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  1. psnet.ahrq.gov/issue/risk-assessment-acute-stroke-diagnostic-process-using-failure-modes-effects-and-criticality
    July 21, 2021 - Study Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis. Citation Text: Liberman AL, Holl JL, Romo E, et al. Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis. Acad Eme…
  2. psnet.ahrq.gov/issue/performance-global-assessment-pediatric-patient-safety-gapps-tool
    August 14, 2018 - Study Performance of the Global Assessment of Pediatric Patient Safety (GAPPS) tool. Citation Text: Landrigan CP, Stockwell DC, Toomey SL, et al. Performance of the Global Assessment of Pediatric Patient Safety (GAPPS) Tool. Pediatrics. 2016;137(6). doi:10.1542/peds.2015-4076. Copy Cit…
  3. psnet.ahrq.gov/issue/opinions-nurses-and-physicians-patient-family-and-visitor-activated-rapid-response-system-use
    February 14, 2024 - Study Opinions of nurses and physicians on a patient, family and visitor activated rapid response system in use across two hospital settings. Citation Text: King L, Minyaev S, Grantham H, et al. Opinions of nurses and physicians on a patient, family and visitor activated rapid response s…
  4. psnet.ahrq.gov/issue/medical-crisis-checklists-emergency-department-simulation-based-multi-institutional
    February 16, 2022 - Study Medical crisis checklists in the emergency department: a simulation-based multi-institutional randomised controlled trial. Citation Text: Dryver E, Lundager Forberg J, Hård af Segerstad C, et al. Medical crisis checklists in the emergency department: a simulation-based multi-instit…
  5. psnet.ahrq.gov/issue/bad-things-can-happen-are-medical-students-aware-patient-centered-care-and-safety
    July 06, 2022 - Study Bad things can happen: are medical students aware of patient centered care and safety? Citation Text: Gillissen A, Kochanek T, Zupanic M, et al. Bad things can happen: are medical students aware of patient centered care and safety? Diagnosis (Berl). 2023;10(2):110-120. doi:10.1515/…
  6. psnet.ahrq.gov/issue/power-and-conflict-effect-superiors-interpersonal-behaviour-trainees-ability-challenge
    December 13, 2017 - Study Power and conflict: the effect of a superior's interpersonal behaviour on trainees' ability to challenge authority during a simulated airway emergency. Citation Text: Friedman Z, Hayter MA, Everett TC, et al. Power and conflict: the effect of a superior's interpersonal behaviour on…
  7. psnet.ahrq.gov/issue/medication-related-interventions-improve-medication-safety-and-patient-outcomes-transition
    October 27, 2021 - Review Medication-related interventions to improve medication safety and patient outcomes on transition from adult intensive care settings: a systematic review and meta-analysis. Citation Text: Bourne RS, Jennings JK, Panagioti M, et al. Medication-related interventions to improve medica…
  8. psnet.ahrq.gov/issue/validity-unplanned-admission-intensive-care-unit-measure-patient-safety-surgical-patients
    May 26, 2021 - Study Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. Citation Text: Haller G, Myles PS, Wolfe R, et al. Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. Anesthe…
  9. psnet.ahrq.gov/issue/diagnostic-error-experiences-patients-and-families-limited-english-language-health-literacy
    October 27, 2021 - Study Diagnostic error experiences of patients and families with limited English-language health literacy or disadvantaged socioeconomic position in a cross-sectional US population-based survey. Citation Text: Bell SK, Dong J, Ngo L, et al. Diagnostic error experiences of patients and fa…
  10. psnet.ahrq.gov/issue/health-literacy-related-safety-events-qualitative-study-health-literacy-failures-patient
    August 24, 2022 - Study Health literacy-related safety events: a qualitative study of health literacy failures in patient safety events. Citation Text: Morrison AK, Gibson C, Higgins C, et al. Health literacy-related safety events: a qualitative study of health literacy failures in patient safety events. …
  11. psnet.ahrq.gov/issue/disparities-after-discharge-association-limited-english-proficiency-and-postdischarge-patient
    October 14, 2020 - Study Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues. Citation Text: Malevanchik L, Wheeler M, Gagliardi K, et al. Disparities after discharge: the association of limited English proficiency and postdischarge patient…
  12. psnet.ahrq.gov/issue/we-want-know-mixed-methods-evaluation-comprehensive-program-designed-detect-and-address
    October 17, 2018 - Study We Want to Know-a mixed methods evaluation of a comprehensive program designed to detect and address patient-reported breakdowns in care. Citation Text: Fisher KA, Smith KM, Gallagher TH, et al. We Want to Know-a mixed methods evaluation of a comprehensive program designed to detec…
  13. psnet.ahrq.gov/issue/outcomes-and-patient-safety-overlapping-vs-nonoverlapping-total-joint-arthroplasty-systematic
    February 02, 2022 - Review Outcomes and patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a systematic review and meta-analysis. Citation Text: Malahias M-A, Antoniadou T, Jang SJ, et al. Outcomes and patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a syste…
  14. psnet.ahrq.gov/issue/learning-morbidity-and-mortality-conferences-focus-and-sustainability-lessons-patient-care
    April 13, 2022 - Study Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care. Citation Text: de Vos MS, Hamming JF, Marang-van de Mheen PJ. Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care. J Patient …
  15. psnet.ahrq.gov/issue/non-conveyance-older-adult-patients-and-association-subsequent-clinical-and-adverse-events
    October 27, 2021 - Study Non-conveyance of older adult patients and association with subsequent clinical and adverse events after initial assessment by ambulance clinicians: a cohort analysis. Citation Text: Lederman J, Lindström V, Elmqvist C, et al. Non-conveyance of older adult patients and association …
  16. psnet.ahrq.gov/issue/human-factors-and-ergonomics-improve-performance-intensive-care-units-during-covid-19
    December 23, 2020 - Commentary Human factors and ergonomics to improve performance in intensive care units during the COVID-19 pandemic. Citation Text: Della Torre V, E. Nacul F, Rosseel P, et al. Human factors and ergonomics to improve performance in intensive care units during the COVID-19 pandemic. Anaes…
  17. psnet.ahrq.gov/issue/deficient-care-patient-who-died-suicide-and-facility-leaders-response-charlie-norwood-va
    November 29, 2023 - Book/Report Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center in Augusta, Georgia. Citation Text: Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center …
  18. psnet.ahrq.gov/issue/patient-safety-incidents-advance-care-planning-serious-illness-mixed-methods-analysis
    February 22, 2019 - Study Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis Citation Text: Dinnen T, Williams H, Yardley S, et al. Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis. BMJ Support Palliat Care. 2019. do…
  19. psnet.ahrq.gov/issue/differences-safety-report-event-types-submitted-graduate-medical-education-trainees-compared
    November 11, 2020 - Study Differences in safety report event types submitted by graduate medical education trainees compared with other healthcare team members. Citation Text: Cohen SP, McLean HS, Milne J, et al. Differences in Safety Report Event Types Submitted by Graduate Medical Education Trainees Compa…
  20. psnet.ahrq.gov/issue/hospital-characteristics-associated-penalties-centers-medicare-medicaid-services-hospital
    November 18, 2016 - Study Hospital characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition Reduction Program. Citation Text: Rajaram R, Chung JW, Kinnier C, et al. Hospital Characteristics Associated With Penalties in the Centers for Medicare & M…