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Staying silent about safety issues: conceptualizing and measuring safety silence motives. | PSNet

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August 28, 2019 - Study Staying silent about safety issues: conceptualizing and measuring safety silence motives. Citation Text: Manapragada A, Bruk-Lee V. Staying silent about safety issues: Conceptualizing and measuring safety silence motives. Accid Anal Prev. 2016;91:144-56. doi:10.1016/j.aap.2016.02.0…

Structural racism and the COVID-19 experience in the United States. | PSNet

psnet.ahrq.gov/issue/structural-racism-and-covid-19-experience-united-states

June 08, 2022 - Commentary Structural racism and the COVID-19 experience in the United States. Citation Text: Dickinson KL, Roberts JD, Banacos N, et al. Structural racism and the COVID-19 experience in the United States. Health Secur. 2021;19(S1):s14-s26. doi:10.1089/hs.2021.0031. Copy Citation F…

Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. | PSNet

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April 11, 2011 - Study Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. Citation Text: Howard M, Fleming ML, Parker E. Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. J Patien…

Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety in long-term care. | PSNet

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September 01, 2021 - Commentary Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety in long-term care. Citation Text: MacLaurin A, McConnell H. Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety in long…

As she lay dying: how I fought to stop medical errors from killing my mom. | PSNet

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December 19, 2012 - Commentary As she lay dying: how I fought to stop medical errors from killing my mom. Citation Text: Welch JR. As she lay dying: how I fought to stop medical errors from killing my mom. Health Aff (Millwood). 2012;31(12):2817-2820. doi:10.1377/hlthaff.2012.0833. Copy Citation For…

Effect of communication errors during calls to an antimicrobial stewardship program. | PSNet

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June 22, 2022 - Study Effect of communication errors during calls to an antimicrobial stewardship program. Citation Text: Linkin DR, Fishman NO, Landis R, et al. Effect of communication errors during calls to an antimicrobial stewardship program. Infect Control Hosp Epidemiol. 2007;28(12):1374-1381. …

Diagnostic errors in pediatric echocardiography: development of taxonomy and identification of risk factors. | PSNet

psnet.ahrq.gov/issue/diagnostic-errors-pediatric-echocardiography-development-taxonomy-and-identification-risk

April 12, 2019 - Study Diagnostic errors in pediatric echocardiography: development of taxonomy and identification of risk factors. Citation Text: Benavidez OJ, Gauvreau K, Jenkins KJ, et al. Diagnostic errors in pediatric echocardiography: development of taxonomy and identification of risk factors. Ci…

A system-wide hospital child maltreatment patient safety program. | PSNet

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September 15, 2021 - Study A system-wide hospital child maltreatment patient safety program. Citation Text: Hansen J, Terreros A, Sherman A, et al. A system-wide hospital child maltreatment patient safety program. Pediatrics. 2021;148(3):e2021050555. doi:10.1542/peds.2021-050555. Copy Citation Format: …

Reporting and disclosing medical errors: pediatricians' attitudes and behaviors. | PSNet

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April 30, 2014 - Study Reporting and disclosing medical errors: pediatricians' attitudes and behaviors. Citation Text: Garbutt J, Brownstein DR, Klein EJ, et al. Reporting and disclosing medical errors: pediatricians' attitudes and behaviors. Arch Pediatr Adolesc Med. 2007;161(2):179-85. Copy Citatio…

A systematic review of team training in health care: ten questions. | PSNet

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September 11, 2016 - Review A systematic review of team training in health care: ten questions. Citation Text: Marlow SL, Hughes A, Sonesh SC, et al. A Systematic Review of Team Training in Health Care: Ten Questions. Jt Comm J Qual Patient Saf. 2017;43(4):197-204. doi:10.1016/j.jcjq.2016.12.004. Copy Cita…

Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. | PSNet

psnet.ahrq.gov/issue/risk-factors-retained-surgical-items-meta-analysis-and-proposed-risk-stratification-system

January 18, 2013 - Study Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. Citation Text: Moffatt-Bruce SD, Cook CH, Steinberg SM, et al. Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. J Surg Res. 2014;190(…

Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit. | PSNet

psnet.ahrq.gov/issue/effect-lean-intervention-improve-safety-processes-and-outcomes-surgical-emergency-unit

January 04, 2010 - Study Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit. Citation Text: McCulloch P, Kreckler S, New S, et al. Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit. BMJ. 2010;341:c5469.…

Opioid-Related Inpatient Stays and Emergency Department Visits by State, 2009–2014. | PSNet

psnet.ahrq.gov/issue/opioid-related-inpatient-stays-and-emergency-department-visits-state-2009-2014

May 11, 2016 - Book/Report Opioid-Related Inpatient Stays and Emergency Department Visits by State, 2009–2014. Citation Text: Opioid-Related Inpatient Stays and Emergency Department Visits by State, 2009–2014. Weiss AJ, Elixhauser A, Barrett ML, Steiner CA, Bailey MK, O'Malley L. HCUP Statistical Brief…

Understanding the types and effects of clinical interruptions and distractions recorded in a multihospital patient safety reporting system. | PSNet

psnet.ahrq.gov/issue/understanding-types-and-effects-clinical-interruptions-and-distractions-recorded

February 22, 2019 - Study Understanding the types and effects of clinical interruptions and distractions recorded in a multihospital patient safety reporting system. Citation Text: Kellogg KM, Puthumana JS, Fong A, et al. Understanding the Types and Effects of Clinical Interruptions and Distractions Recorde…

Surgical never events and contributing human factors. | PSNet

psnet.ahrq.gov/issue/surgical-never-events-and-contributing-human-factors

August 20, 2018 - Study Classic Surgical never events and contributing human factors. Citation Text: Thiels CA, Lal TM, Nienow JM, et al. Surgical never events and contributing human factors. Surgery. 2015;158(2):515-21. doi:10.1016/j.surg.2015.03.053. Copy Citation Format:…

Structured handover in general surgery: an audit of current practice. | PSNet

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August 08, 2018 - Study Structured handover in general surgery: an audit of current practice. Citation Text: Jones HG, Watt B, Lewis L, et al. Structured Handover in General Surgery: An Audit of Current Practice. J Patient Saf. 2019;15(1):7-10. doi:10.1097/PTS.0000000000000201. Copy Citation Format:…

Nonpunitive medication error reporting: 3-year findings from one hospital's primum non nocere initiative. | PSNet

psnet.ahrq.gov/issue/nonpunitive-medication-error-reporting-3-year-findings-one-hospitals-primum-non-nocere

September 23, 2020 - Study Nonpunitive medication error reporting: 3-year findings from one hospital's primum non nocere initiative. Citation Text: Potylycki MJ, Kimmel SR, Ritter M, et al. Nonpunitive medication error reporting: 3-year findings from one hospital's Primum Non Nocere initiative. J Nurs Adm.…

An observational study of medication administration errors in old-age psychiatric inpatients. | PSNet

psnet.ahrq.gov/issue/observational-study-medication-administration-errors-old-age-psychiatric-inpatients

September 27, 2017 - Study An observational study of medication administration errors in old-age psychiatric inpatients. Citation Text: Haw C, Stubbs J, Dickens G. An observational study of medication administration errors in old-age psychiatric inpatients. Int J Qual Health Care. 2007;19(4):210-6. Copy Ci…

Identifying the 'right patient': nurse and consumer perspectives on verifying patient identity during medication administration. | PSNet

psnet.ahrq.gov/issue/identifying-right-patient-nurse-and-consumer-perspectives-verifying-patient-identity-during

September 03, 2011 - Study Identifying the 'right patient': nurse and consumer perspectives on verifying patient identity during medication administration. Citation Text: Kelly T, Roper C, Elsom S, et al. Identifying the 'right patient': nurse and consumer perspectives on verifying patient identity during …

Supporting a psychiatric hospital culture of safety. | PSNet

psnet.ahrq.gov/issue/supporting-psychiatric-hospital-culture-safety

March 11, 2020 - Study Supporting a psychiatric hospital culture of safety. Citation Text: Mahoney JS, Ellis TE, Garland G, et al. Supporting a psychiatric hospital culture of safety. J Am Psychiatr Nurses Assoc. 2012;18(5):299-306. doi:10.1177/1078390312460577. Copy Citation Format: DOI …

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