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psnet.ahrq.gov/issue/safe-surgery-how-accurate-are-we-predicting-intra-operative-blood-loss
March 21, 2018 - Study
Safe surgery: how accurate are we at predicting intra-operative blood loss?
Citation Text:
Solon JG, Egan C, McNamara DA. Safe surgery: how accurate are we at predicting intra-operative blood loss? J Eval Clin Pract. 2013;19(1):100-5. doi:10.1111/j.1365-2753.2011.01779.x.
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psnet.ahrq.gov/issue/drug-error-anaesthetic-practice-review-896-reports-australian-incident-monitoring-study
June 13, 2011 - Study
Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring Study database.
Citation Text:
Abeysekera A, Bergman IJ, Kluger MT, et al. Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring Study…
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psnet.ahrq.gov/issue/electronic-health-record-based-triggers-detect-adverse-events-after-outpatient-orthopaedic
December 19, 2017 - Study
Electronic health record-based triggers to detect adverse events after outpatient orthopaedic surgery.
Citation Text:
Menendez ME, Janssen SJ, Ring D. Electronic health record-based triggers to detect adverse events after outpatient orthopaedic surgery. BMJ Qual Saf. 2016;25(1):25-…
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psnet.ahrq.gov/issue/resident-participation-does-not-affect-surgical-outcomes-despite-introduction-new-techniques
September 23, 2020 - Study
Resident participation does not affect surgical outcomes, despite introduction of new techniques.
Citation Text:
Patel SP, Gauger PG, Brown DL, et al. Resident participation does not affect surgical outcomes, despite introduction of new techniques. J Am Coll Surg. 2010;211(4):540…
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psnet.ahrq.gov/issue/statewide-collaborative-reduce-surgical-site-infections-results-hawaii-surgical-unit-based
March 21, 2012 - Study
Statewide collaborative to reduce surgical site infections: results of the Hawaii Surgical Unit-Based Safety Program.
Citation Text:
Lin DM, Carson KA, Lubomski LH, et al. Statewide Collaborative to Reduce Surgical Site Infections: Results of the Hawaii Surgical Unit-Based Safety P…
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psnet.ahrq.gov/issue/impact-computerized-prescriber-order-entry-incidence-adverse-drug-events-pediatric-inpatients
October 19, 2022 - Study
Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients.
Citation Text:
Holdsworth MT, Fichtl RE, Raisch DW, et al. Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients.…
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psnet.ahrq.gov/issue/cognitive-engineering-improve-patient-safety-and-outcomes-cardiothoracic-surgery
January 23, 2017 - Commentary
Cognitive engineering to improve patient safety and outcomes in cardiothoracic surgery
Citation Text:
Zenati MA, Kennedy-Metz L, Dias RD. Cognitive Engineering to Improve Patient Safety and Outcomes in Cardiothoracic Surgery. Semin Thorac Cardiovasc Surg. 2019. doi:10.1053/j.s…
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psnet.ahrq.gov/issue/theoretical-model-flow-disruptions-anesthesia-team-during-cardiovascular-surgery
July 21, 2021 - Study
A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery.
Citation Text:
Boquet A, Cohen T, Diljohn F, et al. A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery. J Patient Saf. 2021;17(6):e534-e539. doi…
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psnet.ahrq.gov/issue/impact-sleep-deprivation-product-quality-and-procedure-effectiveness-laparoscopic-physical
June 03, 2020 - Study
The impact of sleep deprivation on product quality and procedure effectiveness in a laparoscopic physical simulator: a randomized controlled trial.
Citation Text:
Uchal M, Tjugum J, Martinsen E, et al. The impact of sleep deprivation on product quality and procedure effectivene…
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psnet.ahrq.gov/issue/where-trust-flourishes-perceptions-clinicians-who-trust-their-organizations-and-are-trusted
March 15, 2023 - Study
Where trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients.
Citation Text:
Linzer M, Neprash HT, Brown RL, et al. Where trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients…
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psnet.ahrq.gov/issue/when-policy-meets-physiology-challenge-reducing-resident-work-hours
January 10, 2017 - Study
When policy meets physiology: the challenge of reducing resident work hours.
Citation Text:
Lockley SW, Landrigan CP, Barger LK, et al. When policy meets physiology: the challenge of reducing resident work hours. Clin Orthop Relat Res. 2006;449:116-127.
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psnet.ahrq.gov/issue/building-resilient-patient-safety-culture-large-healthcare-organizations-approach
November 03, 2015 - Study
Building a resilient patient safety culture: a large healthcare organization's approach to systematically reviewing serious harm events.
Citation Text:
Harvey B, Dhalla IA, O'Neill C, et al. Building a resilient patient safety culture: a large healthcare organization's approach to …
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psnet.ahrq.gov/issue/implementation-standardized-tool-root-cause-analysis-selection
November 06, 2024 - Study
Implementation of a standardized tool for root cause analysis selection.
Citation Text:
Wahlstedt E, Levy BE, Scott E, et al. Implementation of a standardized tool for root cause analysis selection. J Patient Saf. 2025;21(2):101-105. doi:10.1097/pts.0000000000001291.
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psnet.ahrq.gov/issue/preoperative-communication-between-anesthesia-surgery-and-primary-care-providers-older
April 11, 2011 - Study
Preoperative communication between anesthesia, surgery, and primary care providers for older surgical patients.
Citation Text:
Ron D, Gunn CM, Havidich JE, et al. Preoperative communication between anesthesia, surgery, and primary care providers for older surgical patients. Jt Comm…
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psnet.ahrq.gov/issue/transfusion-safety-nature-and-outcomes-errors-patient-registration
December 16, 2020 - Review
Transfusion safety: the nature and outcomes of errors in patient registration.
Citation Text:
Cohen R, Ning S, Yan MTS, et al. Transfusion Safety: The Nature and Outcomes of Errors in Patient Registration. Transfus Med Rev. 2019;33(2):78-83. doi:10.1016/j.tmrv.2018.11.004.
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psnet.ahrq.gov/issue/canadian-patient-safety-dictionary
September 13, 2017 - Glossary
Canadian Patient Safety Dictionary.
Citation Text:
Canadian Patient Safety Dictionary. Royal College of Physicians and Surgeons of Canada
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psnet.ahrq.gov/issue/scottish-audit-surgical-mortality
September 13, 2017 - Multi-use Website
Scottish Audit of Surgical Mortality.
Citation Text:
Scottish Audit of Surgical Mortality. Scottish Audit of Surgical Mortality and Royal College of Physicians and Surgeons of Glasgow.
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psnet.ahrq.gov/issue/improving-working-environment-safe-surgical-care
July 29, 2015 - Book/Report
Improving the Working Environment for Safe Surgical Care.
Citation Text:
Improving the Working Environment for Safe Surgical Care. Short-Life Working Group on Hospital Reports. Edinburgh, Scotland: Royal College of Surgeons of Edinburgh; July 31, 2017.
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psnet.ahrq.gov/issue/situational-awareness-and-patient-safety-learning-package
September 13, 2017 - Book/Report
Situational Awareness and Patient Safety: A Learning Package.
Citation Text:
Situational Awareness and Patient Safety: A Learning Package. Parush A, Campbell C, Hunter A, et al. Ottawa, Ontario: The Royal College of Physicians and Surgeons of Canada; 2011. ISBN: 9781926588100…
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psnet.ahrq.gov/issue/optimal-resources-surgical-quality-and-safety
September 29, 2017 - Book/Report
Optimal Resources for Surgical Quality and Safety.
Citation Text:
Optimal Resources for Surgical Quality and Safety. Hoyt DB, Ko CY, eds. Chicago, IL: American College of Surgeons; 2017. ISBN: 9780996826242.
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