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Patient Safety Network

The PSNet Collection: All Content

The AHRQ PSNet Collection comprises an extensive selection of resources relevant to the patient safety community. These resources come in a variety of formats, including literature, research, tools, and Web sites. Resources are identified using the National Library of Medicine’s Medline database, various news and content aggregators, and the expertise of the AHRQ PSNet editorial and technical teams.

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    • Concept analysis: wrong-site surgery.
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    • Watson DS. AORN J. 2015;101:650-6.
    Despite large-scale efforts to prevent wrong-site surgeries, they continue to occur. This concept analysis found limited evidence regarding the role of nurses in wrong-site surgery and recommends that future research focus on theoretical frameworks around how preoperative nurses can help avert these never events.
    10 years in, why time out still matters.
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    • Guglielmi CL, Canacari EG, DuPree ES, et al. AORN J. 2014;99:783-794.
    The Universal Protocol has been widely adopted in the decade since its release. Successful utilization of the protocol to prevent wrong-site surgery has been determined to extend beyond checklist use. This commentary features insights from a multidisciplinary panel on their experiences with time outs and why are still needed to ensure safety in surgery.
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