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psnet.ahrq.gov/issue/rise-exploring-volunteer-retention-and-sustainability-second-victim-support-program
April 21, 2021 - Study
RISE: exploring volunteer retention and sustainability of a second victim support program.
Citation Text:
Connors C, Dukhanin V, Norvell M, et al. RISE: Exploring Volunteer Retention and Sustainability of a Second Victim Support Program. J Healthc Manag. 2021;66(1):19-32. doi:10.10…
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psnet.ahrq.gov/issue/vulnerability-medical-product-supply-chain-wake-call-covid-19
December 02, 2020 - Commentary
Emerging Classic
Vulnerability of the medical product supply chain: the wake-up call of COVID-19.
Citation Text:
Miller FA, Young SB, Dobrow M, et al. Vulnerability of the medical product supply chain: the wake-up call of COVID-19. BMJ Qual Saf. 2020;…
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psnet.ahrq.gov/issue/systematic-literature-review-and-narrative-synthesis-risks-medical-discharge-letters-patients
June 26, 2019 - Review
Emerging Classic
A systematic literature review and narrative synthesis on the risks of medical discharge letters for patients' safety.
Citation Text:
Schwarz CM, Hoffmann M, Schwarz P, et al. A systematic literature review and narrative synthesis on the …
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psnet.ahrq.gov/issue/approaches-improving-patient-safety-integrated-care-scoping-review
May 18, 2022 - Review
Approaches to improving patient safety in integrated care: a scoping review.
Citation Text:
Lalani M, Wytrykowski S, Hogan H. Approaches to improving patient safety in integrated care: a scoping review. BMJ Open. 2023;13(4):e067441. doi:10.1136/bmjopen-2022-067441.
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psnet.ahrq.gov/issue/quality-and-patient-safety-metrics-developing-structured-program-improving-patient-care
April 22, 2011 - Study
Quality and patient safety metrics: developing a structured program for improving patient care in the Department of Medicine at The Ottawa Hospital.
Citation Text:
Hasimja-Saraqini D, McNeill K, Kuk H, et al. Quality and patient safety metrics: developing a structured program for i…
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psnet.ahrq.gov/issue/understanding-informal-aspects-medication-processes-maintain-patient-safety-hospitals
March 06, 2024 - Study
Understanding the informal aspects of medication processes to maintain patient safety in hospitals: a sociotechnical ethnographic study in paediatric units.
Citation Text:
Sutherland AB, Phipps DL, Grant S, et al. Understanding the informal aspects of medication processes to mainta…
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psnet.ahrq.gov/issue/development-and-evaluation-checklist-support-decision-making-cancer-multidisciplinary-team
September 25, 2011 - Study
Development and evaluation of a checklist to support decision making in cancer multidisciplinary team meetings: MDT-QuIC.
Citation Text:
Lamb BW, Sevdalis N, Vincent C, et al. Development and evaluation of a checklist to support decision making in cancer multidisciplinary team me…
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psnet.ahrq.gov/issue/measuring-harm-and-informing-quality-improvement-welsh-nhs-longitudinal-welsh-national
October 12, 2016 - Book/Report
Measuring harm and informing quality improvement in the Welsh NHS: the longitudinal Welsh national adverse events study.
Citation Text:
Mayor S, Baines E, Vincent CA, et al. Measuring Harm And Informing Quality Improvement In The Welsh Nhs: The Longitudinal Welsh National Adv…
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psnet.ahrq.gov/issue/how-differences-between-manager-and-clinician-perceptions-safety-culture-impact-hospital
December 21, 2018 - Study
How differences between manager and clinician perceptions of safety culture impact hospital processes of care.
Citation Text:
Richter J, Mazurenko O, Kazley AS, et al. How Differences Between Manager and Clinician Perceptions of Safety Culture Impact Hospital Processes of Care. J P…
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psnet.ahrq.gov/issue/drug-related-problem-outcomes-and-program-satisfaction-comprehensive-brown-bag-medication
September 23, 2020 - Review
Drug-related-problem outcomes and program satisfaction from a comprehensive brown bag medication review.
Citation Text:
O'Connell MB, Chang F, Tocco A, et al. Drug-Related-Problem Outcomes and Program Satisfaction from a Comprehensive Brown Bag Medication Review. J Am Geriatr Soc.…
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psnet.ahrq.gov/issue/do-healthcare-professionals-work-around-safety-standards-and-should-we-be-worried-scoping
December 21, 2016 - Review
Do healthcare professionals work around safety standards, and should we be worried? A scoping review.
Citation Text:
Clark D, Lawton R, Baxter R, et al. Do healthcare professionals work around safety standards, and should we be worried? A scoping review. BMJ Qual Saf. 2024;Epub Se…
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psnet.ahrq.gov/issue/addressing-mistreatment-providers-patients-and-family-members-patient-safety-event
March 30, 2022 - Study
Addressing mistreatment of providers by patients and family members as a patient safety event.
Citation Text:
Hatfield M, Ciaburri R, Shaikh H, et al. Addressing mistreatment of providers by patients and family members as a patient safety event. Hosp Pediatr. 2022;12(2):181-190. do…
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psnet.ahrq.gov/issue/lessons-learned-reducing-negative-impact-adverse-events-patients-health-professionals-and
September 19, 2016 - Study
Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations.
Citation Text:
Mira JJ, Lorenzo S, Carrillo I, et al. Lessons learned for reducing the negative impact of adverse events on patients, health profession…
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psnet.ahrq.gov/issue/development-and-implementation-subcutaneous-insulin-pen-label-bar-code-scanning-protocol
October 19, 2022 - Study
Development and implementation of a subcutaneous insulin pen label bar code scanning protocol to prevent wrong-patient insulin pen errors.
Citation Text:
MacMaster HW, Gonzalez S, Maruoka A, et al. Development and Implementation of a Subcutaneous Insulin Pen Label Bar Code Scanning…
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psnet.ahrq.gov/issue/medication-reconciliation-process-and-classification-discrepancies-systematic-review
May 03, 2023 - Review
The medication reconciliation process and classification of discrepancies: a systematic review.
Citation Text:
Almanasreh E, Moles R, Chen TF. The medication reconciliation process and classification of discrepancies: a systematic review. Br J Clin Pharmacol. 2016;82(3):645-658. d…
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psnet.ahrq.gov/issue/reduction-hospital-wide-clinical-laboratory-specimen-identification-errors-following-process
August 26, 2011 - Study
Reduction in hospital-wide clinical laboratory specimen identification errors following process interventions: a 10-year retrospective observational study.
Citation Text:
Ning H-C, Lin C-N, Chiu DT-Y, et al. Reduction in Hospital-Wide Clinical Laboratory Specimen Identification Err…
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psnet.ahrq.gov/issue/hospitalisation-medication-misadventures-among-older-adults-and-without-dementia-5-year
August 18, 2021 - Study
Hospitalisation for medication misadventures among older adults with and without dementia: a 5-year retrospective study.
Citation Text:
Mullan J, Burns P, Mohanan L, et al. Hospitalisation for medication misadventures among older adults with and without dementia: A 5-year retrospec…
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psnet.ahrq.gov/issue/randomised-controlled-trial-effect-continuous-electronic-physiological-monitoring-adverse
August 04, 2021 - Study
A randomised controlled trial of the effect of continuous electronic physiological monitoring on the adverse event rate in high risk medical and surgical patients.
Citation Text:
Watkinson PJ, Barber VS, Price JD, et al. A randomised controlled trial of the effect of continuous e…
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psnet.ahrq.gov/issue/safety-huddles-proactively-identify-and-address-electronic-health-record-safety
January 23, 2019 - Study
Safety huddles to proactively identify and address electronic health record safety.
Citation Text:
Menon S, Singh H, Giardina TD, et al. Safety huddles to proactively identify and address electronic health record safety. J Am Med Inform Assoc. 2017;24(2):261-267. doi:10.1093/jamia/…
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psnet.ahrq.gov/issue/more-1-million-potential-second-victims-how-many-could-nursing-education-prevent
May 30, 2018 - Study
More than 1 million potential second victims: how many could nursing education prevent?
Citation Text:
Jones JH, Treiber LA. More Than 1 Million Potential Second Victims: How Many Could Nursing Education Prevent? Nurs Edu. 2018;43(3):154-157. doi:10.1097/NNE.0000000000000437.
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