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psnet.ahrq.gov/issue/another-medical-malpractice-crisis-try-something-different
November 11, 2020 - Commentary
Another medical malpractice crisis?: Try something different.
Citation Text:
Sage WM, Boothman RC, Gallagher TH. Another medical malpractice crisis?: Try something different. JAMA. 2020;324(14):1395-1396. doi:10.1001/jama.2020.16557.
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psnet.ahrq.gov/issue/ahrq-nursing-home-survey-patient-safety-culture-2016-user-comparative-database-report
June 08, 2016 - Government Resource
AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative Database Report.
Citation Text:
AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative Database Report. Famolaro T, Yount ND, Greene, K, Hare R, Thorton S, Sorra J. Rockville,…
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psnet.ahrq.gov/issue/liability-claims-and-costs-and-after-implementation-medical-error-disclosure-program
April 24, 2018 - Study
Classic
Liability claims and costs before and after implementation of a medical error disclosure program.
Citation Text:
Kachalia A, Kaufman SR, Boothman RC, et al. Liability claims and costs before and after implementation of a medical error disclosure …
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psnet.ahrq.gov/issue/hospital-safety-climate-and-safety-outcomes-there-relationship-va
October 14, 2009 - Study
Hospital safety climate and safety outcomes: is there a relationship in the VA?
Citation Text:
Rosen AK, Singer SJ, Zhao S, et al. Hospital safety climate and safety outcomes: is there a relationship in the VA? Med Care Res Rev. 2010;67(5):590-608. doi:10.1177/1077558709356703.
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psnet.ahrq.gov/issue/talking-patients-about-other-clinicians-errors
October 27, 2021 - Study
Classic
Talking with patients about other clinicians' errors.
Citation Text:
Gallagher TH, Mello MM, Levinson W, et al. Talking with patients about other clinicians' errors. N Engl J Med. 2013;369(18):1752-7. doi:10.1056/NEJMsb1303119.
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psnet.ahrq.gov/issue/systematic-review-psychological-literature-interruption-and-its-patient-safety-implications
September 24, 2016 - Review
Classic
A systematic review of the psychological literature on interruption and its patient safety implications.
Citation Text:
Li SYW, Magrabi F, Coiera E. A systematic review of the psychological literature on interruption and its patient safety implica…
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psnet.ahrq.gov/issue/seniors-managing-multiple-medications-using-mixed-methods-view-home-care-safety-lens
June 23, 2021 - Study
Seniors managing multiple medications: using mixed methods to view the home care safety lens.
Citation Text:
Lang A, Macdonald M, Marck P, et al. Seniors managing multiple medications: using mixed methods to view the home care safety lens. BMC Health Serv Res. 2015;15:548. doi:10.1…
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psnet.ahrq.gov/issue/attending-physician-remote-access-electronic-health-record-and-implications-resident
September 22, 2010 - Study
Attending physician remote access of the electronic health record and implications for resident supervision: a mixed methods study.
Citation Text:
Martin SK, Tulla K, Meltzer DO, et al. Attending Physician Remote Access of the Electronic Health Record and Implications for Resident …
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psnet.ahrq.gov/issue/listen-whispers-they-become-screams-addressing-black-maternal-morbidity-and-mortality-united
December 05, 2012 - Commentary
Listen to the whispers before they become screams: addressing Black maternal morbidity and mortality in the United States.
Citation Text:
Njoku A, Evans M, Nimo-Sefah L, et al. Listen to the whispers before they become screams: addressing Black maternal morbidity and mortality…
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psnet.ahrq.gov/issue/implementing-strategies-identify-and-mitigate-adverse-safety-events-case-study-unplanned
May 24, 2012 - Study
Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations.
Citation Text:
Hatch D, Rivard M, Bolton J, et al. Implementing Strategies to Identify and Mitigate Adverse Safety Events: A Case Study with Unplanned Extubations. Jt Co…
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psnet.ahrq.gov/issue/safer-prescribing-and-care-elderly-space-cluster-randomised-controlled-trial-general-practice
November 18, 2020 - Study
Safer prescribing and care for the elderly (SPACE): cluster randomised controlled trial in general practice.
Citation Text:
Wallis KA, Elley CR, Moyes SA, et al. Safer prescribing and care for the elderly (SPACE): cluster randomised controlled trial in general practice. BJGP Open. …
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psnet.ahrq.gov/issue/emotional-safety-patient-safety
October 21, 2020 - Commentary
Emotional safety is patient safety.
Citation Text:
Lyndon A, Davis D-A, Sharma AE, et al. Emotional safety is patient safety. BMJ Qual Saf. 2023;32(7):369-372. doi:10.1136/bmjqs-2022-015573.
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psnet.ahrq.gov/issue/applying-human-factors-engineering-address-telemetry-alarm-problem-large-medical-center
February 10, 2021 - Study
Applying human factors engineering to address the telemetry alarm problem in a large medical center.
Citation Text:
Patterson ES, Rayo MF, Edworthy JR, et al. Applying human factors engineering to address the telemetry alarm problem in a large medical center. Hum Factors. 2022;64(1…
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psnet.ahrq.gov/issue/racial-disparities-maternal-mortality-and-impact-structural-racism-and-implicit-racial-bias
July 13, 2009 - Review
The racial disparities in maternal mortality and impact of structural racism and implicit racial bias on pregnant Black women: a review of the literature.
Citation Text:
Montalmant KE, Ettinger AK. The racial disparities in maternal mortality and impact of structural racism and im…
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psnet.ahrq.gov/issue/systematic-review-and-evaluation-physiological-track-and-trigger-warning-systems-identifying
July 20, 2022 - Review
Systematic review and evaluation of physiological track and trigger warning systems for identifying at-risk patients on the ward.
Citation Text:
Gao H, McDonnell A, Harrison DA, et al. Systematic review and evaluation of physiological track and trigger warning systems for identif…
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psnet.ahrq.gov/issue/suicide-risk-changing-jobs-or-leaving-nursing-profession-aftermath-patient-safety-incident
July 22, 2020 - Study
Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a patient safety incident.
Citation Text:
Stovall M, Hansen L. Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a patient safety incident. Worldviews Evid Based Nurs…
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psnet.ahrq.gov/issue/grading-recommendations-enhanced-patient-safety-sentinel-event-analysis-recommendation
April 15, 2020 - Study
Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation improvement matrix.
Citation Text:
Bos K, van der Laan MJ, Groeneweg J, et al. Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation impro…
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psnet.ahrq.gov/issue/use-technology-improve-adherence-surgical-safety-checklists-operating-room
December 03, 2014 - Study
Use of technology to improve the adherence to surgical safety checklists in the operating room.
Citation Text:
Pati AB, Mishra TS, Chappity P, et al. Use of technology to improve the adherence to surgical safety checklists in the operating room. Jt Comm J Qual Patient Saf. 2023;49(…
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psnet.ahrq.gov/issue/toward-constructive-change-after-making-medical-error-recovery-situations-error-theory
March 04, 2015 - Review
Toward constructive change after making a medical error: recovery from situations of error theory as a psychosocial model for clinician recovery.
Citation Text:
Harrison R, Johnson J, Mcmullan RD, et al. Toward constructive change after making a medical error: recovery from situat…
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psnet.ahrq.gov/issue/tying-loose-ends-discharging-patients-unresolved-medical-issues
February 24, 2011 - Study
Tying up loose ends: discharging patients with unresolved medical issues.
Citation Text:
Moore C, McGinn T, Halm E. Tying up loose ends: discharging patients with unresolved medical issues. Arch Intern Med. 2007;167(12):1305-11.
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