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4401. Building a resilient patient safety culture: a large healthcare organization's approach to systematically reviewing serious harm events. | PSNet
      psnet.ahrq.gov/issue/building-resilient-patient-safety-culture-large-healthcare-organizations-approach
      November 03, 2015 - Study Building a resilient patient safety culture: a large healthcare organization's approach to systematically reviewing serious harm events. Citation Text: Harvey B, Dhalla IA, O'Neill C, et al. Building a resilient patient safety culture: a large healthcare organization's approach to …

4402. The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors. | PSNet
      psnet.ahrq.gov/issue/good-bad-and-ugly-operative-staff-perspectives-surgeon-coping-intraoperative-errors
      September 22, 2021 - Study The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors. Citation Text: D’Angelo A-LD, Kapur N, Kelley SR, et al. The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors. Surgery. …

4403. Supporting nursing, midwifery and allied health professional students to raise concerns with the quality of care: a review of the research literature. | PSNet
      psnet.ahrq.gov/issue/supporting-nursing-midwifery-and-allied-health-professional-students-raise-concerns-quality
      November 26, 2014 - Review Supporting nursing, midwifery and allied health professional students to raise concerns with the quality of care: a review of the research literature. Citation Text: Milligan F, Wareing M, Preston-Shoot M, et al. "Supporting nursing, midwifery and allied health professional studen…

4404. A national mixed-methods evaluation of preparedness for general surgery residency and the association with resident burnout. | PSNet
      psnet.ahrq.gov/issue/national-mixed-methods-evaluation-preparedness-general-surgery-residency-and-association
      September 02, 2020 - Study A national mixed-methods evaluation of preparedness for general surgery residency and the association with resident burnout. Citation Text: Engelhardt KE, Bilimoria KY, Johnson JK, et al. A national mixed-methods evaluation of preparedness for general surgery residency and the asso…

4405. Development of a core drug list towards improving prescribing education and reducing errors in the UK. | PSNet
      psnet.ahrq.gov/issue/development-core-drug-list-towards-improving-prescribing-education-and-reducing-errors-uk
      April 13, 2022 - Study Development of a core drug list towards improving prescribing education and reducing errors in the UK. Citation Text: Baker E, Pryce Roberts A, Wilde K, et al. Development of a core drug list towards improving prescribing education and reducing errors in the UK. Br J Clin Pharmac…

4406. Development of an emergency department trigger tool using a systematic search and modified Delphi process. | PSNet
      psnet.ahrq.gov/issue/development-emergency-department-trigger-tool-using-systematic-search-and-modified-delphi
      August 30, 2017 - Study Development of an emergency department trigger tool using a systematic search and modified Delphi process. Citation Text: Griffey RT, Schneider RM, Adler L, et al. Development of an Emergency Department Trigger Tool Using a Systematic Search and Modified Delphi Process. J Patient S…

4407. How is physicians' implicit prejudice against the obese and mentally ill moderated by specialty and experience? | PSNet
      psnet.ahrq.gov/issue/how-physicians-implicit-prejudice-against-obese-and-mentally-ill-moderated-specialty-and
      January 19, 2022 - Study How is physicians' implicit prejudice against the obese and mentally ill moderated by specialty and experience? Citation Text: FitzGerald C, Mumenthaler C, Berner D, et al. How is physicians’ implicit prejudice against the obese and mentally ill moderated by specialty and experienc…

4408. Safety on the ground: using critical incident technique to explore the factors influencing medical registrars' provision of safe care. | PSNet
      psnet.ahrq.gov/issue/safety-ground-using-critical-incident-technique-explore-factors-influencing-medical
      April 19, 2023 - Study Safety on the ground: using critical incident technique to explore the factors influencing medical registrars' provision of safe care. Citation Text: Ralston K, Smith SE, Kerins J, et al. Safety on the ground: using critical incident technique to explore the factors influencing med…

4409. Vulnerability of the medical product supply chain: the wake-up call of COVID-19. | PSNet
      psnet.ahrq.gov/issue/vulnerability-medical-product-supply-chain-wake-call-covid-19
      December 02, 2020 - Commentary Emerging Classic Vulnerability of the medical product supply chain: the wake-up call of COVID-19. Citation Text: Miller FA, Young SB, Dobrow M, et al. Vulnerability of the medical product supply chain: the wake-up call of COVID-19. BMJ Qual Saf. 2020;…

4410. The benefits and harms of open notes in mental health: a Delphi survey of international experts. | PSNet
      psnet.ahrq.gov/issue/benefits-and-harms-open-notes-mental-health-delphi-survey-international-experts
      July 07, 2021 - Study The benefits and harms of open notes in mental health: a Delphi survey of international experts. Citation Text: Blease CR, Kharko A, Hägglund M, et al. The benefits and harms of open notes in mental health: a Delphi survey of international experts. PLoS ONE. 2021;16(10):e0258056. d…

4411. Standards for patient monitoring during general anesthesia at Harvard Medical School. | PSNet
      psnet.ahrq.gov/issue/standards-patient-monitoring-during-general-anesthesia-harvard-medical-school
      February 10, 2011 - Clinical Guideline Standards for patient monitoring during general anesthesia at Harvard Medical School. Citation Text: Eichhorn JH, Cooper JB, Cullen DJ, et al. Standards for patient monitoring during anesthesia at Harvard Medical School. JAMA. 1986;256(8):1017-20. Copy Citation F…

4412. Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations. | PSNet
      psnet.ahrq.gov/issue/voluntary-electronic-reporting-laboratory-errors-analysis-37532-laboratory-event-reports-30
      February 24, 2011 - Study Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations. Citation Text: Snydman LK, Harubin B, Kumar S, et al. Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event…

4413. Advancing perinatal patient safety through application of safety science principles using health IT. | PSNet
      psnet.ahrq.gov/issue/advancing-perinatal-patient-safety-through-application-safety-science-principles-using-health
      April 27, 2019 - Study Advancing perinatal patient safety through application of safety science principles using health IT. Citation Text: Webb J, Sorensen A, Sommerness SA, et al. Advancing perinatal patient safety through application of safety science principles using health IT. BMC Med Inform Decis Ma…

4414. Diagnostic error in the emergency department: learning from national patient safety incident report analysis. | PSNet
      psnet.ahrq.gov/issue/diagnostic-error-emergency-department-learning-national-patient-safety-incident-report
      January 12, 2022 - Study Diagnostic error in the emergency department: learning from national patient safety incident report analysis. Citation Text: Hussain F, Cooper A, Carson-Stevens A, et al. Diagnostic error in the emergency department: learning from national patient safety incident report analysis. B…

4415. The costs of adverse drug events in hospitalized patients. | PSNet
      psnet.ahrq.gov/issue/costs-adverse-drug-events-hospitalized-patients
      February 10, 2011 - Study Classic The costs of adverse drug events in hospitalized patients. Citation Text: Bates DW, Spell N, Cullen DJ, et al. The costs of adverse drug events in hospitalized patients. Adverse Drug Events Prevention Study Group. JAMA. 1997;277(4):307-11. Copy…

4416. Human centered design workshops as a meta-solution to diagnostic disparities. | PSNet
      psnet.ahrq.gov/issue/human-centered-design-workshops-meta-solution-diagnostic-disparities
      July 31, 2024 - Study Human centered design workshops as a meta-solution to diagnostic disparities. Citation Text: Wiegand AA, Dukhanin V, Sheikh T, et al. Human centered design workshops as a meta-solution to diagnostic disparities. Diagnosis (Berl). 2022;9(4):458-467. doi:10.1515/dx-2022-0025. Copy …

4417. Spreading a medication administration intervention organizationwide in six hospitals. | PSNet
      psnet.ahrq.gov/issue/spreading-medication-administration-intervention-organizationwide-six-hospitals
      January 03, 2017 - Study Spreading a medication administration intervention organizationwide in six hospitals. Citation Text: Kliger J, Singer SJ, Hoffman F, et al. Spreading a medication administration intervention organizationwide in six hospitals. Jt Comm J Qual Patient Saf. 2012;38(2):51-60. Copy C…

4418. Factors differentiating nursing homes with strong resident safety climate: a qualitative study of leadership and staff perspectives. | PSNet
      psnet.ahrq.gov/issue/factors-differentiating-nursing-homes-strong-resident-safety-climate-qualitative-study
      August 26, 2020 - Study Factors differentiating nursing homes with strong resident safety climate: a qualitative study of leadership and staff perspectives. Citation Text: Engle RL, Gillespie C, Clark VA, et al. Factors differentiating nursing homes with strong resident safety climate: a qualitative study…

4419. Non-intercepted dose errors in prescribing antineoplastic treatment: a prospective, comparative cohort study. | PSNet
      psnet.ahrq.gov/issue/non-intercepted-dose-errors-prescribing-antineoplastic-treatment-prospective-comparative
      June 18, 2013 - Study Non-intercepted dose errors in prescribing antineoplastic treatment: a prospective, comparative cohort study. Citation Text: Mattsson TO, Holm B, Michelsen H, et al. Non-intercepted dose errors in prescribing anti-neoplastic treatment: a prospective, comparative cohort study. Ann O…

4420. Hospital Survey on Patient Safety Culture: 2018 User Database Report. | PSNet
      psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2018-user-database-report
      May 02, 2018 - Book/Report Hospital Survey on Patient Safety Culture: 2018 User Database Report. Citation Text: Hospital Survey on Patient Safety Culture: 2018 User Database Report. Famolaro T, Yount N, Hare, R, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2018. AHRQ Publicat…