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psnet.ahrq.gov/issue/patient-carer-and-family-experiences-seeking-redress-and-reconciliation-following-life
April 24, 2018 - Review
Patient, carer and family experiences of seeking redress and reconciliation following a life-changing event: systematic review of qualitative evidence.
Citation Text:
Shaw L, Lawal HM, Briscoe S, et al. Patient, carer and family experiences of seeking redress and reconciliation fo…
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psnet.ahrq.gov/issue/impact-electronic-communication-medication-discontinuation-cancelrx-medication-safety-pilot
December 07, 2022 - Study
The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot study.
Citation Text:
Pitts S, Yang Y, Woodroof T, et al. The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot stud…
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psnet.ahrq.gov/issue/analysis-medication-therapy-discontinuation-orders-new-electronic-prescriptions-and
July 23, 2018 - Study
Analysis of medication therapy discontinuation orders in new electronic prescriptions and opportunities for implementing CancelRx.
Citation Text:
Yang Y, Ward-Charlerie S, Kashyap N, et al. Analysis of medication therapy discontinuation orders in new electronic prescriptions and op…
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psnet.ahrq.gov/issue/prevalence-and-severity-patient-harm-sample-uk-hospitalised-children-detected-paediatric
February 15, 2023 - Study
Prevalence and severity of patient harm in a sample of UK-hospitalised children detected by the Paediatric Trigger Tool.
Citation Text:
Chapman SM, Fitzsimons J, Davey N, et al. Prevalence and severity of patient harm in a sample of UK-hospitalised children detected by the Paediatr…
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psnet.ahrq.gov/issue/remote-assessment-real-world-surgical-safety-checklist-performance-using-or-black-box-multi
March 17, 2021 - Study
Remote assessment of real-world surgical safety checklist performance using the OR Black Box: a multi-institutional evaluation.
Citation Text:
Riley MS, Etheridge J, Palter V, et al. Remote assessment of real-world surgical safety checklist performance using the OR Black Box: a mul…
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psnet.ahrq.gov/issue/using-risk-assessment-approach-determine-which-factors-influence-whether-partially-bilingual
March 22, 2023 - Study
Using a risk assessment approach to determine which factors influence whether partially bilingual physicians rely on their non-English language skills or call an interpreter.
Citation Text:
Maul L, Regenstein M, Andres E, et al. Using a risk assessment approach to determine which f…
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psnet.ahrq.gov/issue/incident-reporting-behaviours-following-francis-report-cross-sectional-survey
October 12, 2016 - Study
Incident reporting behaviours following the Francis report: a cross-sectional survey.
Citation Text:
Archer G, Colhoun A. Incident reporting behaviours following the Francis report: A cross-sectional survey. J Eval Clin Pract. 2017;24(2). doi:10.1111/jep.12849.
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psnet.ahrq.gov/issue/analyzing-and-mitigating-risks-patient-harm-during-operating-room-intensive-care-unit-patient
October 05, 2022 - Commentary
Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient handoffs.
Citation Text:
Martins NRS, Martinez EZ, Simões CM, et al. Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient …
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psnet.ahrq.gov/issue/speaking-behaviours-safety-voices-healthcare-workers-metasynthesis-qualitative-research
June 23, 2021 - Review
Speaking up behaviours (safety voices) of healthcare workers: a metasynthesis of qualitative research studies.
Citation Text:
Morrow KJ, Gustavson AM, Jones J. Speaking up behaviours (safety voices) of healthcare workers: a metasynthesis of qualitative research studies. Int J Nurs…
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psnet.ahrq.gov/issue/shining-light-safer-health-care-through-transparency
November 23, 2016 - Book/Report
Shining a Light: Safer Health Care Through Transparency.
Citation Text:
Shining a Light: Safer Health Care Through Transparency. Boston, MA: National Patient Safety Foundation Lucian Leape Institute; January 2015.
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psnet.ahrq.gov/issue/adherence-black-box-warnings-prescription-medications-outpatients
September 29, 2017 - Study
Adherence to black box warnings for prescription medications in outpatients.
Citation Text:
Lasser KE, Seger DL, Yu T, et al. Adherence to black box warnings for prescription medications in outpatients. Arch Intern Med. 2006;166(3):338-44.
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psnet.ahrq.gov/issue/implementing-strategies-identify-and-mitigate-adverse-safety-events-case-study-unplanned
May 24, 2012 - Study
Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations.
Citation Text:
Hatch D, Rivard M, Bolton J, et al. Implementing Strategies to Identify and Mitigate Adverse Safety Events: A Case Study with Unplanned Extubations. Jt Co…
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psnet.ahrq.gov/issue/referrals-infection-control-breaches-public-health-authorities-ambulatory-care-settings
December 09, 2020 - Study
Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017.
Citation Text:
Braun B, Chitavi SO, Perkins KM, et al. Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017. J…
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psnet.ahrq.gov/issue/enhancing-psychological-safety-mental-health-services
May 12, 2021 - Commentary
Classic
Enhancing psychological safety in mental health services.
Citation Text:
Hunt DF, Bailey J, Lennox BR, et al. Enhancing psychological safety in mental health services. Int J Ment Health Syst. 2021;15(1):33. doi:10.1186/s13033-021-00439-1.
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psnet.ahrq.gov/issue/post-discharge-adverse-events-among-urban-and-rural-patients-urban-community-hospital
September 07, 2022 - Study
Post-discharge adverse events among urban and rural patients of an urban community hospital: a prospective cohort study.
Citation Text:
Tsilimingras D, Schnipper JL, Duke A, et al. Post-Discharge Adverse Events Among Urban and Rural Patients of an Urban Community Hospital: A Prospe…
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psnet.ahrq.gov/issue/components-hospital-perioperative-infrastructure-can-overcome-weekend-effect-urgent-general
July 05, 2017 - Study
Components of hospital perioperative infrastructure can overcome the weekend effect in urgent general surgery procedures.
Citation Text:
Kothari A, Zapf MAC, Blackwell RH, et al. Components of Hospital Perioperative Infrastructure Can Overcome the Weekend Effect in Urgent General S…
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psnet.ahrq.gov/issue/why-do-people-sue-doctors-study-patients-and-relatives-taking-legal-action
August 04, 2021 - Study
Classic
Why do people sue doctors? A study of patients and relatives taking legal action.
Citation Text:
Vincent C, Young M, Phillips A. Why do people sue doctors? A study of patients and relatives taking legal action. Lancet. 1994;343(8913):1609-1613.
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psnet.ahrq.gov/issue/reducing-near-miss-medication-events-using-evidence-based-approach
July 07, 2021 - Study
Reducing near miss medication events using an evidence-based approach.
Citation Text:
Smith-Love J. Reducing near miss medication events using an evidence-based approach. J Nurs Care Qual. 2022;37(4):327-333. doi:10.1097/ncq.0000000000000630.
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psnet.ahrq.gov/issue/nurse-staffing-nursing-assistants-and-hospital-mortality-retrospective-longitudinal-cohort
July 11, 2018 - Study
Nurse staffing, nursing assistants and hospital mortality: retrospective longitudinal cohort study.
Citation Text:
Griffiths P, Maruotti A, Saucedo AR, et al. Nurse staffing, nursing assistants and hospital mortality: retrospective longitudinal cohort study. BMJ Qual Saf. 2019;28(…
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psnet.ahrq.gov/issue/motivation-patient-engagement-patient-safety-multi-perspective-explorative-survey
June 17, 2020 - Study
Motivation for patient engagement in patient safety: a multi-perspective, explorative survey.
Citation Text:
Raab C, Gambashidze N, Brust L, et al. Motivation for patient engagement in patient safety: a multi-perspective, explorative survey. BMC Health Serv Res. 2024;24(1):1052. do…