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  1. How will state medical boards handle cases involving disclosure and apology for medical errors? | PSNet

    psnet.ahrq.gov/issue/how-will-state-medical-boards-handle-cases-involving-disclosure-and-apology-medical-errors
    September 07, 2022 - Study How will state medical boards handle cases involving disclosure and apology for medical errors? Citation Text: Wojcieszak D. How will state medical boards handle cases involving disclosure and apology for medical errors? J Patient Saf Risk Manag. 2022;27(1):15-20. doi:10.1177/25160…

  2. A survey of the impact of disruptive behaviors and communication defects on patient safety. | PSNet

    psnet.ahrq.gov/issue/survey-impact-disruptive-behaviors-and-communication-defects-patient-safety
    February 03, 2010 - Study Classic A survey of the impact of disruptive behaviors and communication defects on patient safety. Citation Text: Rosenstein AH, O'Daniel M. A survey of the impact of disruptive behaviors and communication defects on patient safety. Jt Comm J Qual Patie…

  3. Preventive Medicine | Digital Healthcare Research

    digital.ahrq.gov/health-care-theme/preventive-medicine
    January 01, 2023 - Preventive Medicine Disseminating and Implementing MedSMA℞T Families in Emergency Departments: A Randomized Control Trial to Assess Effectiveness of an Evidence-Based Gaming Intervention to Reduce Opioid Misuse Description This research tests the effectiveness of MedSMA℞T Mobi…

  4. Hardwiring patient blood management: harnessing information technology to optimize transfusion practice. | PSNet

    psnet.ahrq.gov/issue/hardwiring-patient-blood-management-harnessing-information-technology-optimize-transfusion
    September 20, 2012 - Review Hardwiring patient blood management: harnessing information technology to optimize transfusion practice. Citation Text: Dunbar NM, Szczepiorkowski ZM. Hardwiring patient blood management: harnessing information technology to optimize transfusion practice. Curr Opin Hematol. 2014;2…

  5. Health care consumers' inclination to engage in selected patient safety practices: a survey of adults in Pennsylvania. | PSNet

    psnet.ahrq.gov/issue/health-care-consumers-inclination-engage-selected-patient-safety-practices-survey-adults
    March 03, 2011 - Study Health care consumers' inclination to engage in selected patient safety practices: a survey of adults in Pennsylvania. Citation Text: Marella WM, Finley E, Thomas AD, et al. Health Care Consumers' Inclination to Engage in Selected Patient Safety Practices. J Patient Saf. 2008;3(4…

  6. Effect of using a safety checklist on patient complications after surgery: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/effect-using-safety-checklist-patient-complications-after-surgery-systematic-review-and-meta
    December 08, 2021 - Review Effect of using a safety checklist on patient complications after surgery: a systematic review and meta-analysis. Citation Text: Gillespie BM, Chaboyer W, Thalib L, et al. Effect of using a safety checklist on patient complications after surgery: a systematic review and meta-analy…

  7. Expert consensus on currently accepted measures of harm. | PSNet

    psnet.ahrq.gov/issue/expert-consensus-currently-accepted-measures-harm
    January 25, 2023 - Commentary Expert consensus on currently accepted measures of harm. Citation Text: Logan MS, Myers LC, Salmasian H, et al. Expert consensus on currently accepted measures of harm. J Patient Saf. 2021;17(8):e1726-e1731. doi:10.1097/pts.0000000000000754. Copy Citation Format: …

  8. Toward the translation of systems thinking methods in patient safety practice: assessing the validity of Net-HARMS and AcciMap. | PSNet

    psnet.ahrq.gov/issue/toward-translation-systems-thinking-methods-patient-safety-practice-assessing-validity-net
    April 21, 2021 - Study Toward the translation of systems thinking methods in patient safety practice: assessing the validity of Net-HARMS and AcciMap. Citation Text: Salmon PM, King B, Hulme A, et al. Toward the translation of systems thinking methods in patient safety practice: assessing the validity of…

  9. Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse events. | PSNet

    psnet.ahrq.gov/issue/comparison-traditional-trigger-tool-data-warehouse-based-screening-identifying-hospital
    June 11, 2010 - Study Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse events. Citation Text: O'Leary KJ, Devisetty VK, Patel AR, et al. Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse ev…

  10. Understanding complexity in a safety critical setting: a systems approach to medication administration. | PSNet

    psnet.ahrq.gov/issue/understanding-complexity-safety-critical-setting-systems-approach-medication-administration
    February 01, 2023 - Study Understanding complexity in a safety critical setting: a systems approach to medication administration. Citation Text: Stevens EL, Hulme A, Goode N, et al. Understanding complexity in a safety critical setting: a systems approach to medication administration. Appl Ergon. 2023;110:1…

  11. Failure mode and effects analysis outputs: are they valid? | PSNet

    psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-outputs-are-they-valid
    November 25, 2009 - Study Failure mode and effects analysis outputs: are they valid? Citation Text: Shebl NA, Franklin BD, Barber N. Failure mode and effects analysis outputs: are they valid? BMC Health Serv Res. 2012;12:150. doi:10.1186/1472-6963-12-150. Copy Citation Format: DOI Google Scho…

  12. Time for a change in injury and trauma care delivery: a trauma death review analysis. | PSNet

    psnet.ahrq.gov/issue/time-change-injury-and-trauma-care-delivery-trauma-death-review-analysis
    November 21, 2021 - Study Time for a change in injury and trauma care delivery: a trauma death review analysis. Citation Text: Sugrue M, Caldwell E, D'Amours S, et al. Time for a change in injury and trauma care delivery: a trauma death review analysis. ANZ J Surg. 2008;78(11):949-954. doi:10.1111/j.1445-…

  13. Right medication, right dose, right patient, right time, and right route: how do we select the right patient-controlled analgesia (PCA) device? | PSNet

    psnet.ahrq.gov/issue/right-medication-right-dose-right-patient-right-time-and-right-route-how-do-we-select-right
    March 02, 2016 - Commentary Right medication, right dose, right patient, right time, and right route: how do we select the right patient-controlled analgesia (PCA) device? Citation Text: Ladak SSJ, Chan VWS, Easty T, et al. Right medication, right dose, right patient, right time, and right route: how d…

  14. Clinical reasoning of a generative artificial intelligence model compared with physicians. | PSNet

    psnet.ahrq.gov/issue/clinical-reasoning-generative-artificial-intelligence-model-compared-physicians
    November 13, 2024 - Study Clinical reasoning of a generative artificial intelligence model compared with physicians. Citation Text: Cabral S, Restrepo D, Kanjee Z, et al. Clinical reasoning of a generative artificial intelligence model compared with physicians. JAMA Intern Med. 2024;184(5):581-583. doi:10.1…

  15. Liability associated with obstetric anesthesia: a closed claims analysis. | PSNet

    psnet.ahrq.gov/issue/liability-associated-obstetric-anesthesia-closed-claims-analysis
    July 13, 2010 - Study Liability associated with obstetric anesthesia: a closed claims analysis. Citation Text: Davies JM, Posner KL, Lee LA, et al. Liability associated with obstetric anesthesia: a closed claims analysis. Anesthesiology. 2009;110(1):131-139. doi:10.1097/ALN.0b013e318190e16a. Copy Cita…

  16. Assessing the use of Google Translate for Spanish and Chinese translations of emergency department discharge instructions. | PSNet

    psnet.ahrq.gov/issue/assessing-use-google-translate-spanish-and-chinese-translations-emergency-department
    March 16, 2016 - Study Assessing the use of Google Translate for Spanish and Chinese translations of emergency department discharge instructions. Citation Text: Khoong EC, Steinbrook E, Brown C, et al. Assessing the Use of Google Translate for Spanish and Chinese Translations of Emergency Department Disc…

  17. Patient safety and suicide prevention in mental health services: time for a new paradigm? | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-suicide-prevention-mental-health-services-time-new-paradigm
    April 19, 2023 - Commentary Patient safety and suicide prevention in mental health services: time for a new paradigm? Citation Text: Quinlivan L, Littlewood DL, Webb RT, et al. Patient safety and suicide prevention in mental health services: time for a new paradigm? J Mental Health. 2020;29(1):1-5. doi…

  18. How should medication errors be defined? Development and test of a definition. | PSNet

    psnet.ahrq.gov/issue/how-should-medication-errors-be-defined-development-and-test-definition
    June 27, 2011 - Study How should medication errors be defined? Development and test of a definition. Citation Text: Lisby M, Nielsen LP, Brock B, et al. How should medication errors be defined? Development and test of a definition. Scand J Public Health. 2012;40(2):203-10. doi:10.1177/1403494811435489.…

  19. Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and their related costs. | PSNet

    psnet.ahrq.gov/issue/examining-effects-obstetrics-interprofessional-programme-reductions-reportable-events-and
    August 04, 2021 - Study Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and their related costs. Citation Text: Geary M, Ruiter PJA, Yasseen AS. Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and t…

  20. Increase in US medication-error deaths between 1983 and 1993. | PSNet

    psnet.ahrq.gov/issue/increase-us-medication-error-deaths-between-1983-and-1993
    March 14, 2022 - Study Classic Increase in US medication-error deaths between 1983 and 1993. Citation Text: Phillips DP, Christenfeld N, Glynn LM. Increase in US medication-error deaths between 1983 and 1993. Lancet. 1998;351(9103):643-4. Copy Citation Format: Go…
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