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Improving reconciliation following medical injury: a qualitative study of responses to patient safety incidents in New Zealand. | PSNet

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May 05, 2021 - Study Improving reconciliation following medical injury: a qualitative study of responses to patient safety incidents in New Zealand. Citation Text: Moore J, Mello MM. Improving reconciliation following medical injury: a qualitative study of responses to patient safety incidents in New Z…

The H-PEPSS: an instrument to measure health professionals' perceptions of patient safety competence at entry into practice. | PSNet

psnet.ahrq.gov/issue/h-pepss-instrument-measure-health-professionals-perceptions-patient-safety-competence-entry

February 14, 2015 - Study The H-PEPSS: an instrument to measure health professionals' perceptions of patient safety competence at entry into practice. Citation Text: Ginsburg LR, Castel E, Tregunno D, et al. The H-PEPSS: an instrument to measure health professionals' perceptions of patient safety competen…

Perspectives on perioperative team-based morbidity and mortality conferences: a mixed-methods study. | PSNet

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October 11, 2023 - Study Perspectives on perioperative team-based morbidity and mortality conferences: a mixed-methods study. Citation Text: Samost-Williams A, Rosen R, Cummins E, et al. Perspectives on Perioperative Team-Based Morbidity and Mortality Conferences: A Mixed Methods Study. Jt Comm J Qual Pati…

“I made a mistake!”: a narrative analysis of experienced physicians' stories of preventable error. | PSNet

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September 26, 2016 - Study “I made a mistake!”: a narrative analysis of experienced physicians' stories of preventable error. Citation Text: Kandasamy S, Vanstone M, Colvin E, et al. “I made a mistake!”: a narrative analysis of experienced physicians' stories of preventable error. J Eval Clin Pract. 2021;27(…

COVID-19: an emerging threat to antibiotic stewardship in the emergency department. | PSNet

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October 21, 2020 - Commentary COVID-19: an emerging threat to antibiotic stewardship in the emergency department. Citation Text: Pulia M, Wolf I, Schulz L, et al. COVID-19: an emerging threat to antibiotic stewardship in the emergency department. West J Emerg Med. 2020;21(5):1283-1286. doi:10.5811/westjem.…

A quality improvement initiative to improve patient safety event reporting by residents. | PSNet

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March 08, 2023 - Study A quality improvement initiative to improve patient safety event reporting by residents. Citation Text: Herchline D, Rojas C, Shah AA, et al. A quality improvement initiative to improve patient safety event reporting by residents. Pediatr Qual Saf. 2022;7(1):e519. doi:10.1097/pq9.0…

Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention interventions for older adults. | PSNet

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January 12, 2022 - Review Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention interventions for older adults. Citation Text: Leland NE, Lekovitch C, Martínez J, et al. Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention int…

The impact of critical incidents on nurses and midwives: a systematic review. | PSNet

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May 11, 2022 - Review The impact of critical incidents on nurses and midwives: a systematic review. Citation Text: Buhlmann M, Ewens B, Rashidi A. The impact of critical incidents on nurses and midwives: A systematic review. J Clin Nurs. 2020;30(9-10):1195-1205. doi:10.1111/jocn.15608. Copy Citation …

Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care. | PSNet

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October 29, 2017 - Review Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care. Citation Text: Green B, Oeppen RS, Smith DW, et al. Challenging hierarchy in healthcare teams - ways to flatten gradients to improve teamwork and patient care. Br J Oral Maxi…

The impact of rationing nursing care on patient safety: a systematic review. | PSNet

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December 06, 2023 - Review The impact of rationing nursing care on patient safety: a systematic review. Citation Text: Uchmanowicz I, Lisiak M, Wleklik M, et al. The impact of rationing nursing care on patient safety: a systematic review. Med Sci Monit. 2024;30:e942031. doi:10.12659/msm.942031. Copy Citat…

Learning from experience: a qualitative study of surgeons' perspectives on reporting and dealing with serious adverse events. | PSNet

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June 12, 2024 - Study Learning from experience: a qualitative study of surgeons' perspectives on reporting and dealing with serious adverse events. Citation Text: Øyri SF, Søreide K, Søreide E, et al. Learning from experience: a qualitative study of surgeons’ perspectives on reporting and dealing with s…

Information transfer and communication in surgery: a systematic review. | PSNet

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September 26, 2012 - Review Information transfer and communication in surgery: a systematic review. Citation Text: Nagpal K, Vats A, Lamb B, et al. Information transfer and communication in surgery: a systematic review. Ann Surg. 2010;252(2):225-39. doi:10.1097/SLA.0b013e3181e495c2. Copy Citation For…

Inter- and intra-disciplinary collaboration and patient safety outcomes in U.S. acute care hospital units: a cross-sectional study. | PSNet

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August 07, 2024 - Study Emerging Classic Inter- and intra-disciplinary collaboration and patient safety outcomes in U.S. acute care hospital units: a cross-sectional study. Citation Text: Ma C, Park SH, Shang J. Inter- and intra-disciplinary collaboration and patient safety outco…

Should health care providers be forced to apologise after things go wrong? | PSNet

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March 14, 2016 - Commentary Should health care providers be forced to apologise after things go wrong? Citation Text: McLennan S, Walker S, Rich LE. Should health care providers be forced to apologise after things go wrong? J Bioeth Inq. 2014;11(4):431-5. doi:10.1007/s11673-014-9571-y. Copy Citation …

Are bad outcomes from questionable clinical decisions preventable medical errors? A case of cascade iatrogenesis. | PSNet

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February 24, 2011 - Study Classic Are bad outcomes from questionable clinical decisions preventable medical errors? A case of cascade iatrogenesis. Citation Text: Hofer TP, Hayward RA. Are bad outcomes from questionable clinical decisions preventable medical errors? A case of cas…

Managing cognitive biases during disaster response: the development of an aide memoire. | PSNet

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November 16, 2022 - Review Managing cognitive biases during disaster response: the development of an aide memoire. Citation Text: Brooks B, Curnin S, Owen C, et al. Managing cognitive biases during disaster response: the development of an aide memoire. Cogn Tech Work. 2020;22(2):249–261. doi:10.1007/s10111-…

Incidence and types of adverse events and negligent care in Utah and Colorado. | PSNet

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December 24, 2008 - Study Classic Incidence and types of adverse events and negligent care in Utah and Colorado. Citation Text: Thomas EJ, Studdert DM, Burstin HR, et al. Incidence and types of adverse events and negligent care in Utah and Colorado. Med Care. 2000;38(3):261-71. C…

A war on two fronts: cancer care in the time of COVID-19. | PSNet

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March 12, 2025 - Commentary A war on two fronts: cancer care in the time of COVID-19. Citation Text: Kutikov A, Weinberg DS, Edelman MJ, et al. A war on two fronts: cancer care in the time of COVID-19. Ann Intern Med. 2020;172(11):756-758. doi:10.7326/m20-1133. Copy Citation Format: DOI Goo…

Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions. | PSNet

psnet.ahrq.gov/issue/dashboard-design-identify-and-balance-competing-risk-multiple-hospital-acquired-conditions

December 16, 2020 - Study Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions. Citation Text: Makic MBF, Stevens KR, Gritz RM, et al. Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions. Appl Clin Inform. 2022;13(3):62…

Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges. | PSNet

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July 10, 2019 - Commentary Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges. Citation Text: Schiff G, Shojania KG. Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges. BMJ Qual Saf. 2022;31(2):148-152.…

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