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  1. psnet.ahrq.gov/issue/supporting-second-victims-patient-safety-events-shouldnt-these-communications-be-covered
    November 06, 2019 - Commentary Supporting second victims of patient safety events: shouldn't these communications be covered by legal privilege? Citation Text: de Wit ME, Marks CM, Natterman JP, et al. Supporting second victims of patient safety events: shouldn't these communications be covered by legal pri…
  2. psnet.ahrq.gov/issue/paperless-wall-mounted-surgical-safety-checklist-migrated-leadership-can-improve-compliance
    January 12, 2022 - Study A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and team engagement. Citation Text: Ong APC, Devcich DA, Hannam J, et al. A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and te…
  3. psnet.ahrq.gov/issue/challenges-implementing-communication-and-resolution-program-where-multiple-organizations
    May 11, 2016 - Study Challenges of implementing a communication-and-resolution program where multiple organizations must cooperate. Citation Text: Mello MM, Armstrong S, Greenberg Y, et al. Challenges of Implementing a Communication-and-Resolution Program Where Multiple Organizations Must Cooperate. He…
  4. psnet.ahrq.gov/issue/comparative-resident-site-visit-project-novel-approach-implementing-programmatic-change-duty
    July 19, 2023 - Study A comparative resident site visit project: a novel approach for implementing programmatic change in the duty hours era. Citation Text: Crowley MJ, Barkauskas CE, Srygley D, et al. A comparative resident site visit project: a novel approach for implementing programmatic change in t…
  5. psnet.ahrq.gov/issue/psychological-safety-and-hierarchy-operating-room-debriefing-reflexive-thematic-analysis
    March 06, 2024 - Study Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis. Citation Text: McElroy C, Skegg E, Mudgway M, et al. Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis. J Surg Res. 2023;295:567-573. doi:10.1016…
  6. psnet.ahrq.gov/issue/beyond-corrective-action-hierarchy-systems-approach-organizational-change
    March 10, 2021 - Commentary Beyond the corrective action hierarchy: a systems approach to organizational change. Citation Text: Wood LJ, Wiegmann DA. Beyond the corrective action hierarchy: a systems approach to organizational change. Int J Qual Health Care. 2020;32(7):438-444. doi:10.1093/intqhc/mzaa068…
  7. psnet.ahrq.gov/issue/systematic-review-behavioural-marker-systems-healthcare-what-do-we-know-about-their
    January 23, 2019 - Review A systematic review of behavioural marker systems in healthcare: what do we know about their attributes, validity and application? Citation Text: Dietz AS, Pronovost P, Benson KN, et al. A systematic review of behavioural marker systems in healthcare: what do we know about their a…
  8. psnet.ahrq.gov/issue/pediatric-surgical-errors-systematic-scoping-review
    August 17, 2022 - Review Pediatric surgical errors: a systematic scoping review. Citation Text: Marsh KM, Fleming MA, Turrentine FE, et al. Pediatric surgical errors: a systematic scoping review. J Pediatr Surg. 2022;57(4):616-621. doi:10.1016/j.jpedsurg.2021.07.019. Copy Citation Format: DO…
  9. psnet.ahrq.gov/issue/understanding-barriers-physician-error-reporting-and-disclosure-systemic-approach-systemic
    January 12, 2022 - Review Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem. Citation Text: Perez B, Knych SA, Weaver SJ, et al. Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem…
  10. psnet.ahrq.gov/issue/adverse-events-hospitalized-paediatric-patients-systematic-review-and-meta-regression
    February 25, 2015 - Review Adverse events in hospitalized paediatric patients: a systematic review and a meta-regression analysis. Citation Text: Berchialla P, Scaioli G, Passi S, et al. Adverse events in hospitalized paediatric patients: a systematic review and a meta-regression analysis. J Eval Clin Pract…
  11. psnet.ahrq.gov/issue/nurse-decision-making-prearrest-period
    July 29, 2020 - Study Nurse decision making in the prearrest period. Citation Text: Gazarian PK, Henneman EA, Chandler GE. Nurse decision making in the prearrest period. Clin Nurs Res. 2010;19(1):21-37. doi:10.1177/1054773809353161. Copy Citation Format: DOI Google Scholar PubMed BibTeX …
  12. psnet.ahrq.gov/issue/monitoring-adverse-drug-reactions-children-using-community-pharmacies-pilot-study
    July 01, 2017 - Study Monitoring adverse drug reactions in children using community pharmacies: a pilot study. Citation Text: Stewart D, Helms P, McCaig D, et al. Monitoring adverse drug reactions in children using community pharmacies: a pilot study. Br J Clin Pharmacol. 2005;59(6):677-83. Copy Cit…
  13. psnet.ahrq.gov/issue/hospital-deaths-patients-sepsis-2-independent-cohorts
    November 21, 2021 - Study Hospital deaths in patients with sepsis from 2 independent cohorts. Citation Text: Liu V, Escobar GJ, Greene JD, et al. Hospital deaths in patients with sepsis from 2 independent cohorts. JAMA. 2014;312(1):90-2. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…
  14. psnet.ahrq.gov/issue/medical-costs-alzheimers-disease-misdiagnosis-among-us-medicare-beneficiaries
    August 20, 2018 - Study Medical costs of Alzheimer's disease misdiagnosis among US Medicare beneficiaries. Citation Text: Hunter CA, Kirson NY, Desai U, et al. Medical costs of Alzheimer's disease misdiagnosis among US Medicare beneficiaries. Alzheimers Dement. 2015;11(8):887-95. doi:10.1016/j.jalz.2015.0…
  15. psnet.ahrq.gov/issue/gender-biases-and-diagnostic-delay-inflammatory-bowel-disease-multicenter-observational-study
    March 09, 2022 - Study Gender biases and diagnostic delay in inflammatory bowel disease: multicenter observational study. Citation Text: Sempere L, Bernabeu P, Cameo J, et al. Gender biases and diagnostic delay in inflammatory bowel disease: multicenter observational study. Inflamm Bowel Dis. 2023;29(12)…
  16. psnet.ahrq.gov/issue/dispensing-error-rates-pharmacy-systematic-review-and-meta-analysis
    June 10, 2020 - Review Dispensing error rates in pharmacy: a systematic review and meta-analysis. Citation Text: Um IS, Clough A, Tan ECK. Dispensing error rates in pharmacy: a systematic review and meta-analysis. Res Social Adm Pharm. 2024;20(1):1-9. doi:10.1016/j.sapharm.2023.10.003. Copy Citation …
  17. psnet.ahrq.gov/issue/medication-related-emergency-department-visits-and-hospital-admissions-pediatric-patients
    March 13, 2015 - Review Medication-related emergency department visits and hospital admissions in pediatric patients: a qualitative systematic review. Citation Text: Zed PJ, Haughn C, Black KJL, et al. Medication-related emergency department visits and hospital admissions in pediatric patients: a quali…
  18. psnet.ahrq.gov/issue/realistic-distractions-and-interruptions-impair-simulated-surgical-performance-novice
    August 04, 2021 - Study Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons. Citation Text: Feuerbacher RL, Funk KH, Spight DH, et al. Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons. Arch Surg. 2012;…
  19. psnet.ahrq.gov/issue/discrepancies-between-clinical-diagnoses-and-autopsy-findings-critically-ill-children
    January 12, 2022 - Study Discrepancies between clinical diagnoses and autopsy findings in critically ill children: a prospective study. Citation Text: Carlotti APCP, Bachette LG, Carmona F, et al. Discrepancies Between Clinical Diagnoses and Autopsy Findings in Critically Ill Children: A Prospective Study.…
  20. psnet.ahrq.gov/issue/drug-related-problems-older-people-after-hospital-discharge-and-interventions-reduce-them
    September 13, 2023 - Review Drug-related problems in older people after hospital discharge and interventions to reduce them. Citation Text: Garcia-Caballos M, Ramos-Diaz F, Jimenez-Moleon JJ, et al. Drug-related problems in older people after hospital discharge and interventions to reduce them. Age Ageing.…

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