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psnet.ahrq.gov/issue/identifying-risk-use-tumor-markers-improve-patient-safety
March 09, 2022 - Study
Identifying risk in the use of tumor markers to improve patient safety.
Citation Text:
Moreno-Campoy EE, De la Torre FJM-, Martos-Crespo F, et al. Identifying risk in the use of tumor markers to improve patient safety. Clin Chem Lab Med. 2016;54(12):1947-1953. doi:10.1515/cclm-2015…
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psnet.ahrq.gov/issue/suffering-silence-qualitative-study-second-victims-adverse-events
February 03, 2021 - Study
Suffering in silence: a qualitative study of second victims of adverse events.
Citation Text:
Ullström S, Sachs MA, Hansson J, et al. Suffering in silence: a qualitative study of second victims of adverse events. BMJ Qual Saf. 2014;23(4):325-331. doi:10.1136/bmjqs-2013-002035.
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psnet.ahrq.gov/issue/room-resilience-qualitative-study-about-accountability-mechanisms-relation-between-work-done
August 31, 2022 - Study
Room for resilience: a qualitative study about accountability mechanisms in the relation between work-as-done (WAD) and work-as-imagined (WAI) in hospitals.
Citation Text:
Weenink J-W, Tresfon J, van de Voort I, et al. Room for resilience: a qualitative study about accountability m…
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psnet.ahrq.gov/issue/surgery-itself-risk-factor-patient
November 18, 2020 - Study
Surgery is in itself a risk factor for the patient.
Citation Text:
Aranaz-Ostáriz V, Gea-Velázquez De Castro MT, López-Rodríguez-Arias F, et al. Surgery is in itself a risk factor for the patient. Int J Environ Res Public Health. 2022;19(8):4761. doi:10.3390/ijerph19084761.
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psnet.ahrq.gov/issue/ethical-issues-patient-safety-research-systematic-review-literature
April 21, 2021 - Review
Ethical issues in patient safety research: a systematic review of the literature.
Citation Text:
Whicher DM, Kass NE, Audera-Lopez C, et al. Ethical issues in patient safety research: a systematic review of the literature. J Patient Saf. 2015;11(3):174-184. doi:10.1097/PTS.0000000…
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psnet.ahrq.gov/issue/system-wide-approach-explaining-variation-potentially-avoidable-emergency-admissions-national
November 25, 2020 - Study
A system-wide approach to explaining variation in potentially avoidable emergency admissions: national ecological study.
Citation Text:
O'Cathain A, Knowles E, Maheswaran R, et al. A system-wide approach to explaining variation in potentially avoidable emergency admissions: nation…
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psnet.ahrq.gov/issue/concordance-hospital-ranks-and-category-ratings-using-current-technical-specification-us
September 29, 2018 - Study
Concordance of hospital ranks and category ratings using the current technical specification of US Hospital Star Ratings and reasonable alternative specifications.
Citation Text:
Barclay ME, Dixon-Woods M, Lyratzopoulos G. Concordance of hospital ranks and category ratings using th…
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psnet.ahrq.gov/issue/differences-donor-heart-acceptance-race-and-gender-patients-transplant-waiting-list
January 12, 2022 - Study
Differences in donor heart acceptance by race and gender of patients on the transplant waiting list.
Citation Text:
Breathett K, Knapp SM, Lewsey SC, et al. Differences in donor heart acceptance by race and gender of patients on the transplant waiting list. JAMA. 2024;331(16):1379-…
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psnet.ahrq.gov/issue/systematic-review-nurses-safety-attitudes-and-their-impact-patient-outcomes-acute-care
December 16, 2020 - Review
Systematic review: nurses' safety attitudes and their impact on patient outcomes in acute-care hospitals.
Citation Text:
Alanazi FK, Sim J, Lapkin S. Systematic review: nurses' safety attitudes and their impact on patient outcomes in acute-care hospitals. Nurs Open. 2022;9(1):30-4…
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psnet.ahrq.gov/issue/implementing-and-evaluating-patient-focused-safety-technology-adult-acute-mental-health-wards
April 06, 2022 - Study
Implementing and evaluating patient-focused safety technology on adult acute mental health wards.
Citation Text:
Kendal S, Louch G, Walker L, et al. Implementing and evaluating patient‐focused safety technology on adult acute mental health wards. J Psychiatr Ment Health Nurs. 2024;…
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psnet.ahrq.gov/issue/improving-patient-family-and-clinician-experience-after-harmful-events-when-things-go-wrong
July 01, 2020 - Study
Improving the patient, family, and clinician experience after harmful events: the "When Things Go Wrong" curriculum.
Citation Text:
Bell SK, Moorman D, Delbanco T. Improving the patient, family, and clinician experience after harmful events: the "when things go wrong" curriculum. A…
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psnet.ahrq.gov/issue/comparison-hospital-adverse-events-identified-three-widely-used-detection-methods
January 04, 2012 - Study
A comparison of hospital adverse events identified by three widely used detection methods.
Citation Text:
Naessens JM, Campbell CR, Huddleston JM, et al. A comparison of hospital adverse events identified by three widely used detection methods. Int J Qual Health Care. 2009;21(4):…
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psnet.ahrq.gov/issue/assessment-potentially-inappropriate-prescribing-opioid-analgesics-requiring-prior-opioid
October 19, 2022 - Study
Assessment of potentially inappropriate prescribing of opioid analgesics requiring prior opioid tolerance.
Citation Text:
Jeffery MM, Chaisson CE, Hane C, et al. Assessment of potentially inappropriate prescribing of opioid analgesics requiring prior opioid tolerance. JAMA Netw Ope…
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psnet.ahrq.gov/issue/computerized-order-entry-limited-decision-support-prevent-prescription-errors-picu
January 31, 2018 - Study
Computerized order entry with limited decision support to prevent prescription errors in a PICU.
Citation Text:
Kadmon G, Bron-Harlev E, Nahum E, et al. Computerized order entry with limited decision support to prevent prescription errors in a PICU. Pediatrics. 2009;124(3):935-94…
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psnet.ahrq.gov/issue/structural-racism-60-year-old-black-woman-breast-cancer
December 17, 2020 - Commentary
Emerging Classic
Structural racism--a 60-year-old black woman with breast cancer.
Citation Text:
Pallok K, De Maio F, Ansell DA. Structural racism--a 60-year-old black woman with breast cancer. N Engl J Med. 2019;380(16):1489-1493. doi:10.1056/nejmp18…
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psnet.ahrq.gov/issue/patient-characteristics-and-occurrence-never-events
February 15, 2011 - Study
Patient characteristics and the occurrence of never events.
Citation Text:
Fry DE, Pine M, Jones BL, et al. Patient characteristics and the occurrence of never events. Arch Surg. 2010;145(2):148-51. doi:10.1001/archsurg.2009.277.
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psnet.ahrq.gov/issue/raising-barcode-improving-medication-safety-behaviours-through-behavioural-science-informed
November 01, 2023 - Study
Raising the barcode: improving medication safety behaviours through a behavioural science-informed feedback intervention. A quality improvement project and difference-in-difference analysis.
Citation Text:
Grailey K, Brazier A, Franklin BD, et al. Raising the barcode: improving med…
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psnet.ahrq.gov/issue/simulation-based-event-analysis-improves-error-discovery-and-generates-improved-strategies
July 07, 2021 - Study
Simulation-based event analysis improves error discovery and generates improved strategies for error prevention.
Citation Text:
Lobos A-T, Ward N, Farion KJ, et al. Simulation-based event analysis improves error discovery and generates improved strategies for error prevention. Simu…
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psnet.ahrq.gov/issue/surgical-specimen-management-descriptive-study-648-adverse-events-and-near-misses
December 22, 2021 - Study
Surgical specimen management: a descriptive study of 648 adverse events and near misses.
Citation Text:
Steelman VM, Williams TL, Szekendi MK, et al. Surgical specimen management: a descriptive study of 648 adverse events and near misses. Arch Pathol Lab Med. 2016;140(12):1390-1396…
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psnet.ahrq.gov/issue/opioid-prescribing-us-children-and-young-adults-2019
September 30, 2020 - Study
Opioid prescribing to US children and young adults in 2019.
Citation Text:
Chua K-P, Brummett CM, Conti RM, et al. Opioid prescribing to US children and young adults in 2019. Pediatrics. 2021;148(3):e2021051539. doi:10.1542/peds.2021-051539.
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