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psnet.ahrq.gov/issue/sociocultural-factors-influencing-incident-reporting-among-physicians-and-nurses
May 18, 2016 - Study
Sociocultural factors influencing incident reporting among physicians and nurses: understanding frames underlying self- and peer-reporting practices.
Citation Text:
Hewitt T, Chreim S, Forster AJ. Sociocultural Factors Influencing Incident Reporting Among Physicians and Nurses: Und…
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psnet.ahrq.gov/issue/nurses-response-parents-speaking-efforts-ensure-their-hospitalized-childs-safety-attribution
May 13, 2020 - Study
Nurses' response to parents' 'speaking-up' efforts to ensure their hospitalized child's safety: an attribution theory perspective.
Citation Text:
Bsharat S, Drach-Zahavy A. Nurses' response to parents' 'speaking-up' efforts to ensure their hospitalized child's safety: an attributio…
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psnet.ahrq.gov/issue/harvey-cushings-open-and-thorough-documentation-surgical-mishaps-dawn-neurologic-surgery
November 16, 2022 - Study
Harvey Cushing's open and thorough documentation of surgical mishaps at the dawn of neurologic surgery.
Citation Text:
Latimer K, Pendleton C, Olivi A, et al. Harvey Cushing's open and thorough documentation of surgical mishaps at the dawn of neurologic surgery. Arch Surg. 2011;1…
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psnet.ahrq.gov/issue/hassle-dispensary-pilot-study-proactive-risk-monitoring-tool-organisational-learning-based
January 21, 2015 - Study
Hassle in the dispensary: pilot study of a proactive risk monitoring tool for organisational learning based on narratives and staff perceptions.
Citation Text:
Sujan M-A, Ingram C, McConkey T, et al. Hassle in the dispensary: pilot study of a proactive risk monitoring tool for or…
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psnet.ahrq.gov/issue/review-current-evidence-base-significant-event-analysis
October 14, 2009 - Review
A review of the current evidence base for significant event analysis.
Citation Text:
Bowie P, Pope L, Lough M. A review of the current evidence base for significant event analysis. J Eval Clin Pract. 2008;14(4):520-36. doi:10.1111/j.1365-2753.2007.00908.x.
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psnet.ahrq.gov/issue/responding-serious-medical-error-general-practice-consequences-gps-involved-analysis-75-cases
June 19, 2019 - Study
Responding to serious medical error in general practice—consequences for the GPs involved: analysis of 75 cases from Germany.
Citation Text:
Fisseni G, Pentzek M, Abholz H-H. Responding to serious medical error in general practice--consequences for the GPs involved: analysis of 7…
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psnet.ahrq.gov/issue/case-adverse-drug-reaction-induced-dispensing-error
August 17, 2022 - Commentary
A case of adverse drug reaction induced by dispensing error.
Citation Text:
Gallelli L, Staltari O, Palleria C, et al. A case of adverse drug reaction induced by dispensing error. J Forensic Leg Med. 2012;19(8):497-8. doi:10.1016/j.jflm.2012.04.026.
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psnet.ahrq.gov/issue/jama-professionalism-disclosure-medical-error
December 19, 2018 - Commentary
JAMA professionalism: disclosure of medical error.
Citation Text:
Levinson W, Yeung J, Ginsburg S. Disclosure of Medical Error. JAMA. 2016;316(7):764-5. doi:10.1001/jama.2016.9136.
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psnet.ahrq.gov/issue/pilot-study-examining-undesirable-events-among-emergency-department-boarded-patients-awaiting
August 04, 2021 - Study
A pilot study examining undesirable events among emergency department–boarded patients awaiting inpatient beds.
Citation Text:
Liu SW, Thomas SH, Gordon JA, et al. A pilot study examining undesirable events among emergency department-boarded patients awaiting inpatient beds. Ann E…
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psnet.ahrq.gov/issue/clinical-handovers-between-prehospital-and-hospital-staff-literature-review
March 23, 2022 - Review
Clinical handovers between prehospital and hospital staff: literature review.
Citation Text:
Wood K, Crouch R, Rowland E, et al. Clinical handovers between prehospital and hospital staff: literature review. Emerg Med J. 2015;32(7):577-581. doi:10.1136/emermed-2013-203165.
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psnet.ahrq.gov/issue/now-time-routinely-ask-patients-about-safety
March 08, 2023 - Commentary
Now is the time to routinely ask patients about safety.
Citation Text:
Gandhi TK. Now Is the Time to Routinely Ask Patients About Safety. Jt Comm J Qual Patient Saf. 2023;49(4):235-236. doi:10.1016/j.jcjq.2023.01.009.
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psnet.ahrq.gov/issue/error-disclosure-and-family-members-reactions-does-type-error-really-matter
March 08, 2023 - Study
Error disclosure and family members' reactions: does the type of error really matter?
Citation Text:
Leone D, Lamiani G, Vegni E, et al. Error disclosure and family members' reactions: does the type of error really matter? Patient Educ Couns. 2015;98(4):446-52. doi:10.1016/j.pec.20…
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psnet.ahrq.gov/issue/teaching-medical-error-apologies-development-multi-component-intervention
August 04, 2021 - Study
Teaching medical error apologies: development of a multi-component intervention.
Citation Text:
Gillies RA, Speers SH, Young SE, et al. Teaching medical error apologies: development of a multi-component intervention. Fam Med. 2011;43(6):400-6.
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psnet.ahrq.gov/issue/attitudes-and-barriers-incident-reporting-collaborative-hospital-study
June 15, 2011 - Study
Attitudes and barriers to incident reporting: a collaborative hospital study.
Citation Text:
Evans SM, Berry JG, Smith BJ, et al. Attitudes and barriers to incident reporting: a collaborative hospital study. Qual Saf Health Care. 2006;15(1):39-43.
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psnet.ahrq.gov/issue/value-gentle-reminder-safe-medical-behaviour
August 26, 2011 - Study
The value of 'gentle reminder' on safe medical behaviour.
Citation Text:
Erev I, Rodensky D, Levi M-A, et al. The value of 'gentle reminder' on safe medical behaviour. Qual Saf Health Care. 2010;19(5):e49. doi:10.1136/qshc.2009.032763.
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psnet.ahrq.gov/issue/preventing-mistransfusions-evaluation-institutional-knowledge-and-response
June 06, 2018 - Study
Preventing mistransfusions: an evaluation of institutional knowledge and a response.
Citation Text:
MacDougall N, Dong F, Broussard L, et al. Preventing Mistransfusions: An Evaluation of Institutional Knowledge and a Response. Anesth Analg. 2018;126(1):247-251. doi:10.1213/ANE.0000…
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psnet.ahrq.gov/issue/comprehensive-obstetrics-patient-safety-program-improves-safety-climate-and-culture
October 20, 2014 - Study
A comprehensive obstetrics patient safety program improves safety climate and culture.
Citation Text:
Pettker CM, Thung SF, Raab CA, et al. A comprehensive obstetrics patient safety program improves safety climate and culture. Am J Obstet Gynecol. 2011;204(3):216.e1-6. doi:10.1016/…
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psnet.ahrq.gov/issue/feeling-unsafe-healthcare-setting-patients-perspectives
June 11, 2014 - Review
Feeling unsafe in the healthcare setting: patients' perspectives.
Citation Text:
Kenward L, Whiffin C, Spalek B. Feeling unsafe in the healthcare setting: patients' perspectives. Br J Nurs. 2017;26(3):143-149. doi:10.12968/bjon.2017.26.3.143.
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psnet.ahrq.gov/issue/implementation-adoption-and-scaling-workgroup-landscape-assessment-use-artificial
December 01, 2017 - Book/Report
Implementation, Adoption, and Scaling Workgroup: Landscape Assessment on the Use of Artificial Intelligence to Scale PC CDS.
Citation Text:
Kawamoto K, Greysen SR, Heaney-Huls K, et al. Implementation, Adoption, And Scaling Workgroup: Landscape Assessment On The Use Of Artifi…
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psnet.ahrq.gov/issue/improving-team-members-attention-during-or-briefing-or-time-out
November 10, 2021 - Study
Improving team members' attention during the OR briefing or time out.
Citation Text:
Braverman A. Improving team members' attention during the OR briefing or time out. AORN Journal. 2024;119(6):421-427. doi:10.1002/aorn.14144.
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