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psnet.ahrq.gov/issue/interruptions-and-miscommunications-surgery-observational-study
August 11, 2021 - Study
Interruptions and miscommunications in surgery: an observational study.
Citation Text:
Gillespie BM, Chaboyer W, Fairweather N. Interruptions and miscommunications in surgery: an observational study. AORN J. 2012;95(5):576-90. doi:10.1016/j.aorn.2012.02.012.
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psnet.ahrq.gov/issue/follow-tips-safe-efficient-practice
July 23, 2010 - Newspaper/Magazine Article
Follow-up tips for a safe, efficient practice.
Citation Text:
Weiss GG. Follow-up tips for a safe, efficient practice. Medical economics. 2006;83(10):47-9.
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psnet.ahrq.gov/issue/unstoppable-doctor-has-been-investigated-every-level-government-how-he-still-practicing
September 16, 2020 - Newspaper/Magazine Article
Unstoppable: this doctor has been investigated at every level of government. How is he still practicing?
Citation Text:
Unstoppable: this doctor has been investigated at every level of government. How is he still practicing? Waldman A. ProPublica. August…
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psnet.ahrq.gov/issue/effectively-leading-quality
November 25, 2020 - Commentary
Effectively leading for quality.
Citation Text:
Lachman P, Nicklin W. Effectively leading for quality. Healthc Manage Forum. 2017;30(5):233-236. doi:10.1177/0840470417706705.
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psnet.ahrq.gov/issue/adverse-events-toolkit-medical-record-review-methodology
July 19, 2023 - Book/Report
Adverse Events Toolkit: Medical Record Review Methodology.
Citation Text:
Adverse Events Toolkit: Medical Record Review Methodology. Maxwell A. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; July 2023. Report no. OEI-06-21-00…
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psnet.ahrq.gov/issue/concept-shared-mental-models-healthcare-collaboration
November 29, 2017 - Commentary
The concept of shared mental models in healthcare collaboration.
Citation Text:
McComb SA, Simpson V. The concept of shared mental models in healthcare collaboration. J Adv Nurs. 2014;70(7):1479-88. doi:10.1111/jan.12307.
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psnet.ahrq.gov/issue/measuring-safety-climate-health-care
March 01, 2023 - Review
Measuring safety climate in health care.
Citation Text:
Flin R, Burns C, Mearns K, et al. Measuring safety climate in health care. Qual Saf Health Care. 2006;15(2):109-15.
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psnet.ahrq.gov/issue/fixing-broken-bones-and-broken-homes-domestic-violence-patient-safety-issue
September 03, 2011 - Study
Fixing broken bones and broken homes: domestic violence as a patient safety issue.
Citation Text:
Cohn F, Rudman WJ. Fixing broken bones and broken homes: domestic violence as a patient safety issue. Jt Comm J Qual Saf. 2004;30(11):636-646.
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psnet.ahrq.gov/issue/communication-failure-basic-components-contributing-factors-and-call-structure
March 04, 2011 - Commentary
Communication failure: basic components, contributing factors, and the call for structure.
Citation Text:
Dayton E, Henriksen K. Communication failure: basic components, contributing factors, and the call for structure. Jt Comm J Qual Patient Saf. 2007;33(1):34-47.
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psnet.ahrq.gov/issue/governing-surgical-count-through-communication-interactions-implications-patient-safety
November 06, 2015 - Study
Governing the surgical count through communication interactions: implications for patient safety.
Citation Text:
Riley R, Manias E, Polglase A. Governing the surgical count through communication interactions: implications for patient safety. Qual Saf Health Care. 2006;15(5):369-3…
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psnet.ahrq.gov/issue/improving-patient-care-my-right-knee
August 04, 2021 - Commentary
Improving patient care. My right knee.
Citation Text:
Berwick DM. Improving patient care. My right knee. Ann Intern Med. 2005;142(2):121-5.
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psnet.ahrq.gov/issue/preventing-vincristine-administration-errors-does-evidence-support-minibag-infusions
January 01, 2008 - Commentary
Preventing vincristine administration errors: does evidence support minibag infusions?
Citation Text:
Mahon SM, Schulmeister L. Preventing Vincristine Administration Errors: Does Evidence Support Minibag Infusions? Clin J Oncol Nurs. 2006;10(2). doi:10.1188/06.cjon.271-273. …
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psnet.ahrq.gov/issue/reducing-adverse-drug-events
August 09, 2017 - Book/Report
Classic
Reducing Adverse Drug Events.
Citation Text:
Reducing Adverse Drug Events. Leape LL, Kabcenell A, Berwick DM et al. Boston, MA: Institute for Healthcare Improvement; 1998.
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psnet.ahrq.gov/issue/multilayered-approach-patient-safety-culture
March 14, 2016 - Commentary
Multilayered approach to patient safety culture.
Citation Text:
Reiman T, Pietikäinen E, Oedewald P. Multilayered approach to patient safety culture. Qual Saf Health Care. 2010;19(5):e20. doi:10.1136/qshc.2008.029793.
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Digital Healthcare Research Advancing healthcare quality, safety, and effectiveness through the evolving digital healthcare ecosystem. More
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psnet.ahrq.gov/issue/surgical-adverse-events-systematic-review
June 01, 2012 - Review
Surgical adverse events: a systematic review.
Citation Text:
Anderson O, Davis R, Hanna GB, et al. Surgical adverse events: a systematic review. Am J Surg. 2013;206(2):253-62. doi:10.1016/j.amjsurg.2012.11.009.
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psnet.ahrq.gov/issue/does-simulation-improve-patient-safety-self-efficacy-competence-operational-performance-and
May 25, 2016 - Commentary
Does simulation improve patient safety?: self-efficacy, competence, operational performance, and patient safety.
Citation Text:
Nishisaki A, Keren R, Nadkarni V. Does simulation improve patient safety? Self-efficacy, competence, operational performance, and patient safety. A…
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psnet.ahrq.gov/issue/what-are-critical-success-factors-team-training-health-care
March 21, 2017 - Commentary
What are the critical success factors for team training in health care?
Citation Text:
Salas E, Almeida SA, Salisbury M, et al. What are the critical success factors for team training in health care? Jt Comm J Qual Patient Saf. 2009;35(8):398-405.
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psnet.ahrq.gov/issue/building-high-reliability-teams-progress-and-some-reflections-teamwork-training
March 21, 2017 - Commentary
Building high reliability teams: progress and some reflections on teamwork training.
Citation Text:
Salas E, Rosen MA. Building high reliability teams: progress and some reflections on teamwork training. BMJ Qual Saf. 2013;22(5):369-73. doi:10.1136/bmjqs-2013-002015.
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psnet.ahrq.gov/issue/confusion-about-epinephrine-dosing-leading-iatrogenic-overdose-life-threatening-problem
August 04, 2021 - Commentary
Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem with a potential solution.
Citation Text:
Kanwar M, Irvin CB, Frank JJ, et al. Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem with a p…