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psnet.ahrq.gov/issue/seniors-managing-multiple-medications-using-mixed-methods-view-home-care-safety-lens
June 23, 2021 - Study
Seniors managing multiple medications: using mixed methods to view the home care safety lens.
Citation Text:
Lang A, Macdonald M, Marck P, et al. Seniors managing multiple medications: using mixed methods to view the home care safety lens. BMC Health Serv Res. 2015;15:548. doi:10.1…
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psnet.ahrq.gov/issue/characterising-icu-ward-handoffs-three-academic-medical-centres-process-and-perceptions
September 27, 2023 - Study
Characterising ICU–ward handoffs at three academic medical centres: process and perceptions.
Citation Text:
Santhosh L, Lyons PG, Rojas JC, et al. Characterising ICU-ward handoffs at three academic medical centres: process and perceptions. BMJ Qual Saf. 2019;28(8):627-634. doi:10.1…
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psnet.ahrq.gov/issue/implementation-medication-reconciliation-outpatient-cancer-care
December 20, 2023 - Study
Implementation of medication reconciliation in outpatient cancer care.
Citation Text:
Powis M, Dara C, Macedo A, et al. Implementation of medication reconciliation in outpatient cancer care. BMJ Open Quality. 2023;12(2):e002211. doi:10.1136/bmjoq-2022-002211.
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Fo…
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psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
January 06, 2018 - Review
Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review.
Citation Text:
Sullivan N, Schoelles KM. Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):410-416. doi:10.7326/0003-…
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psnet.ahrq.gov/issue/team-dynamics-clinical-work-satisfaction-and-patient-care-coordination-between-primary-care
May 18, 2022 - Study
Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers: a mixed methods study.
Citation Text:
Song H, Ryan M, Tendulkar S, et al. Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers…
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psnet.ahrq.gov/issue/racial-implicit-bias-and-communication-among-physicians-simulated-environment
October 19, 2022 - Study
Racial implicit bias and communication among physicians in a simulated environment.
Citation Text:
Gonzalez CM, Ark TK, Fisher MR, et al. Racial implicit bias and communication among physicians in a simulated environment. JAMA Netw Open. 2024;7(3):e242181. doi:10.1001/jamanetworkop…
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psnet.ahrq.gov/issue/nurses-perceptions-open-disclosure-processes-cancer-care-cross-sectional-study
December 01, 2019 - Study
Nurses' perceptions of open disclosure processes in cancer care: a cross-sectional study.
Citation Text:
Waller A, Hobden B, Bryant J, et al. Nurses’ perceptions of open disclosure processes in cancer care: a cross-sectional study. Collegian. 2020;27(5):506-511. doi:10.1016/j.coleg…
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psnet.ahrq.gov/issue/honesty-and-transparency-indispensable-clinical-mission-parts-i-iii
November 11, 2020 - Commentary
Honesty and transparency, indispensable to the clinical mission--Parts I-III.
Citation Text:
Brenner MJ, Boothman RC, Rushton CH, et al. Honesty and Transparency, Indispensable to the Clinical Mission—Parts I - III. Otolaryngol Clin North Am. 2021;55(1):43-103. doi:10.1016/j.o…
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psnet.ahrq.gov/issue/developing-electronic-clinical-quality-measures-assess-cancer-diagnostic-process
December 18, 2024 - Study
Developing electronic clinical quality measures to assess the cancer diagnostic process.
Citation Text:
Murphy DR, Zimolzak AJ, Upadhyay DK, et al. Developing electronic clinical quality measures to assess the cancer diagnostic process. J Am Med Inform Assoc. 2023;30(9):1526-1531. …
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psnet.ahrq.gov/issue/physician-patient-communication-failure-facilitates-medication-errors-older-polymedicated
November 02, 2010 - Study
Physician patient communication failure facilitates medication errors in older polymedicated patients with multiple comorbidities.
Citation Text:
Mira JJ, Orozco-Beltrán D, Pérez-Jover V, et al. Physician patient communication failure facilitates medication errors in older polyme…
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psnet.ahrq.gov/issue/medication-rounds-tool-promote-medication-safety-children-medical-complexity
February 12, 2020 - Commentary
Medication rounds: a tool to promote medication safety for children with medical complexity.
Citation Text:
Rojas CR, Moore A, Coffin A, et al. Medication rounds: a tool to promote medication safety for children with medical complexity. Jt Comm J Qual Patient Saf. 2023;49(4):2…
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psnet.ahrq.gov/issue/changes-safety-and-teamwork-climate-after-adding-structured-observations-patient-safety
August 20, 2018 - Study
Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds.
Citation Text:
Klimmeck S, Sexton B, Schwendimann R. Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. Jt Comm J Qual Pa…
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psnet.ahrq.gov/issue/using-participatory-design-engage-physicians-development-provider-level-performance-dashboard
October 28, 2020 - Study
Using participatory design to engage physicians in the development of a provider-level performance dashboard and feedback system.
Citation Text:
Patel S, Pierce L, Jones M, et al. Using participatory design to engage physicians in the development of a provider-level performance da…
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psnet.ahrq.gov/issue/organisational-culture-variation-across-hospitals-and-connection-patient-safety-climate
March 17, 2010 - Study
Organisational culture: variation across hospitals and connection to patient safety climate.
Citation Text:
Speroff T, Nwosu S, Greevy R, et al. Organisational culture: variation across hospitals and connection to patient safety climate. Qual Saf Health Care. 2010;19(6):592-6. do…
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psnet.ahrq.gov/issue/assessment-impact-just-culture-quality-and-safety-us-hospitals
April 13, 2017 - Study
Emerging Classic
An assessment of the impact of just culture on quality and safety in US hospitals.
Citation Text:
Edwards MT. An Assessment of the Impact of Just Culture on Quality and Safety in US Hospitals. Am J Med Qual. 2018;33(5):502-508. doi:10.1177…
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psnet.ahrq.gov/issue/experiences-and-perceptions-healthcare-stakeholders-disclosing-errors-and-adverse-events
July 31, 2024 - Study
Experiences and perceptions of healthcare stakeholders in disclosing errors and adverse events to historically marginalized patients.
Citation Text:
Olazo K, Gallagher TH, Sarkar U. Experiences and perceptions of healthcare stakeholders in disclosing errors and adverse events to hi…
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psnet.ahrq.gov/issue/reducing-risk-diagnostic-error-covid-19-era
September 23, 2020 - Commentary
Emerging Classic
Reducing the risk of diagnostic error in the COVID-19 era.
Citation Text:
Gandhi TK, Singh H. Reducing the risk of diagnostic error in the COVID-19 era. J. Hosp Med. 2020;15(6):363-366. doi:10.12788/jhm.3461.
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psnet.ahrq.gov/issue/patients-diagnostic-collaborators-sharing-visit-notes-promote-accuracy-and-safety
April 15, 2020 - Commentary
Patients as diagnostic collaborators: sharing visit notes to promote accuracy and safety.
Citation Text:
Blease CR, Bell SK. Patients as diagnostic collaborators: sharing visit notes to promote accuracy and safety. Diagnosis (Berl). 2019;6(3):213-221. doi:10.1515/dx-2018-0106.…
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psnet.ahrq.gov/issue/redesigning-rounds-towards-more-purposeful-approach-inpatient-teaching-and-learning
February 02, 2022 - Commentary
Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning.
Citation Text:
Reilly JB, Bennett N, Fosnocht K, et al. Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning. Acad Med. 2015;90(4):450-3. doi:10.1097…
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psnet.ahrq.gov/issue/its-all-about-patient-safety-ethnographic-study-how-pharmacy-staff-construct-medicines-safety
October 06, 2021 - Study
'It's all about patient safety': an ethnographic study of how pharmacy staff construct medicines safety in the context of polypharmacy.
Citation Text:
Fudge N, Swinglehurst D. ‘It's all about patient safety’: an ethnographic study of how pharmacy staff construct medicines safety in…