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psnet.ahrq.gov/issue/developing-and-aligning-safety-event-taxonomy-inpatient-psychiatry
September 14, 2022 - Study
Developing and aligning a safety event taxonomy for inpatient psychiatry.
Citation Text:
Barnes T, Fontaine T, Bautista C, et al. Developing and aligning a safety event taxonomy for inpatient psychiatry. J Patient Saf. 2022;18(4):e704-e713. doi:10.1097/pts.0000000000000935.
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psnet.ahrq.gov/node/33592/psn-pdf
December 15, 2024 - This situation
involved a high potential for harm, as a cognitively impaired or less aware patient may
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psnet.ahrq.gov/issue/experiences-diagnostic-delay-among-underserved-racial-and-ethnic-patients-systematic-review
November 03, 2015 - Review
Experiences with diagnostic delay among underserved racial and ethnic patients: a systematic review of the qualitative literature.
Citation Text:
Faugno E, Galbraith AA, Walsh KE, et al. Experiences with diagnostic delay among underserved racial and ethnic patients: a systematic r…
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psnet.ahrq.gov/issue/nursing-practice-hospitalised-older-people-safety-and-harm
April 24, 2018 - Review
Nursing practice with hospitalised older people: safety and harm.
Citation Text:
Dahlke SA, Hunter KF, Negrin K. Nursing practice with hospitalised older people: Safety and harm. Int J Older People Nurs. 2019;14(1):e12220. doi:10.1111/opn.12220.
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psnet.ahrq.gov/issue/patient-safety-room-horrors-novel-method-assess-medical-students-and-entering-residents
August 14, 2018 - Study
Patient safety room of horrors: a novel method to assess medical students and entering residents' ability to identify hazards of hospitalisation.
Citation Text:
Farnan JM, Gaffney S, Poston JT, et al. Patient safety room of horrors: a novel method to assess medical students and ent…
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psnet.ahrq.gov/issue/limits-safety-organizations-accidents-and-nuclear-weapons
July 28, 2013 - Book/Report
Classic
The Limits of Safety: Organizations, Accidents and Nuclear Weapons.
Citation Text:
The Limits of Safety: Organizations, Accidents and Nuclear Weapons. Sagan SD. Princeton NJ: Princeton University Press; 1993. ISBN: 9780691032214.
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psnet.ahrq.gov/issue/enhancing-patient-safety-integrating-ethical-dimensions-critical-incident-reporting-systems
January 12, 2022 - Commentary
Enhancing patient safety by integrating ethical dimensions to critical incident reporting systems.
Citation Text:
Wehkamp K, Kuhn E, Petzina R, et al. Enhancing patient safety by integrating ethical dimensions to Critical Incident Reporting Systems. BMC Med Ethics. 2021;22(1):…
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psnet.ahrq.gov/issue/impact-initial-response-covid-19-long-term-care-people-intellectual-disability-interrupted
May 11, 2022 - Study
Impact of the initial response to COVID-19 on long-term care for people with intellectual disability: an interrupted time series analysis of incident reports.
Citation Text:
Schuengel C, Tummers J, Embregts PJCM, et al. Impact of the initial response to COVID‐19 on long‐term care f…
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psnet.ahrq.gov/issue/systematic-review-exploring-content-and-outcomes-interventions-improve-psychological-safety
October 28, 2020 - Review
Classic
A systematic review exploring the content and outcomes of interventions to improve psychological safety, speaking up and voice behaviour.
Citation Text:
O’Donovan R, McAuliffe E. A systematic review exploring the content and outcomes of interventi…
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psnet.ahrq.gov/issue/how-effective-are-electronic-medication-systems-reducing-medication-error-rates-and
August 26, 2020 - Review
Emerging Classic
How effective are electronic medication systems in reducing medication error rates and associated harm among hospital inpatients? A systematic review and meta-analysis.
Citation Text:
Gates PJ, Hardie R-A, Raban MZ, et al. How effective a…
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psnet.ahrq.gov/issue/discontinuation-outpatient-medications-implications-electronic-messaging-pharmacies-using
October 05, 2022 - Study
Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx.
Citation Text:
Pitts S, Yang Y, Thomas BA, et al. Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx. J Am Med I…
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psnet.ahrq.gov/issue/how-can-patient-held-lists-medication-enhance-patient-safety-mixed-methods-study-focus-user
February 16, 2022 - Study
How can patient-held lists of medication enhance patient safety? A mixed-methods study with a focus on user experience.
Citation Text:
Garfield S, Furniss D, Husson F, et al. How can patient-held lists of medication enhance patient safety? A mixed-methods study with a focus on user…
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psnet.ahrq.gov/issue/rate-preventable-mortality-hospitalized-patients-systematic-review-and-meta-analysis
July 27, 2022 - Review
Rate of preventable mortality in hospitalized patients: a systematic review and meta-analysis.
Citation Text:
Rodwin BA, Bilan VP, Merchant NB, et al. Rate of preventable mortality in hospitalized patients: a systematic review and meta-analysis. J Gen Intern Med. 2020;35(7):2099-2…
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psnet.ahrq.gov/issue/development-and-pilot-evaluation-electronic-health-record-usability-and-safety-self
May 12, 2021 - Study
Development and pilot evaluation of an electronic health record usability and safety self-assessment tool.
Citation Text:
Pruitt Z, Howe JL, Krevat S, et al. Development and pilot evaluation of an electronic health record usability and safety self-assessment tool. JAMIA Open. 2022;…
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psnet.ahrq.gov/issue/patient-and-physician-perspectives-deprescribing-potentially-inappropriate-medications-older
March 09, 2022 - Study
Patient and physician perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls: a qualitative study.
Citation Text:
Hahn EE, Munoz-Plaza CE, Lee EA, et al. Patient and physician perspectives of deprescribing potentially inappropria…
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psnet.ahrq.gov/issue/quality-standards-safe-medication-nursing-homes-development-through-multistep-approach
July 13, 2022 - Study
Quality standards for safe medication in nursing homes: development through a multistep approach including a Delphi consensus study.
Citation Text:
Brühwiler LD, Niederhauser A, Fischer S, et al. Quality standards for safe medication in nursing homes: development through a multiste…
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psnet.ahrq.gov/issue/patient-activation-related-fall-prevention-multisite-study
February 01, 2023 - Study
Patient activation related to fall prevention: a multisite study
Citation Text:
Christiansen TL, Lipsitz S, Scanlan M, et al. Patient activation related to fall prevention: a multisite study . Jt Comm J Qual Patient Saf. 2020. doi:10.1016/j.jcjq.2019.11.010.
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psnet.ahrq.gov/issue/use-heuristics-during-clinical-decision-process-family-care-physicians-real-conditions
March 09, 2022 - Study
Use of heuristics during the clinical decision process from family care physicians in real conditions.
Citation Text:
Fernández‐Aguilar C, Martín‐Martín JJ, Minué Lorenzo S, et al. Use of heuristics during the clinical decision process from family care physicians in real conditions…
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psnet.ahrq.gov/issue/training-safe-opioid-prescribing-and-treatment-opioid-use-disorder-internal-medicine
March 17, 2021 - Study
Training in safe opioid prescribing and treatment of opioid use disorder in internal medicine residencies: a national survey of program directors.
Citation Text:
Windish DM, Catalanotti JS, Zaas A, et al. Training in safe opioid prescribing and treatment of opioid use disorder in i…
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psnet.ahrq.gov/issue/direct-observation-depression-screening-identifying-diagnostic-error-and-improving-accuracy
December 08, 2021 - Study
Direct observation of depression screening: identifying diagnostic error and improving accuracy through unannounced standardized patients.
Citation Text:
Schwartz A, Peskin S, Spiro A, et al. Direct observation of depression screening: identifying diagnostic error and improving acc…