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psnet.ahrq.gov/issue/we-need-leaders-48th-annual-rovenstine-lecture
July 01, 2017 - Commentary
We need leaders: the 48th Annual Rovenstine Lecture.
Citation Text:
Pronovost P. We need leaders: The 48th Annual Rovenstine Lecture. Anesthesiology. 2010;112(4):779-785. doi:10.1097/ALN.0b013e3181d32047.
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psnet.ahrq.gov/issue/no-one-coming-hospice-patients-abandoned-deaths-door
June 29, 2016 - Newspaper/Magazine Article
'No one is coming': hospice patients abandoned at death's door.
Citation Text:
'No one is coming': hospice patients abandoned at death's door. Aleccia J; Bailey M.
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psnet.ahrq.gov/issue/team-communication-operating-room
January 28, 2009 - Commentary
Team communication in the operating room.
Citation Text:
Davies JM. Team communication in the operating room. Acta Anaesthesiol Scand. 2005;49(7):898-901.
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psnet.ahrq.gov/issue/surgical-patient-safety-case-based-approach
February 14, 2018 - Book/Report
Surgical Patient Safety: A Case-Based Approach.
Citation Text:
Surgical Patient Safety: A Case-Based Approach. Stahel PF, ed. New York, NY: McGraw-Hill Education/Medical; 2017. ISBN: 9780071842631.
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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/creative-education-rapid-response-team-implementation
October 13, 2018 - Commentary
Creative education for rapid response team implementation.
Citation Text:
Johnson AL. Creative education for rapid response team implementation. J Contin Educ Nurs. 2009;40(1):38-42.
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psnet.ahrq.gov/node/33863/psn-pdf
August 01, 2018 - In Conversation With… Matthew Weinger, MD
August 1, 2018
In Conversation With… Matthew Weinger, MD. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
Editor's note: Dr. Weinger is Director of the Center for Research and Innovation in Systems Safety and
Professor of Anesthes…
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psnet.ahrq.gov/perspective/conversation-didier-pittet-md-ms
May 01, 2014 - In Conversation With… Didier Pittet, MD, MS
May 1, 2014
Also Read an Essay
Citation Text:
In Conversation With… Didier Pittet, MD, MS. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. …
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psnet.ahrq.gov/issue/wish-patient-safety-forum
June 24, 2015 - Audiovisual Presentation
WISH Patient Safety Forum
Citation Text:
WISH Patient Safety Forum World Innovation Summit for Health 2015. Doha, Qatar: Qatar Foundation; February 2015.
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psnet.ahrq.gov/issue/communication-operating-theatre
September 29, 2017 - Review
Communication in the operating theatre.
Citation Text:
Weldon S-M, Korkiakangas T, Bezemer J, et al. Communication in the operating theatre. Br J Surg. 2013;100(13):1677-88. doi:10.1002/bjs.9332.
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psnet.ahrq.gov/issue/error-reduction-through-team-leadership-applying-aviations-crm-model-or
September 25, 2013 - Commentary
Error reduction through team leadership: applying aviation's CRM model in the OR.
Citation Text:
Healy GB, Barker J, Madonna G. Error reduction through team leadership: applying aviation's CRM model in the OR. Bull Am Coll Surg. 2006;91(2):10-5.
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psnet.ahrq.gov/issue/communication-patterns-uk-emergency-department
June 17, 2010 - Study
Communication patterns in a UK emergency department.
Citation Text:
Woloshynowych M, Davis R, Brown R, et al. Communication patterns in a UK emergency department. Ann Emerg Med. 2007;50(4):407-13.
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psnet.ahrq.gov/issue/preventing-overdiagnosis-how-stop-harming-healthy
January 02, 2013 - Commentary
Preventing overdiagnosis: how to stop harming the healthy.
Citation Text:
Moynihan R, Doust J, Henry D. Preventing overdiagnosis: how to stop harming the healthy. BMJ. 2012;344:e3502. doi:10.1136/bmj.e3502.
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psnet.ahrq.gov/issue/new-method-guard-inpatient-medication-safety-implementation-rfid
June 29, 2011 - Study
A new method to guard inpatient medication safety by the implementation of RFID.
Citation Text:
Sun PR, Wang BH, Wu F. A new method to guard inpatient medication safety by the implementation of RFID. J Med Syst. 2008;32(4):327-32.
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psnet.ahrq.gov/issue/hospitalized-patients-understanding-their-plan-care
June 11, 2010 - Study
Hospitalized patients' understanding of their plan of care.
Citation Text:
O'Leary KJ, Kulkarni N, Landler MP, et al. Hospitalized patients' understanding of their plan of care. Mayo Clin Proc. 2010;85(1):47-52. doi:10.4065/mcp.2009.0232.
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psnet.ahrq.gov/issue/taking-national-action-prevent-and-eliminate-healthcare-associated-infections
May 06, 2015 - Special or Theme Issue
Taking National Action to Prevent and Eliminate Healthcare-Associated Infections.
Citation Text:
Taking National Action to Prevent and Eliminate Healthcare-Associated Infections. Kahn KL, Battles JB, eds. Med Care. 2014;52:i-ii,s1-s100.
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psnet.ahrq.gov/issue/development-patient-safety-program-across-continuum-care
September 21, 2009 - Commentary
The development of a patient safety program across the continuum of care.
Citation Text:
Wertenberger S, Wilson J. The development of a patient safety program across the continuum of care. Nurs Adm Q. 2005;29(4):303-307.
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psnet.ahrq.gov/issue/insulin-treatment-tracer-identifying-latent-patient-safety-risks-home-based-diabetes-care
September 28, 2010 - Study
Insulin treatment as a tracer for identifying latent patient safety risks in home-based diabetes care.
Citation Text:
Insulin treatment as a tracer for identifying latent patient safety risks in home-based diabetes care. Odegard S; Andersson DK. J Nurs Manag. 2006;14(2):116-127…
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psnet.ahrq.gov/issue/building-social-capital-healthcare-organizations-thinking-ecologically-safer-care
June 23, 2009 - Commentary
Building social capital in healthcare organizations: thinking ecologically for safer care.
Citation Text:
Hofmeyer A, Marck PB. Building social capital in healthcare organizations: thinking ecologically for safer care. Nurs Outlook. 2008;56(4):145-151.e2. doi:10.1016/j.outlo…
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psnet.ahrq.gov/issue/silence-kills-seven-crucial-conversations-healthcare
July 09, 2012 - Book/Report
Silence Kills: The Seven Crucial Conversations for Healthcare.
Citation Text:
Silence Kills: The Seven Crucial Conversations for Healthcare. Maxfield D, Grenny J, McMillan R, Patterson K, Switzler A. Provo, UT: VitalSmarts, L.C; 2005.
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