TA, Hatcher BJ, Milligan R. Nurses' role in medical error recovery: an integrative review. J Clin Nurs. 2016;25(7-8):906-17. doi:10.1111/jocn.13126.
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psnet.ahrq.gov/issue/simulation-based-adverse-event-reporting-system-development-and-feasibility
July 08, 2020 - Study
Simulation based adverse event reporting system: development and feasibility.
Citation Text:
Mckay M, Sanko JS. Simulation Based Adverse Event Reporting System: Development and Feasibility. Clin Simul Nurs. 2014;10(5). doi:10.1016/j.ecns.2013.12.005.
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psnet.ahrq.gov/issue/who-responsible-safe-introduction-new-surgical-technology-important-legal-precedent-da-vinci
April 15, 2015 - Commentary
Who is responsible for the safe introduction of new surgical technology? An important legal precedent from the da Vinci Surgical System Trials.
Citation Text:
Pradarelli J, Thornton JP, Dimick JB. Who Is Responsible for the Safe Introduction of New Surgical Technology?: An Imp…
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psnet.ahrq.gov/issue/patient-safety-challenges-low-income-and-middle-income-countries
May 23, 2018 - Review
Patient safety challenges in low-income and middle-income countries.
Citation Text:
Steffner KR, McQueen KAK, Gelb AW. Patient safety challenges in low-income and middle-income countries. Curr Opin Anaesthesiol. 2014;27(6):623-9. doi:10.1097/ACO.0000000000000121.
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