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psnet.ahrq.gov/issue/cardiac-arrest-during-anesthesia
January 19, 2011 - August 12, 2020
Promoting patient safety through prospective risk identification: example
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psnet.ahrq.gov/issue/adverse-drug-events-us-hospitals-2004
April 27, 2011 - September 4, 2018
Promoting Safety and Quality Through Human Resource Practices: Executive
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psnet.ahrq.gov/issue/teamstepps-assuring-optimal-teamwork-clinical-settings
January 12, 2011 - April 15, 2015
Promoting a culture of safety as a patient safety strategy: a systematic
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psnet.ahrq.gov/issue/inpatient-computerized-provider-order-entry-findings-ahrq-health-it-portfolio
May 24, 2015 - March 18, 2020
Promoting Safety and Quality Through Human Resource Practices: Executive
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psnet.ahrq.gov/issue/radiation-therapy-safety-critical-role-radiation-therapist
June 20, 2014 - March 16, 2016
Promoting Safety and Quality Through Human Resource Practices: Executive
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psnet.ahrq.gov/web-mm/culture-clash-no-more-integration-and-coordination-disease-treatment-and-palliative-care
December 23, 2020 - valuable information for developing a care plan that is congruent with the patient’s desires while promoting
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psnet.ahrq.gov/issue/observation-assessment-clinician-performance-narrative-review
September 09, 2015 - Review
Observation for assessment of clinician performance: a narrative review.
Citation Text:
Yanes AF, McElroy LM, Abecassis ZA, et al. Observation for assessment of clinician performance: a narrative review. BMJ Qual Saf. 2016;25(1):46-55. doi:10.1136/bmjqs-2015-004171.
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psnet.ahrq.gov/issue/hope-modified-association-between-distress-and-incidence-self-perceived-medical-errors-among
June 07, 2018 - Study
Hope modified the association between distress and incidence of self-perceived medical errors among practicing physicians: prospective cohort study.
Citation Text:
Hayashino Y, Utsugi-Ozaki M, Feldman MD, et al. Hope modified the association between distress and incidence of self-…
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psnet.ahrq.gov/issue/formalizing-hidden-curriculum-performance-enhancing-errors
February 17, 2021 - Review
Formalizing the hidden curriculum of performance enhancing errors.
Citation Text:
Kerray FM, Yule SJ, Tambyraja AL. Formalizing the hidden curriculum of performance enhancing errors. J Surg Educ. 2023;80(5):619-623. doi:10.1016/j.jsurg.2023.01.009.
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psnet.ahrq.gov/issue/do-safety-checklists-improve-teamwork-and-communication-operating-room-systematic-review
January 19, 2016 - Review
Do safety checklists improve teamwork and communication in the operating room? A systematic review.
Citation Text:
Russ S, Rout S, Sevdalis N, et al. Do safety checklists improve teamwork and communication in the operating room? A systematic review. Ann Surg. 2013;258(6):856-71. …
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psnet.ahrq.gov/issue/parenteral-opioid-shortage-treating-pain-during-opioid-overdose-epidemic
January 31, 2024 - Commentary
Emerging Classic
Parenteral opioid shortage—treating pain during the opioid-overdose epidemic.
Citation Text:
Bruera E. Parenteral Opioid Shortage - Treating Pain during the Opioid-Overdose Epidemic. N Engl J Med. 2018;379(7):601-603. doi:10.1056/NEJM…
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psnet.ahrq.gov/issue/disclosure-medical-errors-ethical-considerations-development-facility-policy-and
August 30, 2017 - Commentary
Disclosure of medical errors: ethical considerations for the development of a facility policy and organizational culture change.
Citation Text:
Henry LL. Disclosure of medical errors: ethical considerations for the development of a facility policy and organizational culture ch…
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psnet.ahrq.gov/issue/nursing-and-patient-safety-operating-room
November 03, 2010 - Study
Nursing and patient safety in the operating room.
Citation Text:
Alfredsdottir H, Bjornsdottir K. Nursing and patient safety in the operating room. J Adv Nurs. 2010;61(1):29-37. doi:10.1111/j.1365-2648.2007.04462.x.
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psnet.ahrq.gov/issue/relationship-hospital-organizational-culture-patient-safety-climate-veterans-health
October 14, 2009 - Study
Relationship of hospital organizational culture to patient safety climate in the Veterans Health Administration.
Citation Text:
Hartmann CW, Meterko M, Rosen AK, et al. Relationship of hospital organizational culture to patient safety climate in the Veterans Health Administration…
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psnet.ahrq.gov/issue/role-human-factors-neonatal-patient-safety
August 04, 2021 - Journal Article
The role of human factors in neonatal patient safety
Citation Text:
Yamada NK, Catchpole K, Salas E. The role of human factors in neonatal patient safety. Semin Perinatol. 2019;43(8):151174. doi:10.1053/j.semperi.2019.08.003.
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psnet.ahrq.gov/issue/medication-related-patient-safety-incidents-critical-care-review-reports-uk-national-patient
December 02, 2009 - Study
Medication-related patient safety incidents in critical care: a review of reports to the UK National Patient Safety Agency.
Citation Text:
Thomas AN, Panchagnula U. Medication-related patient safety incidents in critical care: a review of reports to the UK National Patient Safety…
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psnet.ahrq.gov/issue/practical-approach-measure-quality-handwritten-medication-orders-tool-improvement
September 24, 2010 - Study
A practical approach to measure the quality of handwritten medication orders: a tool for improvement.
Citation Text:
Garbutt J, Milligan P, McNaughton C, et al. A Practical Approach to Measure the Quality of Handwritten Medication Orders. J Patient Saf. 2008;1(4). doi:10.1097/01.…
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psnet.ahrq.gov/issue/ahrqs-hospital-survey-patient-safety-culture-psychometric-analyses
February 18, 2011 - Study
AHRQ's Hospital Survey on Patient Safety Culture: psychometric analyses.
Citation Text:
Blegen MA, Gearhart S, O'Brien R, et al. AHRQ's hospital survey on patient safety culture: psychometric analyses. J Patient Saf. 2009;5(3):139-44. doi:10.1097/PTS.0b013e3181b53f6e.
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psnet.ahrq.gov/node/33620/psn-pdf
September 01, 2005 - In response to “Getting to the Root of the Matter” (June
2005)
September 1, 2005
Grondin L, Saint S, Flanders S, et al. In response to “Getting to the Root of the Matter” (June 2005). PSNet
[internet]. 2005.
https://psnet.ahrq.gov/perspective/response-getting-root-matter-june-2005
In response to "Getting to the R…
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psnet.ahrq.gov/issue/innovative-collaborative-model-care-undiagnosed-complex-medical-conditions
November 21, 2021 - Commentary
An innovative collaborative model of care for undiagnosed complex medical conditions.
Citation Text:
Nageswaran S, Donoghue N, Mitchell A, et al. An Innovative Collaborative Model of Care for Undiagnosed Complex Medical Conditions. Pediatrics. 2017;139(5):e20163373. doi:10.154…