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psnet.ahrq.gov/issue/improving-patient-safety-icu-prospective-identification-missing-safety-barriers-using-bow-tie
February 14, 2024 - Study
Improving patient safety in the ICU by prospective identification of missing safety barriers using the Bow-Tie prospective risk analysis model.
Citation Text:
Kerckhoffs MC, van der Sluijs AF, Binnekade JM, et al. Improving Patient Safety in the ICU by Prospective Identification o…
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psnet.ahrq.gov/issue/accuracy-proprietary-large-language-model-labeling-obstetric-incident-reports
September 23, 2020 - Study
Accuracy of a proprietary large language model in labeling obstetric incident reports.
Citation Text:
Johnson J, Brown C, Lee GM, et al. Accuracy of a proprietary large language model in labeling obstetric incident reports. Jt Comm J Qual Patient Saf. 2024;50(12):877-881. doi:10.10…
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psnet.ahrq.gov/issue/applicability-healthcare-failure-mode-and-effects-analysis-healthcare-epidemiology-evaluation
October 19, 2022 - Study
Applicability of Healthcare Failure Mode and Effects Analysis to healthcare epidemiology: evaluation of the sterilization and use of surgical instruments.
Citation Text:
Weinstein RA, Linkin DR, Sausman C, et al. Applicability of Healthcare Failure Mode and Effects Analysis to Heal…
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psnet.ahrq.gov/issue/nurses-second-victims-their-patients-suicidal-attempts-mixed-method-study
October 20, 2021 - Study
Nurses as 'second victims' to their patients' suicidal attempts: a mixed-method study.
Citation Text:
Amit Aharon A, Fariba M, Shoshana F, et al. Nurses as ‘second victims’ to their patients’ suicidal attempts: a mixed‐method study. J Clin Nurs. 2021;30(21-22):3290-3300. doi:10.111…
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psnet.ahrq.gov/issue/high-delayed-and-missed-injury-rate-after-inter-hospital-transfer-severely-injured-trauma
December 02, 2020 - Study
High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients.
Citation Text:
Hensgens RL, El Moumni M, IJpma FFA, et al. High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients. Eur J Trauma Emer…
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psnet.ahrq.gov/issue/medication-safety-amid-technological-change-usability-evaluation-inform-inpatient-nurses
March 22, 2023 - Study
Medication safety amid technological change: usability evaluation to inform inpatient nurses' electronic health record system transition.
Citation Text:
Reale C, Ariosto DA, Weinger MB, et al. Medication safety amid technological change: usability evaluation to inform inpatient nur…
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psnet.ahrq.gov/issue/getting-whole-story-integrating-patient-complaints-and-staff-reports-unsafe-care
January 12, 2022 - Study
Getting the whole story: integrating patient complaints and staff reports of unsafe care.
Citation Text:
van Dael J, Gillespie A, Reader TW, et al. Getting the whole story: Integrating patient complaints and staff reports of unsafe care. J Health Serv Res Policy. 2022;27(1):41-49. …
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psnet.ahrq.gov/issue/comparison-hospital-adverse-events-identified-three-widely-used-detection-methods
January 04, 2012 - Study
A comparison of hospital adverse events identified by three widely used detection methods.
Citation Text:
Naessens JM, Campbell CR, Huddleston JM, et al. A comparison of hospital adverse events identified by three widely used detection methods. Int J Qual Health Care. 2009;21(4):…
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psnet.ahrq.gov/issue/sitters-patient-safety-strategy-reduce-hospital-falls-systematic-review
March 08, 2023 - Review
Sitters as a patient safety strategy to reduce hospital falls: a systematic review.
Citation Text:
Greeley AM, Tanner EP, Mak S, et al. Sitters as a Patient Safety Strategy to Reduce Hospital Falls. Ann Intern Med. 2020;172(5):317-324. doi:10.7326/m19-2628.
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psnet.ahrq.gov/issue/peers-without-fears-barriers-effective-communication-among-primary-care-physicians-and
October 27, 2021 - Study
Peers without fears? Barriers to effective communication among primary care physicians and oncologists about diagnostic delays in cancer.
Citation Text:
Lipitz-Snyderman A, Kale M, Robbins L, et al. Peers without fears? Barriers to effective communication among primary care physici…
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psnet.ahrq.gov/issue/differences-hospitals-workplace-violence-incident-reporting-practices-mixed-methods-study
January 19, 2022 - Study
Differences in hospitals' workplace violence incident reporting practices: a mixed methods study.
Citation Text:
Odes R, Chapman SM, Ackerman SL, et al. Differences in hospitals' workplace violence incident reporting practices: a mixed methods study. Policy Polit Nurs Pract. 2022;2…
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psnet.ahrq.gov/issue/patients-experiences-and-perspectives-patient-reported-outcome-measures-clinical-care
October 27, 2021 - Review
Patients' experiences and perspectives of patient-reported outcome measures in clinical care: a systematic review and qualitative meta-synthesis.
Citation Text:
Carfora L, Foley CM, Hagi-Diakou P, et al. Patients’ experiences and perspectives of patient-reported outcome measures i…
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psnet.ahrq.gov/issue/identifying-safe-care-processes-when-gps-work-or-alongside-emergency-departments-realist
January 12, 2022 - Study
Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation.
Citation Text:
Cooper A, Carson-Stevens A, Edwards M, et al. Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation. Br J Ge…
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psnet.ahrq.gov/issue/effect-interventions-improve-safety-culture-healthcare-workers-hospital-settings-systematic
September 06, 2023 - Review
Effect of interventions to improve safety culture on healthcare workers in hospital settings: a systematic review of the international literature.
Citation Text:
Finn M, Walsh A, Rafter N, et al. Effect of interventions to improve safety culture on healthcare workers in hospital s…
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psnet.ahrq.gov/issue/discontinuation-outpatient-medications-implications-electronic-messaging-pharmacies-using
October 05, 2022 - Study
Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx.
Citation Text:
Pitts S, Yang Y, Thomas BA, et al. Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx. J Am Med I…
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psnet.ahrq.gov/issue/analysis-nature-and-contributory-factors-medication-safety-incidents-following-hospital
October 25, 2023 - Study
Analysis of the nature and contributory factors of medication safety incidents following hospital discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study.
Citation Text:
Alqenae FA, Steinke DT, Carson-Stevens A, et al. Analysi…
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psnet.ahrq.gov/issue/self-reported-adherence-high-reliability-practices-among-participants-childrens-hospitals
October 20, 2021 - Study
Self-reported adherence to high reliability practices among participants in the Children's Hospitals' Solutions for Patient Safety Collaborative.
Citation Text:
Randall KH, Slovensky D, Weech-Maldonado R, et al. Self-reported adherence to high reliability practices among participan…
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psnet.ahrq.gov/issue/assessment-global-trigger-tool-measure-monitor-and-evaluate-patient-safety-cancer-patients
April 22, 2015 - Study
Assessment of the global trigger tool to measure, monitor and evaluate patient safety in cancer patients: reliability concerns are raised.
Citation Text:
Mattsson TO, Knudsen JL, Lauritsen J, et al. Assessment of the global trigger tool to measure, monitor and evaluate patient sa…
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psnet.ahrq.gov/issue/designing-intervention-improve-medication-safety-nursing-home-residents-based-experiential
February 14, 2024 - Commentary
Designing an intervention to improve medication safety for nursing home residents based on experiential knowledge related to patient safety culture at the nursing home front line: cocreative process study.
Citation Text:
Juhl MH, Soerensen AL, Vardinghus-Nielsen H, et al. Desi…
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psnet.ahrq.gov/issue/influence-covid-19-visitation-restrictions-patient-experience-and-safety-outcomes-critical
July 14, 2021 - Study
The influence of COVID-19 visitation restrictions on patient experience and safety outcomes: a critical role for subjective advocates.
Citation Text:
Silvera GA, Wolf JA, Stanowski A, et al. The influence of COVID-19 visitation restrictions on patient experience and safety outcomes…