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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/what-extent-are-patients-involved-researching-safety-acute-mental-healthcare
August 18, 2021 - Review
To what extent are patients involved in researching safety in acute mental healthcare?
Citation Text:
Brierley-Jones L, Ramsey L, Canvin K, et al. To what extent are patients involved in researching safety in acute mental healthcare? Res Involv Engagem. 2022;8(1):8. doi:10.1186/s4…
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psnet.ahrq.gov/node/47956/psn-pdf
June 26, 2019 - Family involvement in managing medications of older
patients across transitions of care: a systematic review.
June 26, 2019
Manias E, Bucknall T, Hughes C, et al. Family involvement in managing medications of older patients
across transitions of care: a systematic review. BMC Geriatr. 2019;19(1):95. doi:10.1186/s12…
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psnet.ahrq.gov/node/45691/psn-pdf
January 11, 2017 - Qualitative study about the experiences of colleagues of
health professionals involved in an adverse event.
January 11, 2017
Ferrús L, Silvestre C, Olivera G, et al. Qualitative Study About the Experiences of Colleagues of Health
Professionals Involved in an Adverse Event. J Patient Saf. 2016;17(1):36-43.
doi:10.1…
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psnet.ahrq.gov/node/837139/psn-pdf
May 18, 2022 - Multispecialty physician online survey reveals that
burnout related to adverse event involvement may be
mitigated by peer support.
May 18, 2022
Gupta K, Rivadeneira NA, Lisker S, et al. Multispecialty physician online survey reveals that burnout related
to adverse event involvement may be mitigated by peer support…
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psnet.ahrq.gov/node/45210/psn-pdf
September 27, 2016 - Increased risk of burnout for physicians and nurses
involved in a patient safety incident.
September 27, 2016
Van Gerven E, Elst TV, Vandenbroeck S, et al. Increased Risk of Burnout for Physicians and Nurses
Involved in a Patient Safety Incident. Med Care. 2016;54(10):937-943.
doi:10.1097/MLR.0000000000000582.
ht…
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psnet.ahrq.gov/node/48065/psn-pdf
June 15, 2019 - Catastrophic drug errors involving tranexamic acid
administered during spinal anaesthesia.
June 15, 2019
Patel S, Robertson B, McConachie I. Catastrophic drug errors involving tranexamic acid administered
during spinal anaesthesia. Anaesthesia. 2019;74(7):904-914. doi:10.1111/anae.14662.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/50555/psn-pdf
October 16, 2019 - Improving critical incident reporting in primary care
through education and involvement.
October 16, 2019
Müller BS, Beyer M, Blazejewski T, et al. Improving critical incident reporting in primary care through
education and involvement. BMJ Open Qual. 2019;8(3):e000556. doi:10.1136/bmjoq-2018-000556.
https://psnet…
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psnet.ahrq.gov/node/36862/psn-pdf
August 30, 2011 - Cognitive processes involved in blame and blame-like
judgments and in forgiveness and forgiveness-like
judgments.
August 30, 2011
Mullet E, Rivière S, Sastre MTM. Cognitive processes involved in blame and blame-like judgments and in
forgiveness and forgiveness-like judgments. Am J Psychol. 2007;120(1):25-46.
http…
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psnet.ahrq.gov/node/867748/psn-pdf
March 12, 2025 - Adverse events involving telehealth in the Veterans
Health Administration.
March 12, 2025
Mills PD, Tomolo A, Yackel EE. Adverse events involving telehealth in the Veterans Health Administration.
Jt Comm J Qual Patient Saf. 2024;Epub Dec 20. doi:10.1016/j.jcjq.2024.12.002.
https://psnet.ahrq.gov/issue/adverse-even…
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psnet.ahrq.gov/node/836998/psn-pdf
April 27, 2022 - How will state medical boards handle cases involving
disclosure and apology for medical errors?
April 27, 2022
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:10.1177/25160435211070096.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/33865/psn-pdf
September 01, 2018 - In Conversation With… Rebecca Lawton, PhD
September 1, 2018
In Conversation With… Rebecca Lawton, PhD. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/conversation-rebecca-lawton-phd
Editor's note: Rebecca Lawton, a Professor in the Psychology of Healthcare at the University of Leeds, is
a health psycho…
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psnet.ahrq.gov/node/848361/psn-pdf
May 03, 2023 - More than algorithms: an analysis of safety events
involving ML-enabled medical devices reported to the
FDA.
May 3, 2023
Lyell D, Wang Y, Coiera E, et al. More than algorithms: an analysis of safety events involving ML-enabled
medical devices reported to the FDA. J Am Med Inform Assoc. 2023;30(7):1227-1236.
doi:1…
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psnet.ahrq.gov/node/73633/psn-pdf
August 25, 2021 - Learning from patient safety incidents involving acutely
sick adults in hospital assessment units in England and
Wales: a mixed methods analysis for quality
improvement.
August 25, 2021
Urquhart A, Yardley S, Thomas E, et al. Learning from patient safety incidents involving acutely sick adults
in hospital assessm…
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psnet.ahrq.gov/node/844544/psn-pdf
February 15, 2023 - Involving patients and carers in patient safety in primary
care: a qualitative study of a co-designed patient safety
guide.
February 15, 2023
Morris RL, Giles SJ, Campbell S. Involving patients and carers in patient safety in primary care: a
qualitative study of a co?designed patient safety guide. Health Expect. 2…
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psnet.ahrq.gov/node/73181/psn-pdf
April 28, 2021 - Critical incidents involving the medical emergency team:
a 5-year retrospective assessment for healthcare
improvement.
April 28, 2021
Danielis M, Destrebecq A, Terzoni S, et al. Critical incidents involving the medical emergency team: a 5-
year retrospective assessment for healthcare improvement. Dimens Crit Care …
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psnet.ahrq.gov/perspective/response-getting-root-matter-june-2005
June 01, 2005 - In response to “Getting to the Root of the Matter” (June 2005)
September 1, 2005
View more articles from the same authors.
Citation Text:
Grondin L, Saint S, Flanders S, et al. In response to “Getting to the Root of the Matter” (June 2005). PSNet [internet]. Rockv…
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psnet.ahrq.gov/node/45032/psn-pdf
July 21, 2016 - From tokenism to empowerment: progressing patient and
public involvement in healthcare improvement.
July 21, 2016
Ocloo J, Matthews R. From tokenism to empowerment: progressing patient and public involvement in
healthcare improvement. BMJ Qual Saf. 2016;25(8):626-32. doi:10.1136/bmjqs-2015-004839.
https://psnet.ah…
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psnet.ahrq.gov/node/850162/psn-pdf
June 07, 2023 - Understanding medication safety involving patient
transfer from intensive care to hospital ward: a qualitative
sociotechnical factor study.
June 7, 2023
Bourne RS, Jeffries M, Phipps DL, et al. Understanding medication safety involving patient transfer from
intensive care to hospital ward: a qualitative sociotechn…
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psnet.ahrq.gov/node/836978/psn-pdf
May 16, 2022 - This Universal Protocol involves
confirmation of the correct patient, correct procedure, and correct