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psnet.ahrq.gov/node/845072/psn-pdf
February 22, 2023 - A systems analysis of work-related violence in hospitals:
stakeholders, contributory factors, and leverage points.
February 22, 2023
Salmon PM, Coventon L, Read GJM. A systems analysis of work-related violence in hospitals:
stakeholders, contributory factors, and leverage points. Safety Sci. 2022;156:105899.
doi:1…
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psnet.ahrq.gov/node/41607/psn-pdf
January 03, 2017 - Using a risk assessment approach to determine which
factors influence whether partially bilingual physicians
rely on their non-English language skills or call an
interpreter.
January 3, 2017
Maul L, Regenstein M, Andres E, et al. Using a risk assessment approach to determine which factors
influence whether partia…
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psnet.ahrq.gov/node/34055/psn-pdf
March 07, 2005 - What is driving hospitals' patient-safety efforts?
March 7, 2005
Devers KJ, Pham HH, Liu G. What is driving hospitals' patient-safety efforts? Health Aff (Millwood).
2004;23(2):103-15.
https://psnet.ahrq.gov/issue/what-driving-hospitals-patient-safety-efforts
This study evaluated the role professionalism, regulati…
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psnet.ahrq.gov/node/850352/psn-pdf
June 14, 2023 - Stigmatizing language expressed towards individuals
with current or previous OUD who have pain and cancer:
a qualitative study.
June 14, 2023
Sedney CL, Dekeseredy P, Singh SA, et al. Stigmatizing language expressed towards individuals with
current or previous OUD who have pain and cancer: a qualitative study. J P…
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psnet.ahrq.gov/node/44120/psn-pdf
November 06, 2015 - Designing highly reliable adverse-event detection
systems to predict subsequent claims.
November 6, 2015
Helmchen LA, Burke ME, Wojtusiak J. Designing highly reliable adverse-event detection systems to predict
subsequent claims. J Healthc Risk Manag. 2015;34(4):7-17. doi:10.1002/jhrm.21167.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/60872/psn-pdf
September 02, 2020 - How incident reporting systems can stimulate social and
participative learning: a mixed-methods study.
September 2, 2020
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). 2020;124(8):834-841.
doi:10.1016/…
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psnet.ahrq.gov/node/846150/psn-pdf
March 15, 2023 - Patient and health care professional perspectives on
stigma in integrated behavioral health: barriers and
recommendations.
March 15, 2023
Phelan SM, Salinas M, Pankey T, et al. Patient and health care professional perspectives on stigma in
integrated behavioral health: barriers and recommendations. Ann Fam Med. 20…
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psnet.ahrq.gov/node/74135/psn-pdf
December 01, 2021 - Communication regarding adverse neonatal birth events:
experiences of parents and clinicians.
December 1, 2021
Loren DL, Lyerly AD, Lipira L, et al. Communication regarding adverse neonatal birth events: experiences
of parents and clinicians. J Patient Saf Risk Manag. 2021;26(5):200-206.
doi:10.1177/25160435211017…
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psnet.ahrq.gov/node/865704/psn-pdf
May 01, 2024 - Supporting error management and safety climate in
ambulatory care practices: the CIRSforte study.
May 1, 2024
Müller BS, Lüttel D, Schütze D, et al. Supporting error management and safety climate in ambulatory care
practices: the CIRSforte study. J Patient Saf. 2024;20(5):314-322. doi:10.1097/pts.0000000000001225.
…
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psnet.ahrq.gov/node/47096/psn-pdf
November 14, 2018 - An analysis of adverse events in the rehabilitation
department: using the Veterans Affairs root cause
analysis system.
November 14, 2018
Hagley GW, Mills PD, Shiner B, et al. An Analysis of Adverse Events in the Rehabilitation Department:
Using the Veterans Affairs Root Cause Analysis System. Phys Ther. 2018;98(4)…
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psnet.ahrq.gov/node/46045/psn-pdf
December 22, 2018 - Validating domains of patient contextual factors essential
to preventing contextual errors: a qualitative study
conducted at Chicago area Veterans Health
Administration sites.
December 22, 2018
Binns-Calvey AE, Malhiot A, Kostovich CT, et al. Validating Domains of Patient Contextual Factors
Essential to Preventin…
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psnet.ahrq.gov/node/852455/psn-pdf
August 16, 2023 - A quality improvement initiative to improve pediatric
discharge medication safety and efficiency.
August 16, 2023
Ring LM, Cinotti J, Hom LA, et al. A quality improvement initiative to improve pediatric discharge
medication safety and efficiency. Pediatr Qual Saf. 2023;8(4):e671. doi:10.1097/pq9.0000000000000671.
…
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psnet.ahrq.gov/node/843411/psn-pdf
February 01, 2023 - Sustaining improvement of hospital-wide initiative for
patient safety and quality: a systematic scoping review.
February 1, 2023
Moon SEJ, Hogden A, Eljiz K. Sustaining improvement of hospital-wide initiative for patient safety and
quality: a systematic scoping review. BMJ Open Qual. 2022;11(4):e002057. doi:10.1136…
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psnet.ahrq.gov/node/838013/psn-pdf
September 07, 2022 - Using the Global Trigger Tool in surgical and
neurosurgical patients: a feasibility study.
September 7, 2022
Brösterhaus M, Hammer A, Gruber R, et al. Using the Global Trigger Tool in surgical and neurosurgical
patients: a feasibility study. PLoS ONE. 2022;17(8):e0272853. doi:10.1371/journal.pone.0272853.
https://…
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psnet.ahrq.gov/node/46953/psn-pdf
September 12, 2018 - An integrative review exploring the perceptions of
patients and healthcare professionals towards patient
involvement in promoting hand hygiene compliance in the
hospital setting.
September 12, 2018
Alzyood M, Jackson D, Brooke J, et al. An integrative review exploring the perceptions of patients and
healthcare pr…
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psnet.ahrq.gov/node/851449/psn-pdf
July 19, 2023 - Perceived disability-based discrimination in health care
for children with medical complexity.
July 19, 2023
Ames SG, Delaney RK, Houtrow AJ, et al. Perceived disability-based discrimination in health care for
children with medical complexity. Pediatrics. 2023;152(1):e2022060975. doi:10.1542/peds.2022-060975.
http…
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psnet.ahrq.gov/node/48020/psn-pdf
July 17, 2019 - 'I think this medicine actually killed my wife': patient and
family perspectives on shared decision-making to
optimize medications and safety.
July 17, 2019
Mangin D, Risdon C, Lamarche L, et al. 'I think this medicine actually killed my wife': patient and family
perspectives on shared decision-making to optimize …
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psnet.ahrq.gov/node/43387/psn-pdf
August 20, 2014 - The occurrence of adverse events potentially attributable
to nursing care in medical units: cross sectional record
review.
August 20, 2014
D'Amour D, Dubois C-A, Tchouaket E, et al. The occurrence of adverse events potentially attributable to
nursing care in medical units: cross sectional record review. Int J Nurs…
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psnet.ahrq.gov/node/42449/psn-pdf
July 31, 2013 - The epidemiology of malpractice claims in primary care: a
systematic review.
July 31, 2013
Wallace E, Lowry J, Smith SM, et al. The epidemiology of malpractice claims in primary care: a systematic
review. BMJ Open. 2013;3(7). doi:10.1136/bmjopen-2013-002929.
https://psnet.ahrq.gov/issue/epidemiology-malpractice-cl…
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psnet.ahrq.gov/node/73418/psn-pdf
June 23, 2021 - Evaluation of older persons' medications: a critical
incident technique study exploring healthcare
professionals' experiences and actions.
June 23, 2021
Holmqvist M, Thor J, Ros A, et al. Evaluation of older persons’ medications: a critical incident technique
study exploring healthcare professionals’ experiences a…