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  1. psnet.ahrq.gov/issue/barriers-and-facilitators-improving-patient-safety-learning-systems-systematic-review
    October 16, 2024 - Review Barriers and facilitators to improving patient safety learning systems: a systematic review of qualitative studies and meta-synthesis. Citation Text: Mahmoud HA, Thavorn K, Mulpuru S, et al. Barriers and facilitators to improving patient safety learning systems: a systematic revie…
  2. psnet.ahrq.gov/issue/qualitative-perspectives-emergency-nurses-electronic-health-record-behavioral-flags-promote
    January 25, 2023 - Study Qualitative perspectives of emergency nurses on electronic health record behavioral flags to promote workplace safety. Citation Text: Seeburger EF, Gonzales R, South EC, et al. Qualitative perspectives of emergency nurses on electronic health record behavioral flags to promote work…
  3. psnet.ahrq.gov/issue/learning-high-risk-industries-may-not-be-straightforward-qualitative-study-hierarchy-risk
    September 11, 2019 - Study Classic Learning from high risk industries may not be straightforward: a qualitative study of the hierarchy of risk controls approach in healthcare. Citation Text: Liberati EG, Peerally MF, Dixon-Woods M. Learning from high risk industries may not be strai…
  4. psnet.ahrq.gov/issue/patient-and-consumer-safety-risks-when-using-conversational-assistants-medical-information
    December 15, 2021 - Study Patient and consumer safety risks when using conversational assistants for medical information: an observational study of Siri, Alexa, and Google Assistant. Citation Text: Bickmore TW, Trinh H, Olafsson S, et al. Patient and consumer safety risks when using conversational assistant…
  5. psnet.ahrq.gov/issue/examining-relationship-all-cause-harm-patient-safety-measure-and-critical-performance
    May 19, 2018 - Study Examining the relationship of an all-cause harm patient safety measure and critical performance measures at the frontline of care. Citation Text: Sammer C, Hauck L, Jones C, et al. Examining the Relationship of an All-Cause Harm Patient Safety Measure and Critical Performance Measu…
  6. psnet.ahrq.gov/issue/involving-patients-and-carers-patient-safety-primary-care-qualitative-study-co-designed
    February 22, 2023 - Study Involving patients and carers in patient safety in primary care: a qualitative study of a co-designed patient safety guide. Citation Text: Morris RL, Giles SJ, Campbell S. Involving patients and carers in patient safety in primary care: a qualitative study of a co‐designed patient …
  7. psnet.ahrq.gov/issue/cross-sectional-study-relationship-between-utilization-root-cause-analysis-and-patient-safety
    January 11, 2017 - Study A cross-sectional study on the relationship between utilization of root cause analysis and patient safety at 139 Department of Veterans Affairs medical centers. Citation Text: Percarpio KB, Watts V. A cross-sectional study on the relationship between utilization of root cause ana…
  8. psnet.ahrq.gov/issue/descriptive-study-morbidity-and-mortality-conferences-and-their-conformity-medical-incident
    September 28, 2010 - Study A descriptive study of morbidity and mortality conferences and their conformity to medical incident analysis models: results of the morbidity and mortality conference improvement study, phase 1. Citation Text: Aboumatar HJ, Blackledge CG, Dickson C, et al. A descriptive study of …
  9. psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis-chemotherapy-preparation-process
    March 09, 2022 - Study Healthcare failure mode and effect analysis in the chemotherapy preparation process. Citation Text: Pueyo-López C, Sánchez-Cuervo M, Vélez-Díaz-Pallarés M, et al. Healthcare failure mode and effect analysis in the chemotherapy preparation process. J Oncol Pharm Pract. 2021;27(7):15…
  10. psnet.ahrq.gov/issue/implementing-robust-process-improvement-program-neonatal-intensive-care-unit-reduce-harm
    March 23, 2022 - Study Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm. Citation Text: Nether KG, Thomas EJ, Khan A, et al. Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm. J Healthc Qual. 2022;44(1)…
  11. psnet.ahrq.gov/issue/electronic-medical-record-based-interventions-encourage-opioid-prescribing-best-practices
    September 01, 2021 - Study Electronic medical record-based interventions to encourage opioid prescribing best practices in the emergency department. Citation Text: Smalley CM, Willner MA, Muir MKR, et al. Electronic medical record-based interventions to encourage opioid prescribing best practices in the emer…
  12. psnet.ahrq.gov/issue/nurse-workarounds-electronic-health-record-integrative-review
    November 18, 2020 - Review Nurse workarounds in the electronic health record: an integrative review. Citation Text: Fraczkowski D, Matson J, Lopez KD. Nurse workarounds in the electronic health record: an integrative review. J Am Med Inform Assoc. 2020;27(7):1149-1165. doi:10.1093/jamia/ocaa050. Copy Cita…
  13. psnet.ahrq.gov/issue/are-parents-who-feel-need-watch-over-their-childrens-care-better-patient-safety-partners
    July 22, 2013 - Study Are parents who feel the need to watch over their children's care better patient safety partners? Citation Text: Cox E, Hansen K, Rajamanickam VP, et al. Are Parents Who Feel the Need to Watch Over Their Children's Care Better Patient Safety Partners? Hosp Pediatr. 2017;7(12):716-7…
  14. psnet.ahrq.gov/issue/testimonial-injustice-linguistic-bias-medical-records-black-patients-and-women
    July 28, 2021 - Study Testimonial injustice: linguistic bias in the medical records of black patients and women. Citation Text: Beach MC, Saha S, Park J, et al. Testimonial injustice: linguistic bias in the medical records of black patients and women. J Gen Intern Med. 2021;36(6):1708-1714. doi:10.1007/…
  15. psnet.ahrq.gov/issue/we-want-know-mixed-methods-evaluation-comprehensive-program-designed-detect-and-address
    October 17, 2018 - Study We Want to Know-a mixed methods evaluation of a comprehensive program designed to detect and address patient-reported breakdowns in care. Citation Text: Fisher KA, Smith KM, Gallagher TH, et al. We Want to Know-a mixed methods evaluation of a comprehensive program designed to detec…
  16. psnet.ahrq.gov/issue/development-measure-patient-safety-event-learning-responses
    June 28, 2010 - Study Development of a measure of patient safety event learning responses. Citation Text: Ginsburg LR, Chuang Y-T, Norton PG, et al. Development of a measure of patient safety event learning responses. Health Serv Res. 2009;44(6):2123-47. doi:10.1111/j.1475-6773.2009.01021.x. Copy Ci…
  17. psnet.ahrq.gov/issue/framework-evaluating-appropriateness-clinical-decision-support-alerts-and-responses
    March 21, 2017 - Study A framework for evaluating the appropriateness of clinical decision support alerts and responses. Citation Text: McCoy AB, Waitman LR, Lewis JB, et al. A framework for evaluating the appropriateness of clinical decision support alerts and responses. J Am Med Inform Assoc. 2012;19…
  18. psnet.ahrq.gov/issue/how-incident-reporting-systems-can-stimulate-social-and-participative-learning-mixed-methods
    November 04, 2020 - Study How incident reporting systems can stimulate social and participative learning: a mixed-methods study. Citation Text: de Kam D, Kok J, Grit K, et al. How incident reporting systems can stimulate social and participative learning: a mixed-methods study. Health Policy (New York). 202…
  19. psnet.ahrq.gov/issue/impact-pharmacist-led-admission-medication-reconciliation-patient-outcomes-large-health
    March 17, 2010 - Study Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large health system. Citation Text: Kramer JS, Hayley Burgess L, Warren C, et al. Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large health system. J Patie…
  20. psnet.ahrq.gov/issue/components-pharmacist-led-medication-reviews-and-their-relationship-outcomes-systematic
    November 16, 2022 - Review Components of pharmacist-led medication reviews and their relationship to outcomes: a systematic review and narrative synthesis. Citation Text: Craske ME, Hardeman W, Steel N, et al. Components of pharmacist-led medication reviews and their relationship to outcomes: a systematic r…

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