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  1. Health care workers as second victims of medical errors. | PSNet

    psnet.ahrq.gov/issue/health-care-workers-second-victims-medical-errors
    April 07, 2021 - Study Health care workers as second victims of medical errors. Citation Text: Edrees HH, Paine LA, Feroli R, et al. Health care workers as second victims of medical errors. Pol Arch Med Wewn. 2011;121(4):101-108. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3…

  2. Assessing the perceived level of institutional support for the second victim after a patient safety event. | PSNet

    psnet.ahrq.gov/issue/assessing-perceived-level-institutional-support-second-victim-after-patient-safety-event
    April 07, 2021 - Study Assessing the perceived level of institutional support for the second victim after a patient safety event. Citation Text: Joesten L, Cipparrone N, Okuno-Jones S, et al. Assessing the perceived level of institutional support for the second victim after a patient safety event. J Pati…

  3. Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists. | PSNet

    psnet.ahrq.gov/issue/perceptions-risk-patient-safety-pediatric-icu-study-american-pediatric-intensivists
    August 28, 2017 - Study Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists. Citation Text: Bauer P, Hoffmann RG, Bragg D, et al. Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists. Saf Sci. 2012;53. d…

  4. The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center. | PSNet

    psnet.ahrq.gov/issue/nature-reported-safety-events-related-care-coordination-operating-room-setting-tertiary
    May 11, 2022 - Study The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center. Citation Text: Krishnan S, Wheeler KK, Pimentel MP, et al. The nature of reported safety events related to care coordination in the operating room setting …

  5. Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health systems. | PSNet

    psnet.ahrq.gov/issue/prescription-opioid-dose-reductions-and-potential-adverse-events-multi-site-observational
    March 04, 2020 - Study Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health systems. Citation Text: Metz VE, Ray GT, Palzes V, et al. Prescription opioid dose reductions and potential adverse events: a multi-site observational coho…

  6. Prevention of failure to rescue in obstetric patients: a realist review. | PSNet

    psnet.ahrq.gov/issue/prevention-failure-rescue-obstetric-patients-realist-review
    April 20, 2022 - Review Prevention of failure to rescue in obstetric patients: a realist review. Citation Text: Bernstein SL, Kelechi TJ, Catchpole K, et al. Prevention of failure to rescue in obstetric patients: a realist review. Worldviews Evid Based Nurs. 2021;18(6):352-360. doi:10.1111/wvn.12531. C…

  7. Improving hand hygiene at eight hospitals in the United States by targeting specific causes of noncompliance. | PSNet

    psnet.ahrq.gov/issue/improving-hand-hygiene-eight-hospitals-united-states-targeting-specific-causes-noncompliance
    April 13, 2022 - Study Classic Improving hand hygiene at eight hospitals in the United States by targeting specific causes of noncompliance. Citation Text: Chassin MR, Mayer C, Nether K. Improving hand hygiene at eight hospitals in the United States by targeting specific causes …

  8. Persistent opioid use among pediatric patients after surgery. | PSNet

    psnet.ahrq.gov/issue/persistent-opioid-use-among-pediatric-patients-after-surgery
    January 29, 2020 - Study Classic Persistent opioid use among pediatric patients after surgery. Citation Text: Harbaugh CM, Lee JS, Hu HM, et al. Persistent Opioid Use Among Pediatric Patients After Surgery. Pediatrics. 2018;141(1):e20172439. doi:10.1542/peds.2017-2439. Copy Cita…

  9. AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative Database Report. | PSNet

    psnet.ahrq.gov/issue/ahrq-nursing-home-survey-patient-safety-culture-2016-user-comparative-database-report
    June 08, 2016 - Government Resource AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative Database Report. Citation Text: AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative Database Report. Famolaro T, Yount ND, Greene, K, Hare R, Thorton S, Sorra J. Rockville,…

  10. E-prescribing and medication safety in community settings: a rapid scoping review. | PSNet

    psnet.ahrq.gov/issue/e-prescribing-and-medication-safety-community-settings-rapid-scoping-review
    January 22, 2025 - Review E-prescribing and medication safety in community settings: a rapid scoping review. Citation Text: Cassidy CE, Boulos L, McConnell E, et al. E-prescribing and medication safety in community settings: a rapid scoping review. Explor Res Clin Soc Pharm. 2023;12:100365. doi:10.1016/j.r…

  11. Making communication and resolution programmes mission critical in healthcare organisations. | PSNet

    psnet.ahrq.gov/issue/making-communication-and-resolution-programmes-mission-critical-healthcare-organisations
    September 09, 2020 - Commentary Making communication and resolution programmes mission critical in healthcare organisations. Citation Text: Gallagher TH, Boothman RC, Schweitzer L, et al. Making communication and resolution programmes mission critical in healthcare organisations. BMJ Qual Saf. 2020;29(11):87…

  12. Another medical malpractice crisis?: Try something different. | PSNet

    psnet.ahrq.gov/issue/another-medical-malpractice-crisis-try-something-different
    November 11, 2020 - Commentary Another medical malpractice crisis?: Try something different. Citation Text: Sage WM, Boothman RC, Gallagher TH. Another medical malpractice crisis?: Try something different. JAMA. 2020;324(14):1395-1396. doi:10.1001/jama.2020.16557. Copy Citation Format: DOI Goo…

  13. Listen to the whispers before they become screams: addressing Black maternal morbidity and mortality in the United States. | PSNet

    psnet.ahrq.gov/issue/listen-whispers-they-become-screams-addressing-black-maternal-morbidity-and-mortality-united
    December 05, 2012 - Commentary Listen to the whispers before they become screams: addressing Black maternal morbidity and mortality in the United States. Citation Text: Njoku A, Evans M, Nimo-Sefah L, et al. Listen to the whispers before they become screams: addressing Black maternal morbidity and mortality…

  14. Applying human factors engineering to address the telemetry alarm problem in a large medical center. | PSNet

    psnet.ahrq.gov/issue/applying-human-factors-engineering-address-telemetry-alarm-problem-large-medical-center
    February 10, 2021 - Study Applying human factors engineering to address the telemetry alarm problem in a large medical center. Citation Text: Patterson ES, Rayo MF, Edworthy JR, et al. Applying human factors engineering to address the telemetry alarm problem in a large medical center. Hum Factors. 2022;64(1…

  15. Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. | PSNet

    psnet.ahrq.gov/issue/resident-duty-hours-enhancing-sleep-supervision-and-safety
    July 12, 2016 - Book/Report Classic Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. Citation Text: Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident) Hours…

  16. Pediatric trainees' speaking up about unprofessional behavior and traditional patient safety threats. | PSNet

    psnet.ahrq.gov/issue/pediatric-trainees-speaking-about-unprofessional-behavior-and-traditional-patient-safety
    December 21, 2017 - Study Pediatric trainees' speaking up about unprofessional behavior and traditional patient safety threats. Citation Text: Kesselheim JC, Shelburne JT, Bell SK, et al. Pediatric trainees' speaking up about unprofessional behavior and traditional patient safety threats. Acad Pediatr. 2021…

  17. Hospital safety climate and safety outcomes: is there a relationship in the VA? | PSNet

    psnet.ahrq.gov/issue/hospital-safety-climate-and-safety-outcomes-there-relationship-va
    October 14, 2009 - Study Hospital safety climate and safety outcomes: is there a relationship in the VA? Citation Text: Rosen AK, Singer SJ, Zhao S, et al. Hospital safety climate and safety outcomes: is there a relationship in the VA? Med Care Res Rev. 2010;67(5):590-608. doi:10.1177/1077558709356703. …

  18. The effect of a program to shorten the decision-to-delivery interval for emergent cesarean section on maternal and neonatal outcome. | PSNet

    psnet.ahrq.gov/issue/effect-program-shorten-decision-delivery-interval-emergent-cesarean-section-maternal-and
    April 12, 2019 - Study The effect of a program to shorten the decision-to-delivery interval for emergent cesarean section on maternal and neonatal outcome. Citation Text: Weiner E, Bar J, Fainstein N, et al. The effect of a program to shorten the decision-to-delivery interval for emergent cesarean sectio…

  19. What and when to debrief: a scoping review examining interprofessional clinical debriefing. | PSNet

    psnet.ahrq.gov/issue/what-and-when-debrief-scoping-review-examining-interprofessional-clinical-debriefing
    September 09, 2015 - Review What and when to debrief: a scoping review examining interprofessional clinical debriefing. Citation Text: Paxino J, Szabo RA, Marshall SD, et al. What and when to debrief: a scoping review examining interprofessional clinical debriefing. BMJ Qual Saf. 2024;33(5):314-327. doi:10.1…

  20. Debrief it all: a tool for inclusion of Safety-II. | PSNet

    psnet.ahrq.gov/issue/debrief-it-all-tool-inclusion-safety-ii
    June 08, 2022 - Study Debrief it all: a tool for inclusion of Safety-II. Citation Text: Bentley SK, McNamara S, Meguerdichian MJ, et al. Debrief it all: a tool for inclusion of Safety-II. Adv Simul (Lond). 2021;6(1):9. doi:10.1186/s41077-021-00163-3. Copy Citation Format: DOI Google Schola…
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