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psnet.ahrq.gov/issue/health-care-provider-factors-associated-patient-reported-adverse-events-and-harm
June 19, 2019 - Study
Health care provider factors associated with patient-reported adverse events and harm.
Citation Text:
Giardina TD, Royse KE, Khanna A, et al. Health care provider factors associated with patient-reported adverse events and harm. Jt Comm J Qual Patient Saf. 2020;46(5):282-290. doi:…
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psnet.ahrq.gov/issue/encouraging-patients-speak-about-problems-cancer-care
March 11, 2013 - Study
Encouraging patients to speak up about problems in cancer care.
Citation Text:
Mazor KM, Kamineni A, Roblin DW, et al. Encouraging patients to speak up about problems in cancer care. J Patient Saf. 2021;17(8):e1278-e1284. doi:10.1097/pts.0000000000000510.
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psnet.ahrq.gov/issue/identifying-hot-spots-harm-and-blind-spots-across-care-pathway-patient-complaints-about
May 04, 2022 - Study
Identifying hot spots for harm and blind spots across the care pathway from patient complaints about general practice.
Citation Text:
O’Dowd E, Lydon S, Lambe KA, et al. Identifying hot spots for harm and blind spots across the care pathway from patient complaints about general pra…
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psnet.ahrq.gov/issue/providers-and-patients-perspectives-diagnostic-errors-acute-care-setting
October 20, 2021 - Study
Providers' and patients' perspectives on diagnostic errors in the acute care setting.
Citation Text:
Schnock KO, Garber A, Fraser H, et al. Providers' and patients' perspectives on diagnostic errors in the acute care setting. Jt Comm J Qual Patient Saf. 2023;49(2):89-97. doi:10.101…
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psnet.ahrq.gov/issue/grading-recommendations-enhanced-patient-safety-sentinel-event-analysis-recommendation
April 15, 2020 - Study
Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation improvement matrix.
Citation Text:
Bos K, van der Laan MJ, Groeneweg J, et al. Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation impro…
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psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
June 01, 2004 - situation becomes more complicated if all agreed that there was a clear-cut harmful error, but the doctors
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psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
May 01, 2005 - In the Doctors Company-CRICO study cited above, patients’ failure to complete recommended appointments
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psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
December 01, 2006 - I set out to study residency and academic medical center safety cultures with respect to how young doctors … dysfunctions of the health care workplace—for example, the mistrust and conflict that exist between nurses and doctors … before the doctors insert a catheter or a central line.
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psnet.ahrq.gov/perspective/conversation-withj-bryan-sexton-phd-ma
December 01, 2006 - before the doctors insert a catheter or a central line. … I set out to study residency and academic medical center safety cultures with respect to how young doctors … dysfunctions of the health care workplace—for example, the mistrust and conflict that exist between nurses and doctors
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psnet.ahrq.gov/web-mm/carpe-diem-seize-day
September 01, 2012 - First, doctors caring for these patients should familiarize themselves with local state regulations and
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psnet.ahrq.gov/web-mm/collegiality-vs-competence
August 28, 2024 - Doctors often resist imposing practice restrictions on colleagues because they perceive such restrictions
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psnet.ahrq.gov/node/49719/psn-pdf
September 01, 2014 - Third, the OR doctors' work area has
a central monitor feed that the attendings watch when they do paperwork
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psnet.ahrq.gov/node/33857/psn-pdf
July 01, 2012 - psnet.ahrq.gov/issue/dana-farber-cancer-institute-principles-fair-and-just-culture
https://psnet.ahrq.gov/issue/doctors-orders-killed-cancer-patient-dana-farber-admits-drug-overdose-caused-death-globe … wide use of patient portals would never have happened without
Meaningful Use requirements because doctors
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psnet.ahrq.gov/issue/changes-safety-attitude-and-relationship-decreased-postoperative-morbidity-and-mortality
May 27, 2010 - Study
Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention.
Citation Text:
Haynes AB, Weiser TG, Berry WR, et al. Changes in safety attitude and relationship to decrease…
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psnet.ahrq.gov/issue/primary-care-medication-safety-surveillance-integrated-primary-and-secondary-care-electronic
November 25, 2015 - Study
Primary care medication safety surveillance with integrated primary and secondary care electronic health records: a cross-sectional study.
Citation Text:
Akbarov A, Kontopantelis E, Sperrin M, et al. Primary Care Medication Safety Surveillance with Integrated Primary and Secondary …
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psnet.ahrq.gov/issue/role-regulator-enabling-just-culture-qualitative-study-mental-health-and-hospital-care
October 06, 2021 - Study
Role of the regulator in enabling a just culture: a qualitative study in mental health and hospital care.
Citation Text:
Weenink J-W, Wallenburg I, Hartman L, et al. Role of the regulator in enabling a just culture: a qualitative study in mental health and hospital care. BMJ Open. …
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psnet.ahrq.gov/issue/implementation-barcode-medication-administration-bmca-technology-infusion-pumps-operating
April 12, 2019 - Study
Implementation of barcode medication administration (BMCA) technology on infusion pumps in the operating rooms.
Citation Text:
Hogerwaard M, Stolk M, Dijk L van, et al. Implementation of barcode medication administration (BMCA) technology on infusion pumps in the operating rooms. B…
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psnet.ahrq.gov/issue/171-billion-problem-annual-cost-measurable-medical-errors
May 26, 2021 - Study
Classic
The $17.1 billion problem: the annual cost of measurable medical errors.
Citation Text:
Van Den Bos J, Rustagi K, Gray T, et al. The $17.1 Billion Problem: The Annual Cost Of Measurable Medical Errors. Health Aff. 2011;30(4):596-603. doi:10.1377/hl…
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psnet.ahrq.gov/issue/determinants-adverse-events-vascular-surgery
March 21, 2012 - Study
Determinants of adverse events in vascular surgery.
Citation Text:
Hernandez-Boussard T, McDonald KM, Morton J, et al. Determinants of adverse events in vascular surgery. J Am Coll Surg. 2012;214(5):788-97. doi:10.1016/j.jamcollsurg.2012.01.045.
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psnet.ahrq.gov/issue/video-based-communication-assessment-physician-error-disclosure-skills-crowdsourced-laypeople
August 21, 2024 - Study
Video-based communication assessment of physician error disclosure skills by crowdsourced laypeople and patient advocates who experienced medical harm: reliability assessment with generalizability theory.
Citation Text:
White AA, King AM, D’Addario AE, et al. Video-based communicat…