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  1. State-of-the-art usage of simulation in anesthesia: skills and teamwork. | PSNet

    psnet.ahrq.gov/issue/state-art-usage-simulation-anesthesia-skills-and-teamwork
    June 18, 2014 - Review State-of-the-art usage of simulation in anesthesia: skills and teamwork. Citation Text: Krage R, Erwteman M. State-of-the-art usage of simulation in anesthesia: skills and teamwork. Curr Opin Anaesthesiol. 2015;28(6):727-34. doi:10.1097/ACO.0000000000000257. Copy Citation Fo…

  2. Increasing vigilance on the medical/surgical floor to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/increasing-vigilance-medicalsurgical-floor-improve-patient-safety
    January 18, 2011 - Study Increasing vigilance on the medical/surgical floor to improve patient safety. Citation Text: Jacobs JL, Apatov N, Glei M. Increasing vigilance on the medical/surgical floor to improve patient safety. J Adv Nurs. 2007;57(5). doi:10.1111/j.1365-2648.2006.04161.x. Copy Citation …

  3. When should a multicampus hospital be considered a single entity for public reporting on patient safety issues? | PSNet

    psnet.ahrq.gov/issue/when-should-multicampus-hospital-be-considered-single-entity-public-reporting-patient-safety
    June 28, 2011 - Commentary When should a multicampus hospital be considered a single entity for public reporting on patient safety issues? Citation Text: Naessens JM, Culbertson R, Lefante JJ, et al. When should a multicampus hospital be considered a single entity for public reporting on patient safet…

  4. Can a structured checklist prevent problems with laparoscopic equipment? | PSNet

    psnet.ahrq.gov/issue/can-structured-checklist-prevent-problems-laparoscopic-equipment
    August 10, 2016 - Study Can a structured checklist prevent problems with laparoscopic equipment? Citation Text: Verdaasdonk EGG, Stassen LPS, Hoffmann WF, et al. Can a structured checklist prevent problems with laparoscopic equipment? Surg Endosc. 2008;22(10):2238-43. doi:10.1007/s00464-008-0029-3. Co…

  5. Understanding vs. competency: the case of accuracy checking dispensed medicines in pharmacy. | PSNet

    psnet.ahrq.gov/issue/understanding-vs-competency-case-accuracy-checking-dispensed-medicines-pharmacy
    December 11, 2013 - Study Understanding vs. competency: the case of accuracy checking dispensed medicines in pharmacy. Citation Text: James L, Davies G, Kinchin I, et al. Understanding vs. competency: the case of accuracy checking dispensed medicines in pharmacy. Adv Health Sci Educ Theory Pract. 2010;15(…

  6. Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (VAP) in the trauma patient. | PSNet

    psnet.ahrq.gov/issue/guidelines-prevention-diagnosis-and-treatment-ventilator-associated-pneumonia-vap-trauma
    October 19, 2022 - Organizational Policy/Guidelines Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (VAP) in the trauma patient. Citation Text: Minei JP, Nathens AB, West M, et al. Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (V…

  7. Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events. | PSNet

    psnet.ahrq.gov/issue/cost-effectiveness-electronic-medication-ordering-and-administration-system-reducing-adverse
    June 01, 2012 - Study Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events. Citation Text: Wu RC, Laporte A, Ungar WJ. Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events. J Eval …

  8. Shortage of perioperative drugs: implications for anesthesia practice and patient safety. | PSNet

    psnet.ahrq.gov/issue/shortage-perioperative-drugs-implications-anesthesia-practice-and-patient-safety
    April 11, 2018 - Commentary Shortage of perioperative drugs: implications for anesthesia practice and patient safety. Citation Text: De Oliveira GS, Theilken LS, McCarthy R. Shortage of perioperative drugs: implications for anesthesia practice and patient safety. Anesth Analg. 2011;113(6):1429-35. doi:10…

  9. Surgical site infections in colon surgery: the patient, the procedure, the hospital, and the surgeon. | PSNet

    psnet.ahrq.gov/issue/surgical-site-infections-colon-surgery-patient-procedure-hospital-and-surgeon
    February 19, 2020 - Study Surgical site infections in colon surgery: the patient, the procedure, the hospital, and the surgeon. Citation Text: Hübner M, Diana M, Zanetti G, et al. Surgical site infections in colon surgery: the patient, the procedure, the hospital, and the surgeon. Arch Surg. 2011;146(11):…

  10. Extraneous tissue a potential source for diagnostic error in surgical pathology. | PSNet

    psnet.ahrq.gov/issue/extraneous-tissue-potential-source-diagnostic-error-surgical-pathology
    October 27, 2010 - Study Extraneous tissue a potential source for diagnostic error in surgical pathology. Citation Text: Layfield LJ, Witt BL, Metzger KG, et al. Extraneous tissue: a potential source for diagnostic error in surgical pathology. Am J Clin Pathol. 2011;136(5):767-72. doi:10.1309/AJCP4FFSBPHA…

  11. Look-alike, sound-alike drugs review: include look-alike packaging as an additional safety check. | PSNet

    psnet.ahrq.gov/issue/look-alike-sound-alike-drugs-review-include-look-alike-packaging-additional-safety-check
    March 24, 2021 - Study Look-alike, sound-alike drugs review: include look-alike packaging as an additional safety check. Citation Text: McCoy LK. Look-alike, sound-alike drugs review: include look-alike packaging as an additional safety check. Jt Comm J Qual Patient Saf. 2005;31(1):47-53. Copy Citation…

  12. Inadequate preoperative team briefings lead to more intraoperative adverse events. | PSNet

    psnet.ahrq.gov/issue/inadequate-preoperative-team-briefings-lead-more-intraoperative-adverse-events
    June 07, 2023 - Study Inadequate preoperative team briefings lead to more intraoperative adverse events. Citation Text: Phadnis J, Templeton-Ward O. Inadequate Preoperative Team Briefings Lead to More Intraoperative Adverse Events. J Patient Saf. 2018;14(2):82-86. doi:10.1097/PTS.0000000000000181. Cop…

  13. Intraoperative communications between pathologists and surgeons: do we understand each other? | PSNet

    psnet.ahrq.gov/issue/intraoperative-communications-between-pathologists-and-surgeons-do-we-understand-each-other
    June 28, 2023 - Study Intraoperative communications between pathologists and surgeons: do we understand each other? Citation Text: Wiggett A, Fischer G. Intraoperative communications between pathologists and surgeons: do we understand each other? Arch Pathol Lab Med. 2023;147(8):933-939. doi:10.5858/arp…

  14. Complication rates on weekends and weekdays in US hospitals. | PSNet

    psnet.ahrq.gov/issue/complication-rates-weekends-and-weekdays-us-hospitals
    August 31, 2011 - Study Complication rates on weekends and weekdays in US hospitals. Citation Text: Bendavid E, Kaganova Y, Needleman J, et al. Complication rates on weekends and weekdays in US hospitals. Am J Med. 2007;120(5):422-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

  15. Sleep and errors in a group of Australian hospital nurses at work and during the commute. | PSNet

    psnet.ahrq.gov/issue/sleep-and-errors-group-australian-hospital-nurses-work-and-during-commute
    February 14, 2024 - Study Sleep and errors in a group of Australian hospital nurses at work and during the commute. Citation Text: Dorrian J, Tolley C, Lamond N, et al. Sleep and errors in a group of Australian hospital nurses at work and during the commute. Appl Ergon. 2008;39(5):605-13. doi:10.1016/…

  16. Opioid medication discontinuation and risk of adverse opioid-related health care events. | PSNet

    psnet.ahrq.gov/issue/opioid-medication-discontinuation-and-risk-adverse-opioid-related-health-care-events
    November 16, 2022 - Study Classic Opioid medication discontinuation and risk of adverse opioid-related health care events. Citation Text: Mark TL, Parish W. Opioid medication discontinuation and risk of adverse opioid-related health care events. J Subst Abuse Treat. 2019;103:58-63.…

  17. Preventing mistransfusions: an evaluation of institutional knowledge and a response. | PSNet

    psnet.ahrq.gov/issue/preventing-mistransfusions-evaluation-institutional-knowledge-and-response
    June 06, 2018 - Study Preventing mistransfusions: an evaluation of institutional knowledge and a response. Citation Text: MacDougall N, Dong F, Broussard L, et al. Preventing Mistransfusions: An Evaluation of Institutional Knowledge and a Response. Anesth Analg. 2018;126(1):247-251. doi:10.1213/ANE.0000…

  18. Artificial intelligence in health care: accountability and safety. | PSNet

    psnet.ahrq.gov/issue/artificial-intelligence-health-care-accountability-and-safety
    December 20, 2023 - Commentary Classic Artificial intelligence in health care: accountability and safety. Citation Text: Habli I, Lawton T, Porter Z. Artificial intelligence in health care: accountability and safety. Bull World Health Organ. 2020;98(4):251-256. doi:10.2471/blt.19.2…

  19. Perspectives on patient and family engagement with reduction in harm: the forgotten voice. | PSNet

    psnet.ahrq.gov/issue/perspectives-patient-and-family-engagement-reduction-harm-forgotten-voice
    December 01, 2011 - Study Perspectives on patient and family engagement with reduction in harm: the forgotten voice. Citation Text: Schenk EC, Bryant RA, Van Son CR, et al. Perspectives on Patient and Family Engagement With Reduction in Harm: The Forgotten Voice. J Nurs Care Qual. 2019;34(1):73-79. doi:10.1…

  20. Situation, background, assessment, recommendation (SBAR) communication tool for handoff in health care- a narrative review. | PSNet

    psnet.ahrq.gov/issue/situation-background-assessment-recommendation-sbar-communication-tool-handoff-health-care
    March 03, 2021 - Review Emerging Classic Situation, background, assessment, recommendation (SBAR) communication tool for handoff in health care- a narrative review. Citation Text: Shahid S, Thomas S. Situation, background, assessment, recommendation (SBAR) communication tool for…
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