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psnet.ahrq.gov/issue/communication-regarding-adverse-neonatal-birth-events-experiences-parents-and-clinicians
May 13, 2020 - Study
Communication regarding adverse neonatal birth events: experiences of parents and clinicians.
Citation Text:
Loren DL, Lyerly AD, Lipira L, et al. Communication regarding adverse neonatal birth events: experiences of parents and clinicians. J Patient Saf Risk Manag. 2021;26(5):200-…
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psnet.ahrq.gov/issue/drug-related-problems-and-polypharmacy-nursing-home-residents-cross-sectional-study
May 25, 2022 - Study
Drug-related problems and polypharmacy in nursing home residents: a cross-sectional study.
Citation Text:
Díez R, Cadenas R, Susperregui J, et al. Drug-related problems and polypharmacy in nursing home residents: a cross-sectional study. Int J Environ Res Public Health. 2022;19(7):…
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psnet.ahrq.gov/issue/quality-standards-safe-medication-nursing-homes-development-through-multistep-approach
July 13, 2022 - Study
Quality standards for safe medication in nursing homes: development through a multistep approach including a Delphi consensus study.
Citation Text:
Brühwiler LD, Niederhauser A, Fischer S, et al. Quality standards for safe medication in nursing homes: development through a multiste…
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psnet.ahrq.gov/issue/success-resident-led-safety-council-model-satisfying-cler-pathways-excellence-patient-safety
August 01, 2018 - Study
Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goals.
Citation Text:
Cohen SP, Pelletier JH, Ladd JM, et al. Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goal…
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psnet.ahrq.gov/issue/clinical-practice-guideline-safe-medication-use-icu
February 19, 2014 - Review
Clinical practice guideline: safe medication use in the ICU.
Citation Text:
Kane-Gill SL, Dasta JF, Buckley MS, et al. Clinical Practice Guideline: Safe Medication Use in the ICU. Crit Care Med. 2017;45(9):e877-e915. doi:10.1097/CCM.0000000000002533.
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psnet.ahrq.gov/issue/what-are-experiences-team-members-involved-root-cause-analysis-qualitative-study
August 16, 2023 - Study
What are the experiences of team members involved in root cause analysis? A qualitative study.
Citation Text:
Willis R, Jones T, Hoiles J, et al. What are the experiences of team members involved in root cause analysis? A qualitative study. BMC Health Serv Res. 2023;23(1):1152. doi…
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psnet.ahrq.gov/issue/disclosing-adverse-events-clinical-practice-delicate-act-being-open
April 14, 2021 - Review
Disclosing adverse events in clinical practice: the delicate act of being open.
Citation Text:
Myren BJ, de Hullu JA, Bastiaans S, et al. Disclosing adverse events in clinical practice: the delicate act of being open. Health Commun. 2022;37(2):191-201. doi:10.1080/10410236.2020.18…
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psnet.ahrq.gov/issue/world-health-organization-field-trial-assessing-proposed-icd-11-framework-classifying-patient
December 29, 2014 - Study
A World Health Organization field trial assessing a proposed ICD-11 framework for classifying patient safety events.
Citation Text:
Forster AJ, Bernard B, Drösler SE, et al. A World Health Organization field trial assessing a proposed ICD-11 framework for classifying patient safety…
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psnet.ahrq.gov/issue/hospital-nurses-and-physicians-experiences-practicing-patient-safety-work-recognize
October 20, 2021 - Study
Hospital nurses and physicians' experiences practicing patient safety work to recognize deteriorating patients: a qualitative study.
Citation Text:
Berg AMN, Werner A, Knutsen IR, et al. Hospital nurses and physicians’ experiences practicing patient safety work to recognize deterio…
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psnet.ahrq.gov/issue/comprehensive-estimation-costs-30-day-postoperative-complications-using-actual-costs-multiple
June 22, 2022 - Study
A comprehensive estimation of the costs of 30-day postoperative complications using actual costs from multiple, diverse hospitals.
Citation Text:
Merkow RP, Shan Y, Gupta AR, et al. A comprehensive estimation of the costs of 30-day postoperative complications using actual costs fro…
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psnet.ahrq.gov/issue/medication-related-problems-critical-care-survivors-systematic-review
August 20, 2018 - Review
Medication-related problems in critical care survivors: a systematic review.
Citation Text:
Short A, McPeake J, Andonovic M, et al. Medication-related problems in critical care survivors: a systematic review. Eur J Hosp Pharm. 2023;30(5):250-256. doi:10.1136/ejhpharm-2023-003715. …
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psnet.ahrq.gov/issue/how-can-task-shifting-put-patient-safety-risk-qualitative-study-experiences-among-general
December 14, 2022 - Study
How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioners in Norway.
Citation Text:
Malterud K, Aamland A, Fosse A. How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioner…
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psnet.ahrq.gov/issue/support-healthcare-workers-and-patients-after-medical-error-through-mutual-healing-another
June 16, 2021 - Study
Support for healthcare workers and patients after medical error through mutual healing: another step towards patient safety.
Citation Text:
Aubin DL, Soprovich A, Diaz Carvallo F, et al. Support for healthcare workers and patients after medical error through mutual healing: another…
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psnet.ahrq.gov/issue/use-pediatric-injectable-medicines-guidelines-and-associated-medication-administration-errors
December 18, 2019 - Study
Use of pediatric injectable medicines guidelines and associated medication administration errors: a human reliability analysis.
Citation Text:
Jones MD, Clarke J, Feather C, et al. Use of pediatric injectable medicines guidelines and associated medication administration errors: a h…
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psnet.ahrq.gov/issue/design-and-impact-novel-surgery-specific-second-victim-peer-support-program
March 09, 2022 - Study
Emerging Classic
Design and impact of a novel surgery-specific second victim peer support program.
Citation Text:
El Hechi MW, Bohnen JD, Westfal M, et al. Design and Impact of a Novel Surgery-Specific Second Victim Peer Support Program. J Am Coll Surg. 2…
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psnet.ahrq.gov/issue/patient-and-public-involvement-healthcare-systematic-mapping-review-systematic-reviews
August 24, 2016 - Study
Patient and public involvement in healthcare: a systematic mapping review of systematic reviews - identification of current research and possible directions for future research.
Citation Text:
Bergholtz J, Wolf A, Crine V, et al. Patient and public involvement in healthcare: a syst…
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psnet.ahrq.gov/issue/root-causes-adverse-drug-events-hospitals-and-artificial-intelligence-capabilities-prevention
May 20, 2020 - Study
Root causes of adverse drug events in hospitals and artificial intelligence capabilities for prevention.
Citation Text:
Gordo C, Núñez‐Córdoba JM, Mateo R. Root causes of adverse drug events in hospitals and artificial intelligence capabilities for prevention. J Adv Nurs. 2021;77(7…
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psnet.ahrq.gov/issue/rates-adverse-events-hospitalized-patients-after-summer-time-resident-changeover-united
June 22, 2022 - Study
Rates of adverse events in hospitalized patients after summer-time resident changeover in the United States: is there a July effect?
Citation Text:
Metersky ML, Eldridge N, Wang Y, et al. Rates of adverse events in hospitalized patients after summer-time resident changeover in the …
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psnet.ahrq.gov/issue/patients-perspective-hematological-cancer-patients-experiences-adverse-events-part-care
December 01, 2019 - Study
The patients' perspective: hematological cancer patients' experiences of adverse events as part of care.
Citation Text:
Bryant J, Carey M, Sanson-Fisher R, et al. The patients' perspective: hematological cancer patients' experiences of adverse events as part of care. J Patient Saf.…
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psnet.ahrq.gov/issue/ensuring-access-medications-us-during-covid-19-pandemic
May 08, 2017 - March 30, 2022
Prescription opioid analgesics commonly unused after surgery: a systematic