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psnet.ahrq.gov/issue/improving-prescription-drug-warnings-promote-patient-comprehension
December 21, 2014 - Study
Improving prescription drug warnings to promote patient comprehension.
Citation Text:
Wolf MS, Davis TC, Bass PF, et al. Improving prescription drug warnings to promote patient comprehension. Arch Intern Med. 2010;170(1):50-6. doi:10.1001/archinternmed.2009.454.
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psnet.ahrq.gov/issue/patient-safety-incidents-associated-airway-devices-critical-care-review-reports-uk-national
March 12, 2025 - Study
Patient safety incidents associated with airway devices in critical care: a review of reports to the UK National Patient Safety Agency.
Citation Text:
Thomas AN, McGrath BA. Patient safety incidents associated with airway devices in critical care: a review of reports to the UK Na…
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psnet.ahrq.gov/issue/building-learning-organization
June 16, 2011 - Study
Classic
Building a learning organization.
Citation Text:
Garvin DA. Building a learning organization. Harv Bus Rev. 1993;71(4):78-91.
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psnet.ahrq.gov/issue/cognitive-and-implicit-biases-nurses-judgment-and-decision-making-scoping-review
October 20, 2021 - Review
Cognitive and implicit biases in nurses' judgment and decision-making: a scoping review.
Citation Text:
Thirsk LM, Panchuk JT, Stahlke S, et al. Cognitive and implicit biases in nurses' judgment and decision-making: a scoping review. Int J Nurs Stud. 2022;133:104284. doi:10.1016/j…
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psnet.ahrq.gov/issue/dissecting-communication-barriers-healthcare-path-enhancing-communication-resiliency
July 12, 2023 - Commentary
Dissecting communication barriers in healthcare: a path to enhancing communication resiliency, reliability, and patient safety.
Citation Text:
Guttman OT, Lazzara EH, Keebler JR, et al. Dissecting Communication Barriers in Healthcare: A Path to Enhancing Communication Resilien…
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psnet.ahrq.gov/issue/developing-health-care-organizations-pursue-learning-and-exploration-diagnostic-excellence
October 28, 2020 - Commentary
Developing health care organizations that pursue learning and exploration of diagnostic excellence: an action plan.
Citation Text:
Singh H, Upadhyay DK, Torretti D. Developing Health Care Organizations That Pursue Learning and Exploration of Diagnostic Excellence: An Action Pl…
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psnet.ahrq.gov/issue/reducing-risk-and-promoting-patient-safety-nih-intramural-clinical-research-draft-report
November 18, 2020 - Book/Report
Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final Report.
Citation Text:
Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final Report. The Clinical Center Working Group Report to the Advisory Committee to the…
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psnet.ahrq.gov/issue/literacy-and-misunderstanding-prescription-drug-labels
September 17, 2010 - Study
Classic
Literacy and misunderstanding prescription drug labels.
Citation Text:
Davis TC, Wolf MS, Bass PF, et al. Literacy and misunderstanding prescription drug labels. Ann Intern Med. 2006;145(12):887-94.
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psnet.ahrq.gov/issue/realist-synthesis-intentional-rounding-hospital-wards-exploring-evidence-what-works-whom-what
March 01, 2023 - Review
Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for whom, in what circumstances and why.
Citation Text:
Sims S, Leamy M, Davies N, et al. Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what …
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psnet.ahrq.gov/issue/impact-interruptions-distractions-and-cognitive-load-procedure-failures-and-medication
March 02, 2012 - Study
Impact of interruptions, distractions, and cognitive load on procedure failures and medication administration errors.
Citation Text:
Thomas L, Donohue-Porter P, Fishbein JS. Impact of Interruptions, Distractions, and Cognitive Load on Procedure Failures and Medication Administratio…
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psnet.ahrq.gov/issue/nurses-perceived-skills-and-attitudes-about-updated-safety-concepts-impact-medication
January 03, 2017 - Study
Nurses' perceived skills and attitudes about updated safety concepts: impact on medication administration errors and practices.
Citation Text:
Armstrong GE, Dietrich M, Norman L, et al. Nursesʼ Perceived Skills and Attitudes About Updated Safety Concepts. J Nurs Care Qual. 2016;32(…
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psnet.ahrq.gov/issue/patients-and-physicians-attitudes-regarding-disclosure-medical-errors
March 21, 2017 - Study
Classic
Patients' and physicians' attitudes regarding the disclosure of medical errors.
Citation Text:
Gallagher TH, Waterman AD, Ebers AG, et al. Patients' and physicians' attitudes regarding the disclosure of medical errors. JAMA. 2003;289(8):1001-7.
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psnet.ahrq.gov/issue/systemic-failures-nursing-home-care-scoping-study
July 17, 2013 - Review
Systemic failures in nursing home care--a scoping study.
Citation Text:
Sturmberg JP, Gainsford L, Goodwin N, et al. Systemic failures in nursing home care—A scoping study. J Eval Clin Pract. 2024. doi:10.1111/jep.13961.
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psnet.ahrq.gov/issue/systematic-proactive-risk-assessment-hazards-surgical-wards-quantitative-study
August 15, 2013 - Study
A systematic proactive risk assessment of hazards in surgical wards: a quantitative study.
Citation Text:
Anderson O, Brodie A, Vincent CA, et al. A systematic proactive risk assessment of hazards in surgical wards: a quantitative study. Ann Surg. 2012;255(6):1086-92. doi:10.1097…
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psnet.ahrq.gov/issue/potential-uses-ai-perioperative-nursing-handoffs-qualitative-study
September 01, 2021 - Study
Potential uses of AI for perioperative nursing handoffs: a qualitative study.
Citation Text:
King CR, Shambe A, Abraham J. Potential uses of AI for perioperative nursing handoffs: a qualitative study. JAMIA Open. 2023;6(1):ooaf015. doi:10.1093/jamiaopen/ooad015.
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psnet.ahrq.gov/issue/long-term-sustainability-and-adaptation-i-pass-handovers
September 09, 2020 - Study
Long-term sustainability and adaptation of I-PASS handovers.
Citation Text:
Ryan SL, Logan M, Liu X, et al. Long-term sustainability and adaptation of I-PASS handovers. Jt Comm J Qual Patient Saf. 2023;19(12):689-697. doi:10.1016/j.jcjq.2023.07.007.
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psnet.ahrq.gov/issue/patient-engagement-health-care-safety-overview-mixed-quality-evidence
October 21, 2020 - Review
Emerging Classic
Patient engagement in health care safety: an overview of mixed-quality evidence.
Citation Text:
Sharma AE, Rivadeneira NA, Barr-Walker J, et al. Patient Engagement In Health Care Safety: An Overview Of Mixed-Quality Evidence. Health Aff (…
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psnet.ahrq.gov/issue/improving-diagnosis-health-care
September 12, 2018 - Book/Report
Classic
Improving Diagnosis in Health Care.
Citation Text:
Improving Diagnosis in Health Care. Committee on Diagnostic Error in Health Care, National Academies of Science, Engineering, and Medicine. Washington, DC: National Academies Press; 2015. ISB…
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psnet.ahrq.gov/issue/role-failure-mode-and-effects-analysis-health-care
December 22, 2021 - Newspaper/Magazine Article
The role of failure mode and effects analysis in health care.
Citation Text:
Fibuch E, Ahmed A. The role of failure mode and effects analysis in health care. Physician Exec. 2014;40(4):28-32.
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psnet.ahrq.gov/issue/who-world-alliance-patient-safety-new-challenge-or-old-one-neglected
February 14, 2024 - Commentary
The WHO World Alliance for Patient Safety: a new challenge or an old one neglected?
Citation Text:
Edwards R. The WHO World Alliance for Patient Safety: a new challenge or an old one neglected? Drug Saf. 2005;28(5):379-86.
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