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psnet.ahrq.gov/issue/putting-out-fires-qualitative-study-exploring-use-patient-complaints-drive-improvement-three
October 27, 2021 - Study
Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at three academic hospitals.
Citation Text:
Liu JJ, Rotteau L, Bell CM, et al. Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at …
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psnet.ahrq.gov/issue/post-discharge-adverse-events-among-african-american-and-caucasian-patients-urban-community
January 18, 2023 - Study
Post-discharge adverse events among African American and Caucasian patients of an urban community hospital.
Citation Text:
Costello WG, Zhang L, Schnipper JL, et al. Post-discharge adverse events among African American and Caucasian patients of an urban community hospital. J Racial…
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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.
Co…
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psnet.ahrq.gov/issue/handshake-antimicrobial-stewardship-model-recognize-and-prevent-diagnostic-errors
September 29, 2021 - Study
Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors.
Citation Text:
Searns JB, Williams MC, MacBrayne CE, et al. Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors. Diagnosis (Berl). 2021;8(3):347-352. doi…
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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/barcode-medication-administration-technology-use-hospital-practice-mixed-methods
December 07, 2022 - Study
Barcode medication administration technology use in hospital practice: a mixed-methods observational study of policy deviations.
Citation Text:
Mulac A, Mathiesen L, Taxis K, et al. Barcode medication administration technology use in hospital practice: a mixed-methods observational…
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psnet.ahrq.gov/issue/effect-interventions-improve-safety-culture-healthcare-workers-hospital-settings-systematic
September 06, 2023 - Review
Effect of interventions to improve safety culture on healthcare workers in hospital settings: a systematic review of the international literature.
Citation Text:
Finn M, Walsh A, Rafter N, et al. Effect of interventions to improve safety culture on healthcare workers in hospital s…
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psnet.ahrq.gov/issue/implementation-discharge-education-program-improve-transitions-care-patients-high-risk
January 12, 2022 - Study
Implementation of a discharge education program to improve transitions of care for patients at high risk of medication errors.
Citation Text:
Crannage AJ, Hennessey EK, Challen LM, et al. . Implementation of a discharge education program to improve transitions of care for patients …
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psnet.ahrq.gov/issue/sign-out-snapshot-cross-sectional-evaluation-written-sign-outs-among-specialties
November 20, 2013 - Study
Sign-out snapshot: cross-sectional evaluation of written sign-outs among specialties.
Citation Text:
Schoenfeld AR, Al-Damluji MS, Horwitz LI. Sign-out snapshot: cross-sectional evaluation of written sign-outs among specialties. BMJ Qual Saf. 2014;23(1):66-72. doi:10.1136/bmjqs-20…
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psnet.ahrq.gov/issue/patient-safety-culture-space-social-struggle-understanding-infection-prevention-practice-and
November 30, 2022 - Study
Patient safety culture as a space of social struggle: understanding infection prevention practice and patient safety culture within hospital isolation settings - a qualitative study.
Citation Text:
Hunt J, Gammon J, Williams S, et al. Patient safety culture as a space of social str…
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psnet.ahrq.gov/issue/rates-surgical-consultations-after-emergency-department-admission-black-and-white-medicare
February 10, 2021 - Study
Rates of surgical consultations after emergency department admission in Black and White Medicare patients.
Citation Text:
Roberts SE, Rosen CB, Keele LJ, et al. Rates of surgical consultations after emergency department admission in Black and White Medicare patients. JAMA Surg. 202…
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psnet.ahrq.gov/issue/challenges-and-potential-solutions-patient-safety-infectious-agent-isolation-environment
October 27, 2021 - Study
Challenges and potential solutions for patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports across 94 hospitals
Citation Text:
Taylor M, Reynolds C, Jones RM. Challenges and potential solutions for patient safety in an infectiou…
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psnet.ahrq.gov/issue/impact-covid-19-response-central-line-associated-bloodstream-infections-and-blood-culture
February 07, 2022 - Study
The impact of COVID-19 response on central line associated bloodstream infections and blood culture contamination rates at a tertiary care center in greater Detroit area.
Citation Text:
LeRose J, Sandhu A, Polistico J, et al. The impact of COVID-19 response on central line associat…
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psnet.ahrq.gov/issue/how-might-health-services-capture-patient-reported-safety-concerns-hospital-setting
July 21, 2017 - Study
How might health services capture patient-reported safety concerns in a hospital setting? An exploratory pilot study of three mechanisms.
Citation Text:
O'Hara JK, Armitage G, Reynolds C, et al. How might health services capture patient-reported safety concerns in a hospital settin…
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psnet.ahrq.gov/issue/reasons-bias-ambulance-clinicians-assessments-non-conveyed-patients-mixed-methods-study
January 26, 2022 - Study
Reasons for bias in ambulance clinicians' assessments of non-conveyed patients: a mixed-methods study.
Citation Text:
Johansson H, Lundgren K, Hagiwara MA. Reasons for bias in ambulance clinicians’ assessments of non-conveyed patients: a mixed-methods study. BMC Emerg Med. 2022;22(…
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psnet.ahrq.gov/issue/support-opportunities-second-victims-lessons-learned-qualitative-study-top-20-us-news-and
May 19, 2021 - Study
Support opportunities for second victims lessons learned: a qualitative study of the top 20 US News and World Report Honor Roll Hospitals.
Citation Text:
Marr R, Goyal A, Quinn M, et al. Support opportunities for second victims lessons learned: a qualitative study of the top 20 US …
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psnet.ahrq.gov/issue/decreased-incidence-cesarean-surgical-site-infection-rate-hospital-wide-perioperative-bundle
September 08, 2021 - Study
Decreased incidence of cesarean surgical site infection rate with hospital-wide perioperative bundle.
Citation Text:
Sood N, Lee RE, To JK, et al. Decreased incidence of cesarean surgical site infection rate with hospital‐wide perioperative bundle. Birth. 2022;49(1):141-146. doi:10…
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psnet.ahrq.gov/issue/patient-safety-inpatient-mental-health-settings-systematic-review
November 13, 2019 - Review
Emerging Classic
Patient safety in inpatient mental health settings: a systematic review.
Citation Text:
Thibaut BI, Dewa LH, Ramtale SC, et al. Patient safety in inpatient mental health settings: a systematic review. BMJ Open. 2019;9(12):e030230. doi:10.…
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psnet.ahrq.gov/issue/descriptive-analysis-patient-misidentification-incident-report-system-data-large-academic
August 24, 2022 - Study
Descriptive analysis of patient misidentification from incident report system data in a large academic hospital federation.
Citation Text:
Abraham P, Augey L, Duclos A, et al. Descriptive analysis of patient misidentification from incident report system data in a large academic hos…
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psnet.ahrq.gov/issue/influence-external-assessment-quality-and-safety-surgery-qualitative-study-surgeons
June 28, 2023 - Study
Influence of external assessment on quality and safety in surgery: a qualitative study of surgeons' perspectives.
Citation Text:
Øyri SF, Wiig S, Tjomsland O. Influence of external assessment on quality and safety in surgery: a qualitative study of surgeons’ perspectives. BMJ Open …