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  1. COVID-19: the dark side and the sunny side for patient safety. | PSNet

    psnet.ahrq.gov/issue/covid-19-dark-side-and-sunny-side-patient-safety
    August 05, 2020 - Commentary COVID-19: the dark side and the sunny side for patient safety. Citation Text: Wu AW, Sax H, Letaief M, et al. COVID-19: the dark side and the sunny side for patient safety. J Patient Saf Risk Manag. 2020;25(4):137-141. doi:10.1177/2516043520957116. Copy Citation Format: …

  2. A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges. | PSNet

    psnet.ahrq.gov/issue/scoping-review-adverse-incidents-research-aged-care-homes-learnings-gaps-and-challenges
    November 18, 2020 - Review A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges. Citation Text: St Clair B, Jorgensen M, Nguyen A, et al. A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges. Gerontol Geriatr Med. 20…

  3. How health systems decide to use artificial intelligence for clinical decision support. | PSNet

    psnet.ahrq.gov/issue/how-health-systems-decide-use-artificial-intelligence-clinical-decision-support
    March 30, 2022 - Study How health systems decide to use artificial intelligence for clinical decision support. Citation Text: Gonzalez-Smith J, Shen H, Singletary E, et al. How health systems decide to use artificial intelligence for clinical decision support. NEJM Catal Innov Care Deliv. 2022;3(4). doi:…

  4. Challenges and strategies for patient safety in primary care: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/challenges-and-strategies-patient-safety-primary-care-qualitative-study
    October 13, 2021 - Study Challenges and strategies for patient safety in primary care: a qualitative study. Citation Text: Yuan CT, Dy SM, Yuanhong Lai A, et al. Challenges and strategies for patient safety in primary care: a qualitative study. Am J Med Qual. 2022;37(5):379-387. doi:10.1097/jmq.00000000000…

  5. Effects of efforts to optimise morbidity and mortality rounds to serve contemporary quality improvement and educational goals: a systematic review. | PSNet

    psnet.ahrq.gov/issue/effects-efforts-optimise-morbidity-and-mortality-rounds-serve-contemporary-quality
    July 19, 2019 - Review Effects of efforts to optimise morbidity and mortality rounds to serve contemporary quality improvement and educational goals: a systematic review. Citation Text: Smaggus A, Mrkobrada M, Marson A, et al. Effects of efforts to optimise morbidity and mortality rounds to serve contem…

  6. Patient, carer and family experiences of seeking redress and reconciliation following a life-changing event: systematic review of qualitative evidence. | PSNet

    psnet.ahrq.gov/issue/patient-carer-and-family-experiences-seeking-redress-and-reconciliation-following-life
    April 24, 2018 - Review Patient, carer and family experiences of seeking redress and reconciliation following a life-changing event: systematic review of qualitative evidence. Citation Text: Shaw L, Lawal HM, Briscoe S, et al. Patient, carer and family experiences of seeking redress and reconciliation fo…

  7. Disclosing and reporting practice errors by nurses in residential long-term care settings: a systematic review. | PSNet

    psnet.ahrq.gov/issue/disclosing-and-reporting-practice-errors-nurses-residential-long-term-care-settings
    April 02, 2015 - Review Disclosing and reporting practice errors by nurses in residential long-term care settings: a systematic review. Citation Text: Vaismoradi M, Vizcaya-Moreno F, Jordan S, et al. Disclosing and reporting practice errors by nurses in residential long-term care settings: a systematic r…

  8. Clinical nurse competence and its effect on patient safety culture: a systematic review. | PSNet

    psnet.ahrq.gov/issue/clinical-nurse-competence-and-its-effect-patient-safety-culture-systematic-review
    March 22, 2023 - Review Clinical nurse competence and its effect on patient safety culture: a systematic review. Citation Text: Zaitoun RA, Said NB, de Tantillo L. Clinical nurse competence and its effect on patient safety culture: a systematic review. BMC Nurs. 2023;22(1):173. doi:10.1186/s12912-023-013…

  9. Understanding the clinical implications of resident involvement in uncommon operations. | PSNet

    psnet.ahrq.gov/issue/understanding-clinical-implications-resident-involvement-uncommon-operations
    October 26, 2022 - Study Understanding the clinical implications of resident involvement in uncommon operations. Citation Text: Dasani SS, Simmons KD, Wirtalla CJ, et al. Understanding the Clinical Implications of Resident Involvement in Uncommon Operations. J Surg Educ. 2019;76(5):1319-1328. doi:10.1016/j…

  10. Content analysis of nurses' reflections on medication errors in a regional hospital. | PSNet

    psnet.ahrq.gov/issue/content-analysis-nurses-reflections-medication-errors-regional-hospital
    December 23, 2020 - Study Content analysis of nurses' reflections on medication errors in a regional hospital. Citation Text: Issacs AN, RAYMOND A, KENT B. Content analysis of nurses’ reflections on medication errors in a regional hospital. Contemp Nurse. 2023;59(3):202-213. doi:10.1080/10376178.2023.222043…

  11. Postoperative sepsis in the United States. | PSNet

    psnet.ahrq.gov/issue/postoperative-sepsis-united-states
    January 12, 2022 - Study Postoperative sepsis in the United States. Citation Text: Vogel TR, Dombrovskiy VY, Carson JL, et al. Postoperative sepsis in the United States. Ann Surg. 2010;252(6):1065-71. doi:10.1097/SLA.0b013e3181dcf36e. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

  12. Incidence and severity of medication reconciliation discrepancies in trauma patients. | PSNet

    psnet.ahrq.gov/issue/incidence-and-severity-medication-reconciliation-discrepancies-trauma-patients
    October 19, 2022 - Study Incidence and severity of medication reconciliation discrepancies in trauma patients. Citation Text: Dunbar EG, Massey AC, Lee YL, et al. Incidence and severity of medication reconciliation discrepancies in trauma patients. Am Surg. 2023;89(7):3272-3274. doi:10.1177/000313482311616…

  13. Leading causes of anesthesia-related liability claims in ambulatory surgery centers. | PSNet

    psnet.ahrq.gov/issue/leading-causes-anesthesia-related-liability-claims-ambulatory-surgery-centers
    December 16, 2020 - Study Leading causes of anesthesia-related liability claims in ambulatory surgery centers. Citation Text: Ranum D, Beverly A, Shapiro FE, et al. Leading causes of anesthesia-related liability claims in ambulatory surgery centers. J Patient Saf. 2021;17(7):513-521. doi:10.1097/pts.0000000…

  14. Failure mode and effects analysis to reduce risk of heparin use. | PSNet

    psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-reduce-risk-heparin-use
    July 19, 2023 - Study Failure mode and effects analysis to reduce risk of heparin use. Citation Text: Pino FA, Weidemann DK, Schroeder LL, et al. Failure mode and effects analysis to reduce risk of heparin use. Am J Health Syst Pharm. 2019;76(23):1972-1979. doi:10.1093/ajhp/zxz229. Copy Citation F…

  15. Race differences in reported "near miss" patient safety events in health care system high reliability organizations. | PSNet

    psnet.ahrq.gov/issue/race-differences-reported-near-miss-patient-safety-events-health-care-system-high-reliability
    March 01, 2023 - Study Race differences in reported "near miss" patient safety events in health care system high reliability organizations. Citation Text: Thomas AD, Pandit C, Krevat S. Race differences in reported "near miss" patient safety events in health care system high reliability organizations. J …

  16. Evaluation of the contributions of an electronic web-based reporting system: enabling action. | PSNet

    psnet.ahrq.gov/issue/evaluation-contributions-electronic-web-based-reporting-system-enabling-action
    March 21, 2017 - Study Evaluation of the contributions of an electronic web-based reporting system: enabling action. Citation Text: Levtzion-Korach O, Alcalai H, Orav EJ, et al. Evaluation of the contributions of an electronic web-based reporting system: enabling action. J Patient Saf. 2009;52(1):9-15.…

  17. A multifaceted approach to safety: the synergistic detection of adverse drug events in adult inpatients. | PSNet

    psnet.ahrq.gov/issue/multifaceted-approach-safety-synergistic-detection-adverse-drug-events-adult-inpatients
    April 11, 2011 - Study A multifaceted approach to safety: the synergistic detection of adverse drug events in adult inpatients. Citation Text: Ferranti JM, Horvath MM, Cozart H, et al. A Multifaceted Approach to Safety. J Patient Saf. 2008;4(3):184-190. doi:10.1097/pts.0b013e318184a9d5. Copy Citation…

  18. Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. | PSNet

    psnet.ahrq.gov/issue/navigating-ship-broken-compass-evaluating-standard-algorithms-measure-patient-safety
    January 23, 2017 - Study Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. Citation Text: Hefner JL, Huerta T, McAlearney AS, et al. Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. J Am Med Inform Assoc. 201…

  19. High risk prescribing in primary care patients particularly vulnerable to adverse drug events: cross sectional population database analysis in Scottish general practice. | PSNet

    psnet.ahrq.gov/issue/high-risk-prescribing-primary-care-patients-particularly-vulnerable-adverse-drug-events-cross
    February 15, 2017 - Study High risk prescribing in primary care patients particularly vulnerable to adverse drug events: cross sectional population database analysis in Scottish general practice. Citation Text: Guthrie B, McCowan C, Davey P, et al. High risk prescribing in primary care patients particular…

  20. Incident reporting practices in the preanalytical phase: low reported frequencies in the primary health care setting. | PSNet

    psnet.ahrq.gov/issue/incident-reporting-practices-preanalytical-phase-low-reported-frequencies-primary-health-care
    February 18, 2009 - Study Incident reporting practices in the preanalytical phase: low reported frequencies in the primary health care setting. Citation Text: Söderberg J, Grankvist K, Brulin C, et al. Incident reporting practices in the preanalytical phase: Low reported frequencies in the primary health …
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