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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 …

Combined SNA and LDA methods to understand adverse medical events | PSNet

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November 15, 2023 - Journal Article Combined SNA and LDA methods to understand adverse medical events Citation Text: Zhu L, Reychav I, McHaney R, et al. Combined SNA and LDA methods to understand adverse medical events. Int J Risk Saf Med. 2019;30(3):129-153. doi:10.3233/JRS-180052. Copy Citation Form…

Communication and Transparency as a Means to Strengthening Workplace Culture During COVID-19. | PSNet

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January 16, 2019 - Book/Report Communication and Transparency as a Means to Strengthening Workplace Culture During COVID-19. Citation Text: Nadkarni A, Levy-Carrick NC, Kroll DS, et al. Communication And Transparency As A Means To Strengthening Workplace Culture During Covid-19. National Academy of Medicin…

Diagnostic discordance, uncertainty, and treatment ambiguity in community-acquired pneumonia: a national cohort study of 115 U.S. Veterans Affairs hospitals. | PSNet

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June 07, 2023 - Study Diagnostic discordance, uncertainty, and treatment ambiguity in community-acquired pneumonia: a national cohort study of 115 U.S. Veterans Affairs hospitals. Citation Text: Jones BE, Chapman AB, Ying J, et al. Diagnostic discordance, uncertainty, and treatment ambiguity in communit…

Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization. | PSNet

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January 26, 2022 - Study Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization. Citation Text: Goyal P, Kneifati-Hayek J, Archambault A, et al. Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization. JACC H…

For children admitted to hospital, what interventions improve medication safety on ward rounds? | PSNet

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July 29, 2020 - Review For children admitted to hospital, what interventions improve medication safety on ward rounds? Citation Text: King C, Dudley J, Mee A, et al. For children admitted to hospital, what interventions improve medication safety on ward rounds? A systematic review. Arch Dis Child. 2023;…

Medicare's decision to withhold payment for hospital errors: the devil is in the details. | PSNet

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March 13, 2013 - Commentary Classic Medicare's decision to withhold payment for hospital errors: the devil is in the details. Citation Text: Wachter R, Foster NE, Dudley A. Medicare's decision to withhold payment for hospital errors: the devil is in the det. Jt Comm J Qual Patie…

Remedies sought and obtained in healthcare complaints. | PSNet

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April 13, 2011 - Study Remedies sought and obtained in healthcare complaints. Citation Text: Bismark M, Spittal MJ, Gogos AJ, et al. Remedies sought and obtained in healthcare complaints. BMJ Qual Saf. 2011;20(9):806-810. doi:10.1136/bmjqs-2011-000109. Copy Citation Format: DOI Google Sch…

Successful implementation of the Department of Veterans Affairs' National Surgical Quality Improvement Program in the private sector: the Patient Safety in Surgery study. | PSNet

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March 28, 2012 - Study Successful implementation of the Department of Veterans Affairs' National Surgical Quality Improvement Program in the private sector: the Patient Safety in Surgery study. Citation Text: Khuri SF, Henderson WG, Daley J, et al. Successful implementation of the Department of Veteran…

What we can do about maternal mortality—and how to do it quickly. | PSNet

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September 01, 2016 - Commentary Emerging Classic What we can do about maternal mortality—and how to do it quickly. Citation Text: Mann S, Hollier LM, McKay K, et al. What We Can Do about Maternal Mortality - And How to Do It Quickly. New Engl J Med. 2018;379(18):1689-1691. doi:10.10…

Fostering a just culture in healthcare organizations: experiences in practice. | PSNet

psnet.ahrq.gov/issue/fostering-just-culture-healthcare-organizations-experiences-practice

August 10, 2022 - Study Fostering a just culture in healthcare organizations: experiences in practice. Citation Text: van Baarle E, Hartman L, Rooijakkers S, et al. Fostering a just culture in healthcare organizations: experiences in practice. BMC Health Serv Res. 2022;22(1):1035. doi:10.1186/s12913-022-0…

Risk factors for patient-reported medical errors in eleven countries. | PSNet

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December 04, 2024 - Study Risk factors for patient-reported medical errors in eleven countries. Citation Text: Schwappach DLB. Risk factors for patient-reported medical errors in eleven countries. Health Expect. 2014;17(3):321-31. doi:10.1111/j.1369-7625.2011.00755.x. Copy Citation Format: DOI…

The patient's "story": an examination of patient-reported safety incidents in general practice. | PSNet

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November 03, 2021 - Study The patient's "story": an examination of patient-reported safety incidents in general practice. Citation Text: Madden C, Lydon S, Murphy AW, et al. The patient’s “story”: an examination of patient-reported safety incidents in general practice. Fam Pract. 2022;39(6):1095-1102. doi:1…

Validation of the Primary Care Patient Measure of Safety (PC PMOS) questionnaire. | PSNet

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June 25, 2014 - Study Validation of the Primary Care Patient Measure of Safety (PC PMOS) questionnaire. Citation Text: Giles SJ, Parveen S, Hernan AL. Validation of the Primary Care Patient Measure of Safety (PC PMOS) questionnaire. BMJ Qual Saf. 2019;28(5):389-396. doi:10.1136/bmjqs-2018-007988. Copy…

Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin. | PSNet

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October 12, 2022 - Government Resource Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin. Citation Text: Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin. Washington, DC: VA …

Physicians' attitudes towards copy and pasting in electronic note writing. | PSNet

psnet.ahrq.gov/issue/physicians-attitudes-towards-copy-and-pasting-electronic-note-writing

March 04, 2015 - Study Physicians' attitudes towards copy and pasting in electronic note writing. Citation Text: O'Donnell HC, Kaushal R, Barrón Y, et al. Physicians' attitudes towards copy and pasting in electronic note writing. J Gen Intern Med. 2009;24(1):63-8. doi:10.1007/s11606-008-0843-2. Copy …

Vestibular syndromes, diagnosis and diagnostic errors in patients with dizziness presenting to the emergency department: a cross-sectional study. | PSNet

psnet.ahrq.gov/issue/vestibular-syndromes-diagnosis-and-diagnostic-errors-patients-dizziness-presenting-emergency

May 17, 2023 - Study Vestibular syndromes, diagnosis and diagnostic errors in patients with dizziness presenting to the emergency department: a cross-sectional study. Citation Text: Comolli L, Korda A, Zamaro E, et al. Vestibular syndromes, diagnosis and diagnostic errors in patients with dizziness pre…

Safety work and risk management as burdens of treatment in primary care: insights from a focused ethnographic study of patients with multimorbidity. | PSNet

psnet.ahrq.gov/issue/safety-work-and-risk-management-burdens-treatment-primary-care-insights-focused-ethnographic

January 24, 2018 - Study Safety work and risk management as burdens of treatment in primary care: insights from a focused ethnographic study of patients with multimorbidity. Citation Text: Daker-White G, Hays R, Blakeman T, et al. Safety work and risk management as burdens of treatment in primary care: ins…

Hospital COVID-19 burden and adverse event rates. | PSNet

psnet.ahrq.gov/issue/hospital-covid-19-burden-and-adverse-event-rates

June 22, 2022 - Study Hospital COVID-19 burden and adverse event rates. Citation Text: Metersky ML, Rodrick D, Ho S-Y, et al. Hospital COVID-19 burden and adverse event rates. JAMA Netw Open. 2024;7(11):e2442936. doi:10.1001/jamanetworkopen.2024.42936. Copy Citation Format: DOI Google Scho…

Hospital admissions associated with medication non-adherence: a systematic review of prospective observational studies. | PSNet

psnet.ahrq.gov/issue/hospital-admissions-associated-medication-non-adherence-systematic-review-prospective

August 28, 2013 - Review Emerging Classic Hospital admissions associated with medication non-adherence: a systematic review of prospective observational studies. Citation Text: Mongkhon P, Ashcroft DM, Scholfield N, et al. Hospital admissions associated with medication non-adhere…

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