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psnet.ahrq.gov/issue/suffering-silence-medical-error-and-its-impact-health-care-providers
December 12, 2014 - Review
Suffering in silence: medical error and its impact on health care providers.
Citation Text:
Robertson JJ, Long B. Suffering in Silence: Medical Error and its Impact on Health Care Providers. J Emerg Med. 2018;54(4). doi:10.1016/j.jemermed.2017.12.001.
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psnet.ahrq.gov/issue/curriculum-development-and-implementation-national-interprofessional-fellowship-patient
November 18, 2016 - Commentary
Curriculum development and implementation of a national interprofessional fellowship in patient safety.
Citation Text:
Watts B, Williams L, Mills PD, et al. Curriculum Development and Implementation of a National Interprofessional Fellowship in Patient Safety. J Patient Saf. 2…
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psnet.ahrq.gov/issue/outcomes-michigan-medicines-integrated-patient-safety-and-communication-and-resolution
April 24, 2018 - Study
Outcomes of Michigan Medicine's integrated patient safety and communication and resolution program, 2013–2022.
Citation Text:
Burney RE, Mckeown ES, Zhang Y, et al. Outcomes of Michigan Medicine's integrated patient safety and communication and resolution program, 2013–2022. J Pati…
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psnet.ahrq.gov/issue/staffing-teamwork-and-scope-practice-analysis-association-patient-safety-context
September 20, 2017 - Study
Staffing, teamwork and scope of practice: analysis of the association with patient safety in the context of rehabilitation.
Citation Text:
Jomaa C, Dubois C‐A, Caron I, et al. Staffing, teamwork and scope of practice: analysis of the association with patient safety in the context o…
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psnet.ahrq.gov/issue/family-caregiver-activation-transitions-fcat-tool-new-measure-family-caregiver-self-efficacy
September 10, 2014 - Study
The Family Caregiver Activation in Transitions (FCAT) tool: a new measure of family caregiver self-efficacy.
Citation Text:
Coleman EA, Ground KL, Maul A. The Family Caregiver Activation in Transitions (FCAT) Tool: A New Measure of Family Caregiver Self-Efficacy. Jt Comm J Qual Pat…
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psnet.ahrq.gov/issue/engaging-patients-improve-quality-care-systematic-review
May 26, 2021 - Review
Classic
Engaging patients to improve quality of care: a systematic review.
Citation Text:
Bombard Y, Baker R, Orlando E, et al. Engaging patients to improve quality of care: a systematic review. Implement Sci. 2018;13(1):98. doi:10.1186/s13012-018-0784-z.…
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psnet.ahrq.gov/issue/five-years-after-err-human-what-have-we-learned
March 18, 2019 - Commentary
Classic
Five years after 'To Err is Human': what have we learned?
Citation Text:
Leape L, Berwick DM. Five years after To Err Is Human: what have we learned? JAMA. 2005;293(19):2384-90.
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psnet.ahrq.gov/issue/horus-meets-nightingale-modern-age-how-nursing-communicates-pharmacy-hcit-era
July 10, 2008 - Study
Horus meets Nightingale in the modern age: how nursing communicates with pharmacy in HCIT era.
Citation Text:
Armstrong I, Cox MA. Horus meets Nightingale in the modern age: How nursing communicates with pharmacy in HCIT era. Stud Health Technol Inform. 2006;122:585-6.
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psnet.ahrq.gov/issue/quality-and-safety-considerations-intensity-modulated-radiation-therapy-astro-safety-white
October 30, 2024 - Organizational Policy/Guidelines
Quality and Safety Considerations in Intensity Modulated Radiation Therapy: An ASTRO Safety White Paper Update.
Citation Text:
Moran JM, Bazan JG, Dawes SL, et al. Quality and Safety Considerations in Intensity Modulated Radiation Therapy: An ASTRO Safety…
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psnet.ahrq.gov/issue/decreased-bile-duct-injury-rate-during-laparoscopic-cholecystectomy-era-80-hour-resident
March 17, 2021 - Study
Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident workweek.
Citation Text:
Yaghoubian A, Saltmarsh G, Rosing DK, et al. Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident work…
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psnet.ahrq.gov/issue/optimizing-graduate-medical-trainee-resident-hours-and-work-schedules-improve-patient-safety
July 05, 2008 - Book/Report
Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety.
Citation Text:
Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety. Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Gra…
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psnet.ahrq.gov/issue/attitude-everything-impact-workload-safety-climate-and-safety-tools-medical-errors-study
March 11, 2020 - Study
Attitude is everything?: The impact of workload, safety climate, and safety tools on medical errors: a study of intensive care units.
Citation Text:
Steyrer J, Schiffinger M, Huber C, et al. Attitude is everything? The impact of workload, safety climate, and safety tools on med…
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psnet.ahrq.gov/issue/deafening-silence-time-reconsider-whether-organisations-are-silent-or-deaf-when-things-go
August 24, 2016 - Commentary
Deafening silence? Time to reconsider whether organisations are silent or deaf when things go wrong.
Citation Text:
Jones A, Kelly D. Deafening silence? Time to reconsider whether organisations are silent or deaf when things go wrong. BMJ Qual Saf. 2014;23(9):709-13. doi:10.11…
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psnet.ahrq.gov/issue/staying-silent-about-safety-issues-conceptualizing-and-measuring-safety-silence-motives
August 28, 2019 - Study
Staying silent about safety issues: conceptualizing and measuring safety silence motives.
Citation Text:
Manapragada A, Bruk-Lee V. Staying silent about safety issues: Conceptualizing and measuring safety silence motives. Accid Anal Prev. 2016;91:144-56. doi:10.1016/j.aap.2016.02.0…
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psnet.ahrq.gov/issue/seips-101-and-seven-simple-seips-tools
October 03, 2013 - Commentary
SEIPS 101 and seven simple SEIPS tools.
Citation Text:
Holden RJ, Carayon P. SEIPS 101 and seven simple SEIPS tools. BMJ Qual Saf. 2021;30(11):901-910. doi:10.1136/bmjqs-2020-012538.
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psnet.ahrq.gov/issue/utilizing-quality-improvement-methods-prevent-falls-and-injury-falls-enhancing-resident
September 01, 2021 - Commentary
Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety in long-term care.
Citation Text:
MacLaurin A, McConnell H. Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety in long…
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psnet.ahrq.gov/issue/executivesenior-leader-checklist-improve-culture-and-reduce-central-line-associated
August 25, 2010 - Commentary
Executive/senior leader checklist to improve culture and reduce central line–associated bloodstream infections.
Citation Text:
Goeschel CA, Holzmueller CG, Berenholtz SM, et al. Executive/Senior Leader Checklist to improve culture and reduce central line-associated bloodstream…
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psnet.ahrq.gov/issue/impact-nursing-work-environments-patient-safety-outcomes-mediating-role-burnout-engagement
July 23, 2010 - Study
The impact of nursing work environments on patient safety outcomes: the mediating role of burnout engagement.
Citation Text:
Spence Laschinger HK, Leiter MP. The impact of nursing work environments on patient safety outcomes: the mediating role of burnout/engagement. J Nurs Adm. …
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psnet.ahrq.gov/issue/optimizing-patient-handoff-between-ems-and-emergency-department
April 24, 2018 - Study
Optimizing the patient handoff between EMS and the emergency department.
Citation Text:
Meisel ZF, Shea JA, Peacock NJ, et al. Optimizing the patient handoff between emergency medical services and the emergency department. Ann Emerg Med. 2015;65(3):310-317.e1. doi:10.1016/j.annemer…
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psnet.ahrq.gov/issue/observational-study-medication-administration-errors-old-age-psychiatric-inpatients
September 27, 2017 - Study
An observational study of medication administration errors in old-age psychiatric inpatients.
Citation Text:
Haw C, Stubbs J, Dickens G. An observational study of medication administration errors in old-age psychiatric inpatients. Int J Qual Health Care. 2007;19(4):210-6.
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