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psnet.ahrq.gov/issue/medical-liability-climate-and-prospects-reform
September 29, 2017 - Commentary
The medical liability climate and prospects for reform.
Citation Text:
Mello MM, Studdert DM, Kachalia A. The medical liability climate and prospects for reform. JAMA. 2014;312(20):2146-55. doi:10.1001/jama.2014.10705.
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psnet.ahrq.gov/issue/implementation-online-reporting-system-identify-unprofessional-behaviors-and-mistreatment
July 13, 2022 - Study
Implementation of an online reporting system to identify unprofessional behaviors and mistreatment directed at trainees at an academic medical center.
Citation Text:
Leitman IM, Muller D, Miller S, et al. Implementation of an online reporting system to identify unprofessional behav…
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psnet.ahrq.gov/issue/improving-reconciliation-following-medical-injury-qualitative-study-responses-patient-safety
May 05, 2021 - Study
Improving reconciliation following medical injury: a qualitative study of responses to patient safety incidents in New Zealand.
Citation Text:
Moore J, Mello MM. Improving reconciliation following medical injury: a qualitative study of responses to patient safety incidents in New Z…
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psnet.ahrq.gov/issue/improving-patient-handovers-hospital-primary-care-systematic-review
March 06, 2013 - Review
Improving patient handovers from hospital to primary care: a systematic review.
Citation Text:
Hesselink G, Schoonhoven L, Barach P, et al. Improving patient handovers from hospital to primary care: a systematic review. Ann Intern Med. 2013;157(6):417. doi:10.7326/0003-4819-157-6-…
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psnet.ahrq.gov/issue/adverse-drug-events-caused-serious-medication-administration-errors
December 19, 2009 - Study
Adverse drug events caused by serious medication administration errors.
Citation Text:
Kale A, Keohane C, Maviglia SM, et al. Adverse drug events caused by serious medication administration errors. BMJ Qual Saf. 2012;21(11):933-8. doi:10.1136/bmjqs-2012-000946.
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psnet.ahrq.gov/issue/missed-diagnosis-new-onset-systolic-heart-failure-first-presentation-children-no-known-heart
August 18, 2021 - Study
Missed diagnosis of new-onset systolic heart failure at first presentation in children with no known heart disease.
Citation Text:
Puri K, Singh H, Denfield SW, et al. Missed diagnosis of new-onset systolic heart failure at first presentation in children with no known heart disease…
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psnet.ahrq.gov/issue/hospital-night-organizational-design-provides-safer-care-night
November 16, 2022 - Study
Hospital at night: an organizational design that provides safer care at night.
Citation Text:
Hamilton-Fairley D, Coakley J, Moss F. Hospital at night: an organizational design that provides safer care at night. BMC Med Edu. 2014;14(Suppl 1):S17. doi:10.1186/1472-6920-14-S1-S17.
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psnet.ahrq.gov/issue/first-year-analysis-operating-room-black-box-study
October 16, 2019 - Study
Emerging Classic
First-year analysis of the Operating Room Black Box study.
Citation Text:
Jung JJ, Jüni P, Lebovic G, et al. First-year Analysis of the Operating Room Black Box Study. Ann Surg. 2020;271(1):122-127. doi:10.1097/SLA.0000000000002863.
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psnet.ahrq.gov/issue/psychological-safety-during-test-new-work-processes-emergency-department
September 08, 2021 - Study
Psychological safety during the test of new work processes in an emergency department.
Citation Text:
Dieckmann P, Tulloch S, Dalgaard AE, et al. Psychological safety during the test of new work processes in an emergency department. BMC Health Serv Res. 2022;22(1):307. doi:10.1186/…
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psnet.ahrq.gov/issue/systematic-review-prevalence-medication-errors-resulting-hospitalization-and-death-nursing
July 23, 2008 - Review
Classic
Systematic review of the prevalence of medication errors resulting in hospitalization and death of nursing home residents.
Citation Text:
Ferrah N, Lovell JJ, Ibrahim JE. Systematic Review of the Prevalence of Medication Errors Resulting in Hospit…
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psnet.ahrq.gov/issue/teaching-quality-improvement-and-patient-safety-trainees-systematic-review
June 09, 2015 - Review
Classic
Teaching quality improvement and patient safety to trainees: a systematic review.
Citation Text:
Wong BM, Etchells E, Kuper A, et al. Teaching quality improvement and patient safety to trainees: a systematic review. Acad Med. 2010;85(9):1425-39. d…
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psnet.ahrq.gov/issue/study-multisite-prospective-adverse-event-surveillance-system
October 16, 2019 - Study
Study of a multisite prospective adverse event surveillance system.
Citation Text:
Forster AJ, Huang A, Lee TC, et al. Study of a multisite prospective adverse event surveillance system. BMJ Qual Saf. 2020;29(4). doi:10.1136/bmjqs-2018-008664.
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psnet.ahrq.gov/issue/missed-rationed-or-unfinished-nursing-care-scoping-review-patient-outcomes
May 29, 2024 - Review
Missed, rationed or unfinished nursing care: a scoping review of patient outcomes.
Citation Text:
Kalánková D, Kirwan M, Bartoníčková D, et al. Missed, rationed or unfinished nursing care: A scoping review of patient outcomes. J Nurs Manag. 2020;28(8):1783-1797. doi:10.1111/jonm.1…
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psnet.ahrq.gov/issue/relation-between-malpractice-claims-and-adverse-events-due-negligence-results-harvard-medical
February 18, 2011 - Study
Classic
Relation between malpractice claims and adverse events due to negligence. Results of the Harvard Medical Practice Study III.
Citation Text:
Localio AR, Lawthers AG, Brennan TA, et al. Relation between Malpractice Claims and Adverse Events Due to …
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psnet.ahrq.gov/issue/patterns-error-interpretive-pathology
April 07, 2021 - Study
Patterns of error in interpretive pathology.
Citation Text:
Packer MDC, Ravinsky E, Azordegan N. Patterns of error in interpretive pathology. Am J Clin Pathol. 2022;157(5):767-773. doi:10.1093/ajcp/aqab190.
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psnet.ahrq.gov/issue/inadequacies-physical-examination-cause-medical-errors-and-adverse-events-collection
June 01, 1989 - Study
Classic
Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of vignettes.
Citation Text:
Verghese A, Charlton B, Kassirer JP, et al. Inadequacies of Physical Examination as a Cause of Medical Errors and Advers…
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psnet.ahrq.gov/issue/primer-pdsa-executing-plan-do-study-act-cycles-practice-not-just-name
December 04, 2016 - Review
A primer on PDSA: executing plan–do–study–act cycles in practice, not just in name.
Citation Text:
Leis JA, Shojania KG. A primer on PDSA: executing plan-do-study-act cycles in practice, not just in name. BMJ Qual Saf. 2017;26(7):572-577. doi:10.1136/bmjqs-2016-006245.
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psnet.ahrq.gov/issue/leading-causes-anesthesia-related-liability-claims-ambulatory-surgery-centers
December 16, 2020 - Study
Leading causes of anesthesia-related liability claims in ambulatory surgery centers.
Citation Text:
Ranum D, Beverly A, Shapiro FE, et al. Leading causes of anesthesia-related liability claims in ambulatory surgery centers. J Patient Saf. 2021;17(7):513-521. doi:10.1097/pts.0000000…
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psnet.ahrq.gov/issue/some-version-most-time-surgical-safety-checklist-patient-safety-and-everyday-experience
December 15, 2021 - Study
"Some version, most of the time": the surgical safety checklist, patient safety, and the everyday experience of practice variation.
Citation Text:
Hammond Mobilio M, Paradis E, Moulton C-A. “Some version, most of the time”: The surgical safety checklist, patient safety, and the eve…
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psnet.ahrq.gov/issue/healthcare-complaints-analysis-tool-development-and-reliability-testing-method-service
November 29, 2023 - Study
The Healthcare Complaints Analysis Tool: development and reliability testing of a method for service monitoring and organisational learning.
Citation Text:
Gillespie A, Reader TW. The Healthcare Complaints Analysis Tool: development and reliability testing of a method for service m…