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psnet.ahrq.gov/issue/quality-patient-safety-and-cardiac-surgical-team
October 07, 2013 - Review
Quality, patient safety, and the cardiac surgical team.
Citation Text:
Martinez EA. Quality, Patient Safety, and the Cardiac Surgical Team. Anesthesiol Clin. 2013;31(2):249-268. doi:10.1016/j.anclin.2013.01.004.
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psnet.ahrq.gov/issue/addressing-physician-burnout-way-forward
December 02, 2020 - Commentary
Addressing physician burnout: the way forward.
Citation Text:
Shanafelt TD, Dyrbye LN, West CP. Addressing Physician Burnout: The Way Forward. JAMA. 2017;317(9):901-902. doi:10.1001/jama.2017.0076.
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psnet.ahrq.gov/issue/using-standardized-or-checklists-and-creating-extended-time-out-checklists
February 15, 2011 - Commentary
Using standardized OR checklists and creating extended time-out checklists.
Citation Text:
Hey LA, Turner TC. Using Standardized OR Checklists and Creating Extended Time-Out Checklists. AORN J. 2016;104(3):248-53. doi:10.1016/j.aorn.2016.07.007.
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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.
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psnet.ahrq.gov/issue/three-perspectives-changes-resident-work-environment-and-duty-hours
September 02, 2020 - Commentary
Three perspectives on changes in resident work environment and duty hours.
Citation Text:
Three perspectives on changes in resident work environment and duty hours. Bilimoria KY, Meyers MO, Mouawad NJ, et al. JAMA Surg. 2017;152(10):903-908.
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psnet.ahrq.gov/issue/patient-safety-climate-hospitals-act-locally-variation-across-units
August 27, 2012 - Study
Patient safety climate in hospitals: act locally on variation across units.
Citation Text:
Campbell EG, Singer SJ, Kitch BT, et al. Patient safety climate in hospitals: act locally on variation across units. Jt Comm J Qual Patient Saf. 2010;36(7):319-26.
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psnet.ahrq.gov/issue/reducing-interruptions-improve-medication-safety
January 04, 2015 - Study
Reducing interruptions to improve medication safety.
Citation Text:
Freeman R, McKee S, Lee-Lehner B, et al. Reducing interruptions to improve medication safety. J Nurs Care Qual. 2013;28(2):176-85. doi:10.1097/NCQ.0b013e318275ac3e.
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psnet.ahrq.gov/issue/cardiac-surgical-icu-care-eliminating-preventable-complications
August 04, 2021 - Review
Cardiac surgical ICU care: eliminating "preventable" complications.
Citation Text:
Shake JG, Pronovost P, Whitman GJR. Cardiac surgical ICU care: eliminating "preventable" complications. J Card Surg. 2013;28(4):406-13. doi:10.1111/jocs.12124.
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psnet.ahrq.gov/issue/disclosure-adverse-events-and-errors-surgical-care-challenges-and-strategies-improvement
December 01, 2021 - Review
Disclosure of adverse events and errors in surgical care: challenges and strategies for improvement.
Citation Text:
Lipira LE, Gallagher TH. Disclosure of adverse events and errors in surgical care: challenges and strategies for improvement. World J Surg. 2014;38(7):1614-21. doi:1…
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psnet.ahrq.gov/issue/near-miss-medication-errors-provide-wake-call
January 24, 2024 - Commentary
Near-miss medication errors provide a wake-up call.
Citation Text:
Claffey C. Near-miss medication errors provide a wake-up call. Nursing (Brux). 2018;48(1):53-55. doi:10.1097/01.NURSE.0000527615.45031.9e.
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psnet.ahrq.gov/issue/identification-root-causes-emergency-diagnostic-imaging-delays-three-canadian-hospitals
July 02, 2014 - Study
Identification of root causes for emergency diagnostic imaging delays at three Canadian hospitals.
Citation Text:
Worster A, Fernandes CMB, Malcolmson C, et al. Identification of root causes for emergency diagnostic imaging delays at three Canadian hospitals. J Emerg Nurs. 2006;3…
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psnet.ahrq.gov/issue/hiding-plain-sight-resurrecting-power-inspecting-patient
September 16, 2020 - Commentary
Hiding in plain sight—resurrecting the power of inspecting the patient.
Citation Text:
Gupta S, Saint S, Detsky AS. Hiding in Plain Sight-Resurrecting the Power of Inspecting the Patient. JAMA Intern Med. 2017;177(6):757-758. doi:10.1001/jamainternmed.2017.0634.
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psnet.ahrq.gov/issue/can-positivity-promote-safety-psychological-capital-development-combats-cynicism-and-unsafe
June 09, 2011 - Study
Can positivity promote safety? Psychological capital development combats cynicism and unsafe behavior.
Citation Text:
Stratman JL, Youssef-Morgan CM. Can positivity promote safety? Psychological capital development combats cynicism and unsafe behavior. Safety Sci. 2019;116:13-25. d…
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psnet.ahrq.gov/issue/measure-twice-cut-once
June 14, 2023 - Commentary
Measure twice, cut once.
Citation Text:
Atkinson WK. Measure twice, cut once. AORN J. 2013;98(1):77-80. doi:10.1016/j.aorn.2013.05.004.
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psnet.ahrq.gov/issue/implementing-safety-thermometer-tool-one-nhs-trust
March 19, 2019 - Commentary
Implementing the Safety Thermometer tool in one NHS trust.
Citation Text:
Buckley C, Cooney K, Sills E, et al. Implementing the Safety Thermometer tool in one NHS trust. Br J Nurs. 2014;23(5):268-72.
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psnet.ahrq.gov/issue/perioperative-patient-safety-multisite-qualitative-analysis
September 20, 2023 - Study
Perioperative patient safety: a multisite qualitative analysis.
Citation Text:
Chappy S. Perioperative patient safety: a multisite qualitative analysis. AORN J. 2006;83(4):871-4, 877-88, 891-7.
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psnet.ahrq.gov/issue/human-factors-home-health-care-conceptual-model-examining-safety-and-quality-concerns
November 21, 2018 - Commentary
The human factors of home health care: a conceptual model for examining safety and quality concerns.
Citation Text:
Henriksen K, Joseph A, Zayas-Cabán T. The Human Factors of Home Health Care. J Patient Saf. 2009;5(4):229-236. doi:10.1097/pts.0b013e3181bd1c2a.
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psnet.ahrq.gov/issue/barriers-incident-notification-regional-prehospital-setting
December 21, 2022 - Study
Barriers to incident notification in a regional prehospital setting.
Citation Text:
Jennings PA, Stella J. Barriers to incident notification in a regional prehospital setting. Emerg Med J. 2011;28(6):526-9. doi:10.1136/emj.2010.090738.
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psnet.ahrq.gov/issue/fall-risk-and-prevention-agreement-engaging-patients-and-families-partnership-patient-safety
November 13, 2024 - Commentary
Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety.
Citation Text:
Vonnes C, Wolf D. Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety. BMJ Open Qual. 2017;6(2):e000038…
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psnet.ahrq.gov/issue/medication-safety-community-pharmacy-qualitative-study-sociotechnical-context
February 06, 2019 - Study
Medication safety in community pharmacy: a qualitative study of the sociotechnical context.
Citation Text:
Phipps D, Noyce PR, Parker D, et al. Medication safety in community pharmacy: a qualitative study of the sociotechnical context. BMC Health Serv Res. 2009;9:158. doi:10.1186…