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psnet.ahrq.gov/issue/pediatric-patient-safety-emergency-departments-unit-characteristics-and-staff-perceptions
April 03, 2013 - Study
Pediatric patient safety in emergency departments: unit characteristics and staff perceptions.
Citation Text:
Shaw KN, Ruddy RM, Olsen CS, et al. Pediatric patient safety in emergency departments: unit characteristics and staff perceptions. Pediatrics. 2009;124(2):485-93. doi:10.…
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psnet.ahrq.gov/issue/high-performance-teamwork-training-and-systems-redesign-outpatient-oncology
November 16, 2022 - Study
High performance teamwork training and systems redesign in outpatient oncology.
Citation Text:
Bunnell CA, Gross AH, Weingart SN, et al. High performance teamwork training and systems redesign in outpatient oncology. BMJ Qual Saf. 2013;22(5):405-13. doi:10.1136/bmjqs-2012-000948.…
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psnet.ahrq.gov/issue/practical-framework-patient-care-teams-prospectively-identify-and-mitigate-clinical-hazards
March 01, 2011 - Commentary
A practical framework for patient care teams to prospectively identify and mitigate clinical hazards.
Citation Text:
Herzer KR, Rodriguez-Paz JM, Doyle PA, et al. A practical framework for patient care teams to prospectively identify and mitigate clinical hazards. Jt Comm J Qu…
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psnet.ahrq.gov/issue/implicit-bias-healthcare-professionals-systematic-review
September 28, 2022 - Review
Implicit bias in healthcare professionals: a systematic review.
Citation Text:
FitzGerald C, Hurst S. Implicit bias in healthcare professionals: a systematic review. BMC Med Ethics. 2017;18(1):19. doi:10.1186/s12910-017-0179-8.
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psnet.ahrq.gov/issue/epidemiology-healthcare-harm-new-zealand-general-practice-retrospective-records-review-study
December 01, 2021 - Study
Epidemiology of healthcare harm in New Zealand general practice: a retrospective records review study.
Citation Text:
doi:http://doi.org/10.1136/bmjopen-2020-048316.
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psnet.ahrq.gov/issue/making-use-mortality-data-improve-quality-and-safety-general-practice-review-current
November 17, 2010 - Review
Making use of mortality data to improve quality and safety in general practice: a review of current approaches.
Citation Text:
Baker R, Sullivan E, Camosso-Stefinovic J, et al. Making use of mortality data to improve quality and safety in general practice: a review of current ap…
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psnet.ahrq.gov/issue/high-alert-medications-pediatric-intensive-care-unit
December 16, 2015 - Study
High-alert medications in the pediatric intensive care unit.
Citation Text:
Franke HA, Woods D, Holl JL. High-alert medications in the pediatric intensive care unit. Pediatr Crit Care Med. 2009;10(1):85-90. doi:10.1097/PCC.0b013e3181936ff8.
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psnet.ahrq.gov/issue/impact-rvu-based-compensation-patient-safety-outcomes-outpatient-otolaryngology-procedures
October 19, 2022 - Study
The impact of RVU-based compensation on patient safety outcomes in outpatient otolaryngology procedures.
Citation Text:
Stanisce L, Ahmad N, Deckard N, et al. The Impact of RVU-Based Compensation on Patient Safety Outcomes in Outpatient Otolaryngology Procedures. Otolaryngol Head N…
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-ethical-principles-regulatory-approach-bias-healthcare
April 21, 2021 - Commentary
Emerging Classic
Patient safety and quality improvement: ethical principles for a regulatory approach to bias in healthcare machine learning.
Citation Text:
McCradden MD, Joshi S, Anderson JA, et al. Patient safety and quality improvement: Ethical pri…
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psnet.ahrq.gov/issue/usability-and-accessibility-publicly-available-patient-safety-databases
May 12, 2021 - Study
Usability and accessibility of publicly available patient safety databases.
Citation Text:
Sheehan JG, Howe JL, Fong A, et al. Usability and accessibility of publicly available patient safety databases. J Patient Saf. 2022;18(6):565-569. doi:10.1097/pts.0000000000001018.
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psnet.ahrq.gov/issue/impact-adverse-events-clinicians-whats-name
March 25, 2020 - Review
The impact of adverse events on clinicians: what's in a name?
Citation Text:
Wu AW, Shapiro J, Harrison R, et al. The Impact of Adverse Events on Clinicians: What's in a Name? J Patient Saf. 2020;16(1):65-72. doi:10.1097/PTS.0000000000000256.
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psnet.ahrq.gov/issue/tiered-daily-huddles-power-teamwork-managing-large-healthcare-organisations
December 09, 2020 - Commentary
Tiered daily huddles: the power of teamwork in managing large healthcare organisations.
Citation Text:
Mihaljevic T. Tiered daily huddles: the power of teamwork in managing large healthcare organisations. BMJ Qual Saf. 2020;29(12):1050-1052. doi:10.1136/bmjqs-2019-010575.
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psnet.ahrq.gov/issue/implementation-mock-root-cause-analysis-provide-simulated-patient-safety-training
January 12, 2022 - Commentary
Implementation of a mock root cause analysis to provide simulated patient safety training.
Citation Text:
Murphy M, Duff J, Whitney J, et al. Implementation of a mock root cause analysis to provide simulated patient safety training. BMJ Open Qual. 2017;6(2). doi:10.1136/bmjoq-…
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psnet.ahrq.gov/issue/flaw-medicine-addressing-racial-and-gender-disparities-critical-care
June 16, 2010 - Commentary
The flaw of medicine: addressing racial and gender disparities in critical care.
Citation Text:
Hilton EJ, Goff KL, Sreedharan R, et al. The flaw of medicine: addressing racial and gender disparities in critical care. Anesthesiol Clin. 2020;38(2):357-368. doi:10.1016/j.anclin.…
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psnet.ahrq.gov/issue/parent-participation-morbidity-and-mortality-review-parent-and-physician-perspectives
May 18, 2022 - Study
Parent participation in morbidity and mortality review: parent and physician perspectives.
Citation Text:
de Loizaga SR, Clarke-Myers K, R Khoury P, et al. Parent participation in morbidity and mortality review: parent and physician perspectives. J Patient Exp. 2022;9:2374373522110…
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psnet.ahrq.gov/issue/understanding-and-responding-health-literacy-social-determinant-health
September 27, 2017 - Commentary
Classic
Understanding and responding to health literacy as a social determinant of health.
Citation Text:
Nutbeam D, Lloyd JE. Understanding and responding to health literacy as a social determinant of health. Annu Rev Public Health. 2021;42(1):159-17…
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psnet.ahrq.gov/issue/framework-analysis-communication-errors-health-care
October 21, 2020 - Commentary
A framework for the analysis of communication errors in health care.
Citation Text:
Bender JA, Thiyagarajan S, Morrish W, et al. A framework for the analysis of communication errors in health care. J Patient Saf. 2025;21(2):69-81. doi:10.1097/pts.0000000000001303.
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psnet.ahrq.gov/issue/deficiencies-care-care-coordination-and-facility-response-patient-who-died-suicide-memphis-va
December 16, 2020 - Book/Report
Deficiencies in Care, Care Coordination, and Facility Response to a Patient Who Died by Suicide, Memphis VA Medical Center in Tennessee.
Citation Text:
Deficiencies in Care, Care Coordination, and Facility Response to a Patient Who Died by Suicide, Memphis VA Medical Center i…
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psnet.ahrq.gov/issue/applied-use-safety-event-occurrence-control-charts-harm-and-non-harm-events-case-study
October 23, 2024 - Commentary
Applied use of safety event occurrence control charts of harm and non-harm events: a case study.
Citation Text:
Robinson SN, Neyens DM, Diller T. Applied Use of Safety Event Occurrence Control Charts of Harm and Non-Harm Events: A Case Study. Am J Med Qual. 2017;32(3):285-291.…
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psnet.ahrq.gov/issue/patient-safety-education-change-medical-students-attitudes-and-sense-responsibility
January 20, 2021 - Study
Patient safety education to change medical students' attitudes and sense of responsibility.
Citation Text:
Roh H, Park SJ, Kim T. Patient safety education to change medical students' attitudes and sense of responsibility. Med Teach. 2015;37(10):908-14. doi:10.3109/0142159X.2014.970…