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psnet.ahrq.gov/issue/using-sociotechnical-theory-understand-medication-safety-work-primary-care-and-prescribers
November 09, 2022 - Study
Using sociotechnical theory to understand medication safety work in primary care and prescribers' use of clinical decision support: a qualitative study.
Citation Text:
Jeffries M, Salema N-E, Laing L, et al. Using sociotechnical theory to understand medication safety work in primar…
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psnet.ahrq.gov/issue/disclosure-medical-errors-what-factors-influence-how-patients-respond
December 23, 2008 - Study
Classic
Disclosure of medical errors: what factors influence how patients respond?
Citation Text:
Mazor KM, Reed G, Yood RA, et al. Disclosure of medical errors: what factors influence how patients respond? J Gen Intern Med. 2006;21(7):704-10.
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psnet.ahrq.gov/issue/speaking-about-patient-safety-concerns-and-unprofessional-behaviour-among-residents
December 21, 2017 - Study
'Speaking up' about patient safety concerns and unprofessional behaviour among residents: validation of two scales.
Citation Text:
Martinez W, Etchegaray J, Thomas EJ, et al. 'Speaking up' about patient safety concerns and unprofessional behaviour among residents: validation of two…
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psnet.ahrq.gov/issue/guidance-health-care-leaders-during-recovery-stage-covid-19-pandemic-consensus-statement
December 21, 2017 - Commentary
Guidance for health care leaders during the recovery stage of the COVID-19 pandemic: a consensus statement.
Citation Text:
Geerts JM, Kinnair D, Taheri P, et al. Guidance for health care leaders during the recovery stage of the COVID-19 pandemic: a consensus statement. JAMA Ne…
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psnet.ahrq.gov/issue/publicly-available-hospital-comparison-web-sites-determination-useful-valid-and-appropriate
December 21, 2014 - Study
Classic
Publicly available hospital comparison web sites: determination of useful, valid, and appropriate information for comparing surgical quality.
Citation Text:
Leonardi MJ, McGory ML, Ko CY. Publicly available hospital comparison web sites: determin…
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psnet.ahrq.gov/issue/new-recommendations-duty-hours-acgme-task-force
July 14, 2021 - Commentary
Classic
The new recommendations on duty hours from the ACGME Task Force.
Citation Text:
Nasca TJ, Day SH, Amis S, et al. The new recommendations on duty hours from the ACGME Task Force. N Engl J Med. 2010;363(2):e3. doi:10.1056/NEJMsb1005800.
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psnet.ahrq.gov/issue/covid-19-crisis-safe-reopening-simulation-centres-and-new-normal-food-thought
September 30, 2020 - Commentary
COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought.
Citation Text:
Ingrassia PL, Capogna G, Diaz-Navarro C, et al. COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought. Adv Simul (Lond). 2020;5:13. d…
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psnet.ahrq.gov/issue/patient-and-public-co-creation-healthcare-safety-and-healthcare-system-resilience-case-covid
February 16, 2022 - Study
Patient and public co-creation of healthcare safety and healthcare system resilience: the case of COVID-19.
Citation Text:
Albutt AK, Ramsey L, Fylan B, et al. Patient and public co‐creation of healthcare safety and healthcare system resilience: the case of COVID‐19. Health Expect.…
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psnet.ahrq.gov/issue/charting-diagnostic-safety-exploring-patient-provider-discordance-medical-record
April 13, 2022 - Study
Charting diagnostic safety: exploring patient-provider discordance in medical record documentation.
Citation Text:
Giardina TD, Vaghani V, Upadhyay DK, et al. Charting diagnostic safety: exploring patient-provider discordance in medical record documentation. J Gen Intern Med. 2025;…
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psnet.ahrq.gov/issue/safety-culture-cardiac-surgical-teams-data-five-programs-and-national-surgical-comparison
May 24, 2012 - Study
Safety culture in cardiac surgical teams: data from five programs and national surgical comparison.
Citation Text:
Marsteller JA, Wen M, Hsu Y-J, et al. Safety Culture in Cardiac Surgical Teams: Data From Five Programs and National Surgical Comparison. Ann Thorac Surg. 2015;100(6):…
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psnet.ahrq.gov/issue/central-venous-catheter-guidewire-retention-lessons-englands-never-event-database
September 15, 2021 - Study
Central venous catheter guidewire retention: lessons from England's never event database.
Citation Text:
Mariyaselvam MZA, Patel V, Young HE, et al. Central venous catheter guidewire retention: lessons from England's never event database. J Patient Saf. 2022;18(2):e387-e392. doi:10…
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psnet.ahrq.gov/issue/assessing-quality-older-persons-emergency-transitions-between-long-term-and-acute-care
March 17, 2021 - Study
Assessing quality of older persons' emergency transitions between long-term and acute care settings: a proof-of-concept study.
Citation Text:
Tate K, McLane P, Reid C, et al. Assessing quality of older persons’ emergency transitions between long-term and acute care settings: a proo…
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psnet.ahrq.gov/issue/misdiagnosis-and-failure-diagnose-emergency-care-causes-and-empathy-solution
August 04, 2021 - Commentary
Misdiagnosis and failure to diagnose in emergency care: causes and empathy as a solution.
Citation Text:
Pelaccia T, Messman AM, Kline JA. Misdiagnosis and failure to diagnose in emergency care: causes and empathy as a solution. Patient Edu Couns. 2020;103(8):1650-1656. doi:10…
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psnet.ahrq.gov/issue/challenges-monitoring-and-preventing-patient-safety-incidents-people-intellectual
May 20, 2020 - Study
The challenges in monitoring and preventing patient safety incidents for people with intellectual disabilities in NHS acute hospitals: evidence from a mixed-methods study.
Citation Text:
Tuffrey-Wijne I, Goulding L, Gordon V, et al. The challenges in monitoring and preventing patie…
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psnet.ahrq.gov/issue/diagnostic-error-among-vulnerable-populations-presenting-emergency-department-cardiovascular
March 16, 2022 - Review
Diagnostic error among vulnerable populations presenting to the emergency department with cardiovascular and cerebrovascular or neurological symptoms: a systematic review.
Citation Text:
Herasevich S, Soleimani J, Huang C, et al. Diagnostic error among vulnerable populations prese…
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psnet.ahrq.gov/issue/development-and-testing-objective-structured-clinical-exam-osce-assess-socio-cultural
January 15, 2014 - Study
Development and testing of an objective structured clinical exam (OSCE) to assess socio-cultural dimensions of patient safety competency.
Citation Text:
Ginsburg LR, Tregunno D, Norton PG, et al. Development and testing of an objective structured clinical exam (OSCE) to assess soci…
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psnet.ahrq.gov/issue/health-professionals-perspectives-safety-issues-mental-health-services-qualitative-study
August 05, 2020 - Study
Health professionals' perspectives of safety issues in mental health services: a qualitative study.
Citation Text:
Albutt AK, Berzins K, Louch G, et al. Health professionals’ perspectives of safety issues in mental health services: A qualitative study. nt J Ment Health Nurs. 2021;3…
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psnet.ahrq.gov/issue/videos-simulated-after-action-reviews-training-resource-support-social-and-inclusive-learning
May 22, 2024 - Commentary
Videos of simulated after action reviews: a training resource to support social and inclusive learning from patient safety events.
Citation Text:
McCarthy SE, Hogan C, Jenkins L, et al. Videos of simulated after action reviews: a training resource to support social and inclusi…
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psnet.ahrq.gov/issue/impact-state-nurse-practitioner-regulations-potentially-inappropriate-medication-prescribing
March 24, 2021 - Study
Impact of state nurse practitioner regulations on potentially inappropriate medication prescribing between physicians and nurse practitioners: a national study in the United States.
Citation Text:
Tzeng H-M, Raji MA, Chou L-N, et al. Impact of state nurse practitioner regulations o…
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psnet.ahrq.gov/issue/harms-discharge-primary-care-mixed-methods-analysis-incident-reports
October 12, 2016 - Study
Harms from discharge to primary care: mixed methods analysis of incident reports.
Citation Text:
Williams H, Edwards A, Hibbert P, et al. Harms from discharge to primary care: mixed methods analysis of incident reports. Br J Gen Pract. 2015;65(641):e829-e837. doi:10.3399/bjgp15X687…