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psnet.ahrq.gov/node/47109/psn-pdf
June 06, 2018 - Principles of automation for patient safety in intensive
care: learning from aviation.
June 6, 2018
Dominiczak J, Khansa L. Principles of Automation for Patient Safety in Intensive Care: Learning From
Aviation. Jt Comm J Qual Patient Saf. 2018;44(6):366-371. doi:10.1016/j.jcjq.2017.11.008.
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psnet.ahrq.gov/node/44568/psn-pdf
October 21, 2015 - Developing and deploying a patient safety program in a
large health care delivery system: you can't fix what you
don't know about.
October 21, 2015
Bagian JP, Lee C, Gosbee J, et al. Developing and deploying a patient safety program in a large health
care delivery system: you can't fix what you don't know about. J…
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psnet.ahrq.gov/node/44069/psn-pdf
October 08, 2016 - An anesthesia preinduction checklist to improve
information exchange, knowledge of critical information,
perception of safety, and possibly perception of
teamwork in anesthesia teams.
October 8, 2016
Tscholl DW, Weiss M, Kolbe M, et al. An Anesthesia Preinduction Checklist to Improve Information
Exchange, Knowled…
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psnet.ahrq.gov/node/43325/psn-pdf
September 27, 2016 - Quiet please! Drug round tabards: are they effective and
accepted? A mixed method study.
September 27, 2016
Verweij L, Smeulers M, Maaskant JM, et al. Quiet please! Drug round tabards: are they effective and
accepted? A mixed method study. J Nurs Scholarsh. 2014;46(5):340-8. doi:10.1111/jnu.12092.
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psnet.ahrq.gov/node/45974/psn-pdf
May 03, 2017 - Effects of workload, work complexity, and repeated alerts
on alert fatigue in a clinical decision support system.
May 3, 2017
Ancker JS, Edwards A, Nosal S, et al. Effects of workload, work complexity, and repeated alerts on alert
fatigue in a clinical decision support system. BMC Med Inform Decis Mak. 2017;17(1):3…
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psnet.ahrq.gov/node/860732/psn-pdf
April 16, 2024 - Retained Swabs Following Invasive Procedures: Themes
Identified from a Review of NHS Serious Incident Reports.
April 16, 2024
Dorset, UK: Health Services Safety Investigations Body; April 2024.
https://psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs-
serious-incident
…
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psnet.ahrq.gov/node/840143/psn-pdf
January 01, 2024 - Criteria for the selection of paediatric patients susceptible
to reconciliation error.
November 16, 2022
Iturgoyen Fuentes DP, Meneses Mangas C, Cuervas Mons Vendrell M. Criteria for the selection of
paediatric patients susceptible to reconciliation error. Eur J Hosp Pharm. 2024;31(3):234-239.
doi:10.1136/ejhpharm…
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psnet.ahrq.gov/node/862125/psn-pdf
February 07, 2024 - The intersection of traumatic childbirth and obstetric
racism: a qualitative study.
February 7, 2024
Dmowska A, Fielding?Singh P, Halpern J, et al. The intersection of traumatic childbirth and obstetric
racism: a qualitative study. Birth. 2024;51(1):209-217. doi:10.1111/birt.12774.
https://psnet.ahrq.gov/issue/int…
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psnet.ahrq.gov/node/35726/psn-pdf
February 09, 2011 - Sleep deprivation and clinical performance.
February 9, 2011
Weinger MB, Ancoli-Israel S. Sleep deprivation and clinical performance. JAMA. 2002;287(8):955-7.
https://psnet.ahrq.gov/issue/sleep-deprivation-and-clinical-performance
This review discusses evidence for the role sleep deprivation plays on performance in…
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psnet.ahrq.gov/node/46654/psn-pdf
December 13, 2017 - Organisational paradoxes in speaking up for safety:
implications for the interprofessional field.
December 13, 2017
Rowland P. Organisational paradoxes in speaking up for safety: Implications for the interprofessional field.
J Interprof Care. 2017;31(5):553-556. doi:10.1080/13561820.2017.1321305.
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psnet.ahrq.gov/node/862998/psn-pdf
February 21, 2024 - Exploring the factors that drive clinical negligence claims:
stated preferences of those who have experienced
unintended harm.
February 21, 2024
Wickramasekera N, Hole AR, Rowen D, et al. Exploring the factors that drive clinical negligence claims:
stated preferences of those who have experienced unintended harm. …
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psnet.ahrq.gov/node/45123/psn-pdf
May 07, 2018 - Hardwiring safety into the computer system: one
hospital's actions to provide technology support for U-
500 insulin.
May 7, 2018
ISMP Medication Safety Alert! Acute Care Edition. May 5, 2016;21:1-4.
https://psnet.ahrq.gov/issue/hardwiring-safety-computer-system-one-hospitals-actions-provide-technology-
support-u-…
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psnet.ahrq.gov/node/34645/psn-pdf
December 23, 2008 - How do patients want physicians to handle mistakes? A
survey of internal medicine patients in an academic
setting.
December 23, 2008
Witman AB, Park DM, Hardin SB. How do patients want physicians to handle mistakes? A survey of
internal medicine patients in an academic setting. Arch Intern Med. 1996;156(22):2565-9…
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psnet.ahrq.gov/node/47030/psn-pdf
June 06, 2018 - Creating a safer operating room: groups, team dynamics
and crew resource management principles.
June 6, 2018
Wakeman D, Langham MR. Creating a safer operating room: Groups, team dynamics and crew resource
management principles. Semin Pediatr Surg. 2018;27(2):107-113. doi:10.1053/j.sempedsurg.2018.02.008.
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psnet.ahrq.gov/node/844545/psn-pdf
February 15, 2023 - Providers' and patients' perspectives on diagnostic errors
in the acute care setting.
February 15, 2023
Schnock KO, Garber A, Fraser H, et al. Providers' and patients' perspectives on diagnostic errors in the
acute care setting. Jt Comm J Qual Patient Saf. 2023;49(2):89-97. doi:10.1016/j.jcjq.2022.11.009.
https://…
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psnet.ahrq.gov/node/45130/psn-pdf
July 18, 2018 - Surgical fires: decreasing incidence relies on continued
prevention efforts.
July 18, 2018
Bruley ME, Arnold TV, Finley E, Deutsch ES, Treadwell JR. PA-PSRS Pa Patient Saf Advis. June 2018;15.
https://psnet.ahrq.gov/issue/surgical-fires-decreasing-incidence-relies-continued-prevention-efforts
Although surgical fir…
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psnet.ahrq.gov/node/43472/psn-pdf
September 03, 2014 - Nighttime cross-coverage is associated with decreased
intensive care unit mortality. A single-center study.
September 3, 2014
Amaral ACK-B, Barros BS, Barros CCPP, et al. Nighttime cross-coverage is associated with decreased
intensive care unit mortality. A single-center study. Am J Respir Crit Care Med. 2014;189(1…
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psnet.ahrq.gov/node/60856/psn-pdf
August 26, 2020 - Too Many Cooks in the Kitchen
August 26, 2020
Dutton RP. Too Many Cooks in the Kitchen. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Council for
Continuing Medical Education (ACCME), the Un…
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psnet.ahrq.gov/print/pdf/node/866100
August 30, 2023 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Nurse Wellbeing and Patient Safety
Curated Library
Foundations
Keeping Patients Safe: Transforming the Work Environment of Nurses.
Page A; Committee on the Work Environment for Nurses and Patient Safety, Board on Health Care
Services. Wash…
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psnet.ahrq.gov/web-mm/another-fall
June 01, 2010 - SPOTLIGHT CASE
Another Fall
Citation Text:
Bogardus SG. Another Fall. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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