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psnet.ahrq.gov/issue/how-mitigate-effects-cognitive-biases-during-patient-safety-incident-investigations
June 29, 2022 - Commentary
How to mitigate the effects of cognitive biases during patient safety incident investigations.
Citation Text:
Rogers JE, Hilgers TR, Keebler JR, et al. How to mitigate the effects of cognitive biases during patient safety incident investigations. Jt Comm J Qual Patient Saf. 20…
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psnet.ahrq.gov/issue/improving-reliability-clinical-care-practices-ventilated-patients-context-patient-safety
November 07, 2011 - Study
Improving reliability of clinical care practices for ventilated patients in the context of a patient safety improvement initiative.
Citation Text:
Pinto A, Burnett S, Benn J, et al. Improving reliability of clinical care practices for ventilated patients in the context of a patie…
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psnet.ahrq.gov/issue/factors-predicting-change-hospital-safety-climate-and-capability-multi-site-patient-safety
February 01, 2011 - Study
Factors predicting change in hospital safety climate and capability in a multi-site patient safety collaborative: a longitudinal survey study.
Citation Text:
Benn J, Burnett S, Parand A, et al. Factors predicting change in hospital safety climate and capability in a multi-site pa…
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psnet.ahrq.gov/issue/positive-deviance-different-approach-achieving-patient-safety
May 15, 2024 - Commentary
Positive deviance: a different approach to achieving patient safety.
Citation Text:
Lawton R, Taylor N, Clay-Williams R, et al. Positive deviance: a different approach to achieving patient safety. BMJ Qual Saf. 2014;23(11):880-3. doi:10.1136/bmjqs-2014-003115.
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psnet.ahrq.gov/issue/safety-australian-healthcare-10-years-after-qahcs
January 12, 2022 - Commentary
The safety of Australian healthcare: 10 years after QAHCS.
Citation Text:
Wilson RML, Van Der Weyden MB. The safety of Australian healthcare: 10 years after QAHCS. Med J Aust. 2005;182(6):260-1.
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psnet.ahrq.gov/issue/practical-challenges-introducing-who-surgical-checklist-uk-pilot-experience
September 26, 2012 - Study
Practical challenges of introducing WHO surgical checklist: UK pilot experience.
Citation Text:
Vats A, Vincent CA, Nagpal K, et al. Practical challenges of introducing WHO surgical checklist: UK pilot experience. BMJ. 2010;340(jan13 2). doi:10.1136/bmj.b5433.
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psnet.ahrq.gov/issue/please-reconcile-not-wait-while
April 19, 2023 - Commentary
Please reconcile, not wait a while.
Citation Text:
Trivedi A, Sharma S, Ajitsaria R, et al. Please reconcile, not wait a while. Arch Dis Child Educ Pract Ed. 2019;105(2):122-126. doi:10.1136/archdischild-2018-316356.
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psnet.ahrq.gov/issue/surgical-safety-checklists-childrens-surgery-surgeons-attitudes-and-review-literature
October 23, 2019 - Study
Surgical safety checklists in children's surgery: surgeons' attitudes and review of the literature.
Citation Text:
Roybal J, Tsao KJ, Rangel S, et al. Surgical Safety Checklists in Children's Surgery: Surgeons' Attitudes and Review of the Literature. Pediatr Qual Saf. 2018;3(5):e10…
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psnet.ahrq.gov/issue/thirty-day-outcomes-support-implementation-surgical-safety-checklist
April 10, 2024 - Study
Thirty-day outcomes support implementation of a surgical safety checklist.
Citation Text:
Bliss LA, Ross-Richardson CB, Sanzari LJ, et al. Thirty-day outcomes support implementation of a surgical safety checklist. J Am Coll Surg. 2012;215(6):766-76. doi:10.1016/j.jamcollsurg.2012…
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psnet.ahrq.gov/issue/impact-resident-participation-surgical-operations-postoperative-outcomes-national-surgical
November 16, 2022 - Study
Impact of resident participation in surgical operations on postoperative outcomes: National Surgical Quality Improvement Program.
Citation Text:
Kiran RP, Ahmed Ali U, Coffey JC, et al. Impact of Resident Participation in Surgical Operations on Postoperative Outcomes. Ann Surg. 20…
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psnet.ahrq.gov/issue/organizational-and-social-psychological-conditions-healthcare-and-their-importance-patient
August 16, 2017 - Study
Organizational and social-psychological conditions in healthcare and their importance for patient and staff safety. A critical incident study among doctors and nurses.
Citation Text:
Eklöf M, Törner M, Pousette A. Organizational and social-psychological conditions in healthcare and…
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psnet.ahrq.gov/issue/opioid-crisis-origins-trends-policies-and-roles-pharmacists
December 14, 2022 - Review
The opioid crisis: origins, trends, policies, and the roles of pharmacists.
Citation Text:
Chisholm-Burns MA, Spivey CA, Sherwin E, et al. The opioid crisis: Origins, trends, policies, and the roles of pharmacists. Am J Health-Syst Pharm. 2019;76(7):424-435. doi:10.1093/ajhp/zxy08…
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psnet.ahrq.gov/issue/ball-leadership-patient-safety-and-learning-critical-care
October 16, 2013 - Study
On the ball: leadership for patient safety and learning in critical care.
Citation Text:
Tregunno D, Jeffs L, Hall LMG, et al. On the ball: leadership for patient safety and learning in critical care. J Nurs Adm. 2009;39(7-8):334-9. doi:10.1097/NNA.0b013e3181ae9653.
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psnet.ahrq.gov/issue/effects-intervention-reduce-hospitalizations-nursing-homes-randomized-implementation-trial
March 04, 2015 - Study
Effects of an intervention to reduce hospitalizations from nursing homes: a randomized implementation trial of the INTERACT program.
Citation Text:
Kane RL, Huckfeldt P, Tappen R, et al. Effects of an Intervention to Reduce Hospitalizations From Nursing Homes: A Randomized Implemen…
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psnet.ahrq.gov/issue/what-do-family-physicians-consider-error-comparison-definitions-and-physician-perception
February 15, 2011 - Study
What do family physicians consider an error? A comparison of definitions and physician perception.
Citation Text:
Elder NC, Pallerla H, Regan S. What do family physicians consider an error? A comparison of definitions and physician perception. BMC Fam Pract. 2006;7:73.
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psnet.ahrq.gov/issue/prospective-daily-review-discharge-medications-pharmacists-effects-measures-safety-and
July 14, 2010 - Commentary
Prospective daily review of discharge medications by pharmacists: effects on measures of safety and efficiency.
Citation Text:
Craynon R, Hager DR, Reed M, et al. Prospective daily review of discharge medications by pharmacists: Effects on measures of safety and efficiency. Am…
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psnet.ahrq.gov/issue/how-safety-climate-measured-review-and-evaluation
January 26, 2022 - Review
How is safety climate measured? A review and evaluation.
Citation Text:
Shea T, De Cieri H, Vu T, et al. How is safety climate measured? A review and evaluation. Safety Sci. 2021;143:105413. doi:10.1016/j.ssci.2021.105413.
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psnet.ahrq.gov/issue/interprofessional-care-intensive-care-settings-and-factors-impact-it-results-scoping-review
August 15, 2018 - Review
Interprofessional care in intensive care settings and the factors that impact it: results from a scoping review of ethnographic studies.
Citation Text:
Paradis E, Leslie M, Gropper MA, et al. Interprofessional care in intensive care settings and the factors that impact it: resul…
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psnet.ahrq.gov/issue/understanding-heterogeneity-labor-and-delivery-units-using-design-thinking-methodology-assess
August 15, 2018 - Study
Understanding the heterogeneity of labor and delivery units: using design thinking methodology to assess environmental factors that contribute to safety in childbirth.
Citation Text:
Sherman J, Hedli LC, Kristensen-Cabrera AI, et al. Understanding the Heterogeneity of Labor and Del…
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psnet.ahrq.gov/issue/team-mental-models-and-their-potential-improve-teamwork-and-safety-review-and-implications
June 09, 2021 - Review
Team mental models and their potential to improve teamwork and safety: a review and implications for future research in healthcare.
Citation Text:
Burtscher MJ, Manser T. Team mental models and their potential to improve teamwork and safety: A review and implications for future …