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Structural racism and adverse maternal health outcomes: a systematic review. | PSNet

psnet.ahrq.gov/issue/structural-racism-and-adverse-maternal-health-outcomes-systematic-review

February 15, 2023 - Review Structural racism and adverse maternal health outcomes: a systematic review. Citation Text: Hailu EM, Maddali SR, Snowden JM, et al. Structural racism and adverse maternal health outcomes: a systematic review. Health Place. 2022;78:102923. doi:10.1016/j.healthplace.2022.102923. …

The coronavirus and the risks to the elderly in long-term care. | PSNet

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July 15, 2020 - Commentary The coronavirus and the risks to the elderly in long-term care. Citation Text: Gardner W, States D, Bagley N. The coronavirus and the risks to the elderly in long-term care. J Aging Soc Policy. 2020;32(4-5):310-315. doi:10.1080/08959420.2020.1750543. Copy Citation Format…

Misreading injectable medications—causes and solutions: an integrative literature review. | PSNet

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May 04, 2010 - Review Misreading injectable medications—causes and solutions: an integrative literature review. Citation Text: Borradale H, Andersen P, Wallis M, et al. Misreading injectable medications—causes and solutions: an integrative literature review. J Patient Saf. 2020. doi:10.1016/j.jcjq.2020…

Impact of leadership walkarounds on operational, cultural and clinical outcomes: a systematic review. | PSNet

psnet.ahrq.gov/issue/impact-leadership-walkarounds-operational-cultural-and-clinical-outcomes-systematic-review

October 12, 2022 - Review Impact of leadership walkarounds on operational, cultural and clinical outcomes: a systematic review. Citation Text: Foster M, MHA BS, Mazur L. Impact of leadership walkarounds on operational, cultural and clinical outcomes: a systematic review. BMJ Open Qual. 2023;12(4):e002284. …

The patient died: what about involvement in the investigation process? | PSNet

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June 24, 2020 - Commentary The patient died: what about involvement in the investigation process? Citation Text: Wiig S, Hibbert PD, Braithwaite J. The patient died: what about involvement in the investigation process? Int J Qual Health Care. 2020;32(5):342-346. doi:10.1093/intqhc/mzaa034. Copy Citati…

Reconceptualizing patient safety beyond harm: insights from a mixed-methods qualitative inquiry. | PSNet

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April 19, 2023 - Study Reconceptualizing patient safety beyond harm: insights from a mixed-methods qualitative inquiry. Citation Text: Jeffs L, Kuluski K, Flintoft V, et al. Reconceptualizing patient safety beyond harm: insights from a mixed-methods qualitative inquiry. J Nurs Care Qual. 2024;39(3):226-2…

Eight human factors and ergonomics principles for healthcare artificial intelligence. | PSNet

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May 13, 2020 - Commentary Eight human factors and ergonomics principles for healthcare artificial intelligence. Citation Text: Sujan M, Pool R, Salmon P. Eight human factors and ergonomics principles for healthcare artificial intelligence. BMJ Health Care Inform. 2022;29(1):e100516. doi:10.1136/bmjhci-…

Catastrophic medical malpractice payouts in the United States. | PSNet

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April 17, 2013 - Study Catastrophic medical malpractice payouts in the United States. Citation Text: Bixenstine PJ, Shore AD, Mehtsun WT, et al. Catastrophic Medical Malpractice Payouts in the United States. J Healthc Qual. 2013;36(4):43-53. doi:10.1111/jhq.12011. Copy Citation Format: DOI …

Michigan Health & Hospital Association Keystone Obstetrics: a statewide collaborative for perinatal patient safety in Michigan. | PSNet

psnet.ahrq.gov/issue/michigan-health-hospital-association-keystone-obstetrics-statewide-collaborative-perinatal

February 10, 2015 - Study Michigan Health & Hospital Association Keystone Obstetrics: a statewide collaborative for perinatal patient safety in Michigan. Citation Text: Simpson KR, Knox GE, Martin M, et al. Michigan Health & Hospital Association Keystone Obstetrics: A Statewide Collaborative for Perinatal…

The patient is in: patient involvement strategies for diagnostic error mitigation. | PSNet

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April 24, 2018 - Review The patient is in: patient involvement strategies for diagnostic error mitigation. Citation Text: McDonald KM, Bryce CL, Graber ML. The patient is in: patient involvement strategies for diagnostic error mitigation. BMJ Qual Saf. 2013;22 Suppl 2:ii33-ii39. doi:10.1136/bmjqs-2012-…

Transforming healthcare: a safety imperative. | PSNet

psnet.ahrq.gov/issue/transforming-healthcare-safety-imperative

June 26, 2019 - Commentary Classic Transforming healthcare: a safety imperative. Citation Text: Leape L, Berwick D, Clancy C, et al. Transforming healthcare: a safety imperative. Qual Saf Health Care. 2009;18(6):424-8. doi:10.1136/qshc.2009.036954. Copy Citation Format: …

Organizational culture: an important context for addressing and improving hospital to community patient discharge. | PSNet

psnet.ahrq.gov/issue/organizational-culture-important-context-addressing-and-improving-hospital-community-patient

December 30, 2014 - Study Organizational culture: an important context for addressing and improving hospital to community patient discharge. Citation Text: Hesselink G, Vernooij-Dassen M, Pijnenborg L, et al. Organizational culture: an important context for addressing and improving hospital to community pa…

Teaching nursing students the ethical and legal consequences of medical errors: insights from the RaDonda Vaught case using the jigsaw technique. | PSNet

psnet.ahrq.gov/issue/teaching-nursing-students-ethical-and-legal-consequences-medical-errors-insights-radonda

July 05, 2017 - Study Teaching nursing students the ethical and legal consequences of medical errors: insights from the RaDonda Vaught case using the jigsaw technique. Citation Text: Geiselman EL, Opsahl A, Townsend C. Teaching nursing students the ethical and legal consequences of medical errors: insig…

Nurse leader attitudes and beliefs regarding medical errors. | PSNet

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March 12, 2025 - Study Nurse leader attitudes and beliefs regarding medical errors. Citation Text: Prothero MM, Huefner K, Sorhus M. Nurse leader attitudes and beliefs regarding medical errors. J Nurs Adm. 2024;54(1):10-15. doi:10.1097/nna.0000000000001371. Copy Citation Format: DOI Google …

The relationship between high-reliability practice and hospital-acquired conditions among the Solutions for Patient Safety Collaborative. | PSNet

psnet.ahrq.gov/issue/relationship-between-high-reliability-practice-and-hospital-acquired-conditions-among

March 20, 2019 - Study The relationship between high-reliability practice and hospital-acquired conditions among the Solutions for Patient Safety Collaborative. Citation Text: Randall KH, Slovensky D, Weech-Maldonado R, et al. The relationship between high-reliability practice and hospital-acquired condi…

Variations by state in physician disciplinary actions by US medical licensure boards. | PSNet

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March 12, 2025 - Study Variations by state in physician disciplinary actions by US medical licensure boards. Citation Text: Harris JA, Byhoff E. Variations by state in physician disciplinary actions by US medical licensure boards. BMJ Qual Saf. 2017;26(3):200-208. doi:10.1136/bmjqs-2015-004974. Copy Ci…

Standardized handoff report form in clinical nursing education: an educational tool for patient safety and quality of care. | PSNet

psnet.ahrq.gov/issue/standardized-handoff-report-form-clinical-nursing-education-educational-tool-patient-safety

August 20, 2014 - Commentary Standardized handoff report form in clinical nursing education: an educational tool for patient safety and quality of care. Citation Text: Lim F, J Y Pajarillo E. Standardized handoff report form in clinical nursing education: An educational tool for patient safety and quality…

Use of a human factors classification framework to identify causal factors for medication and medical device-related adverse clinical incidents. | PSNet

psnet.ahrq.gov/issue/use-human-factors-classification-framework-identify-causal-factors-medication-and-medical

March 16, 2016 - Study Use of a human factors classification framework to identify causal factors for medication and medical device-related adverse clinical incidents. Citation Text: Mitchell RJ, Williamson A, Molesworth B. Use of a human factors classification framework to identify causal factors for me…

Potassium and phosphorus repletion in hospitalized patients: implications for clinical practice and the potential use of healthcare information technology to improve prescribing and patient safety. | PSNet

psnet.ahrq.gov/issue/potassium-and-phosphorus-repletion-hospitalized-patients-implications-clinical-practice-and

May 09, 2014 - Study Potassium and phosphorus repletion in hospitalized patients: implications for clinical practice and the potential use of healthcare information technology to improve prescribing and patient safety. Citation Text: Hemstreet BA, Stolpman N, Badesch DB, et al. Potassium and phosphor…

Creating an improvement culture for enhanced patient safety: service improvement learning in pre-registration education. | PSNet

psnet.ahrq.gov/issue/creating-improvement-culture-enhanced-patient-safety-service-improvement-learning-pre

July 19, 2023 - Study Creating an improvement culture for enhanced patient safety: service improvement learning in pre-registration education. Citation Text: Christiansen A, Robson L, Griffith-Evans C. Creating an improvement culture for enhanced patient safety: service improvement learning in pre-reg…

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