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psnet.ahrq.gov/issue/second-victim-experience-and-support-tool-validation-organizational-resource-assessing-second
September 19, 2016 - Study
The Second Victim Experience and Support Tool: validation of an organizational resource for assessing second victim effects and the quality of support resources.
Citation Text:
Burlison JD, Scott SD, Browne EK, et al. The Second Victim Experience and Support Tool: validation of an …
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psnet.ahrq.gov/issue/interventions-health-organisations-reduce-impact-adverse-events-second-and-third-victims
October 11, 2017 - Study
Interventions in health organisations to reduce the impact of adverse events in second and third victims.
Citation Text:
Mira JJ, Lorenzo S, Carrillo I, et al. Interventions in health organisations to reduce the impact of adverse events in second and third victims. BMC Health Serv …
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psnet.ahrq.gov/issue/relationship-between-nursing-home-safety-culture-and-joint-commission-accreditation
June 02, 2010 - Study
Relationship between nursing home safety culture and Joint Commission accreditation.
Citation Text:
Wagner LM, McDonald SM, Castle NG. Relationship between nursing home safety culture and Joint Commission accreditation. Jt Comm J Qual Patient Saf. 2012;38(5):207-15.
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psnet.ahrq.gov/issue/patterns-nursing-home-medication-errors-disproportionality-analysis-novel-method-identify
August 07, 2013 - Study
Patterns in nursing home medication errors: disproportionality analysis as a novel method to identify quality improvement opportunities.
Citation Text:
Hansen RA, Cornell PY, Ryan PB, et al. Patterns in nursing home medication errors: disproportionality analysis as a novel method…
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psnet.ahrq.gov/issue/relationship-between-hospital-systems-load-and-patient-harm
November 12, 2008 - Study
The relationship between hospital systems load and patient harm.
Citation Text:
Pedroja AT, Blegen MA, Abravanel R, et al. The relationship between hospital systems load and patient harm. J Patient Saf. 2014;10(3):168-75. doi:10.1097/PTS.0b013e31829e4f82.
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psnet.ahrq.gov/issue/preliminary-development-and-testing-global-trigger-tool-detect-error-and-patient-harm-primary
January 19, 2011 - Study
The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records.
Citation Text:
de Wet C, Bowie P. The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records. …
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psnet.ahrq.gov/issue/advancing-health-equity-patient-safety-reckoning-challenge-and-opportunity
February 23, 2022 - Commentary
Advancing health equity in patient safety: a reckoning, challenge and opportunity.
Citation Text:
Chin MH. Advancing health equity in patient safety: a reckoning, challenge and opportunity. BMJ Qual Saf. 2021;30(5):356-361. doi:10.1136/bmjqs-2020-012599.
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psnet.ahrq.gov/issue/whistleblowing-over-patient-safety-and-care-quality-review-literature
April 08, 2019 - Review
Emerging Classic
Whistleblowing over patient safety and care quality: a review of the literature.
Citation Text:
Blenkinsopp J, Snowden N, Mannion R, et al. Whistleblowing over patient safety and care quality: a review of the literature. J Health Org Mana…
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psnet.ahrq.gov/issue/surgical-glove-perforation-and-risk-surgical-site-infection
March 02, 2011 - Study
Surgical glove perforation and the risk of surgical site infection.
Citation Text:
Misteli H, Weber WP, Reck S, et al. Surgical glove perforation and the risk of surgical site infection. Arch Surg. 2009;144(6):553-8; discussion 558. doi:10.1001/archsurg.2009.60.
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psnet.ahrq.gov/issue/national-survey-effect-oncology-drug-shortages-cancer-care
April 22, 2015 - Study
National survey on the effect of oncology drug shortages on cancer care.
Citation Text:
McBride A, Holle LM, Westendorf C, et al. National survey on the effect of oncology drug shortages on cancer care. Am J Health Syst Pharm. 2013;70(7):609-17. doi:10.2146/ajhp120563.
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psnet.ahrq.gov/issue/how-event-reporting-us-hospitals-has-changed-2005-2009
April 21, 2010 - Study
How event reporting by US hospitals has changed from 2005 to 2009.
Citation Text:
Farley DO, Haviland AM, Haas A, et al. How event reporting by US hospitals has changed from 2005 to 2009. BMJ Qual Saf. 2011;21(1). doi:10.1136/bmjqs-2011-000114.
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psnet.ahrq.gov/issue/multidisciplinary-approach-reduce-central-line-associated-bloodstream-infections
November 16, 2022 - Study
A multidisciplinary approach to reduce central line-associated bloodstream infections.
Citation Text:
McMullan C, Propper G, Schuhmacher C, et al. A multidisciplinary approach to reduce central line-associated bloodstream infections. Jt Comm J Qual Patient Saf. 2013;39(2):61-69. …
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psnet.ahrq.gov/issue/quality-australian-health-care-study
February 02, 2022 - Study
Classic
The Quality in Australian Health Care Study.
Citation Text:
Wilson RML, Runciman WB, Gibberd RW, et al. The Quality in Australian Health Care Study. Med J Aust. 2019;163(9):458-471. doi:10.5694/j.1326-5377.1995.tb124691.x.
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psnet.ahrq.gov/issue/caregiver-fatigue-implications-patient-and-staff-safety-part-1-and-part-2
September 23, 2020 - Commentary
Caregiver fatigue: implications for patient and staff safety—part 1 and part 2.
Citation Text:
Blouin AS, Smith-Miller CA, Harden J, et al. Caregiver Fatigue: Implications for Patient and Staff Safety, Part 1. J Nurs Adm. 2016;46(6):329-35. doi:10.1097/NNA.0000000000000353.
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psnet.ahrq.gov/issue/morbidity-and-mortality-conference-opportunities-enhancing-patient-safety
March 17, 2021 - Commentary
The morbidity and mortality conference: opportunities for enhancing patient safety.
Citation Text:
Lazzara EH, Salisbury M, Hughes AM, et al. The morbidity and mortality conference: opportunities for enhancing patient safety. J Patient Saf. 2022;18(1):e275-e281. doi:10.1097/pt…
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psnet.ahrq.gov/issue/association-hospital-public-quality-reporting-electronic-health-record-medication-safety
October 21, 2020 - Study
Association of hospital public quality reporting with electronic health record medication safety performance.
Citation Text:
Holmgren AJ, Bates DW. Association of hospital public quality reporting with electronic health record medication safety performance. JAMA Netw Open. 2021;4(9…
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psnet.ahrq.gov/issue/first-year-analysis-operating-room-black-box-study
October 16, 2019 - Study
Emerging Classic
First-year analysis of the Operating Room Black Box study.
Citation Text:
Jung JJ, Jüni P, Lebovic G, et al. First-year Analysis of the Operating Room Black Box Study. Ann Surg. 2020;271(1):122-127. doi:10.1097/SLA.0000000000002863.
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psnet.ahrq.gov/issue/paying-piper-investing-infrastructure-patient-safety
July 01, 2017 - Commentary
Classic
Paying the piper: investing in infrastructure for patient safety.
Citation Text:
Pronovost P, Rosenstein BJ, Paine LA, et al. Paying the piper: investing in infrastructure for patient safety. Jt Comm J Qual Patient Saf. 2008;34(6):342-8.
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psnet.ahrq.gov/issue/communication-failure-operating-room
February 25, 2009 - Study
Communication failure in the operating room.
Citation Text:
Halverson AL, Casey JT, Andersson J, et al. Communication failure in the operating room. Surgery. 2011;149(3):305-310. doi:10.1016/j.surg.2010.07.051.
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psnet.ahrq.gov/issue/transforming-team-performance-through-reimplementation-surgical-safety-checklist
March 09, 2022 - Study
Transforming team performance through reimplementation of the surgical safety checklist.
Citation Text:
Etheridge JC, Moyal-Smith R, Yong TT, et al. Transforming team performance through reimplementation of the surgical safety checklist. JAMA Surg. 2024;159(1):78-86. doi:10.1001/ja…