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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/mixed-methods-analysis-patient-safety-incidents-involving-opioid-substitution-treatment
August 25, 2021 - Study
A mixed-methods analysis of patient safety incidents involving opioid substitution treatment with methadone or buprenorphine in community-based care in England and Wales.
Citation Text:
Gibson R, MacLeod N, Donaldson LJ, et al. A mixed‐methods analysis of patient safety incidents i…
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psnet.ahrq.gov/issue/when-bad-things-happen-training-medical-students-anticipate-aftermath-medical-errors
July 29, 2020 - Study
When bad things happen: training medical students to anticipate the aftermath of medical errors.
Citation Text:
Musunur S, Waineo E, Walton E, et al. When bad things happen: training medical students to anticipate the aftermath of medical errors. Acad Psychiatry. 2020;44(5):586-591…
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psnet.ahrq.gov/issue/ethical-issues-patient-safety-research-systematic-review-literature
April 21, 2021 - Review
Ethical issues in patient safety research: a systematic review of the literature.
Citation Text:
Whicher DM, Kass NE, Audera-Lopez C, et al. Ethical issues in patient safety research: a systematic review of the literature. J Patient Saf. 2015;11(3):174-184. doi:10.1097/PTS.0000000…
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psnet.ahrq.gov/issue/monitoring-preventable-adverse-events-and-near-misses-number-and-type-identified-differ
June 08, 2022 - Study
Monitoring preventable adverse events and near misses: number and type identified differ depending on method used.
Citation Text:
Isaksson S, Schwarz A, Rusner M, et al. Monitoring preventable adverse events and near misses: number and type identified differ depending on method use…
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hcup-us.ahrq.gov/db/state/sedddist/2012SEDDDisch_HospCountsRptCD.pdf
November 19, 2020 - Comparison of Hospitals and Records in the 2012 HCUP State Emergency Department Databases (SEDD) to the 2012 American Hospital Association (AHA) Survey of Hospitals
Total number
of SEDD
discharges
Number of SEDD
discharges in
community,
nonrehabiliation
hospitals1
Number of
SEDD
discharges
from other
t…
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psnet.ahrq.gov/issue/outside-case-review-surgical-pathology-referred-patients-impact-patient-care
July 13, 2016 - Study
Outside case review of surgical pathology for referred patients: the impact on patient care.
Citation Text:
Swapp RE, Aubry MC, Salomão DR, et al. Outside case review of surgical pathology for referred patients: the impact on patient care. Arch Pathol Lab Med. 2013;137(2):233-40. …
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psnet.ahrq.gov/issue/bridging-leadership-roles-quality-and-patient-safety-experience-6-us-academic-medical-centers
September 04, 2016 - Study
Bridging leadership roles in quality and patient safety: experience of 6 US academic medical centers.
Citation Text:
Myers JS, Tess A, McKinney K, et al. Bridging Leadership Roles in Quality and Patient Safety: Experience of 6 US Academic Medical Centers. J Grad Med Educ. 2017;9(1)…
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psnet.ahrq.gov/issue/structural-racism-60-year-old-black-woman-breast-cancer
December 17, 2020 - Commentary
Emerging Classic
Structural racism--a 60-year-old black woman with breast cancer.
Citation Text:
Pallok K, De Maio F, Ansell DA. Structural racism--a 60-year-old black woman with breast cancer. N Engl J Med. 2019;380(16):1489-1493. doi:10.1056/nejmp18…
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psnet.ahrq.gov/issue/potentially-inappropriate-medication-administration-associated-adverse-postoperative-outcomes
October 07, 2020 - Study
Potentially inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients: a retrospective cohort study.
Citation Text:
Burfeind KG, Zarnegarnia Y, Tekkali P, et al. Potentially inappropriate medication administration is associ…
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psnet.ahrq.gov/issue/surgical-specimen-management-descriptive-study-648-adverse-events-and-near-misses
December 22, 2021 - Study
Surgical specimen management: a descriptive study of 648 adverse events and near misses.
Citation Text:
Steelman VM, Williams TL, Szekendi MK, et al. Surgical specimen management: a descriptive study of 648 adverse events and near misses. Arch Pathol Lab Med. 2016;140(12):1390-1396…
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psnet.ahrq.gov/issue/safety-competency-exploring-impact-environmental-and-personal-factors-nurses-ability-deliver
September 14, 2022 - Study
Safety competency: exploring the impact of environmental and personal factors on the nurse's ability to deliver safe care.
Citation Text:
Dillon-Bleich K, Dolansky MA, Burant CJ, et al. Safety competency: exploring the impact of environmental and personal factors on the nurse's abi…
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psnet.ahrq.gov/issue/cost-benefit-analysis-medical-emergency-team-childrens-hospital
November 06, 2015 - Study
Cost-benefit analysis of a medical emergency team in a children's hospital.
Citation Text:
Bonafide CP, Localio R, Song L, et al. Cost-benefit analysis of a medical emergency team in a children's hospital. Pediatrics. 2014;134(2):235-41. doi:10.1542/peds.2014-0140.
Copy Citation …
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psnet.ahrq.gov/issue/improving-resident-and-fellow-engagement-patient-safety-through-graduate-medical-education
June 02, 2021 - Study
Improving resident and fellow engagement in patient safety through a graduate medical education incentive program.
Citation Text:
Turner DA, Bae J, Cheely G, et al. Improving Resident and Fellow Engagement in Patient Safety Through a Graduate Medical Education Incentive Program. J …
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psnet.ahrq.gov/issue/effectiveness-different-nursing-handover-styles-ensuring-continuity-information-hospitalised
May 19, 2018 - Review
Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients.
Citation Text:
Smeulers M, Lucas C, Vermeulen H. Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. …
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psnet.ahrq.gov/issue/immunising-physicians-against-availability-bias-diagnostic-reasoning-randomised-controlled
April 28, 2021 - Study
'Immunising' physicians against availability bias in diagnostic reasoning: a randomised controlled experiment.
Citation Text:
Mamede S, de Carvalho-Filho MA, de Faria RMD, et al. ‘Immunising’ physicians against availability bias in diagnostic reasoning: a randomised controlled expe…
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psnet.ahrq.gov/issue/patient-safety-culture-effects-errors-incident-reporting-and-patient-safety-grade
August 26, 2020 - Study
Patient safety culture: effects on errors, incident reporting, and patient safety grade.
Citation Text:
Kaya S, Banaz Goncuoglu M, Mete B, et al. Patient safety culture: effects on errors, incident reporting, and patient safety grade. J Patient Saf. 2023;19(7):439-446. doi:10.1097/…
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psnet.ahrq.gov/issue/call-me-ishmael-addressing-white-whale-team-communication-operating-room-labelled-surgical
November 16, 2022 - Study
Call me Ishmael: addressing the white whale of team communication in the operating room with labelled surgical caps at an academic medical centre.
Citation Text:
Goldhaber NH, Mehta S, Longhurst CA, et al. Call me Ishmael: addressing the white whale of team communication in the ope…
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www.ahrq.gov/funding/grantee-profiles/landrigan-transcript.html
June 01, 2016 - K Award Grantee Interview: Christopher Landrigan, M.D., M.P.H.
Transcript
The following is a transcript of grantee responses to the following questions:
What is the primary focus of your research?
How has funding from AHRQ helped to advance your research?
Why did you choose to focus on this topic?
…
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psnet.ahrq.gov/issue/evaluating-independent-double-checks-pediatric-intensive-care-unit-human-factors-engineering
October 07, 2013 - Study
Evaluating independent double checks in the pediatric intensive care unit: a human factors engineering approach.
Citation Text:
Konwinski L, Steenland C, Miller K, et al. Evaluating independent double checks in the pediatric intensive care unit: a human factors engineering approach…