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The non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Incident Monitoring System between 2002 and 2008. | PSNet

psnet.ahrq.gov/issue/non-technical-skills-used-anaesthetic-technicians-critical-incidents-reported-australian

January 19, 2011 - Study The non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Incident Monitoring System between 2002 and 2008. Citation Text: Rutherford JS, Flin R, Irwin A. The non-technical skills used by anaesthetic technicians in critical incidents …

Confirming delivery: understanding the role of the hospitalized patient in medication administration safety. | PSNet

psnet.ahrq.gov/issue/confirming-delivery-understanding-role-hospitalized-patient-medication-administration-safety

March 02, 2016 - Study Confirming delivery: understanding the role of the hospitalized patient in medication administration safety. Citation Text: Macdonald M, Heilemann MS, MacKinnon NJ, et al. Confirming delivery: understanding the role of the hospitalized patient in medication administration safety. Q…

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…

Mistaken identity of skin cleansing solution leading to extensive chemical burns in an extremely preterm infant. | PSNet

psnet.ahrq.gov/issue/mistaken-identity-skin-cleansing-solution-leading-extensive-chemical-burns-extremely-preterm

October 19, 2022 - Commentary Mistaken identity of skin cleansing solution leading to extensive chemical burns in an extremely preterm infant. Citation Text: Mannan K, Chow P, Lissauer T, et al. Mistaken identity of skin cleansing solution leading to extensive chemical burns in an extremely preterm infan…

Cognitive performance-altering effects of electronic medical records: an application of the human factors paradigm for patient safety. | PSNet

psnet.ahrq.gov/issue/cognitive-performance-altering-effects-electronic-medical-records-application-human-factors

May 16, 2012 - Study Cognitive performance-altering effects of electronic medical records: an application of the human factors paradigm for patient safety. Citation Text: Holden RJ. Cognitive performance-altering effects of electronic medical records: An application of the human factors paradigm for …

Implementation of a mock root cause analysis to provide simulated patient safety training. | PSNet

psnet.ahrq.gov/issue/implementation-mock-root-cause-analysis-provide-simulated-patient-safety-training

January 12, 2022 - Commentary Implementation of a mock root cause analysis to provide simulated patient safety training. Citation Text: Murphy M, Duff J, Whitney J, et al. Implementation of a mock root cause analysis to provide simulated patient safety training. BMJ Open Qual. 2017;6(2). doi:10.1136/bmjoq-…

Making electronic health records both SAFER and SMARTER. | PSNet

psnet.ahrq.gov/issue/making-electronic-health-records-both-safer-and-smarter

September 02, 2020 - Commentary Making electronic health records both SAFER and SMARTER. Citation Text: Johnson KB, Stead WW. Making electronic health records both SAFER and SMARTER. JAMA. 2022;328(6):523-524. doi:10.1001/jama.2022.12243. Copy Citation Format: DOI Google Scholar BibTeX EndNote …

The incidence and severity of adverse events affecting patients after discharge from the hospital. | PSNet

psnet.ahrq.gov/issue/incidence-and-severity-adverse-events-affecting-patients-after-discharge-hospital

March 11, 2019 - Study Classic The incidence and severity of adverse events affecting patients after discharge from the hospital. Citation Text: Forster AJ, Murff HJ, Peterson JF, et al. The incidence and severity of adverse events affecting patients after discharge from the hos…

Hardwiring patient blood management: harnessing information technology to optimize transfusion practice. | PSNet

psnet.ahrq.gov/issue/hardwiring-patient-blood-management-harnessing-information-technology-optimize-transfusion

September 20, 2012 - Review Hardwiring patient blood management: harnessing information technology to optimize transfusion practice. Citation Text: Dunbar NM, Szczepiorkowski ZM. Hardwiring patient blood management: harnessing information technology to optimize transfusion practice. Curr Opin Hematol. 2014;2…

Academic year-end transfers of outpatients from outgoing to incoming residents: an unaddressed patient safety issue. | PSNet

psnet.ahrq.gov/issue/academic-year-end-transfers-outpatients-outgoing-incoming-residents-unaddressed-patient

January 27, 2016 - Commentary Academic year-end transfers of outpatients from outgoing to incoming residents: an unaddressed patient safety issue. Citation Text: Young JQ, Wachter R. Academic year-end transfers of outpatients from outgoing to incoming residents: an unaddressed patient safety issue. JAMA.…

Advancing diagnostic safety research: results of a systematic research priority setting exercise. | PSNet

psnet.ahrq.gov/issue/advancing-diagnostic-safety-research-results-systematic-research-priority-setting-exercise

April 05, 2023 - Commentary Advancing diagnostic safety research: results of a systematic research priority setting exercise. Citation Text: Zwaan L, El-Kareh R, Meyer AND, et al. Advancing diagnostic safety research: results of a systematic research priority setting exercise. J Gen Intern Med. 2021;36(1…

Relevance of the Agency for Healthcare Research and Quality Patient Safety Indicators for children's hospitals. | PSNet

psnet.ahrq.gov/issue/relevance-agency-healthcare-research-and-quality-patient-safety-indicators-childrens

July 14, 2010 - Study Relevance of the Agency for Healthcare Research and Quality Patient Safety Indicators for children's hospitals. Citation Text: Sedman A, Harris M, Schulz K, et al. Relevance of the Agency for Healthcare Research and Quality Patient Safety Indicators for children's hospitals. Pedi…

Sleep science, schedules, and safety in hospitals: challenges and solutions for pediatric providers. | PSNet

psnet.ahrq.gov/issue/sleep-science-schedules-and-safety-hospitals-challenges-and-solutions-pediatric-providers

November 16, 2022 - Review Sleep science, schedules, and safety in hospitals: challenges and solutions for pediatric providers. Citation Text: Rosenbluth G, Landrigan CP. Sleep science, schedules, and safety in hospitals: challenges and solutions for pediatric providers. Pediatr Clin North Am. 2012;59(6):13…

Consumer-directed technologies to improve medication management and safety. | PSNet

psnet.ahrq.gov/issue/consumer-directed-technologies-improve-medication-management-and-safety

December 29, 2014 - Commentary Consumer-directed technologies to improve medication management and safety. Citation Text: Andrade AQ, Roughead EE. Consumer-directed technologies to improve medication management and safety. Med J Aust. 2019;210(suppl 6):S24-S27. doi:10.5694/mja2.50029. Copy Citation Fo…

Evaluation of a predevelopment service delivery intervention: an application to improve clinical handovers. | PSNet

psnet.ahrq.gov/issue/evaluation-predevelopment-service-delivery-intervention-application-improve-clinical

March 06, 2013 - Study Evaluation of a predevelopment service delivery intervention: an application to improve clinical handovers. Citation Text: Yao GL, Novielli N, Manaseki-Holland S, et al. Evaluation of a predevelopment service delivery intervention: an application to improve clinical handovers. BMJ …

Decreasing clinically significant adverse events using feedback to emergency physicians of telephone follow-up outcomes. | PSNet

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January 21, 2015 - Study Decreasing clinically significant adverse events using feedback to emergency physicians of telephone follow-up outcomes. Citation Text: Chern C-H, How C-K, Wang L-M, et al. Decreasing clinically significant adverse events using feedback to emergency physicians of telephone follow-…

Speaking up and taking action: psychological safety and joint problem-solving orientation in safety improvement. | PSNet

psnet.ahrq.gov/issue/speaking-and-taking-action-psychological-safety-and-joint-problem-solving-orientation-safety

October 21, 2020 - Study Speaking up and taking action: psychological safety and joint problem-solving orientation in safety improvement. Citation Text: Bahadurzada H, Kerrissey M, Edmondson AC. Speaking up and taking action: psychological safety and joint problem-solving orientation in safety improvement.…

Why stigma matters in addressing alcohol harm. | PSNet

psnet.ahrq.gov/issue/why-stigma-matters-addressing-alcohol-harm

August 04, 2021 - Commentary Why stigma matters in addressing alcohol harm. Citation Text: Morris J, Schomerus G. Why stigma matters in addressing alcohol harm. Drug Alcohol Rev. 2023;42(5):1264-1268. doi:10.1111/dar.13660. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNo…

Understanding factors influencing safety and team functionality at operative vaginal birth through multidisciplinary perspectives: a mixed methods study. | PSNet

psnet.ahrq.gov/issue/understanding-factors-influencing-safety-and-team-functionality-operative-vaginal-birth

September 01, 2016 - Study Understanding factors influencing safety and team functionality at operative vaginal birth through multidisciplinary perspectives: a mixed methods study. Citation Text: Skinner SM, Kippen E, Rolnik DL, et al. Understanding factors influencing safety and team functionality at operat…

Diagnostic errors, health disparities, and artificial intelligence: a combination for health or harm. | PSNet

psnet.ahrq.gov/issue/diagnostic-errors-health-disparities-and-artificial-intelligence-combination-health-or-harm

December 09, 2020 - Commentary Diagnostic errors, health disparities, and artificial intelligence: a combination for health or harm. Citation Text: Ibrahim SA, Pronovost PJ. Diagnostic errors, health disparities, and artificial intelligence: a combination for health or harm. JAMA Health Forum. 2021;2(9):e21…

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