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psnet.ahrq.gov/issue/cultural-and-associated-enablers-and-barriers-adverse-incident-reporting
March 23, 2011 - Study
Cultural and associated enablers of, and barriers to, adverse incident reporting.
Citation Text:
Braithwaite J, Westbrook MT, Travaglia J, et al. Cultural and associated enablers of, and barriers to, adverse incident reporting. Qual Saf Health Care. 2010;19(3):229-233. doi:10.113…
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psnet.ahrq.gov/issue/making-use-mortality-data-improve-quality-and-safety-general-practice-review-current
November 17, 2010 - Review
Making use of mortality data to improve quality and safety in general practice: a review of current approaches.
Citation Text:
Baker R, Sullivan E, Camosso-Stefinovic J, et al. Making use of mortality data to improve quality and safety in general practice: a review of current ap…
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psnet.ahrq.gov/issue/strategies-enhance-adoption-ventilator-associated-pneumonia-prevention-interventions
July 10, 2017 - Review
Strategies to enhance adoption of ventilator-associated pneumonia prevention interventions: a systematic literature review.
Citation Text:
Goutier JM, Holzmueller CG, Edwards KC, et al. Strategies to enhance adoption of ventilator-associated pneumonia prevention interventions: a s…
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psnet.ahrq.gov/issue/advancing-diagnostic-equity-through-clinician-engagement-community-partnerships-and-connected
June 22, 2022 - Commentary
Advancing diagnostic equity through clinician engagement, community partnerships, and connected care.
Citation Text:
Giardina TD, Woodard LCD, Singh H. Advancing diagnostic equity through clinician engagement, community partnerships, and connected care. J Gen Intern Med. 2023;…
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psnet.ahrq.gov/issue/patient-died-what-about-involvement-investigation-process
June 24, 2020 - Commentary
The patient died: what about involvement in the investigation process?
Citation Text:
Wiig S, Hibbert PD, Braithwaite J. The patient died: what about involvement in the investigation process? Int J Qual Health Care. 2020;32(5):342-346. doi:10.1093/intqhc/mzaa034.
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psnet.ahrq.gov/issue/reframing-morbidity-and-mortality-conference-impact-just-culture
November 15, 2018 - Review
Reframing the morbidity and mortality conference: the impact of a just culture.
Citation Text:
Brook K, Agarwala AV, Tewfik GL. Reframing the morbidity and mortality conference: the impact of a just culture. J Patient Saf. 2024;40(4):280-287. doi:10.1097/pts.0000000000001224.
Co…
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psnet.ahrq.gov/issue/problem-making-safety-ii-work-healthcare
April 28, 2021 - Commentary
The problem with making Safety-II work in healthcare.
Citation Text:
Verhagen MJ, de Vos MS, Sujan M, et al. The problem with making Safety-II work in healthcare. BMJ Qual Saf. 2022;31(5):402-408. doi:10.1136/bmjqs-2021-014396.
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psnet.ahrq.gov/issue/qi-initiative-implementing-patient-handoff-checklist-pediatric-hospitalist-attendings
July 28, 2021 - Commentary
A QI initiative: implementing a patient handoff checklist for pediatric hospitalist attendings.
Citation Text:
Lo H-Y, Mullan PC, Lye C, et al. A QI initiative: implementing a patient handoff checklist for pediatric hospitalist attendings. BMJ Qual Improv Rep. 2016;5(1). doi:1…
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psnet.ahrq.gov/issue/error-management-lessons-aviation
September 13, 2011 - Commentary
Classic
On error management: lessons from aviation.
Citation Text:
Helmreich RL. On error management: lessons from aviation. BMJ . 2000;320(7237):781-785.
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psnet.ahrq.gov/issue/impact-non-interruptive-medication-laboratory-monitoring-alerts-ambulatory-care
March 10, 2011 - Study
Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care.
Citation Text:
Lo HG, Matheny ME, Seger DL, et al. Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care. J Am Med Inform Assoc. 2009;16(1):66-71. doi:10.1197/jami…
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psnet.ahrq.gov/issue/respectful-maternity-care-dissemination-and-implementation-perinatal-safety-culture-improve
June 08, 2011 - Book/Report
Respectful Maternity Care: Dissemination and Implementation of Perinatal Safety Culture to Improve Equitable Maternal Healthcare Delivery and Outcomes.
Citation Text:
Respectful Maternity Care: Dissemination and Implementation of Perinatal Safety Culture To Improve Equitable …
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psnet.ahrq.gov/issue/when-should-multicampus-hospital-be-considered-single-entity-public-reporting-patient-safety
June 28, 2011 - Commentary
When should a multicampus hospital be considered a single entity for public reporting on patient safety issues?
Citation Text:
Naessens JM, Culbertson R, Lefante JJ, et al. When should a multicampus hospital be considered a single entity for public reporting on patient safet…
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psnet.ahrq.gov/issue/quality-and-safety-acute-surgical-ward-exploratory-cohort-study-process-and-outcome
March 03, 2011 - Study
Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome.
Citation Text:
Kreckler S, Catchpole K, New SJ, et al. Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome. Ann Surg. 2009;250(6):1035-40…
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psnet.ahrq.gov/issue/pain-neglected-patient-safety-concern-five-years
July 31, 2019 - Commentary
Pain as the neglected patient safety concern: five years on.
Citation Text:
Twycross A, Forgeron P, Chorne J, et al. Pain as the neglected patient safety concern: Five years on. J Child Health Care. 2016;20(4):537-541. doi:10.1177/1367493516643422.
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psnet.ahrq.gov/issue/factors-contributing-preventing-operating-room-never-events-machine-learning-analysis
July 26, 2023 - Study
Factors contributing to preventing operating room "never events": a machine learning analysis.
Citation Text:
Arad D, Rosenfeld A, Magnezi R. Factors contributing to preventing operating room “never events”: a machine learning analysis. Patient Saf Surg. 2023;17(1):6. doi:10.1186/s…
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psnet.ahrq.gov/issue/americans-experiences-medical-errors-and-views-patient-safety
January 06, 2015 - Book/Report
Classic
Americans' Experiences With Medical Errors and Views on Patient Safety.
Citation Text:
Americans' Experiences With Medical Errors and Views on Patient Safety. Chicago, IL: NORC at the University of Chicago and IHI/NPSF Lucian Leape Institute;…
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psnet.ahrq.gov/issue/limits-safety-organizations-accidents-and-nuclear-weapons
July 28, 2013 - Book/Report
Classic
The Limits of Safety: Organizations, Accidents and Nuclear Weapons.
Citation Text:
The Limits of Safety: Organizations, Accidents and Nuclear Weapons. Sagan SD. Princeton NJ: Princeton University Press; 1993. ISBN: 9780691032214.
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psnet.ahrq.gov/issue/intravenous-smart-pumps-usability-issues-intravenous-medication-administration-error-and
July 31, 2019 - Review
Intravenous smart pumps: usability issues, intravenous medication administration error, and patient safety.
Citation Text:
Giuliano KK. Intravenous Smart Pumps: Usability Issues, Intravenous Medication Administration Error, and Patient Safety. Crit Care Nurs Clin North Am. 2018;30…
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psnet.ahrq.gov/issue/near-miss-research-healthcare-system-scoping-review
July 15, 2020 - Review
Near miss research in the healthcare system: a scoping review.
Citation Text:
Feng T-ting, Zhang X, Tan L-ling, et al. Near miss research in the healthcare system: a scoping review. J Nurs Adm. 2022;52(3):160-166. doi:10.1097/nna.0000000000001124.
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psnet.ahrq.gov/issue/instruments-patient-safety-assessment-scoping-review
October 12, 2022 - Review
Instruments for patient safety assessment: a scoping review.
Citation Text:
Nunes E, Sirtoli F, Lima E, et al. Instruments for patient safety assessment: a scoping review. Healthcare. 2024;12(20):2075. doi:10.3390/healthcare12202075.
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