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psnet.ahrq.gov/issue/patient-safety-after-implementation-coproduced-family-centered-communication-programme
April 24, 2018 - Study
Emerging Classic
Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study.
Citation Text:
Khan A, Spector ND, Baird JD, et al. Patient safety after implementation of a copr…
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psnet.ahrq.gov/issue/advanced-medication-reconciliation-systematic-review-impact-medication-errors-and-adverse
December 18, 2017 - Review
Advanced medication reconciliation: a systematic review of the impact on medication errors and adverse drug events associated with transitions of care.
Citation Text:
Killin L, Hezam A, Anderson KK, et al. Advanced medication reconciliation: a systematic review of the impact on me…
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psnet.ahrq.gov/issue/analysis-hospital-level-readmission-rates-and-variation-adverse-events-among-patients
August 25, 2021 - Study
Analysis of hospital-level readmission rates and variation in adverse events among patients with pneumonia in the United States.
Citation Text:
Wang Y, Eldridge N, Metersky ML, et al. Analysis of hospital-level readmission rates and variation in adverse events among patients with p…
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psnet.ahrq.gov/issue/patient-safety-culture-assisted-living-staff-perceptions-and-association-state-regulations
June 30, 2021 - Study
Patient safety culture in assisted living: staff perceptions and association with state regulations.
Citation Text:
Temkin-Greener H, Mao Y, McGarry B, et al. Patient safety culture in assisted living: staff perceptions and association with state regulations. J Am Med Dir Assoc. 20…
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psnet.ahrq.gov/issue/medication-errors-during-treatment-new-oral-anticancer-agents-consequences-clinical-practice
April 21, 2021 - Study
Medication errors during treatment with new oral anticancer agents: consequences for clinical practice based on the AMBORA Study.
Citation Text:
Schlichtig K, Dürr P, Dörje F, et al. Medication errors during treatment with new oral anticancer agents: consequences for clinical pract…
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psnet.ahrq.gov/issue/support-healthcare-professionals-after-surgical-patient-safety-incidents-qualitative
June 15, 2022 - Study
Support for healthcare professionals after surgical patient safety incidents: a qualitative descriptive study in 5 teaching hospitals.
Citation Text:
Serou N, Husband AK, Forrest SP, et al. Support for healthcare professionals after surgical patient safety incidents: a qualitative …
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psnet.ahrq.gov/issue/impact-meaningful-use-and-electronic-health-records-hospital-patient-safety
June 29, 2022 - Study
The impact of meaningful use and electronic health records on hospital patient safety.
Citation Text:
Trout KE, Chen L-W, Wilson FA, et al. The impact of meaningful use and electronic health records on hospital patient safety. Int J Environ Res Public Health. 2022;19(19):12525. doi…
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psnet.ahrq.gov/issue/effect-medication-reconciliation-patient-portal-medication-discrepancies-randomized
April 27, 2022 - Study
The effect of medication reconciliation via a patient portal on medication discrepancies: a randomized noninferiority study.
Citation Text:
Ebbens MM, Gombert-Handoko KB, Wesselink EJ, et al. The effect of medication reconciliation via a patient portal on medication discrepancies: …
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psnet.ahrq.gov/issue/perceptions-institutional-support-second-victims-are-associated-safety-culture-and-workforce
February 01, 2023 - Study
Perceptions of institutional support for “second victims” are associated with safety culture and workforce well-being.
Citation Text:
Sexton JB, Adair KC, Profit J, et al. Perceptions of Institutional Support for “Second Victims” Are Associated with Safety Culture and Workforce Wel…
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psnet.ahrq.gov/issue/coping-and-recovery-surgical-residents-after-adverse-events-second-victim-phenomenon
July 11, 2012 - Study
Coping and recovery in surgical residents after adverse events: the second victim phenomenon.
Citation Text:
Khansa I, Pearson GD. Coping and recovery in surgical residents after adverse events: the second victim phenomenon. Plast Reconstr Surg Glob Open. 2022;10(3):e4203. doi:10.1…
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psnet.ahrq.gov/issue/patients-who-die-suicide-study-treatment-patterns-and-patient-safety-incidents-norway
April 20, 2022 - Study
Patients who die by suicide: a study of treatment patterns and patient safety incidents in Norway.
Citation Text:
Krvavac S, Jansson B, Bukholm IRK, et al. Patients who die by suicide: a study of treatment patterns and patient safety incidents in Norway. Int J Environ Res Public He…
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psnet.ahrq.gov/issue/adverse-safety-events-emergency-medical-services-care-children-out-hospital-cardiac-arrest
May 18, 2022 - Study
Adverse safety events in emergency medical services care of children with out-of-hospital cardiac arrest.
Citation Text:
Eriksson CO, Bahr N, Meckler G, et al. Adverse safety events in emergency medical services care of children with out-of-hospital cardiac arrest. JAMA Netw Open. …
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psnet.ahrq.gov/issue/why-safety-intrapartum-electronic-fetal-monitoring-so-hard-qualitative-study-combining-human
October 21, 2020 - Study
Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis.
Citation Text:
Lamé G, Liberati EG, Canham A, et al. Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative…
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psnet.ahrq.gov/issue/how-do-hospital-boards-govern-quality-improvement-mixed-methods-study-15-organisations
February 20, 2019 - Study
How do hospital boards govern for quality improvement? A mixed methods study of 15 organisations in England.
Citation Text:
Jones L, Pomeroy L, Robert G, et al. How do hospital boards govern for quality improvement? A mixed methods study of 15 organisations in England. BMJ Qual Saf…
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psnet.ahrq.gov/issue/governing-patient-safety-lessons-learned-mixed-methods-evaluation-implementing-ward-level
June 25, 2014 - Study
Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level medication safety scorecard in two English NHS hospitals.
Citation Text:
Ramsay AIG, Turner S, Cavell G, et al. Governing patient safety: lessons learned from a mixed methods ev…
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psnet.ahrq.gov/issue/risk-factors-associated-medication-administration-errors-children-prospective-direct
August 28, 2024 - Study
Risk factors associated with medication administration errors in children: a prospective direct observational study of paediatric inpatients.
Citation Text:
Westbrook JI, Li L, Woods AL, et al. Risk factors associated with medication administration errors in children: a prospective…
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psnet.ahrq.gov/issue/effects-leadership-curricula-and-without-implicit-bias-training-graduate-medical-education
January 31, 2024 - Study
The effects of leadership curricula with and without implicit bias training on graduate medical education: a multicenter randomized trial.
Citation Text:
Hansen M, Harrod T, Bahr N, et al. The effects of leadership curricula with and without implicit bias training on graduate medic…
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psnet.ahrq.gov/issue/checklist-based-intervention-improve-surgical-outcomes-michigan-evaluation-keystone-surgery
May 01, 2015 - Study
Classic
A checklist-based intervention to improve surgical outcomes in Michigan: evaluation of the Keystone Surgery program.
Citation Text:
Reames BN, Krell RW, Campbell D, et al. A checklist-based intervention to improve surgical outcomes in Michigan: eva…
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psnet.ahrq.gov/issue/automated-surveillance-adverse-drug-events-community-hospital-and-academic-medical-center
September 23, 2020 - Study
Automated surveillance for adverse drug events at a community hospital and an academic medical center.
Citation Text:
Kilbridge PM, Campbell UC, Cozart HB, et al. Automated surveillance for adverse drug events at a community hospital and an academic medical center. J Am Med Infor…
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psnet.ahrq.gov/issue/laboratory-medicine-handoff-gaps-experienced-primary-care-practices-report-shared-networks
September 01, 2012 - Study
Laboratory medicine handoff gaps experienced by primary care practices: a report from the Shared Networks of Collaborative Ambulatory Practices and Partners (SNOCAP).
Citation Text:
West DR, James KA, Fernald DH, et al. Laboratory medicine handoff gaps experienced by primary care p…