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psnet.ahrq.gov/issue/errors-during-resuscitation-impact-perceived-authority-delivery-care
April 03, 2019 - Study
Errors during resuscitation: the impact of perceived authority on delivery of care.
Citation Text:
Delaloye NJ, Tobler K, OʼNeill T, et al. Errors during resuscitation: the impact of perceived authority on delivery of care. J Patient Saf. 2020;16(1). doi:10.1097/pts.000000000000035…
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psnet.ahrq.gov/issue/prevalence-and-severity-patient-harm-sample-uk-hospitalised-children-detected-paediatric
February 15, 2023 - Study
Prevalence and severity of patient harm in a sample of UK-hospitalised children detected by the Paediatric Trigger Tool.
Citation Text:
Chapman SM, Fitzsimons J, Davey N, et al. Prevalence and severity of patient harm in a sample of UK-hospitalised children detected by the Paediatr…
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psnet.ahrq.gov/issue/reducing-diagnostic-errors-emergency-department-time-patient-treatment
August 26, 2020 - Study
Reducing diagnostic errors in the emergency department at the time of patient treatment.
Citation Text:
Petts A, Neep M, Thakkalpalli M. Reducing diagnostic errors in the emergency department at the time of patient treatment. Emerg Med Australas. 2023;35(3):466-473. doi:10.1111/174…
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psnet.ahrq.gov/issue/defining-avoidable-healthcare-associated-harm-prisons-mixed-method-development-study
August 04, 2021 - Study
Defining avoidable healthcare-associated harm in prisons: a mixed-method development study.
Citation Text:
Keers RN, Wainwright V, McFadzean J, et al. Defining avoidable healthcare-associated harm in prisons: a mixed-method development study. PLOS One. 2023;18(3):e0282021. doi:10.1…
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psnet.ahrq.gov/issue/cler-report-findings-2021-subprotocol-operative-and-procedural-areas
October 18, 2017 - Book/Report
CLER Report of Findings 2021: Subprotocol for Operative and Procedural Areas.
Citation Text:
CLER Report of Findings 2021: Subprotocol for Operative and Procedural Areas. Kuhn CM, Newton RC, Damewood MD, et al, on behalf of the CLER Evaluation Committee, the CLER Operative an…
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psnet.ahrq.gov/issue/human-factors-intervention-hospital-evaluating-outcome-teamstepps-program-surgical-ward
November 03, 2021 - Study
A human factors intervention in a hospital--evaluating the outcome of a TeamSTEPPS program in a surgical ward.
Citation Text:
Aaberg OR, Hall-Lord ML, Husebø SIE, et al. A human factors intervention in a hospital - evaluating the outcome of a TeamSTEPPS program in a surgical ward. …
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psnet.ahrq.gov/issue/reducing-falls-hospitalized-children-and-adolescents-cancer-and-blood-disorders-quality
November 16, 2022 - Study
Reducing falls in hospitalized children and adolescents with cancer and blood disorders: a quality improvement journey.
Citation Text:
Morrissey LK, Ho P, Ilowite M, et al. Reducing falls in hospitalized children and adolescents with cancer and blood disorders: a quality improvemen…
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psnet.ahrq.gov/issue/scoping-review-patients-attitudes-about-their-role-and-behaviours-ensure-safe-care-direct
May 19, 2021 - Review
Scoping review of patients' attitudes about their role and behaviours to ensure safe care at the direct care level.
Citation Text:
Duhn L, Godfrey C, Medves J. Scoping review of patients’ attitudes about their role and behaviours to ensure safe care at the direct care level. Healt…
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psnet.ahrq.gov/issue/development-and-evaluation-patient-safety-interventions-perspectives-operational-safety
February 26, 2025 - Study
Development and evaluation of patient safety interventions: perspectives of operational safety leaders and patient safety organizations.
Citation Text:
Gomes KM, Handley J, Pruitt ZM, et al. Development and evaluation of patient safety interventions: perspectives of operational saf…
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psnet.ahrq.gov/issue/systematic-review-natural-language-processing-classification-tasks-field-incident-reporting
October 18, 2018 - Review
Emerging Classic
A systematic review of natural language processing for classification tasks in the field of incident reporting and adverse event analysis.
Citation Text:
Young IJB, Luz S, Lone N. A systematic review of natural language processing for cla…
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psnet.ahrq.gov/issue/applying-principles-aviation-safety-investigations-root-cause-analysis-critical-incident
July 27, 2016 - Study
Applying principles from aviation safety investigations to root cause analysis of a critical incident during a simulated emergency.
Citation Text:
Imach S, Eppich W, Zech A, et al. Applying principles from aviation safety investigations to root cause analysis of a critical incident…
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psnet.ahrq.gov/issue/longitudinal-study-impact-simulation-positive-deviance-through-speaking
August 24, 2022 - Study
A longitudinal study on the impact of simulation on positive deviance through speaking up.
Citation Text:
M. Violato E. A longitudinal study on the impact of simulation on positive deviance through speaking up. Can J Respir Ther. 2022;58:137-142. doi:10.29390/cjrt-2022-006.
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psnet.ahrq.gov/issue/using-behavioral-insights-strengthen-strategies-change-practical-applications-quality
April 06, 2022 - Commentary
Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in healthcare.
Citation Text:
Johansen RLR, Tulloch S. Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in…
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psnet.ahrq.gov/issue/stigmatizing-language-patient-demographics-and-errors-diagnostic-process
April 12, 2023 - Study
Stigmatizing language, patient demographics, and errors in the diagnostic process.
Citation Text:
Brooks KC, Raffel KE, Chia D, et al. Stigmatizing language, patient demographics, and errors in the diagnostic process. JAMA Intern Med. 2024;184(6):704-706. doi:10.1001/jamainternmed.…
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psnet.ahrq.gov/issue/safety-health-care-ethnic-minority-patients-systematic-review
May 25, 2022 - Review
The safety of health care for ethnic minority patients: a systematic review.
Citation Text:
Chauhan A, Walton M, Manias E, et al. The safety of health care for ethnic minority patients: a systematic review. Int J Equity Health. 2020;19(1):118. doi:10.1186/s12939-020-01223-2.
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psnet.ahrq.gov/issue/surgeon-and-surgical-trainee-experiences-after-adverse-patient-events
January 09, 2019 - Study
Surgeon and surgical trainee experiences after adverse patient events.
Citation Text:
Ginzberg SP, Gasior JA, Passman JE, et al. Surgeon and surgical trainee experiences after adverse patient events. JAMA Netw Open. 2024;7(6):e2414329. doi:10.1001/jamanetworkopen.2024.14329.
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psnet.ahrq.gov/issue/toward-improving-patient-safety-through-voluntary-peer-peer-assessment
August 25, 2015 - Commentary
Toward improving patient safety through voluntary peer-to-peer assessment.
Citation Text:
Hudson DW, Holzmueller CG, Pronovost P, et al. Toward improving patient safety through voluntary peer-to-peer assessment. Am J Med Qual. 2012;27(3):201-9. doi:10.1177/1062860611421981. …
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psnet.ahrq.gov/issue/patient-safety-outcomes-after-two-years-enhanced-internal-medicine-residency-clinic-handoff
March 21, 2018 - Study
Patient safety outcomes after two years of an enhanced internal medicine residency clinic handoff.
Citation Text:
Pincavage AT, Prochaska M, Dahlstrom M, et al. Patient Safety Outcomes after Two Years of an Enhanced Internal Medicine Residency Clinic Handoff. Am J Med. 2013;127(1).…
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psnet.ahrq.gov/issue/omissions-care-nursing-homes-uniform-definition-research-and-quality-improvement
August 01, 2012 - Commentary
Omissions of care in nursing homes: a uniform definition for research and quality improvement.
Citation Text:
Mangrum R, Stewart MD, Gifford DR, et al. Omissions of care in nursing homes: a uniform definition for research and quality improvement. J Am Med Dir Assoc. 2020;21(11…
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psnet.ahrq.gov/issue/tracking-progress-improving-diagnosis-framework-defining-undesirable-diagnostic-events
September 01, 2021 - Commentary
Classic
Tracking progress in improving diagnosis: a framework for defining undesirable diagnostic events.
Citation Text:
Olson A, Graber ML, Singh H. Tracking Progress in Improving Diagnosis: A Framework for Defining Undesirable Diagnostic Events. J G…