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psnet.ahrq.gov/issue/medical-error-and-systems-signaling-conceptual-and-linguistic-definition
July 12, 2019 - 2016
Organisational Failure: An Exploratory Study in the Steel Industry and Medical Domain
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psnet.ahrq.gov/issue/medication-safety-community-pharmacy-qualitative-study-sociotechnical-context
February 06, 2019 - Medication safety gaps in English pediatric inpatient units: an exploration using work domain
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psnet.ahrq.gov/issue/why-stigma-matters-addressing-alcohol-harm
August 04, 2021 - Medication safety gaps in English pediatric inpatient units: an exploration using work domain
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psnet.ahrq.gov/issue/systematic-review-failures-handoff-communication-during-intrahospital-transfers
November 03, 2015 - issues pertaining to safety in intrahospital transfers and suggests improvement strategies in each domain
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psnet.ahrq.gov/issue/human-error
March 06, 2005 - 2016
Organisational Failure: An Exploratory Study in the Steel Industry and Medical Domain
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psnet.ahrq.gov/issue/pediatric-safety
March 08, 2015 - Medication safety gaps in English pediatric inpatient units: an exploration using work domain
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psnet.ahrq.gov/issue/optimizing-post-acute-care-patient-safety-scoping-review-multifactorial-fall-prevention
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…
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psnet.ahrq.gov/issue/using-safety-culture-results-guide-merger-four-general-practices-uk
February 01, 2023 - Study
Using safety culture results to guide the merger of four general practices in the UK.
Citation Text:
Lockwood AM, Proulx J, Hill M, et al. Using safety culture results to guide the merger of four general practices in the UK. BMJ Open Qual. 2020;9(1):e000860. doi:10.1136/bmjoq-2019-…
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psnet.ahrq.gov/issue/community-discharge-among-post-acute-nursing-home-residents-association-patient-safety
November 04, 2020 - Study
Community discharge among post-acute nursing home residents: an association with patient safety culture?
Citation Text:
Guo W, Li Y, Temkin-Greener H. Community discharge among post-acute nursing home residents: an association with patient safety culture? J Am Med Dir Assoc. 2021;2…
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psnet.ahrq.gov/node/38237/psn-pdf
October 05, 2021 - The Safety Competencies Framework.
October 5, 2021
Ottawa, ON: Canadian Patient Safety Institute; 2020.
https://psnet.ahrq.gov/issue/safety-competencies-framework
This initative defines competency domains for safe health care and outlines educational practices to
achieve them. The 2nd edition of the Patient Safety…
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psnet.ahrq.gov/issue/effects-extended-work-shifts-and-shift-work-patient-safety-productivity-and-employee-health
October 20, 2021 - Commentary
Effects of extended work shifts and shift work on patient safety, productivity, and employee health.
Citation Text:
Keller SM. Effects of extended work shifts and shift work on patient safety, productivity, and employee health. AAOHN J. 2009;57(12):497-504. doi:10.3928/08910…
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psnet.ahrq.gov/issue/do-team-processes-really-have-effect-clinical-performance-systematic-literature-review
November 13, 2019 - Review
Do team processes really have an effect on clinical performance? A systematic literature review.
Citation Text:
Schmutz J, Manser T. Do team processes really have an effect on clinical performance? A systematic literature review. Br J Anaesth. 2013;110(4). doi:10.1093/bja/aes513.…
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psnet.ahrq.gov/issue/what-context-features-might-be-important-determinants-effectiveness-patient-safety-practice
September 20, 2011 - Study
What context features might be important determinants of the effectiveness of patient safety practice interventions?
Citation Text:
Taylor SL, Dy SM, Foy R, et al. What context features might be important determinants of the effectiveness of patient safety practice interventions?…
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psnet.ahrq.gov/issue/errors-medicine-and-law
August 06, 2016 - 2016
Organisational Failure: An Exploratory Study in the Steel Industry and Medical Domain
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psnet.ahrq.gov/issue/injury-research-volunteers-clinical-research-nightmare
December 19, 2017 - April 24, 2019
Drs Bramhall and Bawa-Garba and the rightful domain of the criminal law
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psnet.ahrq.gov/issue/teamwork-and-during-covid-19-good-same-and-ugly
September 14, 2022 - Study
Teamwork before and during COVID-19: the good, the same, and the ugly….
Citation Text:
Rehder KJ, Adair KC, Eckert E, et al. Teamwork before and during COVID-19: the good, the same, and the ugly…. J Patient Saf. 2023;19(1):36-41. doi:10.1097/pts.0000000000001070.
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psnet.ahrq.gov/issue/understanding-informal-aspects-medication-processes-maintain-patient-safety-hospitals
March 06, 2024 - Medication safety gaps in English pediatric inpatient units: an exploration using work domain
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psnet.ahrq.gov/issue/exploring-human-factors-prescribing-errors-paediatric-intensive-care-units
March 06, 2024 - Medication safety gaps in English pediatric inpatient units: an exploration using work domain
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psnet.ahrq.gov/issue/what-happens-between-visits-adverse-and-potential-adverse-events-among-low-income-urban
February 22, 2011 - Medication management was the most common domain identified, while 80% of all events had a combination
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psnet.ahrq.gov/issue/cross-sectional-study-relationship-between-utilization-root-cause-analysis-and-patient-safety
January 11, 2017 - significantly higher rates of adverse events for three of the PSIs studied, all within the post-operative domain