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psnet.ahrq.gov/issue/when-less-better-physicians-are-afraid-not-intervene
July 29, 2020 - Commentary
When less is better, but physicians are afraid not to intervene.
Citation Text:
Esserman L. When Less Is Better, but Physicians Are Afraid Not to Intervene. JAMA Intern Med. 2016;176(7):888-9. doi:10.1001/jamainternmed.2016.2257.
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psnet.ahrq.gov/issue/twenty-fourseven-mixed-method-systematic-review-shift-literature
March 10, 2021 - Review
Twenty-four/seven: a mixed-method systematic review of the off-shift literature.
Citation Text:
de Cordova PB, Phibbs CS, Bartel AP, et al. Twenty-four/seven: a mixed-method systematic review of the off-shift literature. J Adv Nurs. 2012;68(7):1454-68.
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psnet.ahrq.gov/issue/opioid-epidemic-what-can-surgeons-do-about-it
March 27, 2019 - Commentary
The opioid epidemic: what can surgeons do about it?
Citation Text:
The opioid epidemic: what can surgeons do about it? Saluja S, Selzer D, Meara JG, et al. Bull Am Coll Surg. 2017;102(7):13-18.
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psnet.ahrq.gov/issue/acog-committee-opinion-621-patient-safety-and-health-information-technology
May 22, 2019 - Commentary
ACOG Committee Opinion #621: patient safety and health information technology.
Citation Text:
Improvement C on PS and Q, Management C on P. Committee opinion no. 621: Patient safety and health information technology. Obstet Gynecol. 2015;125(1):282-3. doi:10.1097/01.AOG.000045…
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psnet.ahrq.gov/issue/position-statement-criminalization-medical-error-and-call-action-prevent-patient-harm-error
December 02, 2020 - Organizational Policy/Guidelines
Position Statement on Criminalization of Medical Error and Call for Action to Prevent Patient Harm from Error.
Citation Text:
Position Statement on Criminalization of Medical Error and Call for Action to Prevent Patient Harm from Error. Cooper J, Thomas B…
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psnet.ahrq.gov/issue/using-simulation-prepare-nursing-staff-move-new-building
January 15, 2014 - Commentary
Using simulation to prepare nursing staff for the move to a new building.
Citation Text:
Knippa S, Senecal P-A. Using Simulation to Prepare Nursing Staff for the Move to a New Building. J Nurses Prof Dev. 2017;33(2):E1-E5. doi:10.1097/NND.0000000000000329.
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psnet.ahrq.gov/issue/creating-safer-operating-room-groups-team-dynamics-and-crew-resource-management-principles
June 11, 2008 - Review
Emerging Classic
Creating a safer operating room: groups, team dynamics and crew resource management principles.
Citation Text:
Wakeman D, Langham MR. Creating a safer operating room: Groups, team dynamics and crew resource management principles. Semin Pe…
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psnet.ahrq.gov/issue/assigning-responsibility-close-loop-radiology-test-results
April 03, 2024 - Review
Assigning responsibility to close the loop on radiology test results.
Citation Text:
Kwan JL, Singh H. Assigning responsibility to close the loop on radiology test results. Diagnosis (Berl). 2017;4(3):173-177. doi:10.1515/dx-2017-0019.
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psnet.ahrq.gov/issue/debriefing-or-quality-improvement-project
April 24, 2018 - Commentary
Debriefing in the OR: a quality improvement project.
Citation Text:
Finch EP, Langston M, Erickson D, et al. Debriefing in the OR: A Quality Improvement Project. AORN J. 2019;109(3):336-344. doi:10.1002/aorn.12616.
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psnet.ahrq.gov/issue/institution-wide-handoff-task-force-standardise-and-improve-physician-handoffs
January 07, 2015 - Study
An institution-wide handoff task force to standardise and improve physician handoffs.
Citation Text:
Horwitz LI, Schuster KM, Thung SF, et al. An institution-wide handoff task force to standardise and improve physician handoffs. BMJ Qual Saf. 2012;21(10):863-71.
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psnet.ahrq.gov/issue/overcoming-human-barriers-safety-event-reporting-radiology
February 09, 2022 - Commentary
Overcoming human barriers to safety event reporting in radiology.
Citation Text:
Siewert B, Brook OR, Swedeen S, et al. Overcoming Human Barriers to Safety Event Reporting in Radiology. Radiographics. 2019;39(1):251-263. doi:10.1148/rg.2019180135.
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psnet.ahrq.gov/issue/does-unit-shift-report-blackout-period-improve-patient-safety
August 04, 2021 - Commentary
Does a unit shift report "blackout" period improve patient safety?
Citation Text:
Olmstead J. Does a unit shift report "blackout" period improve patient safety? Nurs Manage. 2019;50(3):8-10. doi:10.1097/01.NUMA.0000553500.85897.51.
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psnet.ahrq.gov/issue/handoff-not-telegram-understanding-patient-co-constructed
September 03, 2014 - Commentary
A handoff is not a telegram: an understanding of the patient is co-constructed.
Citation Text:
Cohen MD, Hilligoss B, Amaral ACK-B. A handoff is not a telegram: an understanding of the patient is co-constructed. Crit Care. 2012;16(1):303. doi:10.1186/cc10536.
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psnet.ahrq.gov/issue/identified-safety-risks-splitting-and-crushing-oral-medications
September 24, 2010 - Commentary
Identified safety risks with splitting and crushing oral medications.
Citation Text:
Paparella S. Identified safety risks with splitting and crushing oral medications. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 201…
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psnet.ahrq.gov/issue/patient-safety-threats-and-solutions
January 19, 2011 - Commentary
Patient safety: threats and solutions.
Citation Text:
McCaughan D, Kaufman G. Patient safety: threats and solutions. Nurs Stand. 2013;27(44):48-55; quiz 56, 58.
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psnet.ahrq.gov/issue/economic-measurement-medical-errors-using-hospital-claims-database
March 03, 2011 - Study
Economic measurement of medical errors using a hospital claims database.
Citation Text:
David G, Gunnarsson CL, Waters HC, et al. Economic measurement of medical errors using a hospital claims database. Value Health. 2013;16(2):305-10. doi:10.1016/j.jval.2012.11.010.
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psnet.ahrq.gov/issue/value-library-and-information-services-patient-care-results-multisite-study
April 24, 2018 - Study
The value of library and information services in patient care: results of a multisite study.
Citation Text:
Marshall JG, Sollenberger J, Easterby-Gannett S, et al. The value of library and information services in patient care: results of a multisite study. J Med Libr Assoc. 2013;1…
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psnet.ahrq.gov/issue/application-human-error-theory-case-analysis-wrong-procedures
November 14, 2018 - Study
Application of human error theory in case analysis of wrong procedures.
Citation Text:
Duthie EA. Application of Human Error Theory in Case Analysis of Wrong Procedures. J Patient Saf. 2010;6(2):108-114. doi:10.1097/pts.0b013e3181de47f9.
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psnet.ahrq.gov/issue/use-standardized-protocol-decrease-medication-errors-and-adverse-events-related-sliding-scale
January 05, 2017 - Study
Use of a standardized protocol to decrease medication errors and adverse events related to sliding scale insulin.
Citation Text:
Donihi AC, DiNardo MM, Devita MA, et al. Use of a standardized protocol to decrease medication errors and adverse events related to sliding scale insul…
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psnet.ahrq.gov/issue/innovation-and-teamwork-introducing-multidisciplinary-team-ward-rounds
May 25, 2022 - Newspaper/Magazine Article
Innovation and teamwork: introducing multidisciplinary team ward rounds.
Citation Text:
Moroney N, Knowles C. Innovation and teamwork: introducing multidisciplinary team ward rounds. Nursing management (Harrow, London, England : 1994). 2006;13(1):28-31.
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