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psnet.ahrq.gov/issue/clinicians-perspectives-proactive-patient-safety-behaviors-perioperative-environment
May 24, 2023 - Study
Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment.
Citation Text:
Duffy C, Menon N, Horak D, et al. Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment. JAMA Netw Open. 2023;6(4):e237621. doi:…
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psnet.ahrq.gov/issue/medication-errors-antituberculosis-therapy-inpatient-academic-setting-forgotten-not-gone
April 27, 2016 - Study
Medication errors with antituberculosis therapy in an inpatient, academic setting: forgotten but not gone.
Citation Text:
Jen SP, Zucker J, Buczynski P, et al. Medication errors with antituberculosis therapy in an inpatient, academic setting: forgotten but not gone. J Clin Pharm Th…
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psnet.ahrq.gov/issue/effectiveness-interventions-improve-adverse-drug-reaction-reporting-healthcare-professionals
August 28, 2024 - Review
Effectiveness of interventions to improve adverse drug reaction reporting by healthcare professionals over the last decade: A systematic review
Citation Text:
Li R, Zaidi STR, Chen T, et al. Effectiveness of interventions to improve adverse drug reaction reporting by healthcare pr…
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psnet.ahrq.gov/issue/what-defines-high-performing-health-system-systematic-review
August 17, 2022 - Review
What defines a high-performing health system: a systematic review.
Citation Text:
Ahluwalia SC, Damberg CL, Silverman M, et al. What Defines a High-Performing Health Care Delivery System: A Systematic Review. Jt Comm J Qual Patient Saf. 2017;43(9):450-459. doi:10.1016/j.jcjq.2017.…
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psnet.ahrq.gov/issue/vignette-study-examine-health-care-professionals-attitudes-towards-patient-involvement-error
March 11, 2013 - Study
A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention.
Citation Text:
Schwappach DLB, Frank O, Davis R. A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention. J…
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psnet.ahrq.gov/issue/impact-medication-reconciliation-improving-transitions-care
June 19, 2019 - Review
Emerging Classic
Impact of medication reconciliation for improving transitions of care.
Citation Text:
Redmond P, Grimes TC, McDonnell R, et al. Impact of medication reconciliation for improving transitions of care. Cochrane Database Syst Rev. 2018;8(8):C…
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psnet.ahrq.gov/issue/unintended-discontinuation-medication-following-hospitalisation-retrospective-cohort-study
September 05, 2018 - Study
Unintended discontinuation of medication following hospitalisation: a retrospective cohort study.
Citation Text:
Redmond P, McDowell R, Grimes TC, et al. Unintended discontinuation of medication following hospitalisation: a retrospective cohort study. BMJ Open. 2019;9(6):e024747. d…
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psnet.ahrq.gov/issue/do-final-year-medical-students-have-sufficient-prescribing-competencies-systematic-literature
February 22, 2023 - Review
Emerging Classic
Do final-year medical students have sufficient prescribing competencies? A systematic literature review.
Citation Text:
Brinkman DJ, Tichelaar J, Graaf S, et al. Do final-year medical students have sufficient prescribing competencies? A s…
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psnet.ahrq.gov/issue/medication-errors-pediatric-anesthesia-report-wake-safe-quality-improvement-initiative
October 14, 2020 - Study
Medication errors in pediatric anesthesia: a report from the Wake Up Safe quality improvement initiative.
Citation Text:
M Y Lobaugh L, Martin LD, Schleelein LE, et al. Medication errors in pediatric anesthesia: a report from the Wake Up Safe quality improvement initiative. Anesth …
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psnet.ahrq.gov/issue/risk-factors-patient-reported-medical-errors-eleven-countries
December 04, 2024 - Study
Risk factors for patient-reported medical errors in eleven countries.
Citation Text:
Schwappach DLB. Risk factors for patient-reported medical errors in eleven countries. Health Expect. 2014;17(3):321-31. doi:10.1111/j.1369-7625.2011.00755.x.
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psnet.ahrq.gov/issue/developing-agreement-never-events-primary-care-dentistry-international-edelphi-study
October 05, 2016 - Study
Developing agreement on never events in primary care dentistry: an international eDelphi study.
Citation Text:
Ensaldo-Carrasco E, Carson-Stevens A, Cresswell K, et al. Developing agreement on never events in primary care dentistry: an international eDelphi study. Br Dent J. 2018;2…
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psnet.ahrq.gov/issue/who-applies-intervention-influence-cultural-attributes-quality-improvement-collaborative
January 22, 2016 - Study
Who applies an intervention to influence cultural attributes in a quality improvement collaborative?
Citation Text:
Hsu Y-J, Marsteller JA. Who Applies an Intervention to Influence Cultural Attributes in a Quality Improvement Collaborative? J Patient Saf. 2020;16(1):1-6.
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psnet.ahrq.gov/issue/adverse-events-associated-home-blood-transfusion-retrospective-cohort-study
October 20, 2021 - Study
Adverse events associated with home blood transfusion: a retrospective cohort study.
Citation Text:
Sharp R, Turner L, Altschwager J, et al. Adverse events associated with home blood transfusion: a retrospective cohort study. J Clin Nurs. 2021;30(11-12):1751-1759. doi:10.1111/jocn.…
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psnet.ahrq.gov/issue/opioid-dependence-and-overdose-after-surgery-rate-risk-factors-and-reasons
August 05, 2020 - Study
Opioid dependence and overdose after surgery: rate, risk factors, and reasons.
Citation Text:
Wylie JA, Kong L, Barth RJ. Opioid dependence and overdose after surgery: rate, risk factors, and reasons. Ann Surg. 2022;276(3):e192-e198. doi:10.1097/sla.0000000000005546.
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psnet.ahrq.gov/issue/new-category-never-events-ending-harmful-hospital-policies
September 07, 2022 - Commentary
A new category of "never events"-ending harmful hospital policies.
Citation Text:
Chokshi DA, Beckman AL. A new category of "never events"-ending harmful hospital policies. JAMA Health Forum. 2022;3(10):e224703. doi:10.1001/jamahealthforum.2022.4703.
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psnet.ahrq.gov/issue/microbiological-evaluation-two-hand-hygiene-procedures-achieved-healthcare-workers-during
June 13, 2011 - Study
Microbiological evaluation of two hand hygiene procedures achieved by healthcare workers during routine patient care: a randomized study.
Citation Text:
Kac G, Podglajen I, Gueneret M, et al. Microbiological evaluation of two hand hygiene procedures achieved by healthcare workers…
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psnet.ahrq.gov/issue/identifying-understanding-and-minimizing-unconscious-cognitive-biases-perioperative-crisis
June 19, 2019 - Review
Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis management: a narrative review.
Citation Text:
Yan L, Karamchandani K, Gaiser RR, et al. Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis …
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psnet.ahrq.gov/issue/promoting-patient-safety-using-early-warning-scoring-system
October 16, 2012 - Study
Promoting patient safety using an early warning scoring system.
Citation Text:
Higgins Y, Maries-Tillott C, Quinton S, et al. Promoting patient safety using an early warning scoring system. Nurs Stand. 2008;22(44):35-40.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-principles_methods.pdf
August 01, 2009 - clinicians’ perspectives are heard by standardizing the
governance of interactions with technical experts … These assumptions often remain obscure without a framework that can
lead technical experts and manufacturers
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digital.ahrq.gov/sites/default/files/docs/citation/k08hs021271-melnick-final-report-2018.pdf
January 01, 2018 - In contrast, the four experts had an average of 23 years of
experience practicing EM. … The engagement that patients desired and experts described was characterized more by
empathic caring … For
example, patients and experts mentioned the themes of patient engagement, reassurance,
identifying … Providers and experts … We found that
empathic caring is something that patients want and subject matter experts do well, but