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psnet.ahrq.gov/issue/factors-influencing-reporting-medication-errors-and-near-misses-among-nurses-systematic-mixed
April 23, 2014 - Review
Factors influencing the reporting of medication errors and near misses among nurses: a systematic mixed methods review.
Citation Text:
Braiki R, Douville F, Gagnon M‐P. Factors influencing the reporting of medication errors and near misses among nurses: a systematic mixed methods …
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psnet.ahrq.gov/issue/supporting-nursing-midwifery-and-allied-health-professional-students-raise-concerns-quality
November 26, 2014 - Review
Supporting nursing, midwifery and allied health professional students to raise concerns with the quality of care: a review of the research literature.
Citation Text:
Milligan F, Wareing M, Preston-Shoot M, et al. "Supporting nursing, midwifery and allied health professional studen…
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psnet.ahrq.gov/issue/clinician-well-being-assessment-and-interventions-joint-commission-accredited-hospitals-and
June 07, 2023 - Study
Clinician well-being assessment and interventions in Joint Commission-accredited hospitals and federally qualified health centers.
Citation Text:
Longo BA, Schmaltz SP, Williams SC, et al. Clinician well-being assessment and interventions in Joint Commission-accredited hospitals an…
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psnet.ahrq.gov/issue/changes-hospital-adverse-events-and-patient-outcomes-associated-private-equity-acquisition
July 12, 2023 - Study
Changes in hospital adverse events and patient outcomes associated with private equity acquisition.
Citation Text:
Kannan S, Bruch JD, Song Z. Changes in hospital adverse events and patient outcomes associated with private equity acquisition. JAMA. 2023;330(24):2365-2375. doi:10.10…
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psnet.ahrq.gov/issue/learning-patient-safety-incidents-green-cross-method
June 14, 2023 - Study
Learning from patient safety incidents: The Green Cross method.
Citation Text:
Jacobsen HK, Ballangrud R, Birkeli GH. Learning from patient safety incidents: the Green Cross method. Nurs Crit Care. 2024;Epub Jun 26. doi:10.1111/nicc.13114.
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psnet.ahrq.gov/issue/insurance-claims-wrong-side-wrong-organ-wrong-procedure-or-wrong-person-surgical-errors
October 20, 2021 - Study
Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective study for 10 years.
Citation Text:
Vacheron C-H, Acker A, Autran M, et al. Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors:…
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psnet.ahrq.gov/issue/assessment-incorrect-surgical-procedures-within-and-outside-operating-room-follow-study-us
October 24, 2018 - Study
Assessment of incorrect surgical procedures within and outside the operating room. A follow-up study from US Veterans Health Administration medical centers.
Citation Text:
Neily J, Soncrant C, Mills PD, et al. Assessment of Incorrect Surgical Procedures Within and Outside the Opera…
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psnet.ahrq.gov/issue/common-general-surgical-never-events-analysis-nhs-england-never-event-data
April 14, 2021 - Study
Common general surgical never events: analysis of NHS England never event data.
Citation Text:
Omar I, Singhal R, Wilson M, et al. Common general surgical never events: analysis of NHS England never event data. Int J Qual Health Care. 2021;33(1):mzab045. doi:10.1093/intqhc/mzab045.…
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psnet.ahrq.gov/issue/quantification-hawthorne-effect-hand-hygiene-compliance-monitoring-using-electronic
July 29, 2020 - Study
Classic
Quantification of the Hawthorne effect in hand hygiene compliance monitoring using an electronic monitoring system: a retrospective cohort study.
Citation Text:
Srigley JA, Furness CD, Baker R, et al. Quantification of the Hawthorne effect in hand …
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psnet.ahrq.gov/issue/registration-associated-patient-misidentification-academic-medical-center-causes-and
September 02, 2020 - Study
Registration-associated patient misidentification in an academic medical center: causes and corrections.
Citation Text:
Bittle MJ, Charache P, Wassilchalk DM. Registration-associated patient misidentification in an academic medical center: causes and corrections. Jt Comm J Qual Pat…
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psnet.ahrq.gov/issue/medication-errors-outpatient-setting-classification-and-root-cause-analysis
December 16, 2020 - Study
Medication errors in the outpatient setting: classification and root cause analysis.
Citation Text:
Friedman AL, Geoghegan SR, Sowers NM, et al. Medication errors in the outpatient setting: classification and root cause analysis. Arch Surg. 2007;142(3):278-83; discussion 284.
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psnet.ahrq.gov/issue/using-incident-reports-assess-communication-failures-and-patient-outcomes
February 06, 2019 - Study
Using incident reports to assess communication failures and patient outcomes.
Citation Text:
Umberfield E, Ghaferi AA, Krein SL, et al. Using Incident Reports to Assess Communication Failures and Patient Outcomes. Jt Comm J Qual Patient Saf. 2019;45(6):406-413. doi:10.1016/j.jcjq.2…
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psnet.ahrq.gov/issue/analysis-hospital-level-readmission-rates-and-variation-adverse-events-among-patients
August 25, 2021 - Study
Analysis of hospital-level readmission rates and variation in adverse events among patients with pneumonia in the United States.
Citation Text:
Wang Y, Eldridge N, Metersky ML, et al. Analysis of hospital-level readmission rates and variation in adverse events among patients with p…
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psnet.ahrq.gov/issue/estimating-attributable-cost-physician-burnout-united-states
June 01, 2022 - Study
Estimating the attributable cost of physician burnout in the United States.
Citation Text:
Han S, Shanafelt TD, Sinsky CA, et al. Estimating the Attributable Cost of Physician Burnout in the United States. Ann Intern Med. 2019;170(11):784-790. doi:10.7326/M18-1422.
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psnet.ahrq.gov/issue/physicians-experiences-mistreatment-and-discrimination-patients-families-and-visitors-and
October 26, 2022 - Study
Physicians' experiences with mistreatment and discrimination by patients, families, and visitors and association with burnout.
Citation Text:
Dyrbye LN, West CP, Sinsky CA, et al. Physicians' experiences with mistreatment and discrimination by patients, families, and visitors and a…
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psnet.ahrq.gov/issue/incidence-and-root-cause-analysis-wrong-site-pain-management-procedures-multicenter-study
April 29, 2020 - Study
Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study.
Citation Text:
Cohen SP, Hayek SM, Datta S, et al. Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. Anesthesiology. 2010;112(3):711-8. d…
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psnet.ahrq.gov/issue/crisis-recovery-surgery-error-management-and-problem-solving-safety-critical-situations
November 30, 2022 - Study
Crisis recovery in surgery: error management and problem solving in safety-critical situations.
Citation Text:
Gogalniceanu P, Kunduzi B, Ruckley C, et al. Crisis recovery in surgery: error management and problem solving in safety-critical situations. Surgery. 2022;172(2):537-545. …
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psnet.ahrq.gov/issue/impact-surgical-count-technology-retained-surgical-items-rates-veterans-health-administration
January 17, 2019 - Study
The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration.
Citation Text:
Gunnar W, Soncrant C, Lynn MM, et al. The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration. J Pat…
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psnet.ahrq.gov/issue/how-can-never-event-data-be-used-reflect-or-improve-hospital-safety-performance
March 30, 2022 - Study
How can never event data be used to reflect or improve hospital safety performance?
Citation Text:
Olivarius‐McAllister J, Pandit M, Sykes A, et al. How can never event data be used to reflect or improve hospital safety performance? Anaesthesia. 2021;76(12):1616-1624. doi:10.1111/a…
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psnet.ahrq.gov/issue/using-safety-ii-and-resilient-healthcare-principles-learn-never-events
February 20, 2019 - Study
Using Safety-II and resilient healthcare principles to learn from Never Events.
Citation Text:
Anderson JE, Watt AJ. Using Safety-II and resilient healthcare principles to learn from Never Events. Int J Qual Health Care. 2020;32(3):196-203. doi:10.1093/intqhc/mzaa009.
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