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  1. Quality improvement and patient safety organizations in anesthesiology. | PSNet

    psnet.ahrq.gov/issue/quality-improvement-and-patient-safety-organizations-anesthesiology
    March 07, 2018 - Commentary Quality improvement and patient safety organizations in anesthesiology. Citation Text: Dutton RP. Quality improvement and patient safety organizations in anesthesiology. AMA J Ethics. 2015;17(3):248-52. doi:10.1001/journalofethics.2015.17.3.pfor1-1503. Copy Citation Form…

  2. Workforce perceptions of hospital safety culture: development and validation of the patient safety climate in healthcare organizations survey. | PSNet

    psnet.ahrq.gov/issue/workforce-perceptions-hospital-safety-culture-development-and-validation-patient-safety
    November 18, 2009 - Study Workforce perceptions of hospital safety culture: development and validation of the patient safety climate in healthcare organizations survey. Citation Text: Singer SJ, Meterko M, Baker LC, et al. Workforce perceptions of hospital safety culture: development and validation of the…

  3. Use of a human factors classification framework to identify causal factors for medication and medical device-related adverse clinical incidents. | PSNet

    psnet.ahrq.gov/issue/use-human-factors-classification-framework-identify-causal-factors-medication-and-medical
    March 16, 2016 - Study Use of a human factors classification framework to identify causal factors for medication and medical device-related adverse clinical incidents. Citation Text: Mitchell RJ, Williamson A, Molesworth B. Use of a human factors classification framework to identify causal factors for me…

  4. Lessons learned from medical malpractice claims involving critical care nurses. | PSNet

    psnet.ahrq.gov/issue/lessons-learned-medical-malpractice-claims-involving-critical-care-nurses
    July 15, 2020 - Study Lessons learned from medical malpractice claims involving critical care nurses. Citation Text: Myers LC, Heard L, Mort E. Lessons learned from medical malpractice claims involving critical care nurses. Am J Crit Care. 2020;29(3):174-181. doi:10.4037/ajcc2020341. Copy Citation …

  5. Passing the "Yo' Mama" test. | PSNet

    psnet.ahrq.gov/issue/passing-yo-mama-test
    February 15, 2023 - Commentary Passing the "Yo' Mama" test. Citation Text: Blair R. Passing the "Yo' Mama" test. Atlanta healthcare organization follows the beat of a different drummer in achieving 100 percent CPOE adoption. Health Manag Technol. 2006;27(6):14, 16, 18. Copy Citation Format: …

  6. Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospective study. | PSNet

    psnet.ahrq.gov/issue/fractures-fingers-missed-or-misdiagnosed-poorly-positioned-or-poorly-taken-radiographs
    September 07, 2022 - Study Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospective study. Citation Text: Tuncer S, Aksu N, Dilek H, et al. Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospect…

  7. Improving alarm performance in the medical intensive care unit using delays and clinical context. | PSNet

    psnet.ahrq.gov/issue/improving-alarm-performance-medical-intensive-care-unit-using-delays-and-clinical-context
    December 31, 2014 - Study Improving alarm performance in the medical intensive care unit using delays and clinical context. Citation Text: Görges M, Markewitz BA, Westenskow DR. Improving alarm performance in the medical intensive care unit using delays and clinical context. Anesth Analg. 2009;108(5):1546…

  8. Awareness with recall during general anaesthesia: a prospective observational evaluation of 4001 patients. | PSNet

    psnet.ahrq.gov/issue/awareness-recall-during-general-anaesthesia-prospective-observational-evaluation-4001
    March 09, 2022 - Study Awareness with recall during general anaesthesia: a prospective observational evaluation of 4001 patients. Citation Text: Errando CL, Sigl JC, Robles M, et al. Awareness with recall during general anaesthesia: a prospective observational evaluation of 4001 patients. Br J Anaesth.…

  9. Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy. | PSNet

    psnet.ahrq.gov/issue/ensuring-safe-and-equitable-discharge-quality-improvement-initiative-individuals-hypertensive
    October 19, 2022 - Study Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy. Citation Text: Zacherl KM, Sterrett EC, Hughes BL, et al. Ensuring safe and equitable discharge: a quality improvement initiative for individuals with h…

  10. Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units? A multilevel analysis. | PSNet

    psnet.ahrq.gov/issue/which-aspects-safety-culture-predict-incident-reporting-behavior-neonatal-intensive-care
    June 15, 2011 - Study Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units? A multilevel analysis. Citation Text: Snijders C, Kollen BJ, van Lingen RA, et al. Which aspects of safety culture predict incident reporting behavior in neonatal intensive care …

  11. Clinical scenarios: enhancing the skill set of the nurse as a vigilant guardian. | PSNet

    psnet.ahrq.gov/issue/clinical-scenarios-enhancing-skill-set-nurse-vigilant-guardian
    July 19, 2023 - Study Clinical scenarios: enhancing the skill set of the nurse as a vigilant guardian. Citation Text: Jacobson T, Belcher E, Sarr B, et al. Clinical scenarios: enhancing the skill set of the nurse as a vigilant guardian. J Contin Educ Nurs. 2010;41(8):347-53; quiz 354-5. doi:10.3928/0…

  12. Effects of CPOE on provider cognitive workload: a randomized crossover trial. | PSNet

    psnet.ahrq.gov/issue/effects-cpoe-provider-cognitive-workload-randomized-crossover-trial
    March 14, 2022 - Study Effects of CPOE on provider cognitive workload: a randomized crossover trial. Citation Text: Avansino J, Leu MG. Effects of CPOE on provider cognitive workload: a randomized crossover trial. Pediatrics. 2012;130(3):e547-52. doi:10.1542/peds.2011-3408. Copy Citation Format: …

  13. Litigation related to drug errors in anaesthesia: an analysis of claims against the NHS in England 1995-2007. | PSNet

    psnet.ahrq.gov/issue/litigation-related-drug-errors-anaesthesia-analysis-claims-against-nhs-england-1995-2007
    November 12, 2014 - Study Litigation related to drug errors in anaesthesia: an analysis of claims against the NHS in England 1995-2007. Citation Text: Cranshaw J, Gupta KJ, Cook TM. Litigation related to drug errors in anaesthesia: an analysis of claims against the NHS in England 1995-2007. Anaesthesia. 2…

  14. The scope of drug-related problems in the home care setting. | PSNet

    psnet.ahrq.gov/issue/scope-drug-related-problems-home-care-setting
    February 16, 2011 - Review The scope of drug-related problems in the home care setting. Citation Text: Meyer-Massetti C, Meier CR, Guglielmo J. The scope of drug-related problems in the home care setting. Int J Clin Pharm. 2018;40(2):325-334. doi:10.1007/s11096-017-0581-9. Copy Citation Format: …

  15. A simulation design for research evaluating safety innovations in anaesthesia. | PSNet

    psnet.ahrq.gov/issue/simulation-design-research-evaluating-safety-innovations-anaesthesia
    February 25, 2009 - Study A simulation design for research evaluating safety innovations in anaesthesia. Citation Text: Merry AF, Weller JM, Robinson BJ, et al. A simulation design for research evaluating safety innovations in anaesthesia*. Anaesthesia. 2008;63(12):1349-57. doi:10.1111/j.1365-2044.2008.…

  16. Real-time debriefing after critical events: exploring the gap between principle and reality. | PSNet

    psnet.ahrq.gov/issue/real-time-debriefing-after-critical-events-exploring-gap-between-principle-and-reality
    December 15, 2021 - Review Emerging Classic Real-time debriefing after critical events: exploring the gap between principle and reality. Citation Text: Arriaga AF, Szyld D, Pian-Smith MCM. Real-time debriefing after critical events: exploring the gap between principle and reality. …

  17. Optimising the delivery of remediation programmes for doctors: a realist review. | PSNet

    psnet.ahrq.gov/issue/optimising-delivery-remediation-programmes-doctors-realist-review
    June 02, 2021 - Review Optimising the delivery of remediation programmes for doctors: a realist review. Citation Text: Price T, Wong G, Withers L, et al. Optimising the delivery of remediation programmes for doctors: a realist review. Med Educ. 2021;55(9):995-1010. doi:10.1111/medu.14528. Copy Citatio…

  18. Simulation as a tool to improve the safety of pre-hospital anaesthesia—a pilot study. | PSNet

    psnet.ahrq.gov/issue/simulation-tool-improve-safety-pre-hospital-anaesthesia-pilot-study
    October 19, 2022 - Study Simulation as a tool to improve the safety of pre-hospital anaesthesia—a pilot study. Citation Text: Batchelder AJ, Steel A, Mackenzie R, et al. Simulation as a tool to improve the safety of pre-hospital anaesthesia--a pilot study. Anaesthesia. 2009;64(9):978-83. doi:10.1111/j.1365…

  19. Patient preferences in cases of Inter-system Medical Error Discovery (IMED). | PSNet

    psnet.ahrq.gov/issue/patient-preferences-cases-inter-system-medical-error-discovery-imed
    November 02, 2018 - Study Patient preferences in cases of Inter-system Medical Error Discovery (IMED). Citation Text: Antunez AG, Saari A, Miller J, et al. Patient Preferences in Cases of Inter-system Medical Error Discovery (IMED). Ann Surg. 2021;273(3):516-522. doi:10.1097/SLA.0000000000003507. Copy Cit…

  20. Association between opioid prescribing patterns and abuse in ophthalmology. | PSNet

    psnet.ahrq.gov/issue/association-between-opioid-prescribing-patterns-and-abuse-ophthalmology
    April 12, 2019 - Study Association between opioid prescribing patterns and abuse in ophthalmology. Citation Text: Patel S, Sternberg P. Association Between Opioid Prescribing Patterns and Abuse in Ophthalmology. JAMA Ophthalmol. 2017;135(11):1216-1220. doi:10.1001/jamaophthalmol.2017.4055. Copy Citatio…
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