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psnet.ahrq.gov/issue/transparency-when-things-go-wrong-physician-attitudes-about-reporting-medical-errors-patients
April 13, 2011 - Study
Transparency when things go wrong: physician attitudes about reporting medical errors to patients, peers, and institutions.
Citation Text:
Bell SK, White AA, Yi JC, et al. Transparency When Things Go Wrong. J Patient Saf. 2015;13(4):243-248. doi:10.1097/pts.0000000000000153.
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psnet.ahrq.gov/issue/perceptions-quality-and-safety-and-experience-adverse-events-27-european-union-healthcare
March 21, 2012 - Study
Perceptions of quality and safety and experience of adverse events in 27 European Union healthcare systems, 2009–2013.
Citation Text:
Filippidis FT, Mian SS, Millett C. Perceptions of quality and safety and experience of adverse events in 27 European Union healthcare systems, 2009-…
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psnet.ahrq.gov/issue/patient-perceptions-deterioration-and-patient-and-family-activated-escalation-systems
June 26, 2024 - Study
Patient perceptions of deterioration and patient and family activated escalation systems—a qualitative study.
Citation Text:
Guinane J, Hutchinson AM, Bucknall T. Patient perceptions of deterioration and patient and family activated escalation systems-A qualitative study. J Clin Nu…
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psnet.ahrq.gov/issue/parent-engagement-perinatal-mortality-reviews-online-survey-clinicians-six-high-income
April 13, 2022 - Study
Parent engagement in perinatal mortality reviews: an online survey of clinicians from six high-income countries.
Citation Text:
Boyle FM, Horey D, Siassakos D, et al. Parent engagement in perinatal mortality reviews: an online survey of clinicians from six high‐income countries. BJ…
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psnet.ahrq.gov/issue/patient-carer-and-family-experiences-seeking-redress-and-reconciliation-following-life
April 24, 2018 - Review
Patient, carer and family experiences of seeking redress and reconciliation following a life-changing event: systematic review of qualitative evidence.
Citation Text:
Shaw L, Lawal HM, Briscoe S, et al. Patient, carer and family experiences of seeking redress and reconciliation fo…
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psnet.ahrq.gov/issue/adverse-drug-event-related-admissions-pediatric-emergency-unit
October 05, 2022 - Study
Adverse drug event-related admissions to a pediatric emergency unit.
Citation Text:
Carvalho IV, Sousa VM de, Visacri MB, et al. Adverse drug event-related admissions to a pediatric emergency unit. Pediatr Emerg Care. 2021;37(4):e152-e158. doi:10.1097/pec.0000000000001582.
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psnet.ahrq.gov/issue/improving-quality-drug-error-reporting
December 21, 2016 - Study
Improving the quality of drug error reporting.
Citation Text:
Armitage G, Newell R, Wright J. Improving the quality of drug error reporting. J Eval Clin Pract. 2010;16(6):1189-97. doi:10.1111/j.1365-2753.2009.01293.x.
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Format:
DOI Google Scholar PubMed …
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psnet.ahrq.gov/issue/addressing-ambulatory-safety-and-malpractice-massachusetts-promises-project
August 14, 2017 - Commentary
Addressing ambulatory safety and malpractice: the Massachusetts PROMISES project.
Citation Text:
Schiff G, Nieva HR, Griswold P, et al. Addressing Ambulatory Safety and Malpractice: The Massachusetts PROMISES Project. Health Serv Res. 2016;51 Suppl 3:2634-2641. doi:10.1111/147…
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psnet.ahrq.gov/issue/using-machine-learning-or-deep-learning-models-hospital-setting-detect-inappropriate
January 17, 2024 - Review
Using machine learning or deep learning models in a hospital setting to detect inappropriate prescriptions: a systematic review.
Citation Text:
Johns E, Alkanj A, Beck M, et al. Using machine learning or deep learning models in a hospital setting to detect inappropriate prescripti…
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psnet.ahrq.gov/issue/personality-traits-and-traumatic-outcome-symptoms-registered-nurses-aftermath-patient-safety
October 06, 2021 - Study
Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient safety incident.
Citation Text:
Stovall MC, Firkins J, Hansen L, et al. Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient safety i…
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psnet.ahrq.gov/issue/capturing-patients-perspectives-medication-safety-development-patient-centered-medication
February 17, 2021 - Study
Capturing patients' perspectives on medication safety: the development of a patient-centered medication safety framework.
Citation Text:
Giles SJ, Lewis PJ, Phipps D, et al. Capturing Patients' Perspectives on Medication Safety: The Development of a Patient-Centered Medication Safe…
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psnet.ahrq.gov/issue/pharmacists-rounding-teams-reduce-preventable-adverse-drug-events-hospital-general-medicine
October 19, 2022 - Study
Classic
Pharmacists on rounding teams reduce preventable adverse drug events in hospital general medicine units.
Citation Text:
Kucukarslan SN, Peters M, Mlynarek M, et al. Pharmacists on rounding teams reduce preventable adverse drug events in hospital …
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psnet.ahrq.gov/issue/does-one-size-fit-all-assessing-need-organizational-second-victim-support-programs
January 14, 2011 - Study
Emerging Classic
Does one size fit all? Assessing the need for organizational second victim support programs.
Citation Text:
Edrees HH, Wu AW. Does one size fit all? Assessing the need for organizational second victim support programs. J Patient Saf. 2021;…
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psnet.ahrq.gov/issue/emergency-hospitalizations-unsupervised-prescription-medication-ingestions-young-children
April 22, 2020 - Study
Emergency hospitalizations for unsupervised prescription medication ingestions by young children.
Citation Text:
Lovegrove MC, Mathew J, Hampp C, et al. Emergency hospitalizations for unsupervised prescription medication ingestions by young children. Pediatrics. 2014;134(4):e1009-1…
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psnet.ahrq.gov/issue/what-methods-are-used-apply-positive-deviance-within-healthcare-organisations-systematic
July 19, 2019 - Review
What methods are used to apply positive deviance within healthcare organisations? A systematic review.
Citation Text:
Baxter R, Taylor N, Kellar I, et al. What methods are used to apply positive deviance within healthcare organisations? A systematic review. BMJ Qual Saf. 2016;25(3…
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psnet.ahrq.gov/node/867497/psn-pdf
February 26, 2025 - Surgical Count Processes
Surgical
Count
A process involving two people who look at items together
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psnet.ahrq.gov/node/850361/psn-pdf
June 14, 2023 - Involving a patient’s family members, if permitted by
the patient, helps them to understand the patient
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psnet.ahrq.gov/node/36740/psn-pdf
July 26, 2011 - The problem of engaging hospital doctors in promoting
safety and quality in clinical care.
July 26, 2011
Neale G, Vincent CA, Darzi SA. The problem of engaging hospital doctors in promoting safety and quality
in clinical care. J R Soc Promot Health. 2007;127(2):87-94.
https://psnet.ahrq.gov/issue/problem-engaging-…
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psnet.ahrq.gov/node/36344/psn-pdf
February 17, 2011 - Clinical problem-solving. Lost in transcription.
February 17, 2011
Kalus RM, Shojania KG, Amory JK, et al. Clinical problem-solving. Lost in transcription. N Engl J Med.
2006;355(14):1487-91.
https://psnet.ahrq.gov/issue/clinical-problem-solving-lost-transcription
This case involves an iatrogenic reaction that occ…
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psnet.ahrq.gov/node/38021/psn-pdf
August 27, 2008 - A review of the current evidence base for significant
event analysis.
August 27, 2008
Bowie P, Pope L, Lough M. A review of the current evidence base for significant event analysis. J Eval Clin
Pract. 2008;14(4):520-36. doi:10.1111/j.1365-2753.2007.00908.x.
https://psnet.ahrq.gov/issue/review-current-evidence-base…