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psnet.ahrq.gov/issue/medicines-related-problems-mrps-originating-primary-care-settings-older-adults-systematic
March 04, 2015 - Review
Medicines related problems (MRPs) originating in primary care settings in older adults - a systematic review.
Citation Text:
Ude-Okeleke RC, Aslanpour Z, Dhillon S, et al. Medicines related problems (MRPs) originating in primary care settings in older adults - a systematic review.…
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psnet.ahrq.gov/issue/physician-knowledge-attitudes-and-behavior-related-reporting-adverse-drug-events
September 23, 2020 - Study
Classic
Physician knowledge, attitudes, and behavior related to reporting adverse drug events.
Citation Text:
Rogers AS, Israel E, Smith CR, et al. Physician Knowledge, Attitudes, and Behavior Related to Reporting Adverse Drug Events. Arch Intern Med. 201…
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psnet.ahrq.gov/issue/human-error-and-problem-causality-analysis-accidents
August 25, 2021 - Commentary
Classic
Human error and the problem of causality in analysis of accidents.
Citation Text:
Rasmussen J. Human error and the problem of causality in analysis of accidents. Philos Trans R Soc Lond B Biol Sci. 1990;327(1241):449-462.
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psnet.ahrq.gov/issue/bundle-interventions-used-reduce-prescribing-and-administration-errors-hospitalized-children
September 09, 2015 - Review
Bundle interventions used to reduce prescribing and administration errors in hospitalized children: a systematic review.
Citation Text:
Bannan DF, Tully MP. Bundle interventions used to reduce prescribing and administration errors in hospitalized children: a systematic review. J C…
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psnet.ahrq.gov/issue/prevalence-triggers-and-patient-harm-identified-global-trigger-tool-specialized-palliative
June 14, 2023 - Study
Prevalence of triggers and patient harm identified by Global Trigger Tool in specialized palliative care.
Citation Text:
Fredheim OMS, Klingenberg E, Lindahl AK. Prevalence of triggers and patient harm identified by Global Trigger Tool in specialized palliative care. J Palliat Med.…
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psnet.ahrq.gov/issue/using-prospective-risk-analysis-tools-improve-safety-pharmacy-settings-systematic-review-and
January 24, 2018 - Review
Using prospective risk analysis tools to improve safety in pharmacy settings: a systematic review and critical appraisal.
Citation Text:
Stojkovic T, Marinkovic V, Manser T. Using Prospective Risk Analysis Tools to Improve Safety in Pharmacy Settings: A Systematic Review and Criti…
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psnet.ahrq.gov/issue/unintended-discontinuation-medication-following-hospitalisation-retrospective-cohort-study
September 05, 2018 - Study
Unintended discontinuation of medication following hospitalisation: a retrospective cohort study.
Citation Text:
Redmond P, McDowell R, Grimes TC, et al. Unintended discontinuation of medication following hospitalisation: a retrospective cohort study. BMJ Open. 2019;9(6):e024747. d…
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psnet.ahrq.gov/issue/diagnostic-discrepancies-emergency-department-retrospective-study
October 04, 2023 - Study
Diagnostic discrepancies in the emergency department: a retrospective study.
Citation Text:
Schols LA, Maranus ME, Rood PPM, et al. Diagnostic discrepancies in the emergency department: a retrospective study. J Patient Saf. 2024;20(6):420-425. doi:10.1097/pts.0000000000001252.
Co…
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psnet.ahrq.gov/issue/delivery-optimized-inpatient-anticoagulation-therapy-consensus-statement-anticoagulation
March 04, 2020 - Commentary
Delivery of optimized inpatient anticoagulation therapy: consensus statement from the Anticoagulation Forum.
Citation Text:
Nutescu EA, Wittkowsky AK, Burnett A, et al. Delivery of optimized inpatient anticoagulation therapy: consensus statement from the anticoagulation forum…
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psnet.ahrq.gov/issue/using-risk-stratification-reduce-medical-errors-cervical-cancer-prevention
September 05, 2012 - Commentary
Using risk stratification to reduce medical errors in cervical cancer prevention.
Citation Text:
Perkins RB, Cain JM, Feldman S. Using Risk Stratification to Reduce Medical Errors in Cervical Cancer Prevention. JAMA Intern Med. 2017;177(10):1411-1412. doi:10.1001/jamainternmed…
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psnet.ahrq.gov/issue/medical-liability-climate-and-prospects-reform
September 29, 2017 - Commentary
The medical liability climate and prospects for reform.
Citation Text:
Mello MM, Studdert DM, Kachalia A. The medical liability climate and prospects for reform. JAMA. 2014;312(20):2146-55. doi:10.1001/jama.2014.10705.
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psnet.ahrq.gov/issue/inequities-inpatient-pediatric-patient-safety-events-category
April 01, 2009 - Study
Inequities in inpatient pediatric patient safety events by category.
Citation Text:
Pantell MS, Karvonen KL, Porter P, et al. Inequities in inpatient pediatric patient safety events by category. Hosp Pediatr. 2024;14(12):953-962. doi:10.1542/hpeds.2023-007129.
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psnet.ahrq.gov/issue/measuring-perceptions-safety-climate-primary-care-cross-sectional-study
January 19, 2011 - Study
Measuring perceptions of safety climate in primary care: a cross-sectional study.
Citation Text:
de Wet C, Johnson P, Mash R, et al. Measuring perceptions of safety climate in primary care: a cross-sectional study. J Eval Clin Pract. 2010;18(1). doi:10.1111/j.1365-2753.2010.01537…
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psnet.ahrq.gov/issue/challenging-hierarchy-healthcare-teams-ways-flatten-gradients-improve-teamwork-and-patient
October 29, 2017 - Review
Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care.
Citation Text:
Green B, Oeppen RS, Smith DW, et al. Challenging hierarchy in healthcare teams - ways to flatten gradients to improve teamwork and patient care. Br J Oral Maxi…
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psnet.ahrq.gov/issue/residents-reluctance-challenge-negative-hierarchy-operating-room-qualitative-study
March 11, 2013 - Study
Residents' reluctance to challenge negative hierarchy in the operating room: a qualitative study.
Citation Text:
Bould D, Sutherland S, Sydor DT, et al. Residents' reluctance to challenge negative hierarchy in the operating room: a qualitative study. Can J Anaesth. 2015;62(6):576-8…
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psnet.ahrq.gov/issue/estimating-hospital-deaths-due-medical-errors-preventability-eye-reviewer
February 24, 2011 - Study
Classic
Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer.
Citation Text:
Hayward RA, Hofer TP. Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer. JAMA. 2001;286(4)…
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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/effect-facility-characteristics-patient-safety-patient-experience-and-service-availability
April 12, 2023 - Review
The effect of facility characteristics on patient safety, patient experience, and service availability for procedures in non–hospital-affiliated outpatient settings: a systematic review.
Citation Text:
Berglas NF, Battistelli MF, Nicholson WK, et al. The effect of facility charact…
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psnet.ahrq.gov/issue/how-does-routine-disclosure-medical-error-affect-patients-propensity-sue-and-their-assessment
December 04, 2016 - Study
How does routine disclosure of medical error affect patients' propensity to sue and their assessment of provider quality?: Evidence from survey data.
Citation Text:
Helmchen LA, Richards MR, McDonald TB. How does routine disclosure of medical error affect patients' propensity to …
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psnet.ahrq.gov/issue/expressing-concern-and-writing-it-down-experimental-study-investigating-transfer-information
November 17, 2014 - Study
Expressing concern and writing it down: an experimental study investigating transfer of information at nursing handover.
Citation Text:
Lee H, Cumin D, Devcich DA, et al. Expressing concern and writing it down: an experimental study investigating transfer of information at nursing …