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psnet.ahrq.gov/issue/were-all-together-how-covid-19-revealed-co-construction-mindful-organising-and-organisational
February 16, 2022 - Commentary
We're all in this together: how COVID-19 revealed the co-construction of mindful organising and organisational reliability.
Citation Text:
Vogus TJ, Wilson AD, Randall KH, et al. We’re all in this together: how COVID-19 revealed the co-construction of mindful organising and or…
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psnet.ahrq.gov/issue/diagnostic-discordance-health-information-exchange-and-inter-hospital-transfer-outcomes
May 19, 2021 - Study
Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study.
Citation Text:
Usher M, Sahni N, Herrigel D, et al. Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study. J Gen In…
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psnet.ahrq.gov/issue/patient-safety-remote-primary-care-encounters-multimethod-qualitative-study-combining-safety
March 23, 2022 - Study
Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety II analysis.
Citation Text:
Payne R, Clarke A, Swann N, et al. Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety…
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psnet.ahrq.gov/issue/patient-safety-implications-wearing-face-mask-prevention-era-covid-19-pandemic-systematic
September 16, 2020 - Review
Patient safety implications of wearing a face mask for prevention in the era of COVID-19 pandemic: a systematic review and consensus recommendations.
Citation Text:
Balestracci B, La Regina M, Di Sessa D, et al. Patient safety implications of wearing a face mask for prevention in …
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psnet.ahrq.gov/issue/patient-groups-clinicians-and-healthcare-professionals-agree-all-test-results-need-be-seen
September 27, 2023 - Study
Patient groups, clinicians and healthcare professionals agree—all test results need to be seen, understood and followed up.
Citation Text:
Dahm MR, Georgiou A, Herkes R, et al. Patient groups, clinicians and healthcare professionals agree - all test results need to be seen, underst…
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psnet.ahrq.gov/issue/primary-care-collaboration-improve-diagnosis-and-screening-colorectal-cancer
July 13, 2022 - Study
Classic
Primary care collaboration to improve diagnosis and screening for colorectal cancer.
Citation Text:
Schiff G, Bearden T, Hunt LS, et al. Primary Care Collaboration to Improve Diagnosis and Screening for Colorectal Cancer. Jt Comm J Qual Patient Saf…
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psnet.ahrq.gov/issue/analyzing-and-discussing-human-factors-affecting-surgical-patient-safety-using-innovative
August 25, 2021 - Study
Analyzing and discussing human factors affecting surgical patient safety using innovative technology: creating a safer operating culture.
Citation Text:
van Dalen ASHM, Jung JJ, Nieveen van Dijkum EJM, et al. Analyzing and discussing human factors affecting surgical patient safety …
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psnet.ahrq.gov/issue/identification-patient-information-corruption-intensive-care-unit-using-scoring-tool-direct
August 04, 2021 - Study
Identification of patient information corruption in the intensive care unit: using a scoring tool to direct quality improvements in handover.
Citation Text:
Pickering BW, Hurley K, Marsh B. Identification of patient information corruption in the intensive care unit: using a scori…
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psnet.ahrq.gov/issue/effect-burnout-among-physicians-observed-adverse-patient-outcomes-literature-review
October 27, 2021 - Review
Effect of burnout among physicians on observed adverse patient outcomes: a literature review.
Citation Text:
Mangory KY, Ali LY, Rø KI, et al. Effect of burnout among physicians on observed adverse patient outcomes: a literature review. BMC Health Serv Res. 2021;21(1):369. doi:10.…
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psnet.ahrq.gov/issue/postdischarge-adverse-events-among-neonates-admitted-neonatal-intensive-care-unit
October 05, 2022 - Study
Postdischarge adverse events among neonates admitted to the neonatal intensive care unit.
Citation Text:
Tsilimingras D, Natarajan G, Bajaj M, et al. Postdischarge adverse events among neonates admitted to the neonatal intensive care unit. J Patient Saf. 2022;18(5):462-469. doi:10.…
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psnet.ahrq.gov/issue/teamwork-and-during-covid-19-good-same-and-ugly
September 14, 2022 - Study
Teamwork before and during COVID-19: the good, the same, and the ugly….
Citation Text:
Rehder KJ, Adair KC, Eckert E, et al. Teamwork before and during COVID-19: the good, the same, and the ugly…. J Patient Saf. 2023;19(1):36-41. doi:10.1097/pts.0000000000001070.
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psnet.ahrq.gov/issue/family-involvement-managing-medications-older-patients-across-transitions-care-systematic
May 26, 2021 - Review
Emerging Classic
Family involvement in managing medications of older patients across transitions of care: a systematic review.
Citation Text:
Manias E, Bucknall T, Hughes C, et al. Family involvement in managing medications of older patients across transi…
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psnet.ahrq.gov/issue/reporting-incidents-involving-use-advanced-medical-technologies-nurses-home-care-cross
March 24, 2021 - Study
Reporting incidents involving the use of advanced medical technologies by nurses in home care: a cross-sectional survey and an analysis of registration data.
Citation Text:
ten Haken I, Ben Allouch S, van Harten WH. Reporting incidents involving the use of advanced medical technolo…
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psnet.ahrq.gov/issue/performance-fail-safe-system-follow-abnormal-mammograms-primary-care
September 11, 2013 - Study
Performance of a fail-safe system to follow up abnormal mammograms in primary care.
Citation Text:
Grossman E, Phillips RS, Weingart SN. Performance of a fail-safe system to follow up abnormal mammograms in primary care. J Patient Saf. 2010;6(3):172-179.
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psnet.ahrq.gov/issue/does-employee-safety-matter-patients-too-employee-safety-climate-and-patient-safety-culture
September 01, 2021 - Study
Does employee safety matter for patients too? Employee safety climate and patient safety culture in health care.
Citation Text:
Mohr DC, Eaton JL, McPhaul KM, et al. Does employee safety matter for patients too? Employee safety climate and patient safety culture in health care. J P…
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psnet.ahrq.gov/issue/impact-automated-dispensing-cabinets-medication-selection-and-preparation-error-rates
January 24, 2018 - Study
Impact of automated dispensing cabinets on medication selection and preparation error rates in an emergency department: a prospective and direct observational before-and-after study.
Citation Text:
Fanning L, Jones N, Manias E. Impact of automated dispensing cabinets on medication …
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psnet.ahrq.gov/issue/system-hazards-managing-laboratory-test-requests-and-results-primary-care-medical-protection
November 08, 2017 - Study
System hazards in managing laboratory test requests and results in primary care: medical protection database analysis and conceptual model.
Citation Text:
Bowie P, Price J, Hepworth N, et al. System hazards in managing laboratory test requests and results in primary care: medical p…
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psnet.ahrq.gov/issue/effect-system-level-tiered-huddle-system-reporting-patient-safety-events-interrupted-time
October 07, 2020 - Study
The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted time series analysis.
Citation Text:
Adapa K, Ivester T, Shea CM, et al. The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted time se…
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psnet.ahrq.gov/issue/organizational-characteristics-and-perceptions-clinical-event-notification-services
December 02, 2020 - Study
Organizational characteristics and perceptions of clinical event notification services in healthcare settings: a study of health information exchange.
Citation Text:
Wiley KK, Hilts KE, Ancker JS, et al. Organizational characteristics and perceptions of clinical event notification …
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psnet.ahrq.gov/issue/missing-evidence-systematic-review-patients-experiences-adverse-events-health-care
September 06, 2017 - Review
Classic
The missing evidence: a systematic review of patients' experiences of adverse events in health care.
Citation Text:
Harrison R, Walton M, Manias E, et al. The missing evidence: a systematic review of patients' experiences of adverse events in heal…