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psnet.ahrq.gov/issue/association-between-language-use-and-icu-transfer-and-serious-adverse-events-hospitalized
May 18, 2022 - Study
Association between language use and ICU transfer and serious adverse events in hospitalized pediatric patients who experience rapid response activation.
Citation Text:
McDade JE, Olszewski AE, Qu P, et al. Association between language use and ICU transfer and serious adverse event…
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psnet.ahrq.gov/issue/multiple-meanings-resilience-health-professionals-experiences-dual-element-training
August 10, 2022 - Study
Multiple meanings of resilience: health professionals' experiences of a dual element training intervention designed to help them prepare for coping with error.
Citation Text:
Janes G, Harrison R, Johnson J, et al. Multiple meanings of resilience: health professionals' experiences o…
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psnet.ahrq.gov/issue/patient-safety-culture-care-homes-older-people-scoping-review
January 08, 2020 - Review
Patient safety culture in care homes for older people: a scoping review.
Citation Text:
Gartshore E, Waring J, Timmons S. Patient safety culture in care homes for older people: a scoping review. BMC Health Serv Res. 2017;17(1):752. doi:10.1186/s12913-017-2713-2.
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psnet.ahrq.gov/issue/impact-22-month-multistep-implementation-program-speaking-behavior-academic-anesthesia
January 11, 2023 - Study
The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesthesia department.
Citation Text:
Walther F, Schick C, Schwappach DLB, et al. The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesth…
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psnet.ahrq.gov/issue/room-resilience-qualitative-study-about-accountability-mechanisms-relation-between-work-done
August 31, 2022 - Study
Room for resilience: a qualitative study about accountability mechanisms in the relation between work-as-done (WAD) and work-as-imagined (WAI) in hospitals.
Citation Text:
Weenink J-W, Tresfon J, van de Voort I, et al. Room for resilience: a qualitative study about accountability m…
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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/including-reason-use-prescriptions-sent-pharmacists-scoping-review
March 10, 2021 - Review
Including the reason for use on prescriptions sent to pharmacists: scoping review.
Citation Text:
Mercer K, Carter C, Burns C, et al. Including the reason for use on prescriptions sent to pharmacists: scoping review. JMIR Hum Factors. 2021;8(4):e22325. doi:10.2196/22325.
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psnet.ahrq.gov/issue/nature-severity-and-causes-medication-incidents-australian-community-pharmacy-incident
May 05, 2021 - Study
The nature, severity and causes of medication incidents from an Australian community pharmacy incident reporting system: the QUMwatch study.
Citation Text:
Adie K, Fois RA, McLachlan AJ, et al. The nature, severity and causes of medication incidents from an Australian community pha…
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psnet.ahrq.gov/issue/secondary-use-data-support-medication-safety-hospital-setting-systematic-review-and-narrative
July 31, 2019 - Review
The secondary use of data to support medication safety in the hospital setting: a systematic review and narrative synthesis.
Citation Text:
Chaudhry NT, Franklin BD, Mohammed S, et al. The secondary use of data to support medication safety in the hospital setting: a systematic rev…
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psnet.ahrq.gov/issue/association-between-handover-anesthesia-care-and-adverse-postoperative-outcomes-among
March 02, 2022 - Study
Classic
Association between handover of anesthesia care and adverse postoperative outcomes among patients undergoing major surgery.
Citation Text:
Jones PM, Cherry RA, Allen BN, et al. Association Between Handover of Anesthesia Care and Adverse Postoperati…
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psnet.ahrq.gov/issue/surgical-specimen-management-descriptive-study-648-adverse-events-and-near-misses
December 22, 2021 - Study
Surgical specimen management: a descriptive study of 648 adverse events and near misses.
Citation Text:
Steelman VM, Williams TL, Szekendi MK, et al. Surgical specimen management: a descriptive study of 648 adverse events and near misses. Arch Pathol Lab Med. 2016;140(12):1390-1396…
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psnet.ahrq.gov/issue/harnessing-event-report-data-identify-diagnostic-error-during-covid-19-pandemic
October 07, 2020 - Study
Harnessing event report data to identify diagnostic error during the COVID-19 pandemic.
Citation Text:
Shen L, Levie A, Singh H, et al. Harnessing event report data to identify diagnostic error during the COVID-19 pandemic. Jt Comm J Qual Patient Saf. 2022;48(2):71-80. doi:10.1016/…
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psnet.ahrq.gov/issue/improving-patient-safety-through-involvement-patients-development-and-evaluation-novel
October 12, 2016 - Book/Report
Improving patient safety through the involvement of patients: development and evaluation of novel interventions to engage patients in preventing patient safety incidents and protecting them against unintended harm.
Citation Text:
Wright J, Lawton R, O’Hara J, et al. Improving…
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psnet.ahrq.gov/issue/potentially-inappropriate-medication-administration-associated-adverse-postoperative-outcomes
October 07, 2020 - Study
Potentially inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients: a retrospective cohort study.
Citation Text:
Burfeind KG, Zarnegarnia Y, Tekkali P, et al. Potentially inappropriate medication administration is associ…
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psnet.ahrq.gov/issue/patient-characteristics-and-occurrence-never-events
February 15, 2011 - Study
Patient characteristics and the occurrence of never events.
Citation Text:
Fry DE, Pine M, Jones BL, et al. Patient characteristics and the occurrence of never events. Arch Surg. 2010;145(2):148-51. doi:10.1001/archsurg.2009.277.
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psnet.ahrq.gov/issue/using-community-detection-techniques-identify-themes-covid-19-related-patient-safety-event
July 29, 2020 - Study
Using community detection techniques to identify themes in COVID-19-related patient safety event reports.
Citation Text:
Boxley C, Krevat SA, Sengupta S, et al. Using community detection techniques to identify themes in COVID-19-related patient safety event reports. J Patient Saf. …
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psnet.ahrq.gov/issue/situ-simulation-strategy-restore-patient-safety-intensive-care-units-after-covid-19-pandemic
March 09, 2022 - Review
In situ simulation: a strategy to restore patient safety in intensive care units after the COVID-19 pandemic?
Citation Text:
Gómez-Pérez V, Escrivá Peiró D, Sancho-Cantus D, et al. In Situ Simulation: A Strategy to Restore Patient Safety in Intensive Care Units after the COVID-19 …
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psnet.ahrq.gov/issue/suffering-silence-qualitative-study-second-victims-adverse-events
February 03, 2021 - Study
Suffering in silence: a qualitative study of second victims of adverse events.
Citation Text:
Ullström S, Sachs MA, Hansson J, et al. Suffering in silence: a qualitative study of second victims of adverse events. BMJ Qual Saf. 2014;23(4):325-331. doi:10.1136/bmjqs-2013-002035.
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psnet.ahrq.gov/issue/safety-competency-exploring-impact-environmental-and-personal-factors-nurses-ability-deliver
September 14, 2022 - Study
Safety competency: exploring the impact of environmental and personal factors on the nurse's ability to deliver safe care.
Citation Text:
Dillon-Bleich K, Dolansky MA, Burant CJ, et al. Safety competency: exploring the impact of environmental and personal factors on the nurse's abi…
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psnet.ahrq.gov/issue/effects-harm-events-30-day-readmission-surgical-patients
July 31, 2019 - Study
The effects of harm events on 30-day readmission in surgical patients.
Citation Text:
Kandagatla P, Su W-TK, Adrianto I, et al. The effects of harm events on 30-day readmission in surgical patients. J Healthc Qual. 2021;43(2):101-109. doi:10.1097/jhq.0000000000000261.
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