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psnet.ahrq.gov/issue/recurring-problem-retained-swabs-and-instruments
June 19, 2019 - Review
The recurring problem of retained swabs and instruments.
Citation Text:
Mahran MA, Toeima E, Morris EP. The recurring problem of retained swabs and instruments. Best Pract Res Clin Obstet Gynaecol. 2013;27(4):489-95. doi:10.1016/j.bpobgyn.2013.03.001.
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psnet.ahrq.gov/issue/label-design-affects-medication-safety-operating-room-crisis-controlled-simulation-study
April 24, 2018 - Study
Label design affects medication safety in an operating room crisis: a controlled simulation study.
Citation Text:
Estock JL, Murray AW, Mizah MT, et al. Label Design Affects Medication Safety in an Operating Room Crisis: A Controlled Simulation Study. J Patient Saf. 2018;14(2):101-…
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psnet.ahrq.gov/issue/artificial-intelligence-and-surgical-decision-making
September 11, 2019 - Review
Classic
Artificial intelligence and surgical decision-making.
Citation Text:
Loftus TJ, Tighe PJ, Filiberto AC, et al. Artificial intelligence and surgical decision-making. JAMA Surg. 2019;155(2):148-158. doi:10.1001/jamasurg.2019.4917.
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psnet.ahrq.gov/issue/assessing-patient-safety-competencies-healthcare-professionals-systematic-review
March 05, 2014 - Review
Assessing the patient safety competencies of healthcare professionals: a systematic review.
Citation Text:
Okuyama A, Martowirono K, Bijnen B. Assessing the patient safety competencies of healthcare professionals: a systematic review. BMJ Qual Saf. 2011;20(11):991-1000. doi:10.1…
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psnet.ahrq.gov/issue/i-pass-mnemonic-standardize-verbal-handoffs
November 12, 2014 - Commentary
I-PASS, a mnemonic to standardize verbal handoffs.
Citation Text:
Starmer AJ, Spector ND, Srivastava R, et al. I-pass, a mnemonic to standardize verbal handoffs. Pediatrics. 2012;129(2):201-4. doi:10.1542/peds.2011-2966.
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psnet.ahrq.gov/issue/teamwork-behaviours-and-errors-during-neonatal-resuscitation
September 13, 2011 - Study
Teamwork behaviours and errors during neonatal resuscitation.
Citation Text:
Williams AL, Lasky RE, Dannemiller JL, et al. Teamwork behaviours and errors during neonatal resuscitation. Qual Saf Health Care. 2010;19(1):60-4. doi:10.1136/qshc.2007.025320.
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psnet.ahrq.gov/issue/hospital-safety-scores-do-grades-really-matter
September 24, 2017 - Study
Hospital safety scores: do grades really matter?
Citation Text:
Gonzalez AA, Ghaferi AA. Hospital Safety Scores: do grades really matter? JAMA Surg. 2014;149(5):413-4.
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psnet.ahrq.gov/issue/coronavirus-ravaged-nursing-homes-inspectors-were-not-being-tested
October 14, 2020 - Newspaper/Magazine Article
As coronavirus ravaged nursing homes, inspectors were not being tested.
Citation Text:
Dolan J, Mejia B. As coronavirus ravaged nursing homes, inspectors were not being tested. Los Angeles Times. 2020;July 24.
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psnet.ahrq.gov/issue/responding-large-scale-testing-errors
December 18, 2008 - Commentary
Responding to large-scale testing errors.
Citation Text:
Valenstein PN, Alpern GA, Keren DF. Responding to Large-Scale Testing Errors: Table 1. Am J Clin Pathol. 2010;133(3). doi:10.1309/ajcpxlze0yynid0x.
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psnet.ahrq.gov/issue/adverse-incidents-patient-flow-and-nursing-workforce-variables-acute-psychiatric-wards
April 03, 2019 - Study
Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins Acute Ward Study.
Citation Text:
Bowers L, Allan T, Simpson A, et al. Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins …
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psnet.ahrq.gov/issue/implementing-bedside-handover-strategies-change-management
July 05, 2013 - Study
Implementing bedside handover: strategies for change management.
Citation Text:
McMurray A, Chaboyer W, Wallis M, et al. Implementing bedside handover: strategies for change management. J Clin Nurs. 2010;19(17-18):2580-9. doi:10.1111/j.1365-2702.2009.03033.x.
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psnet.ahrq.gov/issue/new-technology-new-errors-how-prime-upgrade-insulin-infusion-pump
July 14, 2010 - Commentary
New technology, new errors: how to prime an upgrade of an insulin infusion pump.
Citation Text:
Rule AM, Drincic A, Galt K. New technology, new errors: how to prime an upgrade of an insulin infusion pump. Jt Comm J Qual Patient Saf. 2007;33(3):155-62.
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psnet.ahrq.gov/issue/interruptions-and-geographic-challenges-nurses-cognitive-workload
March 20, 2019 - Study
Interruptions and geographic challenges to nurses' cognitive workload.
Citation Text:
Redding DA, Robinson S. Interruptions and geographic challenges to nurses' cognitive workload. J Nurs Care Qual. 2009;24(3):194-200; quiz 201-202. doi:10.1097/01.NCQ.0000356907.95076.31.
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psnet.ahrq.gov/issue/undiagnosed-breast-cancer-mr-imaging-analysis-causes
August 22, 2015 - Study
Undiagnosed breast cancer at MR imaging: analysis of causes.
Citation Text:
Pages EB, Millet I, Hoa D, et al. Undiagnosed breast cancer at MR imaging: analysis of causes. Radiology. 2012;264(1):40-50. doi:10.1148/radiol.12111917.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/nasa-task-load-index
January 01, 2023 - NASA Task Load Index
Acronym
NASA TLX
Description
The NASA task load index (NASA TLX) is a tool for measuring and conducting a subjective mental workload (MWL) assessment. It allows you to determine the MWL of a participant while they are performing a task. It rates performance across six dime…
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psnet.ahrq.gov/issue/measurement-improvement-survey-current-practice-australian-public-hospitals
December 29, 2014 - Study
Measurement for improvement: a survey of current practice in Australian public hospitals.
Citation Text:
Brand CA, Tropea J, Ibrahim JE, et al. Measurement for improvement: a survey of current practice in Australian public hospitals. Med J Aust. 2008;189(1):35-40.
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psnet.ahrq.gov/issue/safety-care-caregivers-cancer-patients
March 02, 2012 - Review
Safety of care by caregivers of cancer patients.
Citation Text:
Given BA. Safety of Care by Caregivers of Cancer Patients. Semin Oncol Nurs. 2019;35(4):374-379. doi:10.1016/j.soncn.2019.06.011.
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psnet.ahrq.gov/issue/systematic-review-nursing-practice-workarounds
April 28, 2021 - Review
A systematic review of nursing practice workarounds.
Citation Text:
McCord JL, Lippincott CR, Abreu E, et al. A systematic review of nursing practice workarounds. Dimens Crit Care Nurs. 2022;41(6):347-356. doi:10.1097/dcc.0000000000000549.
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psnet.ahrq.gov/issue/reportable-incidents
November 02, 2016 - Newspaper/Magazine Article
Reportable incidents.
Citation Text:
Barishansky RM, Glick DE. Reportable incidents. Establishing policies and procedures for when calls go wrong. EMS magazine. 2009;38(3):43-7.
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psnet.ahrq.gov/issue/patient-raceethnicity-age-gender-and-education-are-not-related-preference-or-response
April 11, 2011 - Study
Patient race/ethnicity, age, gender and education are not related to preference for or response to disclosure.
Citation Text:
Hobgood C, Tamayo-Sarver JH, Weiner B. Patient race/ethnicity, age, gender and education are not related to preference for or response to disclosure. Qual…