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psnet.ahrq.gov/issue/observational-study-how-patients-are-identified-medication-administrations-medical-and
June 24, 2020 - Study
An observational study of how patients are identified before medication administrations in medical and surgical wards.
Citation Text:
Härkänen M, Kervinen M, Ahonen J, et al. An observational study of how patients are identified before medication administrations in medical and surg…
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psnet.ahrq.gov/issue/empowering-patients-and-reducing-inequities-there-potential-sharing-clinical-notes
June 05, 2019 - Commentary
Empowering patients and reducing inequities: is there potential in sharing clinical notes?
Citation Text:
Blease CR, Fernandez L, Bell SK, et al. Empowering patients and reducing inequities: is there potential in sharing clinical notes? BMJ Qual Saf. 2020;29(10):864–868. doi:1…
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psnet.ahrq.gov/issue/patients-perspectives-quality-and-patient-safety-failures-lessons-learned-inquiry
September 28, 2017 - Study
Patients' perspectives on quality and patient safety failures: lessons learned from an inquiry into transvaginal mesh in Australia.
Citation Text:
Motamedi M, Degeling C, M. Carter S. Patients’ perspectives on quality and patient safety failures: lessons learned from an inquiry int…
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psnet.ahrq.gov/issue/racial-bias-cesarean-decision-making
June 02, 2019 - Study
Racial bias in cesarean decision-making.
Citation Text:
Edwards SE, Class QA, Ford CE, et al. Racial bias in cesarean decision-making. Am J Obstet Gynecol MFM. 2023;5(5):100927. doi:10.1016/j.ajogmf.2023.100927.
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psnet.ahrq.gov/issue/assessing-resident-and-attending-error-and-adverse-events-emergency-department
November 25, 2020 - Study
Assessing resident and attending error and adverse events in the emergency department.
Citation Text:
Adler JL, Gurley K, Rosen CL, et al. Assessing resident and attending error and adverse events in the emergency department. Am J Emerg Med. 2022;54:228-231. doi:10.1016/j.ajem.2022…
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psnet.ahrq.gov/issue/patient-led-training-patient-safety-pilot-study-test-feasibility-and-acceptability
April 24, 2017 - Study
Patient-led training on patient safety: a pilot study to test the feasibility and acceptability of an educational intervention.
Citation Text:
Jha V, Winterbottom A, Symons J, et al. Patient-led training on patient safety: a pilot study to test the feasibility and acceptability …
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psnet.ahrq.gov/issue/novel-approach-assessing-bias-during-team-based-clinical-decision-making
April 10, 2024 - Study
A novel approach for assessing bias during team-based clinical decision-making.
Citation Text:
Pool N, Hebdon M, de Groot E, et al. A novel approach for assessing bias during team-based clinical decision-making. Front in Public Health. 2023;11:1014773. doi:10.3389/fpubh.2023.101477…
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psnet.ahrq.gov/issue/patient-safety-incidents-home-hospice-care-experiences-hospice-interdisciplinary-team-members
February 15, 2011 - Study
Patient safety incidents in home hospice care: the experiences of hospice interdisciplinary team members.
Citation Text:
Smucker DR, Regan S, Elder NC, et al. Patient safety incidents in home hospice care: the experiences of hospice interdisciplinary team members. J Palliat Med. 20…
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psnet.ahrq.gov/issue/checklist-address-implicit-bias-healthcare-settings-during-covid-19-pandemic-place-strategy
July 07, 2021 - Commentary
A checklist to address implicit bias in healthcare settings during the COVID-19 pandemic: The PLACE Strategy.
Citation Text:
Galiatsatos P, O'Conor KJ, Wilson C, et al. A checklist to address implicit bias in healthcare settings during the COVID-19 pandemic: The PLACE Strategy…
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psnet.ahrq.gov/issue/prospective-observational-study-physician-handoff-intensive-care-unit-ward-patient-transfers
October 08, 2013 - Study
A prospective observational study of physician handoff for intensive-care-unit-to-ward patient transfers.
Citation Text:
Li P, Stelfox HT, Ghali WA. A Prospective Observational Study of Physician Handoff for Intensive-Care-Unit-to-Ward Patient Transfers. Am J Med. 2011;124(9). do…
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psnet.ahrq.gov/issue/covid-19-pandemic-time-collaboration-and-unified-global-health-front
December 09, 2020 - Commentary
COVID-19 pandemic: a time for collaboration and a unified global health front.
Citation Text:
Vervoort D, Ma X, Luc JGY. COVID-19 pandemic: a time for collaboration and a unified global health front. Int J Qual Health Care. 2021;33(1):mzaa065. doi:10.1093/intqhc/mzaa065.
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psnet.ahrq.gov/issue/hospital-inpatient-falls-across-clinical-departments
September 15, 2021 - Study
Hospital inpatient falls across clinical departments.
Citation Text:
Mikos M, Banas T, Czerw A, et al. Hospital inpatient falls across clinical departments. Int J Environ Res Public Health. 2021;18(15):8167. doi:10.3390/ijerph18158167.
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psnet.ahrq.gov/issue/using-snowball-sampling-method-nurses-understand-medication-administration-errors
August 02, 2011 - Study
Using snowball sampling method with nurses to understand medication administration errors.
Citation Text:
Sheu S-J, Wei I-L, Chen C-H, et al. Using snowball sampling method with nurses to understand medication administration errors. J Clin Nurs. 2009;18(4):559-69. doi:10.1111/j.1…
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psnet.ahrq.gov/issue/medication-errors-overweight-and-obese-pediatric-patients-systematic-review
December 09, 2020 - Review
Medication errors in overweight and obese pediatric patients: a systematic review.
Citation Text:
Procaccini D, Kim JM, Lobner K, et al. Medication errors in overweight and obese pediatric patients: a systematic review. Jt Comm J Qual Patient Saf. 2022;48(3):154-164. doi:10.1016/j…
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psnet.ahrq.gov/issue/interventions-prevent-falls-older-adults-updated-evidence-report-and-systematic-review-us
November 14, 2018 - Review
Interventions to prevent falls in older adults: updated evidence report and systematic review for the US Preventive Services Task Force.
Citation Text:
Guirguis-Blake JM, Perdue LA, Coppola EL, et al. Interventions to prevent falls in older adults: updated evidence report and syst…
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psnet.ahrq.gov/issue/long-term-impacts-faced-patients-and-families-after-harmful-healthcare-events
December 01, 2021 - Study
Long-term impacts faced by patients and families after harmful healthcare events.
Citation Text:
Ottosen MJ, Sedlock E, Aigbe AO, et al. Long-term impacts faced by patients and families after harmful healthcare events. J Patient Saf. 2021;17(8):e1145-e1151. doi:10.1097/pts.00000000…
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psnet.ahrq.gov/issue/human-right-based-approach-dealing-adverse-events-residential-care-facilities
May 27, 2011 - Study
A human right-based approach to dealing with adverse events in residential care facilities.
Citation Text:
McGrane N, Behan L, Keyes LM. A human right-based approach to dealing with adverse events in residential care facilities. Health Hum Rights. 2024;26(1):115-128.
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psnet.ahrq.gov/issue/adolescents-identifying-errors-and-omissions-their-electronic-health-records-national-survey
December 08, 2021 - Study
Adolescents identifying errors and omissions in their electronic health records: a national survey.
Citation Text:
Hagström J, Blease CR, Kharko A, et al. Adolescents identifying errors and omissions in their electronic health records: a national survey. Stud Health Technol Inform.…
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psnet.ahrq.gov/issue/engaging-patients-use-real-time-electronic-clinical-data-improve-safety-and-reliability-their
March 16, 2022 - Study
Engaging patients in the use of real-time electronic clinical data to improve the safety and reliability of their own care.
Citation Text:
Schnock KO, Roulier S, Butler J, et al. Engaging patients in the use of real-time electronic clinical data to improve the safety and reliabilit…
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psnet.ahrq.gov/issue/sepsis-alert-systems-mortality-and-adherence-emergency-departments-systematic-review-and-meta
September 06, 2017 - Review
Sepsis alert systems, mortality, and adherence in emergency departments: a systematic review and meta-analysis.
Citation Text:
Kim H-J, Ko R-E, Lim SY, et al. Sepsis alert systems, mortality, and adherence in emergency departments: a systematic review and meta-analysis. JAMA Netw …