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Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. | PSNet

psnet.ahrq.gov/issue/patient-and-carer-identified-factors-which-contribute-safety-incidents-primary-care

March 18, 2016 - Study Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. Citation Text: Hernan AL, Giles SJ, Fuller J, et al. Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. BMJ Q…

Team relations and role perceptions during anesthesia crisis management in magnetic-resonance imaging settings: a mixed-methods exploration. | PSNet

psnet.ahrq.gov/issue/team-relations-and-role-perceptions-during-anesthesia-crisis-management-magnetic-resonance

December 13, 2023 - Study Team relations and role perceptions during anesthesia crisis management in magnetic-resonance imaging settings: a mixed-methods exploration. Citation Text: Schroeck H, Whitty MA, Hatton B, et al. Team relations and role perceptions during anesthesia crisis management in magnetic-re…

Sign-out snapshot: cross-sectional evaluation of written sign-outs among specialties. | PSNet

psnet.ahrq.gov/issue/sign-out-snapshot-cross-sectional-evaluation-written-sign-outs-among-specialties

November 20, 2013 - Study Sign-out snapshot: cross-sectional evaluation of written sign-outs among specialties. Citation Text: Schoenfeld AR, Al-Damluji MS, Horwitz LI. Sign-out snapshot: cross-sectional evaluation of written sign-outs among specialties. BMJ Qual Saf. 2014;23(1):66-72. doi:10.1136/bmjqs-20…

A nationwide study of the "July Effect" concerning postpartum hemorrhage and its risk factors at teaching hospitals across the United States. | PSNet

psnet.ahrq.gov/issue/nationwide-study-july-effect-concerning-postpartum-hemorrhage-and-its-risk-factors-teaching

September 25, 2019 - Study A nationwide study of the "July Effect" concerning postpartum hemorrhage and its risk factors at teaching hospitals across the United States. Citation Text: Shahin Z, Shah GH, Apenteng BA, et al. A nationwide study of the "July Effect" concerning postpartum hemorrhage and its risk …

Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/prevalence-severity-and-nature-preventable-patient-harm-across-medical-care-settings

February 17, 2021 - Study Classic Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis. Citation Text: Panagioti M, Khan K, Keers RN, et al. Prevalence, severity, and nature of preventable patient harm across…

Workarounds to barcode medication administration systems: their occurrences, causes, and threats to patient safety. | PSNet

psnet.ahrq.gov/issue/workarounds-barcode-medication-administration-systems-their-occurrences-causes-and-threats

November 30, 2011 - Study Classic Workarounds to barcode medication administration systems: their occurrences, causes, and threats to patient safety. Citation Text: Koppel R, Wetterneck TB, Telles JL, et al. Workarounds to barcode medication administration systems: their occurren…

Making Health Care Safer: A Critical Analysis of Patient Safety Practices. | PSNet

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July 27, 2018 - Book/Report Making Health Care Safer: A Critical Analysis of Patient Safety Practices. Citation Text: Making Health Care Safer: A Critical Analysis of Patient Safety Practices. Shojania KG, Duncan BW, McDonald KM, et al, eds. Rockville, MD: Agency for Healthcare Research and Quality; J…

What is the role of individual accountability in patient safety? A multi-site ethnographic study. | PSNet

psnet.ahrq.gov/issue/what-role-individual-accountability-patient-safety-multi-site-ethnographic-study

June 16, 2021 - Study What is the role of individual accountability in patient safety? A multi-site ethnographic study. Citation Text: Aveling E-L, Parker M, Dixon-Woods M. What is the role of individual accountability in patient safety? A multi-site ethnographic study. Sociol Health Illn. 2016;38(2):21…

Malpractice claims related to diagnostic errors in the hospital. | PSNet

psnet.ahrq.gov/issue/malpractice-claims-related-diagnostic-errors-hospital

September 16, 2020 - Study Classic Malpractice claims related to diagnostic errors in the hospital. Citation Text: Gupta A, Snyder A, Kachalia A, et al. Malpractice claims related to diagnostic errors in the hospital. BMJ Qual Saf. 2017;27(1):53-60. doi:10.1136/bmjqs-2017-006774. …

Learning from safety incidents in high reliability organizations: a systematic review of learning tools that could be adapted and used in healthcare. | PSNet

psnet.ahrq.gov/issue/learning-safety-incidents-high-reliability-organizations-systematic-review-learning-tools

May 26, 2021 - Review Learning from safety incidents in high reliability organizations: a systematic review of learning tools that could be adapted and used in healthcare. Citation Text: Serou N, Sahota LM, Husband AK, et al. Learning from safety incidents in high-reliability organizations: a systemati…

Patient safety reporting systems: sustained quality improvement using a multidisciplinary team and "Good Catch" awards. | PSNet

psnet.ahrq.gov/issue/patient-safety-reporting-systems-sustained-quality-improvement-using-multidisciplinary-team

February 12, 2020 - Study Patient safety reporting systems: sustained quality improvement using a multidisciplinary team and "Good Catch" awards. Citation Text: Herzer KR, Mirrer M, Xie Y, et al. Patient Safety Reporting Systems: Sustained Quality Improvement Using a Multidisciplinary Team and “Good Catch” …

A review of adverse event reports from emergency departments in the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/review-adverse-event-reports-emergency-departments-veterans-health-administration

November 17, 2021 - Study A review of adverse event reports from emergency departments in the Veterans Health Administration. Citation Text: Gill S, Mills PD, Watts BV, et al. A Review of Adverse Event Reports From Emergency Departments in the Veterans Health Administration. J Patient Saf. 2021;17(8):e898-…

From COVID-19 pandemic to patient safety: a new "spring" for telemedicine or a boomerang effect? | PSNet

psnet.ahrq.gov/issue/covid-19-pandemic-patient-safety-new-spring-telemedicine-or-boomerang-effect

April 13, 2022 - Commentary From COVID-19 pandemic to patient safety: a new "spring" for telemedicine or a boomerang effect? Citation Text: De Micco F, Fineschi V, Banfi G, et al. From COVID-19 pandemic to patient safety: a new "spring" for telemedicine or a boomerang effect? Front Med (Lausanne). 2022;9…

Comparison of methods to reduce bias from clinical prediction models of postpartum depression. | PSNet

psnet.ahrq.gov/issue/comparison-methods-reduce-bias-clinical-prediction-models-postpartum-depression

April 15, 2020 - Study Comparison of methods to reduce bias from clinical prediction models of postpartum depression. Citation Text: Park Y, Hu J, Singh M, et al. Comparison of methods to reduce bias from clinical prediction models of postpartum depression. JAMA Netw Open. 2021;4(4):e213909. doi:10.1001/…

Standardizing patient safety event reporting between care delivered or purchased by the Veterans Health Administration (VHA). | PSNet

psnet.ahrq.gov/issue/standardizing-patient-safety-event-reporting-between-care-delivered-or-purchased-veterans

June 26, 2024 - Study Standardizing patient safety event reporting between care delivered or purchased by the Veterans Health Administration (VHA). Citation Text: Rosen AK, Beilstein-Wedel E, Chan J, et al. Standardizing patient safety event reporting between care delivered or purchased by the Veterans …

Evaluation of symptom checkers for self diagnosis and triage: audit study. | PSNet

psnet.ahrq.gov/issue/evaluation-symptom-checkers-self-diagnosis-and-triage-audit-study

December 08, 2021 - Study Classic Evaluation of symptom checkers for self diagnosis and triage: audit study. Citation Text: Semigran HL, Linder JA, Gidengil C, et al. Evaluation of symptom checkers for self diagnosis and triage: audit study. BMJ. 2015;351:h3480. doi:10.1136/bmj.h34…

Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient order errors: a randomized clinical trial. | PSNet

psnet.ahrq.gov/issue/effect-restriction-number-concurrently-open-records-electronic-health-record-wrong-patient

July 09, 2018 - Study Emerging Classic Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient order errors: a randomized clinical trial. Citation Text: Adelman JS, Applebaum JR, Schechter CB, et al. Effect of Restriction…

Ten principles for more conservative, care-full diagnosis. | PSNet

psnet.ahrq.gov/issue/ten-principles-more-conservative-care-full-diagnosis

August 04, 2021 - Commentary Emerging Classic Ten principles for more conservative, care-full diagnosis. Citation Text: Schiff G, Martin SA, Eidelman DH, et al. Ten Principles for More Conservative, Care-Full Diagnosis. Ann Intern Med. 2018;169(9):643-645. doi:10.7326/M18-1468. …

Failure to follow-up test results for ambulatory patients: a systematic review. | PSNet

psnet.ahrq.gov/issue/failure-follow-test-results-ambulatory-patients-systematic-review

March 23, 2012 - Review Classic Failure to follow-up test results for ambulatory patients: a systematic review. Citation Text: Callen JL, Westbrook JI, Georgiou A, et al. Failure to Follow-Up Test Results for Ambulatory Patients: A Systematic Review. J Gen Intern Med. 2011;27(10…

Association of note quality and quality of care: a cross-sectional study. | PSNet

psnet.ahrq.gov/issue/association-note-quality-and-quality-care-cross-sectional-study

June 05, 2018 - Study Association of note quality and quality of care: a cross-sectional study. Citation Text: Edwards ST, Neri PM, Volk LA, et al. Association of note quality and quality of care: a cross-sectional study. BMJ Qual Saf. 2014;23(5):406-13. doi:10.1136/bmjqs-2013-002194. Copy Citation …

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