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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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psnet.ahrq.gov/issue/preventing-vincristine-administration-errors-does-evidence-support-minibag-infusions
January 01, 2008 - Commentary
Preventing vincristine administration errors: does evidence support minibag infusions?
Citation Text:
Mahon SM, Schulmeister L. Preventing Vincristine Administration Errors: Does Evidence Support Minibag Infusions? Clin J Oncol Nurs. 2006;10(2). doi:10.1188/06.cjon.271-273. …
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psnet.ahrq.gov/issue/does-simulation-improve-patient-safety-self-efficacy-competence-operational-performance-and
May 25, 2016 - Commentary
Does simulation improve patient safety?: self-efficacy, competence, operational performance, and patient safety.
Citation Text:
Nishisaki A, Keren R, Nadkarni V. Does simulation improve patient safety? Self-efficacy, competence, operational performance, and patient safety. A…
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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/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/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/factors-influencing-doctors-ability-calculate-drug-doses-correctly
March 19, 2019 - Study
Factors influencing doctors' ability to calculate drug doses correctly.
Citation Text:
Wheeler DW, Wheeler SJ, Ringrose TR. Factors influencing doctors' ability to calculate drug doses correctly. Int J Clin Pract. 2007;61(2):189-94.
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psnet.ahrq.gov/issue/disclosure-unanticipated-outcomes-care-and-medical-errors-what-does-mean-anesthesiologists
August 21, 2024 - Review
The disclosure of unanticipated outcomes of care and medical errors: what does this mean for anesthesiologists?
Citation Text:
Souter KJ, Gallagher TH. The Disclosure of Unanticipated Outcomes of Care and Medical Errors. Anesth Analg. 2011;114(3):615-621. doi:10.1213/ane.0b013e3…
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psnet.ahrq.gov/issue/creating-culture-safety-emergency-department-value-teamwork-training
October 14, 2020 - Study
Creating a culture of safety in the emergency department: the value of teamwork training.
Citation Text:
Jones F, Podila P, Powers C. Creating a culture of safety in the emergency department: the value of teamwork training. J Nurs Adm. 2013;43(4):194-200. doi:10.1097/NNA.0b013e318…
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psnet.ahrq.gov/issue/2019-john-m-eisenberg-patient-safety-and-quality-awards
August 14, 2024 - Special or Theme Issue
The 2019 John M. Eisenberg Patient Safety and Quality Awards.
Citation Text:
The 2019 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Saf. 2020;46(7):PI-II:2020;371-399.
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psnet.ahrq.gov/issue/improving-operating-room-and-perioperative-safety-background-and-specific-recommendations
August 29, 2011 - Commentary
Improving operating room and perioperative safety: background and specific recommendations.
Citation Text:
Schimpff SC. Improving operating room and perioperative safety: background and specific recommendations. Surg Innov. 2007;14(2):127-35.
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psnet.ahrq.gov/issue/determining-state-knowledge-implementing-universal-protocol-recommendations-integrative
March 15, 2016 - Review
Determining the state of knowledge for implementing the Universal Protocol recommendations: an integrative review of the literature.
Citation Text:
Conrardy JA, Brenek B, Myers S. Determining the State of Knowledge for Implementing the Universal Protocol Recommendations: An Inte…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state2.html
January 01, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy
2. Methods
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Table of Contents
Current State of Diagnostic Safety: Implications for Research, Practice, and Policy
1. Introduction
2. Methods
3. Results
4. Discussion
References
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psnet.ahrq.gov/issue/need-systems-integration-health-care
July 01, 2017 - Commentary
The need for systems integration in health care.
Citation Text:
Mathews SC, Pronovost P. The need for systems integration in health care. JAMA. 2011;305(9):934-5. doi:10.1001/jama.2011.237.
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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/issue/emergent-cscw-systems-resolution-and-bandwidth-workplaces
May 01, 2015 - Commentary
Emergent CSCW systems: the resolution and bandwidth of workplaces.
Citation Text:
Xiao Y, Seagull J. Emergent CSCW systems: the resolution and bandwidth of workplaces. Int J Med Inform. 2007;76 Suppl 1:S261-6.
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psnet.ahrq.gov/issue/interdisciplinary-communication-uncharted-source-medical-error
September 24, 2016 - Review
Interdisciplinary communication: an uncharted source of medical error?
Citation Text:
Alvarez G, Coiera E. Interdisciplinary communication: an uncharted source of medical error? J Crit Care. 2006;21(3):236-42; discussion 242.
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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/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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