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Surgeons don't know what they don't know about the safe use of energy in surgery. | PSNet

psnet.ahrq.gov/issue/surgeons-dont-know-what-they-dont-know-about-safe-use-energy-surgery

April 05, 2017 - Study Surgeons don't know what they don't know about the safe use of energy in surgery. Citation Text: Feldman LS, Fuchshuber PR, Jones DB, et al. Surgeons don't know what they don't know about the safe use of energy in surgery. Surg Endosc. 2012;26(10):2735-9. Copy Citation Form…

Ensuring staff safety when treating potentially violent patients. | PSNet

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July 14, 2010 - Commentary Ensuring staff safety when treating potentially violent patients. Citation Text: Roca RP, Charen B, Boronow J. Ensuring Staff Safety When Treating Potentially Violent Patients. JAMA. 2016;316(24):2669-2670. doi:10.1001/jama.2016.18260. Copy Citation Format: DOI G…

Healthy work environments, nurse-physician communication, and patients' outcomes. | PSNet

psnet.ahrq.gov/issue/healthy-work-environments-nurse-physician-communication-and-patients-outcomes

June 05, 2024 - Study Healthy work environments, nurse-physician communication, and patients' outcomes. Citation Text: Manojlovich M, DeCicco B. Healthy work environments, nurse-physician communication, and patients' outcomes. Am J Crit Care. 2007;16(6):536-43. Copy Citation Format: Goog…

Independent double-checks for high-alert medications: essential practice. | PSNet

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February 01, 2023 - Commentary Independent double-checks for high-alert medications: essential practice. Citation Text: Baldwin K, Walsh V. Independent double-checks for high-alert medications: essential practice. Nursing (Brux). 2014;44(4):65-7. doi:10.1097/01.NURSE.0000444547.64972.dc. Copy Citation …

Clinical supervisors: are they the key to making care safer? | PSNet

psnet.ahrq.gov/issue/clinical-supervisors-are-they-key-making-care-safer

June 26, 2019 - Commentary Clinical supervisors: are they the key to making care safer? Citation Text: Walton M, Barraclough B. Clinical supervisors: are they the key to making care safer? BMJ Qual Saf. 2013;22(8):609-12. doi:10.1136/bmjqs-2012-001637. Copy Citation Format: DOI Google Sc…

The role of documents and documentation in communication failure across the perioperative pathway. A literature review. | PSNet

psnet.ahrq.gov/issue/role-documents-and-documentation-communication-failure-across-perioperative-pathway

November 06, 2015 - Review The role of documents and documentation in communication failure across the perioperative pathway. A literature review. Citation Text: Braaf S, Manias E, Riley R. The role of documents and documentation in communication failure across the perioperative pathway. A literature revi…

Adverse drug reactions and therapeutic errors in older adults: a hazard factor analysis of poison center data. | PSNet

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September 09, 2013 - Study Adverse drug reactions and therapeutic errors in older adults: a hazard factor analysis of poison center data. Citation Text: Cobaugh DJ, Krenzelok EP. Adverse drug reactions and therapeutic errors in older adults: a hazard factor analysis of poison center data. Am J Health Syst …

Safety and Quality of Parenteral Nutrition: Translating Guidelines into Clinical Practice Considering Different Organizational Settings. | PSNet

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October 20, 2021 - Special or Theme Issue Safety and Quality of Parenteral Nutrition: Translating Guidelines into Clinical Practice Considering Different Organizational Settings. Citation Text: Safety and Quality of Parenteral Nutrition: Translating Guidelines into Clinical Practice Considering Different O…

New legal protections for reporting patient errors under the Patient Safety and Quality Improvement Act: a review of the medical literature and analysis. | PSNet

psnet.ahrq.gov/issue/new-legal-protections-reporting-patient-errors-under-patient-safety-and-quality-improvement

November 16, 2022 - Review New legal protections for reporting patient errors under the Patient Safety and Quality Improvement Act: a review of the medical literature and analysis. Citation Text: Howard J, Levy F, Mareiniss DP, et al. New legal protections for reporting patient errors under the Patient Sa…

Alarm fatigue: use of an evidence-based alarm management strategy. | PSNet

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July 24, 2024 - Commentary Alarm fatigue: use of an evidence-based alarm management strategy. Citation Text: Turmell JW, Coke L, Catinella R, et al. Alarm Fatigue. J Nurs Care Qual. 2016;32(1):47-54. doi:10.1097/ncq.0000000000000223. Copy Citation Format: DOI Google Scholar BibTeX EndNote …

Analysis of laboratory critical value reporting at a large academic medical center. | PSNet

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December 05, 2013 - Study Analysis of laboratory critical value reporting at a large academic medical center. Citation Text: Dighe AS, Rao A, Coakley AB, et al. Analysis of laboratory critical value reporting at a large academic medical center. Am J Clin Pathol. 2006;125(5):758-64. Copy Citation For…

Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital. | PSNet

psnet.ahrq.gov/issue/quality-improvement-project-reduce-perioperative-opioid-oversedation-events-paediatric

April 13, 2011 - Study Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital. Citation Text: Vermaire D, Caruso MC, Lesko A, et al. Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital. BMJ Qual Saf. 20…

Examining the Impact of Artificial Intelligence (AI) on Healthcare Safety (R18). | PSNet

psnet.ahrq.gov/issue/notice-intent-publish-funding-opportunity-announcement-examining-impact-artificial

July 22, 2024 - Grant Announcement Examining the Impact of Artificial Intelligence (AI) on Healthcare Safety (R18). Citation Text: Examining the Impact of Artificial Intelligence (AI) on Healthcare Safety (R18). Rockville, MD: Agency for Research and Quality; July 15, 2024. PA-24-261. Copy Citation …

Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records. | PSNet

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January 17, 2024 - Special or Theme Issue Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records. Citation Text: Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records. Auerbach AD, Bates DW, Rao JK, et al, ed…

A coaching program to improve employee engagement, culture of safety, and patient experience. | PSNet

psnet.ahrq.gov/issue/coaching-program-improve-employee-engagement-culture-safety-and-patient-experience

April 05, 2013 - Study A coaching program to improve employee engagement, culture of safety, and patient experience. Citation Text: Scheurer D, Coulter A, Harper K, et al. A coaching program to improve employee engagement, culture of safety, and patient experience. NEJM Catalyst. 2024;6(1):CAT.24.0225. d…

Restorative just culture: an exploration of the enabling conditions for successful implementation. | PSNet

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February 08, 2023 - Study Restorative just culture: an exploration of the enabling conditions for successful implementation. Citation Text: Boskeljon-Horst L, Steinmetz V, Dekker SWA. Restorative just culture: an exploration of the enabling conditions for successful implementation. Healthcare (Basel). 2024;…

Measuring safety of healthcare: an exercise in futility? | PSNet

psnet.ahrq.gov/issue/measuring-safety-healthcare-exercise-futility

May 20, 2020 - Commentary Measuring safety of healthcare: an exercise in futility? Citation Text: Sauro K, Ghali WA, Stelfox HT. Measuring safety of healthcare: an exercise in futility? BMJ Qual Saf. 2019;29(4):341-344. doi:10.1136/bmjqs-2019-009824. Copy Citation Format: DOI Google Schol…

"Saying sorry": some strategies for effective apology within the workplace. | PSNet

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August 11, 2021 - Commentary "Saying sorry": some strategies for effective apology within the workplace. Citation Text: Cleary M, Lees D, Lopez V. "Saying sorry": some strategies for effective apology within the workplace. Issues Ment Health Nurs. 2018;39(11):980-982. doi:10.1080/01612840.2018.1507571. …

The hard talk: dealing with the disruptive physician. | PSNet

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April 24, 2018 - Review The hard talk: dealing with the disruptive physician. Citation Text: Rossano JW, Berger S, Penny DJ. The hard talk: dealing with the disruptive physician. Prog Pediatr Cardiol. 2020;59:101315. doi:10.1016/j.ppedcard.2020.101315. Copy Citation Format: DOI Google Schol…

Potentially inappropriate medication combination with opioids among older dental patients: a retrospective review of insurance claims data. | PSNet

psnet.ahrq.gov/issue/potentially-inappropriate-medication-combination-opioids-among-older-dental-patients

March 18, 2020 - Study Potentially inappropriate medication combination with opioids among older dental patients: a retrospective review of insurance claims data. Citation Text: Zhou J, Calip GS, Rowan S, et al. Potentially inappropriate medication combination with opioids among older dental patients: a …

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