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psnet.ahrq.gov/issue/deconstructing-intraoperative-communication-failures
July 25, 2012 - Study
Deconstructing intraoperative communication failures.
Citation Text:
Hu Y-Y, Arriaga AF, Peyre S, et al. Deconstructing intraoperative communication failures. J Surg Res. 2012;177(1):37-42. doi:10.1016/j.jss.2012.04.029.
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psnet.ahrq.gov/issue/instrument-readiness-important-link-patient-safety
January 05, 2011 - Commentary
Instrument readiness: an important link to patient safety.
Citation Text:
McNamara SA. Instrument readiness: an important link to patient safety. AORN J. 2011;93(1):160-4. doi:10.1016/j.aorn.2010.09.027.
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psnet.ahrq.gov/issue/guidelines-practice-medication-safety
June 26, 2019 - Commentary
Guidelines in practice: medication safety.
Citation Text:
Speth J. Guidelines in practice: medication safety. AORN J. 2023;118(6):380-389. doi:10.1002/aorn.14034.
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psnet.ahrq.gov/issue/alcohol-based-surgical-prep-solution-and-risk-fire-operating-room-case-report
February 02, 2022 - Commentary
Alcohol based surgical prep solution and the risk of fire in the operating room: a case report.
Citation Text:
Batra S, Gupta R. Alcohol based surgical prep solution and the risk of fire in the operating room: a case report. Patient Saf Surg. 2008;2(1):10. doi:10.1186/1754-9…
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psnet.ahrq.gov/issue/verbal-medication-orders-or
March 06, 2024 - Commentary
Verbal medication orders in the OR.
Citation Text:
Hendrickson T. Verbal medication orders in the OR. AORN J. 2007;86(4):626-9.
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psnet.ahrq.gov/issue/surveys-patient-safety-culture
December 24, 2008 - Measurement Tool/Indicator
Classic
Surveys on Patient Safety Culture.
Citation Text:
Surveys on Patient Safety Culture. Rockville MD: Agency for Healthcare Research and Quality
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psnet.ahrq.gov/issue/teamstepps-strategies-and-tools-enhance-performance-and-patient-safety
December 24, 2008 - Toolkit
Classic
TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety.
Citation Text:
TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety. Department of Health and Human Services, Agency for Healthcare Research and Qua…
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psnet.ahrq.gov/issue/surgical-safety-checklists-do-they-improve-outcomes
July 13, 2010 - Review
Surgical safety checklists: do they improve outcomes?
Citation Text:
Walker IA, Reshamwalla S, Wilson IH. Surgical safety checklists: do they improve outcomes? Br J Anaesth. 2012;109(1):47-54. doi:10.1093/bja/aes175.
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psnet.ahrq.gov/issue/respectful-trusting-relationships-are-essential-patient-safety-especially-surgeon
December 08, 2024 - Meeting/Conference Proceedings
Respectful, trusting relationships are essential for patient safety, especially the surgeon-anesthesiologist dyad.
Citation Text:
Respectful, trusting relationships are essential for patient safety, especially the surgeon-anesthesiologist dyad. Cooper J. An…
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psnet.ahrq.gov/issue/checklist-manifesto-how-get-things-right
February 06, 2018 - Book/Report
Classic
The Checklist Manifesto: How to Get Things Right.
Citation Text:
The Checklist Manifesto: How to Get Things Right. Gawande A. New York, NY: Metropolitan Books; 2009. ISBN: 9780805091748.
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psnet.ahrq.gov/issue/checking-checklist
July 11, 2023 - Book/Report
Checking In on the Checklist.
Citation Text:
Checking In on the Checklist. Buissonniere M. Brooklyn NY: Lifebox and Ariadne Labs; 2020.
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psnet.ahrq.gov/issue/identifying-medication-errors-surgical-prescription-charts
April 17, 2024 - Study
Identifying medication errors in surgical prescription charts.
Citation Text:
Simons J. Identifying medication errors in surgical prescription charts. Paediatr Nurs. 2010;22(5):20-4.
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psnet.ahrq.gov/issue/medical-and-surgical-comanagement-after-elective-hip-and-knee-arthroplasty-randomized
January 22, 2014 - Study
Medical and surgical comanagement after elective hip and knee arthroplasty: a randomized, controlled trial.
Citation Text:
Huddleston JM, Long KH, Naessens JM, et al. Medical and surgical comanagement after elective hip and knee arthroplasty: a randomized, controlled trial. Ann I…
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psnet.ahrq.gov/issue/what-about-doctors-impact-medical-errors-0
December 15, 2014 - Commentary
What about doctors? The impact of medical errors.
Citation Text:
Abd Elwahab S, Doherty E. What about doctors? The impact of medical errors. The Surgeon. 2014;12(6). doi:10.1016/j.surge.2014.06.004.
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psnet.ahrq.gov/issue/drawn-curtains-muted-alarms-and-diverted-attention-lead-tragedy-postanesthesia-care-unit
June 10, 2018 - Newspaper/Magazine Article
Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit.
Citation Text:
Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit. ISMP Medication Safety Alert! Acute Care E…
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psnet.ahrq.gov/issue/taking-bullying-out-health-care-patient-safety-imperative
June 19, 2024 - Commentary
Taking bullying out of health care: a patient safety imperative.
Citation Text:
Ross J. Taking Bullying Out of Health Care: A Patient Safety Imperative. J Perianesth Nurs. 2017;32(6):653-655. doi:10.1016/j.jopan.2017.08.006.
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psnet.ahrq.gov/issue/evaluation-electronic-dosing-calculator-reduce-pediatric-medication-errors
April 24, 2018 - Study
Evaluation of an electronic dosing calculator to reduce pediatric medication errors.
Citation Text:
Murray B, Streitz MJ, Hilliard M, et al. Evaluation of an Electronic Dosing Calculator to Reduce Pediatric Medication Errors. Clin Pediatr (Phila). 2019;58(4):413-416. doi:10.1177/00…
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psnet.ahrq.gov/issue/evolving-hospital-quality-star-rating-system-cms-aligning-stars
December 13, 2017 - Commentary
An evolving hospital quality star rating system from CMS: aligning the stars.
Citation Text:
Bilimoria KY, Barnard C. An evolving hospital quality star rating system from CMS: aligning the stars. JAMA. 2021;325(21):2151-2152. doi:10.1001/jama.2021.6946.
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psnet.ahrq.gov/issue/using-medical-malpractice-closed-claims-data-reduce-surgical-risk-and-improve-patient-safety
December 01, 2010 - Commentary
Using medical malpractice closed claims data to reduce surgical risk and improve patient safety.
Citation Text:
Manuel BM, Greenwald LM. Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. Bull Am Coll Surg. 2007;92(3):27-30.
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psnet.ahrq.gov/issue/perfusion-safety-new-initiatives-and-enduring-principles
July 19, 2023 - Commentary
Perfusion safety: new initiatives and enduring principles.
Citation Text:
Kurusz M. Perfusion safety: new initiatives and enduring principles. Perfusion. 2011;26 Suppl 1:6-14. doi:10.1177/0267659110393389.
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