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psnet.ahrq.gov/issue/fundamental-use-surgical-energy-fuse-essential-educational-program-operating-room-safety
June 07, 2018 - Commentary
Fundamental Use of Surgical Energy (FUSE): an essential educational program for operating room safety.
Citation Text:
Jones SB, Munro MG, Feldman LS, et al. Fundamental Use of Surgical Energy (FUSE): An Essential Educational Program for Operating Room Safety. Perm J. 2017;21:1…
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psnet.ahrq.gov/issue/review-verbal-order-policies-acute-care-hospitals
January 03, 2017 - Study
A review of verbal order policies in acute care hospitals.
Citation Text:
Wakefield DS, Wakefield BJ, Despins L, et al. A review of verbal order policies in acute care hospitals. Jt Comm J Qual Patient Saf. 2012;38(1):24-33.
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psnet.ahrq.gov/issue/problem-my-five-moments-hand-hygiene
September 09, 2020 - Commentary
The problem with 'My Five Moments for Hand Hygiene'.
Citation Text:
Gould D, Purssell E, Jeanes A, et al. The problem with ‘My Five Moments for Hand Hygiene’. BMJ Qual Saf. 2022;31(4):322-326. doi:10.1136/bmjqs-2020-011911.
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psnet.ahrq.gov/issue/improving-situation-awareness-advance-patient-outcomes-systematic-literature-review
January 16, 2010 - Review
Improving situation awareness to advance patient outcomes: a systematic literature review.
Citation Text:
Alqarrain Y, Roudsari A, Courtney KL, et al. Improving situation awareness to advance patient outcomes: a systematic literature review. Comput Inform Nurs. 2024;42(4):277-288.…
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psnet.ahrq.gov/issue/nursing-student-errors-and-near-misses-three-years-data
October 20, 2021 - Study
Nursing student errors and near misses: three years of data.
Citation Text:
Silvestre JH, Spector ND. Nursing student errors and near misses: three years of data. J Nurs Educ. 2023;62(1):12-19. doi:10.3928/01484834-20221109-05.
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psnet.ahrq.gov/issue/impact-resident-participation-morbidity-and-mortality-neurosurgical-procedures-analysis-16098
June 17, 2014 - Study
Impact of resident participation on morbidity and mortality in neurosurgical procedures: an analysis of 16,098 patients.
Citation Text:
Bydon M, Abt NB, De la Garza-Ramos R, et al. Impact of resident participation on morbidity and mortality in neurosurgical procedures: an analysis …
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psnet.ahrq.gov/issue/leveraging-trainees-improve-quality-and-safety-point-care-three-models-engagement
September 20, 2017 - Commentary
Leveraging trainees to improve quality and safety at the point of care: three models for engagement.
Citation Text:
Faherty LJ, Mate KS, Moses JM. Leveraging Trainees to Improve Quality and Safety at the Point of Care: Three Models for Engagement. Acad Med. 2016;91(4):503-9. d…
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psnet.ahrq.gov/issue/surgeons-difficulty-exploration-differences-assistance-seeking-behaviors-between-male-and
December 21, 2014 - Study
Surgeons in difficulty: an exploration of differences in assistance-seeking behaviors between male and female surgeons.
Citation Text:
Sanfey H, Fromson J, Mellinger JD, et al. Surgeons in Difficulty: An Exploration of Differences in Assistance-Seeking Behaviors between Male and Fe…
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psnet.ahrq.gov/issue/ashp-ppag-guidelines-providing-pediatric-pharmacy-services-hospitals-and-health-systems
April 24, 2018 - Commentary
ASHP–PPAG Guidelines for Providing Pediatric Pharmacy Services in Hospitals and Health Systems.
Citation Text:
Eiland LS, Benner K, Gumpper KF, et al. ASHP-PPAG Guidelines for Providing Pediatric Pharmacy Services in Hospitals and Health Systems. J Pediatr Pharmacol Ther. 2018…
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psnet.ahrq.gov/issue/reducing-iatrogenic-risks-icu-acquired-delirium-and-weakness-crossing-quality-chasm
November 30, 2022 - Study
Reducing iatrogenic risks: ICU–acquired delirium and weakness—crossing the quality chasm.
Citation Text:
Vasilevskis EE, Ely W, Speroff T, et al. Reducing iatrogenic risks: ICU-acquired delirium and weakness--crossing the quality chasm. Chest. 2010;138(5):1224-33. doi:10.1378/che…
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psnet.ahrq.gov/issue/examining-july-effect-national-survey-academic-leaders-medicine
July 05, 2016 - Study
Examining the July Effect: a national survey of academic leaders in medicine.
Citation Text:
Levy K, Voit J, Gupta A, et al. Examining the July Effect: A National Survey of Academic Leaders in Medicine. Am J Med. 2016;129(7):754.e1-5. doi:10.1016/j.amjmed.2016.05.001.
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psnet.ahrq.gov/issue/managing-safety-perioperative-settings-strategies-meso-level-nurse-leaders
April 06, 2011 - Study
Managing safety in perioperative settings: strategies of meso-level nurse leaders.
Citation Text:
Brooks JV, Nelson-Brantley H. Managing safety in perioperative settings: strategies of meso-level nurse leaders. Health Care Manage Rev. 2023;48(2):175-184. doi:10.1097/hmr.00000000000…
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psnet.ahrq.gov/issue/sustained-improvement-neonatal-intensive-care-unit-safety-attitudes-after-teamwork-training
March 26, 2015 - Study
Sustained improvement in neonatal intensive care unit safety attitudes after teamwork training.
Citation Text:
Murphy T, Laptook A, Bender J. Sustained Improvement in Neonatal Intensive Care Unit Safety Attitudes After Teamwork Training. J Patient Saf. 2018;14(3):174-180. doi:10.10…
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psnet.ahrq.gov/issue/global-patient-outcomes-after-elective-surgery-prospective-cohort-study-27-low-middle-and
January 23, 2019 - Study
Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries.
Citation Text:
group ISOS. Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries. Br J Anaesth. 2…
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psnet.ahrq.gov/issue/limits-psychological-safety-nonlinear-relationships-performance
April 24, 2018 - Study
The limits of psychological safety: nonlinear relationships with performance.
Citation Text:
Eldor L, Hodor M, Cappelli P. The limits of psychological safety: nonlinear relationships with performance. Org Behav Human Decision Proc. 2023;177:104255. doi:10.1016/j.obhdp.2023.104255. …
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psnet.ahrq.gov/node/37111/psn-pdf
January 01, 2023 - Patient Safety: An Old and New Issue.
August 22, 2007
Bagnara S; Tartaglia R, eds. Theor Issues Ergon Sci. 2023;8(5):365-507.
https://psnet.ahrq.gov/issue/patient-safety-old-and-new-issue
This special issue contains articles focusing on ergonomic research areas that intersect with patient safety,
such as team mana…
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psnet.ahrq.gov/node/39869/psn-pdf
September 22, 2010 - Teaching quality improvement.
September 22, 2010
Murray ME, Douglas S, Girdley D, et al. Teaching quality improvement. J Nurs Educ. 2010;49(8):466-9.
doi:10.3928/01484834-20100430-09.
https://psnet.ahrq.gov/issue/teaching-quality-improvement
This commentary outlines an educational program for nursing students desi…
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psnet.ahrq.gov/node/35420/psn-pdf
November 18, 2011 - Malpractice makes perfect.
November 18, 2011
Berenson RA. The New Republic. October 9, 2005.
https://psnet.ahrq.gov/issue/malpractice-makes-perfect
To illustrate the need for malpractice tort reform, transparency, and fair compensation for patients, this
article discusses individual stories, such as that of Susan …
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psnet.ahrq.gov/node/39132/psn-pdf
December 17, 2009 - Nurses Transforming Care.
December 17, 2009
Am J Nurs. 2009;109(suppl 11):3-80, C3.
https://psnet.ahrq.gov/issue/nurses-transforming-care
This special issue highlights the work of nurse-led teams involved in the Transforming Care at the Bedside
project and describes its impact on safety and quality improve…
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psnet.ahrq.gov/node/38971/psn-pdf
June 10, 2018 - How has the current economy affected patient safety?
June 10, 2018
ISMP Medication Safety Alert! Acute Care Edition. September 10, 2009;14:1-2.
https://psnet.ahrq.gov/issue/how-has-current-economy-affected-patient-safety
This piece describes how reduced resources could affect patient safety and quality work in hosp…