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psnet.ahrq.gov/issue/quality-management-and-patient-safety-survey-results-102-hungarian-hospitals
September 16, 2015 - Study
Quality management and patient safety: survey results from 102 Hungarian hospitals.
Citation Text:
Makai P, Klazinga NS, Wagner C, et al. Quality management and patient safety: survey results from 102 Hungarian hospitals. Health Policy (New York). 2009;90(2-3):175-80. doi:10.1016/…
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psnet.ahrq.gov/issue/elucidating-reasons-resident-underutilization-electronic-adverse-event-reporting
November 21, 2021 - Study
Elucidating reasons for resident underutilization of electronic adverse event reporting.
Citation Text:
Hatoun J, Suen W, Liu C, et al. Elucidating Reasons for Resident Underutilization of Electronic Adverse Event Reporting. Am J Med Qual. 2016;31(4):308-314. doi:10.1177/1062860615…
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psnet.ahrq.gov/issue/identifying-latent-failures-underpinning-medication-administration-errors-exploratory-study
December 21, 2016 - Study
Identifying the latent failures underpinning medication administration errors: an exploratory study.
Citation Text:
Lawton R, Carruthers S, Gardner P, et al. Identifying the latent failures underpinning medication administration errors: an exploratory study. Health Serv Res. 2012…
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psnet.ahrq.gov/issue/making-infusion-error-second-victims-infusion-therapy-related-medication-errors
June 27, 2018 - Study
Making an infusion error: the second victims of infusion therapy-related medication errors.
Citation Text:
Treiber LA, Jones JH. Making an Infusion Error: The Second Victims of Infusion Therapy-Related Medication Errors. J Infus Nurs. 2018;41(3):156-163. doi:10.1097/NAN.00000000000…
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psnet.ahrq.gov/issue/peer-support-anesthesia-turning-war-stories-wellness
July 13, 2010 - Review
Peer support in anesthesia: turning war stories into wellness.
Citation Text:
Vinson AE, Randel G. Peer support in anesthesia: turning war stories into wellness. Curr Opin Anaesthesiol. 2018;31(3):382-387. doi:10.1097/ACO.0000000000000591.
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psnet.ahrq.gov/issue/use-second-victim-experience-and-support-tool-svest-assess-impact-departmental-peer-support
December 23, 2020 - Study
Use of the Second Victim Experience and Support Tool (SVEST) to assess the impact of a departmental peer support program on anesthesia professionals' second victim experiences (SVEs) and perceptions of support two years after implementation.
Citation Text:
Use of the Second Victim …
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psnet.ahrq.gov/issue/association-between-centers-medicare-and-medicaid-services-hospital-star-rating-and-patient
December 18, 2018 - Study
Association between the Centers for Medicare and Medicaid Services hospital star rating and patient outcomes.
Citation Text:
Wang DE, Tsugawa Y, Figueroa JF, et al. Association Between the Centers for Medicare and Medicaid Services Hospital Star Rating and Patient Outcomes. JAMA In…
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psnet.ahrq.gov/issue/patient-and-family-empowerment-agents-ambulatory-care-safety-and-quality
December 15, 2021 - Commentary
Patient and family empowerment as agents of ambulatory care safety and quality.
Citation Text:
Roter DL, Wolff JL, Wu AW, et al. Patient and family empowerment as agents of ambulatory care safety and quality. BMJ Qual Saf. 2017;26(6):508-512. doi:10.1136/bmjqs-2016-005489.
C…
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psnet.ahrq.gov/issue/error-disclosure-new-domain-safety-culture-assessment
September 01, 2018 - Study
Error disclosure: a new domain for safety culture assessment.
Citation Text:
Etchegaray J, Gallagher TH, Bell SK, et al. Error disclosure: a new domain for safety culture assessment. BMJ Qual Saf. 2012;21(7):594-9. doi:10.1136/bmjqs-2011-000530.
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psnet.ahrq.gov/issue/lack-patient-knowledge-regarding-hospital-medications
September 20, 2006 - Study
Lack of patient knowledge regarding hospital medications.
Citation Text:
Lack of patient knowledge regarding hospital medications.
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…
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psnet.ahrq.gov/issue/effects-educational-patient-safety-campaign-patients-safety-behaviours-and-adverse-events
November 05, 2013 - Study
Effects of an educational patient safety campaign on patients' safety behaviours and adverse events.
Citation Text:
Schwappach DLB, Frank O, Buschmann U, et al. Effects of an educational patient safety campaign on patients' safety behaviours and adverse events. J Eval Clin Pract.…
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psnet.ahrq.gov/issue/doctors-experiences-adverse-events-secondary-care-professional-and-personal-impact
April 10, 2019 - Study
Doctors' experiences of adverse events in secondary care: the professional and personal impact.
Citation Text:
Harrison R, Lawton R, Stewart K. Doctors' experiences of adverse events in secondary care: the professional and personal impact. Clin Med (Lond). 2014;14(6):585-90. doi:10…
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psnet.ahrq.gov/issue/implementation-second-victim-program-pediatric-hospital
December 18, 2013 - Study
Implementation of a "second victim" program in a pediatric hospital.
Citation Text:
Krzan KD, Merandi J, Morvay S, et al. Implementation of a "second victim" program in a pediatric hospital. Am J Health Syst Pharm. 2015;72(7):563-7. doi:10.2146/ajhp140650.
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psnet.ahrq.gov/issue/new-perspective-blame-culture-experimental-study
July 10, 2013 - Study
A new perspective on blame culture: an experimental study.
Citation Text:
Gorini A, Miglioretti M, Pravettoni G. A new perspective on blame culture: an experimental study. J Eval Clin Pract. 2012;18(3):671-5. doi:10.1111/j.1365-2753.2012.01831.x.
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psnet.ahrq.gov/issue/living-aftermath-second-victim-experience-among-certified-registered-nurse-anesthetists
April 12, 2019 - Study
Living with the aftermath: the second victim experience among certified registered nurse anesthetists.
Citation Text:
Kruse JA, Podojil-Kostecki P, Smith B. Living with the aftermath: the second victim experience among certified registered nurse anesthetists. AANA J. 2024;92(3):173…
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psnet.ahrq.gov/issue/dynamics-dignity-and-safety-discussion
September 07, 2022 - Commentary
Dynamics of dignity and safety: a discussion.
Citation Text:
Goodwin D, Mesman J, Verkerk M, et al. Dynamics of dignity and safety: a discussion. BMJ Qual Saf. 2018;27(6):488-491. doi:10.1136/bmjqs-2017-007159.
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psnet.ahrq.gov/issue/use-specific-indicators-detect-warfarin-related-adverse-events
October 19, 2022 - Study
Use of specific indicators to detect warfarin-related adverse events.
Citation Text:
Hartis CE, Gum MO, Lederer JW. Use of specific indicators to detect warfarin-related adverse events. American Journal of Health-System Pharmacy. 2005;62(16). doi:10.2146/ajhp040404.
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psnet.ahrq.gov/issue/neonatal-intensive-care-unit-safety-culture-varies-widely
April 18, 2012 - Study
Neonatal intensive care unit safety culture varies widely.
Citation Text:
Profit J, Etchegaray J, Petersen L, et al. Neonatal intensive care unit safety culture varies widely. Arch Dis Child Fetal Neonatal Ed. 2012;97(2):F120-6. doi:10.1136/archdischild-2011-300635.
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psnet.ahrq.gov/node/35714/psn-pdf
February 15, 2006 - ACOG Committee Opinion #320: partnering with patients
to improve safety.
February 15, 2006
ACOG Committee on Quality Improvement and Patient Safety.
https://psnet.ahrq.gov/issue/acog-committee-opinion-320-partnering-patients-improve-safety
This committee opinion provides several recommendations for enhancing patie…
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psnet.ahrq.gov/node/35183/psn-pdf
August 08, 2007 - Safety leadership: managing the paradox.
August 8, 2007
Carrillo RA. Professional Safety. July 2005;31-34.
https://psnet.ahrq.gov/issue/safety-leadership-managing-paradox
The author discusses how leaders can help manage the conflicting priorities involved in safety efforts and
uses two case histories to illustrate…