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psnet.ahrq.gov/issue/quality-and-reporting-large-scale-improvement-programmes-review-maternity-initiatives-english
February 07, 2024 - Review
Quality and reporting of large-scale improvement programmes: a review of maternity initiatives in the English NHS, 2010–2023.
Citation Text:
McGowan JE, Attal B, Kuhn I, et al. Quality and reporting of large-scale improvement programmes: a review of maternity initiatives in the En…
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psnet.ahrq.gov/issue/patient-awake-and-we-need-stay-calm-reconsidering-indirect-communication-face-medical-error
October 11, 2023 - Study
"The patient is awake and we need to stay calm": reconsidering indirect communication in the face of medical error and professionalism lapses.
Citation Text:
Taylor T, Columbus L, Banner H, et al. “The patient is awake and we need to stay calm”: reconsidering indirect communication…
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psnet.ahrq.gov/issue/evaluation-adverse-drug-events-and-medication-discrepancies-transitions-care-between-hospital
June 07, 2023 - Study
Evaluation of adverse drug events and medication discrepancies in transitions of care between hospital discharge and primary care follow-up.
Citation Text:
Armor BL, Wight AJ, Carter SM. Evaluation of Adverse Drug Events and Medication Discrepancies in Transitions of Care Between H…
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psnet.ahrq.gov/issue/transition-new-electronic-health-record-and-pediatric-medication-safety-lessons-learned
April 12, 2011 - Study
Transition to a new electronic health record and pediatric medication safety: lessons learned in pediatrics within a large academic health system.
Citation Text:
Whalen K, Lynch E, Moawad I, et al. Transition to a new electronic health record and pediatric medication safety: lesson…
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psnet.ahrq.gov/issue/comparing-rates-adverse-events-detected-incident-reporting-and-global-trigger-tool-systematic
December 13, 2023 - Review
Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic review.
Citation Text:
Hibbert PD, Molloy CJ, Schultz TJ, et al. Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic re…
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psnet.ahrq.gov/issue/conceptual-and-practical-challenges-associated-understanding-patient-safety-within-community
December 15, 2021 - Review
Conceptual and practical challenges associated with understanding patient safety within community-based mental health services.
Citation Text:
Averill P, Vincent CA, Reen G, et al. Conceptual and practical challenges associated with understanding patient safety within community‐ba…
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psnet.ahrq.gov/issue/paediatric-medication-incident-reporting-multicentre-comparison-study-medication-errors
January 18, 2023 - Study
Paediatric medication incident reporting: a multicentre comparison study of medication errors identified at audit, detected by staff and reported to an incident system.
Citation Text:
Li L, Badgery-Parker T, Merchant A, et al. Paediatric medication incident reporting: a multicentre…
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psnet.ahrq.gov/issue/effects-communication-and-resolution-program-hospitals-malpractice-claims-and-costs
October 11, 2017 - Study
Effects of a communication-and-resolution program on hospitals' malpractice claims and costs.
Citation Text:
Kachalia A, Sands K, Van Niel M, et al. Effects Of A Communication-And-Resolution Program On Hospitals' Malpractice Claims And Costs. Health Aff (Millwood). 2018;37(11):1836…
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psnet.ahrq.gov/issue/perception-medication-safety-related-behaviors-among-different-age-groups-web-based-cross
April 24, 2024 - Study
Perception of medication safety-related behaviors among different age groups: web-based cross-sectional study.
Citation Text:
Lang Y, Chen K-Y, Zhou Y, et al. Perception of medication safety-related behaviors among different age groups: web-based cross-sectional study. Interact J M…
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psnet.ahrq.gov/issue/blackbox-error-management-how-do-practices-deal-critical-incidents-everyday-practice
May 01, 2024 - Study
Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitative interview study.
Citation Text:
Bodek A, Pommée M, Berger A, et al. Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitat…
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psnet.ahrq.gov/issue/overdose-risk-young-children-women-prescribed-opioids
September 07, 2016 - Study
Overdose risk in young children of women prescribed opioids.
Citation Text:
Finkelstein Y, Macdonald EM, Gonzalez A, et al. Overdose Risk in Young Children of Women Prescribed Opioids. Pediatrics. 2017;139(3). doi:10.1542/peds.2016-2887.
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psnet.ahrq.gov/issue/medication-related-emergency-department-visits-pediatrics-prospective-observational-study
October 16, 2013 - Study
Medication-related emergency department visits in pediatrics: a prospective observational study.
Citation Text:
Zed PJ, Black KJL, Fitzpatrick EA, et al. Medication-related emergency department visits in pediatrics: a prospective observational study. Pediatrics. 2015;135(3):435-43.…
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psnet.ahrq.gov/issue/high-delayed-and-missed-injury-rate-after-inter-hospital-transfer-severely-injured-trauma
December 02, 2020 - Study
High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients.
Citation Text:
Hensgens RL, El Moumni M, IJpma FFA, et al. High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients. Eur J Trauma Emer…
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psnet.ahrq.gov/issue/uncovering-system-errors-using-rapid-response-team-cross-coverage-caught-crossfire
April 24, 2018 - Study
Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire.
Citation Text:
Kaplan LJ, Maerz LL, Schuster KM, et al. Uncovering System Errors Using a Rapid Response Team: Cross-Coverage Caught in the Crossfire. The Journal of Trauma: Injury, Infect…
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psnet.ahrq.gov/issue/nursing-implications-early-warning-system-implemented-reduce-adverse-events-qualitative-study
October 27, 2021 - Study
Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study.
Citation Text:
Braun EJ, Singh S, Penlesky AC, et al. Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study. BMJ Qual Saf. …
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psnet.ahrq.gov/issue/international-evaluation-ai-system-breast-cancer-screening
June 14, 2019 - Study
Classic
International evaluation of an AI system for breast cancer screening.
Citation Text:
McKinney SM, Sieniek M, Godbole V, et al. International evaluation of an AI system for breast cancer screening. Nature. 2020;577(7788):89-94. doi:10.1038/s41586-01…
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psnet.ahrq.gov/issue/partnering-va-stakeholders-develop-comprehensive-patient-safety-data-display-lessons-learned
September 25, 2019 - Study
Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons learned from the field.
Citation Text:
Chen Q, Shin MH, Chan J, et al. Partnering With VA Stakeholders to Develop a Comprehensive Patient Safety Data Display: Lessons Learned From the Fi…
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psnet.ahrq.gov/issue/analysis-electronic-health-record-related-patient-safety-concerns
January 21, 2019 - Study
Classic
An analysis of electronic health record–related patient safety concerns.
Citation Text:
Meeks DW, Smith MW, Taylor L, et al. An analysis of electronic health record-related patient safety concerns. J Am Med Inform Assoc. 2014;21(6):1053-9. doi:10.1…
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psnet.ahrq.gov/issue/burnout-and-secondary-traumatic-stress-health-system-pharmacists-during-covid-19-pandemic
April 06, 2022 - Study
Burnout and secondary traumatic stress in health-system pharmacists during the COVID-19 pandemic.
Citation Text:
Jones AM, Clark JS, Mohammad RA. Burnout and secondary traumatic stress in health-system pharmacists during the COVID-19 pandemic. Am J Health Syst Pharm. 2021;78(9):818…
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psnet.ahrq.gov/issue/patient-safety-concerns-covid-19-related-events-study-343-event-reports-71-hospitals
July 24, 2024 - Study
Patient safety concerns in COVID-19–related events: a study of 343 event reports from 71 hospitals in Pennsylvania.
Citation Text:
Taylor M, Kepner S, Gardner LA, et al. Patient safety concerns in COVID-19–related events: a study of 343 event reports from 71 hospitals in Pennsylvan…