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psnet.ahrq.gov/issue/comprehensive-overview-medical-error-hospitals-using-incident-reporting-systems-patient
October 16, 2013 - Study
A comprehensive overview of medical error in hospitals using incident-reporting systems, patient complaints and chart review of inpatient deaths.
Citation Text:
de Feijter JM, de Grave WS, Muijtjens AM, et al. A comprehensive overview of medical error in hospitals using incident-r…
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psnet.ahrq.gov/issue/follow-abnormal-screening-mammograms-among-low-income-ethnically-diverse-women-findings
May 12, 2021 - Study
Follow-up of abnormal screening mammograms among low-income ethnically diverse women: findings from a qualitative study.
Citation Text:
Allen JD, Shelton RC, Harden E, et al. Follow-up of abnormal screening mammograms among low-income ethnically diverse women: findings from a quali…
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psnet.ahrq.gov/issue/defining-near-misses-towards-sharpened-definition-based-empirical-data-about-error-handling
June 28, 2011 - Study
Defining near misses: towards a sharpened definition based on empirical data about error handling processes.
Citation Text:
Kessels-Habraken M, Van der Schaaf T, De Jonge J, et al. Defining near misses: towards a sharpened definition based on empirical data about error handling pr…
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psnet.ahrq.gov/issue/communication-during-interhospital-transfers-emergency-general-surgery-patients-qualitative
August 24, 2022 - Study
Communication during interhospital transfers of emergency general surgery patients: a qualitative study of challenges and opportunities.
Citation Text:
Alagoz E, Saucke M, Arroyo N, et al. Communication during interhospital transfers of emergency general surgery patients: a qualita…
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psnet.ahrq.gov/issue/measuring-impact-medication-related-interventions-30-day-readmission-rates-skilled-nursing
July 29, 2020 - Study
Measuring the impact of medication-related interventions on 30-day readmission rates in a skilled nursing facility.
Citation Text:
Amin PB, Bradford CD, Rizos AL, et al. Measuring the Impact of Medication-Related Interventions on 30-Day Readmission Rates in a Skilled Nursing Facili…
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psnet.ahrq.gov/issue/turning-medical-gaze-upon-itself-root-cause-analysis-and-investigation-clinical-error
June 14, 2011 - Study
Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error.
Citation Text:
Iedema RAM, Jorm C, Long D, et al. Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error. Soc Sci Med. 2006;62(7):16…
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psnet.ahrq.gov/issue/outside-case-review-surgical-pathology-referred-patients-impact-patient-care
July 13, 2016 - Study
Outside case review of surgical pathology for referred patients: the impact on patient care.
Citation Text:
Swapp RE, Aubry MC, Salomão DR, et al. Outside case review of surgical pathology for referred patients: the impact on patient care. Arch Pathol Lab Med. 2013;137(2):233-40. …
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psnet.ahrq.gov/issue/evaluation-extended-releaselong-acting-opioid-prescribing-risk-evaluation-and-mitigation
March 06, 2019 - Study
Evaluation of the extended-release/long-acting opioid prescribing Risk Evaluation and Mitigation Strategy Program by the US Food and Drug Administration: a review.
Citation Text:
Heyward J, Olson L, Sharfstein JM, et al. Evaluation of the Extended-Release/Long-Acting Opioid Prescri…
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psnet.ahrq.gov/issue/global-oncology-pharmacy-response-covid-19-pandemic-medication-access-and-safety
January 23, 2017 - Commentary
Global oncology pharmacy response to COVID-19 pandemic: medication access and safety.
Citation Text:
Alexander M, Jupp J, Chazan G, et al. Global oncology pharmacy response to COVID-19 pandemic: medication access and safety. J Oncol Pharm Pract. 2020;26(5):1225-1229. doi:10.11…
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psnet.ahrq.gov/issue/association-opioid-prescriptions-dental-clinicians-us-adolescents-and-young-adults-subsequent
May 18, 2022 - Study
Association of opioid prescriptions from dental clinicians for US adolescents and young adults with subsequent opioid use and abuse.
Citation Text:
Schroeder AR, Dehghan M, Newman TB, et al. Association of Opioid Prescriptions From Dental Clinicians for US Adolescents and Young Adu…
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psnet.ahrq.gov/issue/risks-analogue-and-digitally-supported-medication-process-and-potential-solutions-increase
April 24, 2019 - Study
Risks in the analogue and digitally-supported medication process and potential solutions to increase patient safety in the hospital: a mixed methods study.
Citation Text:
Kopanz J, Lichtenegger K, Schwarz CM, et al. Risks in the analogue and digitally-supported medication process a…
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psnet.ahrq.gov/issue/role-informal-and-formal-organisation-voice-about-concerns-healthcare-qualitative-interview
September 29, 2021 - Study
The role of the informal and formal organisation in voice about concerns in healthcare: a qualitative interview study.
Citation Text:
Wu F, Dixon-Woods M, Aveling E-L, et al. The role of the informal and formal organisation in voice about concerns in healthcare: a qualitative inter…
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psnet.ahrq.gov/issue/safer-paediatric-surgical-teams-5-year-evaluation-crew-resource-management-implementation-and
February 03, 2021 - Study
Safer paediatric surgical teams: a 5-year evaluation of crew resource management implementation and outcomes.
Citation Text:
Savage C, Gaffney A, Hussain-Alkhateeb L, et al. Safer paediatric surgical teams: A 5-year evaluation of crew resource management implementation and outcomes…
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psnet.ahrq.gov/issue/physician-perspectives-responding-clinician-perpetuated-interpersonal-racism-against-black
July 26, 2023 - Study
Physician perspectives on responding to clinician-perpetuated interpersonal racism against Black patients with serious illness.
Citation Text:
Brown CE, Snyder CR, Marshall AR, et al. Physician perspectives on responding to clinician-perpetuated interpersonal racism against Black p…
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psnet.ahrq.gov/issue/exposures-structural-racism-and-racial-discrimination-among-pregnant-and-early-post-partum
August 12, 2019 - Study
Exposures to structural racism and racial discrimination among pregnant and early post-partum Black women living in Oakland, California.
Citation Text:
Chambers BD, Arabia SE, Arega HA, et al. Exposures to structural racism and racial discrimination among pregnant and early post‐pa…
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psnet.ahrq.gov/issue/middle-manager-responses-hospital-co-workers-unprofessional-behaviours-within-context
May 01, 2024 - Study
Middle manager responses to hospital co-workers' unprofessional behaviours within the context of a professional accountability culture change program: a qualitative analysis.
Citation Text:
Bagot KL, McInnes E, Mannion R, et al. Middle manager responses to hospital co-workers’ unpr…
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psnet.ahrq.gov/issue/system-hazards-managing-laboratory-test-requests-and-results-primary-care-medical-protection
November 08, 2017 - Study
System hazards in managing laboratory test requests and results in primary care: medical protection database analysis and conceptual model.
Citation Text:
Bowie P, Price J, Hepworth N, et al. System hazards in managing laboratory test requests and results in primary care: medical p…
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psnet.ahrq.gov/issue/healthcare-professionals-experience-psychological-safety-voice-and-silence
March 18, 2020 - Study
Healthcare professionals experience of psychological safety, voice, and silence.
Citation Text:
O'Donovan R, De Brún A, McAuliffe E. Healthcare professionals experience of psychological safety, voice, and silence. Front Psychol. 2021;12:626689. doi:10.3389/fpsyg.2021.626689.
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psnet.ahrq.gov/issue/incidence-duration-and-risk-factors-associated-delayed-and-missed-diagnostic-opportunities
May 19, 2021 - Study
Incidence, duration and risk factors associated with delayed and missed diagnostic opportunities related to tuberculosis: a population-based longitudinal study.
Citation Text:
Miller AC, Arakkal AT, Koeneman S, et al. Incidence, duration and risk factors associated with delayed and…
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psnet.ahrq.gov/issue/critical-care-clinicians-experiences-patient-safety-during-covid-19-pandemic
February 22, 2023 - Study
Critical care clinicians' experiences of patient safety during the COVID-19 pandemic.
Citation Text:
Rosen A, Carter D, Applebaum JR, et al. Critical care clinicians' experiences of patient safety during the COVID-19 pandemic. J Patient Saf. 2022;18(8):e1219-e1225. doi:10.1097/pts.…