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psnet.ahrq.gov/issue/improved-operating-room-teamwork-safety-prep-rural-community-hospitals-experience
September 05, 2009 - Study
Improved operating room teamwork via SAFETY prep: a rural community hospital's experience.
Citation Text:
Paige JT, Aaron DL, Yang T, et al. Improved operating room teamwork via SAFETY prep: a rural community hospital's experience. World J Surg. 2009;33(6):1181-7. doi:10.1007/s00…
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psnet.ahrq.gov/issue/complying-acgme-resident-duty-hours-restrictions-restructuring-80-hour-workweek-enhance
August 04, 2021 - Study
Complying with ACGME resident duty hours restrictions: restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital.
Citation Text:
Ogden PE, Sibbitt S, Howell M, et al. Complying with ACGME resident duty hours restrictio…
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psnet.ahrq.gov/issue/adopting-system-models-multiple-incident-analysis-utility-and-usability
May 19, 2021 - Study
Adopting system models for multiple incident analysis: utility and usability.
Citation Text:
Wheway JL, Jun GT. Adopting systems models for multiple incident analysis: utility and usability. Int J Qual Health Care. 2021;33(4):mzab135. doi:10.1093/intqhc/mzab135.
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psnet.ahrq.gov/issue/guidance-patient-safety-ophthalmology-royal-college-ophthalmologists
November 12, 2014 - Review
Guidance on patient safety in ophthalmology from the Royal College of Ophthalmologists.
Citation Text:
Kelly SP, Ophthalmologists RC of. Guidance on patient safety in ophthalmology from the Royal College of Ophthalmologists. Eye (Lond). 2009;23(12):2143-51. doi:10.1038/eye.2009.…
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psnet.ahrq.gov/issue/we-are-going-name-names-and-call-you-out-improving-team-academic-operating-room-environment
September 23, 2020 - Study
We are going to name names and call you out! Improving the team in the academic operating room environment.
Citation Text:
Bodor R, Nguyen BJ, Broder K. We Are Going to Name Names and Call You Out! Improving the Team in the Academic Operating Room Environment. Ann Plast Surg. 2017;…
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psnet.ahrq.gov/issue/quality-improvement-through-implementation-discharge-order-reconciliation
September 23, 2020 - Commentary
Quality improvement through implementation of discharge order reconciliation.
Citation Text:
Lu Y, Clifford P, Bjorneby A, et al. Quality improvement through implementation of discharge order reconciliation. Am J Health Syst Pharm. 2013;70(9):815-20. doi:10.2146/ajhp120050. …
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psnet.ahrq.gov/issue/how-often-do-physicians-review-medication-charts-ward-rounds
September 23, 2020 - Study
How often do physicians review medication charts on ward rounds?
Citation Text:
Looi KL, Black PN. How often do physicians review medication charts on ward rounds? BMC Clin Pharmacol. 2008;8:9. doi:10.1186/1472-6904-8-9.
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psnet.ahrq.gov/issue/communication-gaps-and-readmissions-hospital-patients-aged-75-years-and-older-observational
July 19, 2023 - Study
Communication gaps and readmissions to hospital for patients aged 75 years and older: observational study.
Citation Text:
Witherington EMA, Pirzada OM, Avery A. Communication gaps and readmissions to hospital for patients aged 75 years and older: observational study. Qual Saf Hea…
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psnet.ahrq.gov/issue/biopsy-site-selfies-quality-improvement-pilot-study-assist-correct-surgical-site
August 02, 2015 - Study
Biopsy site selfies—a quality improvement pilot study to assist with correct surgical site identification.
Citation Text:
Nijhawan RI, Lee EH, Nehal KS. Biopsy site selfies--a quality improvement pilot study to assist with correct surgical site identification. Dermatol Surg. 2015;4…
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psnet.ahrq.gov/issue/analysis-major-errors-and-equipment-failures-anesthesia-management-considerations-prevention
May 27, 2011 - Study
Classic
An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection.
Citation Text:
Cooper JB, Newbower RS, Kitz RJ. An analysis of major errors and equipment failures in anesthesia management: c…
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psnet.ahrq.gov/issue/impact-rvu-based-compensation-patient-safety-outcomes-outpatient-otolaryngology-procedures
October 19, 2022 - Study
The impact of RVU-based compensation on patient safety outcomes in outpatient otolaryngology procedures.
Citation Text:
Stanisce L, Ahmad N, Deckard N, et al. The Impact of RVU-Based Compensation on Patient Safety Outcomes in Outpatient Otolaryngology Procedures. Otolaryngol Head N…
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psnet.ahrq.gov/issue/patient-safety-education-change-medical-students-attitudes-and-sense-responsibility
January 20, 2021 - Study
Patient safety education to change medical students' attitudes and sense of responsibility.
Citation Text:
Roh H, Park SJ, Kim T. Patient safety education to change medical students' attitudes and sense of responsibility. Med Teach. 2015;37(10):908-14. doi:10.3109/0142159X.2014.970…
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psnet.ahrq.gov/issue/when-vital-sign-leads-country-astray-opioid-epidemic
May 27, 2020 - Commentary
When a vital sign leads a country astray—the opioid epidemic.
Citation Text:
Chidgey BA, McGinigle KL, McNaull PP. When a Vital Sign Leads a Country Astray—The Opioid Epidemic. JAMA Surg. 2019;154(11):987-988. doi:10.1001/jamasurg.2019.2104.
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psnet.ahrq.gov/issue/reducing-falls-and-fall-related-injuries-mental-health-1-year-multihospital-falls
January 25, 2023 - Commentary
Reducing falls and fall-related injuries in mental health: a 1-year multihospital falls collaborative.
Citation Text:
Quigley PA, Barnett SD, Bulat T, et al. Reducing falls and fall-related injuries in mental health: a 1-year multihospital falls collaborative. J Nurs Care Qual…
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psnet.ahrq.gov/issue/state-art-usage-simulation-anesthesia-skills-and-teamwork
June 18, 2014 - Review
State-of-the-art usage of simulation in anesthesia: skills and teamwork.
Citation Text:
Krage R, Erwteman M. State-of-the-art usage of simulation in anesthesia: skills and teamwork. Curr Opin Anaesthesiol. 2015;28(6):727-34. doi:10.1097/ACO.0000000000000257.
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psnet.ahrq.gov/issue/when-should-multicampus-hospital-be-considered-single-entity-public-reporting-patient-safety
June 28, 2011 - Commentary
When should a multicampus hospital be considered a single entity for public reporting on patient safety issues?
Citation Text:
Naessens JM, Culbertson R, Lefante JJ, et al. When should a multicampus hospital be considered a single entity for public reporting on patient safet…
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psnet.ahrq.gov/node/36408/psn-pdf
December 22, 2010 - Development of a rating system for surgeons' non-
technical skills.
December 22, 2010
Yule S, Flin R, Paterson-Brown S, et al. Development of a rating system for surgeons' non-technical skills.
Med Educ. 2006;40(11):1098-104.
https://psnet.ahrq.gov/issue/development-rating-system-surgeons-non-technical-skills
The…
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psnet.ahrq.gov/node/36089/psn-pdf
March 03, 2011 - The impact of the 80-hour resident workweek on surgical
residents and attending surgeons.
March 3, 2011
Hutter MM, Kellogg KC, Ferguson CM, et al. The impact of the 80-hour resident workweek on surgical
residents and attending surgeons. Ann Surg. 2006;243(6):864-71; discussion 871-5.
https://psnet.ahrq.gov/issue/i…
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psnet.ahrq.gov/node/37500/psn-pdf
January 30, 2008 - The prevalence of wrong level surgery among spine
surgeons.
January 30, 2008
Mody MG, Nourbakhsh A, Stahl DL, et al. The prevalence of wrong level surgery among spine surgeons.
Spine (Phila Pa 1976). 2008;33(2):194-198. doi:10.1097/BRS.0b013e31816043d1.
https://psnet.ahrq.gov/issue/prevalence-wrong-level-surgery-a…
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psnet.ahrq.gov/node/43609/psn-pdf
October 15, 2014 - Another surgeon's error: must you tell the patient?
October 15, 2014
Moffatt-Bruce SD, Denlinger CE, Sade RM. Another surgeon's error: must you tell the patient? Ann Thorac
Surg. 2014;98(2):396-401. doi:10.1016/j.athoracsur.2014.04.073.
https://psnet.ahrq.gov/issue/another-surgeons-error-must-you-tell-patient
A ge…