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psnet.ahrq.gov/issue/exploring-role-guidelines-contributing-medication-errors-descriptive-analysis-national
November 16, 2022 - Study
Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of national patient safety incident data.
Citation Text:
Jones MD, Liu S, Powell F, et al. Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of …
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psnet.ahrq.gov/issue/speaking-about-safety-concerns-multi-setting-qualitative-study-patients-views-and-experiences
May 18, 2016 - Study
Speaking up about safety concerns: multi-setting qualitative study of patients' views and experiences.
Citation Text:
Entwistle VA, McCaughan D, Watt I, et al. Speaking up about safety concerns: multi-setting qualitative study of patients' views and experiences. Qual Saf Health C…
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psnet.ahrq.gov/issue/work-related-critical-incidents-hospital-based-health-care-providers-and-risk-post-traumatic
April 12, 2023 - Study
Work-related critical incidents in hospital-based health care providers and the risk of post-traumatic stress symptoms, anxiety, and depression: a meta-analysis.
Citation Text:
de Boer J, Lok A, Verlaat EV't, et al. Work-related critical incidents in hospital-based health care pr…
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psnet.ahrq.gov/issue/two-sides-safety-coin-how-patient-engagement-and-safety-climate-jointly-affect-error
March 11, 2020 - Study
Two sides of the safety coin?: how patient engagement and safety climate jointly affect error occurrence in hospital units.
Citation Text:
Schiffinger M, Latzke M, Steyrer J. Two sides of the safety coin?: How patient engagement and safety climate jointly affect error occurrence in…
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psnet.ahrq.gov/issue/controversy-and-quality-improvement-lingering-questions-about-ethics-oversight-and-patient
January 15, 2014 - Commentary
Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research.
Citation Text:
Kass N, Pronovost P, Sugarman J, et al. Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research. …
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psnet.ahrq.gov/node/74166/psn-pdf
March 14, 2022 - Preventing home medication administration errors.
March 14, 2022
Yin HS, Neuspiel DR, Paul IM, et al. Preventing home medication administration errors. Pediatrics.
2021;148(6):e2021054666. doi:10.1542/peds.2021-054666.
https://psnet.ahrq.gov/issue/preventing-home-medication-administration-errors
Children with comp…
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psnet.ahrq.gov/node/47311/psn-pdf
October 10, 2018 - Cognitive error in an academic emergency department.
October 10, 2018
Schnapp BH, Sun JE, Kim JL, et al. Cognitive error in an academic emergency department. Diagnosis
(Berl). 2018;5(3):135-142. doi:10.1515/dx-2018-0011.
https://psnet.ahrq.gov/issue/cognitive-error-academic-emergency-department
In 2015, the Nation…
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psnet.ahrq.gov/node/34708/psn-pdf
February 18, 2011 - Understanding and responding to adverse events.
February 18, 2011
Vincent CA. Understanding and Responding to Adverse Events. New Engl J Med. 2003;348(11):1051-
1056. doi:10.1056/nejmhpr020760.
https://psnet.ahrq.gov/issue/understanding-and-responding-adverse-events
In this article, Vincent describes the investiga…
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psnet.ahrq.gov/node/852461/psn-pdf
August 16, 2023 - Amid lack of accountability for bias in maternity care, a
California family seeks justice.
August 16, 2023
Kwon S. KFF Health News. August 8, 2023
https://psnet.ahrq.gov/issue/amid-lack-accountability-bias-maternity-care-california-family-seeks-justice
Implicit bias and systemic racism are known to affect the safe…
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psnet.ahrq.gov/node/34725/psn-pdf
April 07, 2011 - Patient safety: what about the patient?
April 7, 2011
Vincent C, Coulter A. Patient safety: what about the patient? Qual Saf Health Care. 2002;11(1):76-80.
https://psnet.ahrq.gov/issue/patient-safety-what-about-patient
In this perspective, Vincent and Coulter highlight the need for increased patient involvement in …
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psnet.ahrq.gov/node/35108/psn-pdf
April 06, 2011 - Improving medication management for patients: the effect
of a pharmacist on post-admission ward rounds.
April 6, 2011
Fertleman M, Barnett N, Patel T. Improving medication management for patients: the effect of a pharmacist
on post-admission ward rounds. Qual Saf Health Care. 2005;14(3):207-11.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/45724/psn-pdf
July 21, 2017 - Remembering to learn: the overlooked role of
remembrance in safety improvement.
July 21, 2017
Macrae C. Remembering to learn: the overlooked role of remembrance in safety improvement. BMJ Qual
Saf. 2017;26(8):678-682. doi:10.1136/bmjqs-2016-005547.
https://psnet.ahrq.gov/issue/remembering-learn-overlooked-role-rem…
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psnet.ahrq.gov/node/47739/psn-pdf
February 20, 2019 - Artificial intelligence, bias and clinical safety.
February 20, 2019
Challen R, Denny J, Pitt M, et al. Artificial intelligence, bias and clinical safety. BMJ Qual Saf.
2019;28(3):231-237. doi:10.1136/bmjqs-2018-008370.
https://psnet.ahrq.gov/issue/artificial-intelligence-bias-and-clinical-safety
Artificial intell…
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psnet.ahrq.gov/node/44533/psn-pdf
April 25, 2016 - A medical resident–pharmacist collaboration improves
the rate of medication reconciliation verification at
discharge.
April 25, 2016
Caroff DA, Bittermann T, Leonard CE, et al. A Medical Resident-Pharmacist Collaboration Improves the
Rate of Medication Reconciliation Verification at Discharge. Jt Comm J Qual Patie…
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psnet.ahrq.gov/node/38707/psn-pdf
June 17, 2009 - Doctors' views of attitudes towards peer medical error.
June 17, 2009
Asghari F, Fotouhi A, Jafarian A. Doctors' views of attitudes towards peer medical error. Qual Saf Health
Care. 2009;18(3):209-12. doi:10.1136/qshc.2007.025015.
https://psnet.ahrq.gov/issue/doctors-views-attitudes-towards-peer-medical-error
The …
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psnet.ahrq.gov/node/45951/psn-pdf
October 31, 2017 - A systematic review of team training in health care: ten
questions.
October 31, 2017
Marlow SL, Hughes A, Sonesh SC, et al. A Systematic Review of Team Training in Health Care: Ten
Questions. Jt Comm J Qual Patient Saf. 2017;43(4):197-204. doi:10.1016/j.jcjq.2016.12.004.
https://psnet.ahrq.gov/issue/systematic-rev…
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psnet.ahrq.gov/node/73970/psn-pdf
October 21, 2021 - The Good, The Bad, and The Ugly: Patient Experiences
with CRPs.
October 13, 2021
Collaborative for Accountability and Improvement. October 21, 2021.
https://psnet.ahrq.gov/issue/good-bad-and-ugly-patient-experiences-crps
Communication-and-resolution program (CRP) initiatives are a valuable strategy for impro…
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psnet.ahrq.gov/node/866641/psn-pdf
September 04, 2024 - Quality and patient safety improvement is never finished.
September 4, 2024
Kachalia A, Vanhaecht K. Quality and patient safety improvement is never finished. NEJM Catalyst.
2024;5(9). doi:10.1056/cat.24.0316.
https://psnet.ahrq.gov/issue/quality-and-patient-safety-improvement-never-finished
Safety and quality imp…
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psnet.ahrq.gov/node/73996/psn-pdf
October 29, 2021 - Patient, Medical, and Legal Perspectives of Unsafe Care.
October 20, 2021
Patient Safety Movement. October 29, 2021.
https://psnet.ahrq.gov/issue/patient-medical-and-legal-perspectives-unsafe-care
Effective response to medical harm involves a variety of perspectives that are aligned in purpose. This
webinar …
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psnet.ahrq.gov/node/50758/psn-pdf
December 18, 2019 - Still Not Safe: Patient Safety and the Middle-Managing of
American Medicine.
December 18, 2019
Wears R, Sutcliffe K. New York, NY: Oxford University Press; 2019. ISBN: 9780190271268.
https://psnet.ahrq.gov/issue/still-not-safe-patient-safety-and-middle-managing-american-medicine
The modern patient safety movement …