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9921. Review of the Australian Incident Monitoring System. | PSNet
      psnet.ahrq.gov/issue/review-australian-incident-monitoring-system
      July 23, 2008 - Study Review of the Australian Incident Monitoring System. Citation Text: Spigelman AD, Swan J. Review of the Australian incident monitoring system. ANZ J Surg. 2005;75(8):657-61. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

9922. Navigating care transitions: a process model of how doctors overcome organizational barriers and create awareness. | PSNet
      psnet.ahrq.gov/issue/navigating-care-transitions-process-model-how-doctors-overcome-organizational-barriers-and
      February 20, 2016 - Study Navigating care transitions: a process model of how doctors overcome organizational barriers and create awareness. Citation Text: Hilligoss B, Vogus TJ. Navigating Care Transitions. Medical Care Research and Review. 2014;72(1). doi:10.1177/1077558714563170. Copy Citation Form…

9923. Sentinel events. In memory of Ben—a case study. | PSNet
      psnet.ahrq.gov/issue/sentinel-events-memory-ben-case-study
      July 01, 2016 - Study Sentinel events. In memory of Ben—a case study. Citation Text: Haas D. Sentinel events. In memory of Ben--a case study. Jt Comm Perspect. 1997;17(2):12-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

9924. Development of a rating system for surgeons' non-technical skills. | PSNet
      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. Copy Citation Format: Google Scholar PubMed …

9925. Critical phase distractions in anaesthesia and the sterile cockpit concept. | PSNet
      psnet.ahrq.gov/issue/critical-phase-distractions-anaesthesia-and-sterile-cockpit-concept
      April 24, 2018 - Study Critical phase distractions in anaesthesia and the sterile cockpit concept. Citation Text: Broom MA, Capek AL, Carachi P, et al. Critical phase distractions in anaesthesia and the sterile cockpit concept. Anaesthesia. 2011;66(3):175-179. doi:10.1111/j.1365-2044.2011.06623.x. Copy…

9926. Strategies for preventing distractions and interruptions in the OR. | PSNet
      psnet.ahrq.gov/issue/strategies-preventing-distractions-and-interruptions-or
      January 23, 2008 - Study Strategies for preventing distractions and interruptions in the OR. Citation Text: Clark GJ. Strategies for preventing distractions and interruptions in the OR. AORN J. 2013;97(6):702-707. doi:10.1016/j.aorn.2013.01.018. Copy Citation Format: DOI Google Scholar PubMed…

9927. Accountability sought by patients following adverse events from medical care: the New Zealand experience. | PSNet
      psnet.ahrq.gov/issue/accountability-sought-patients-following-adverse-events-medical-care-new-zealand-experience
      June 25, 2010 - Study Accountability sought by patients following adverse events from medical care: the New Zealand experience. Citation Text: Bismark M, Dauer E, Paterson R, et al. Accountability sought by patients following adverse events from medical care: the New Zealand experience. CMAJ. 2006;175…

9928. A review of current and emerging approaches to address failure-to-rescue. | PSNet
      psnet.ahrq.gov/issue/review-current-and-emerging-approaches-address-failure-rescue
      March 20, 2024 - Review A review of current and emerging approaches to address failure-to-rescue. Citation Text: Taenzer AH, Pyke JB, McGrath SP. A review of current and emerging approaches to address failure-to-rescue. Anesthesiology. 2011;115(2):421-31. doi:10.1097/ALN.0b013e318219d633. Copy Citation…

9929. Hospitalists as Emerging Leaders in Patient Safety: lessons learned and future directions. | PSNet
      psnet.ahrq.gov/issue/hospitalists-emerging-leaders-patient-safety-lessons-learned-and-future-directions
      July 14, 2010 - Study Hospitalists as Emerging Leaders in Patient Safety: lessons learned and future directions. Citation Text: Flanders S, Kaufman SR, Saint S, et al. Hospitalists as emerging leaders in patient safety: lessons learned and future directions. J Patient Saf. 2009;5(1):3-8. doi:10.1097/P…

9930. Surgeon's vigilance in the operating room. | PSNet
      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. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

9931. Evaluation of critical incidents in general surgery. | PSNet
      psnet.ahrq.gov/issue/evaluation-critical-incidents-general-surgery
      April 29, 2009 - Study Evaluation of critical incidents in general surgery. Citation Text: Zingg U, Zala-Mezoe E, Kuenzle B, et al. Evaluation of critical incidents in general surgery. Br J Surg. 2008;95(11):1420-5. doi:10.1002/bjs.6296. Copy Citation Format: DOI Google Scholar PubMed …

9932. VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileging Process Needs Improvement. | PSNet
      psnet.ahrq.gov/issue/va-health-care-selected-credentialing-requirements-seven-medical-facilities-met-aspect
      July 05, 2006 - Government Resource VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileging Process Needs Improvement. Citation Text: VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileg…

9933. Introducing new technology into the operating room: measuring the impact on job performance and satisfaction. | PSNet
      psnet.ahrq.gov/issue/introducing-new-technology-operating-room-measuring-impact-job-performance-and-satisfaction
      May 18, 2022 - Study Introducing new technology into the operating room: measuring the impact on job performance and satisfaction. Citation Text: Stahl JE, Egan MT, Goldman JM, et al. Introducing new technology into the operating room: measuring the impact on job performance and satisfaction. Surgery…

9934. Selection of indicators for continuous monitoring of patient safety: recommendations of the project 'safety improvement for patients in Europe.'  | PSNet
      psnet.ahrq.gov/issue/selection-indicators-continuous-monitoring-patient-safety-recommendations-project-safety
      June 22, 2016 - Commentary Selection of indicators for continuous monitoring of patient safety: recommendations of the project 'safety improvement for patients in Europe.'  Citation Text: Kristensen S, Mainz J, Bartels P. Selection of indicators for continuous monitoring of patient safety: recommendat…

9935. Emergency department image interpretation accuracy: the influence of immediate reporting by radiology. | PSNet
      psnet.ahrq.gov/issue/emergency-department-image-interpretation-accuracy-influence-immediate-reporting-radiology
      November 09, 2022 - Study Emergency department image interpretation accuracy: the influence of immediate reporting by radiology. Citation Text: Snaith B, Hardy M. Emergency department image interpretation accuracy: The influence of immediate reporting by radiology. Int Emerg Nurs. 2014;22(2):63-8. doi:10.10…

9936. Using improvement science methods to increase accuracy of surgical consents. | PSNet
      psnet.ahrq.gov/issue/using-improvement-science-methods-increase-accuracy-surgical-consents
      October 05, 2011 - Study Using improvement science methods to increase accuracy of surgical consents. Citation Text: Mercurio P, Ellis AS, Schoettker PJ, et al. Using improvement science methods to increase accuracy of surgical consents. AORN J. 2014;100(1):42-53. doi:10.1016/j.aorn.2013.07.023. Copy Cit…

9937. Measurement of quality and assurance of safety in the critically ill. | PSNet
      psnet.ahrq.gov/issue/measurement-quality-and-assurance-safety-critically-ill
      March 21, 2012 - Commentary Measurement of quality and assurance of safety in the critically ill. Citation Text: Pronovost P, Sexton B, Pham JC, et al. Measurement of quality and assurance of safety in the critically ill. Clin Chest Med. 2009;30(1):169-79, x. doi:10.1016/j.ccm.2008.09.004. Copy Citat…

9938. Medication errors—new approaches to prevention. | PSNet
      psnet.ahrq.gov/issue/medication-errors-new-approaches-prevention
      November 18, 2016 - Review Medication errors—new approaches to prevention. Citation Text: Merry A, Anderson BJ. Medication errors--new approaches to prevention. Paediatr Anaesth. 2011;21(7):743-53. doi:10.1111/j.1460-9592.2011.03589.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

9939. Handoffs and communication: the underappreciated roles of situational awareness and inattentional blindness. | PSNet
      psnet.ahrq.gov/issue/handoffs-and-communication-underappreciated-roles-situational-awareness-and-inattentional
      February 01, 2003 - Commentary Handoffs and communication: the underappreciated roles of situational awareness and inattentional blindness. Citation Text: Gosbee JW. Handoffs and communication: the underappreciated roles of situational awareness and inattentional blindness. Clin Obstet Gynecol. 2010;53(3)…

9940. Medication orders with future start dates: how far away is too far? | PSNet
      psnet.ahrq.gov/issue/medication-orders-future-start-dates-how-far-away-too-far
      March 15, 2022 - Newspaper/Magazine Article Medication orders with future start dates: how far away is too far? Citation Text: Medication orders with future start dates: how far away is too far? ISMP Medication Safety Alert! Acute care edition. July 14, 2022:27(14):1-4. Copy Citation Sa…