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psnet.ahrq.gov/issue/can-we-rely-patients-reports-adverse-events
December 29, 2014 - Study
Classic
Can we rely on patients' reports of adverse events?
Citation Text:
Zhu J, Stuver SO, Epstein AM, et al. Can we rely on patients' reports of adverse events? Med Care. 2011;49(10):948-55. doi:10.1097/MLR.0b013e31822047a8.
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psnet.ahrq.gov/issue/safety-overlapping-surgery-high-volume-referral-center
January 11, 2017 - Study
Classic
Safety of overlapping surgery at a high-volume referral center.
Citation Text:
Hyder JA, Hanson KT, Storlie CB, et al. Safety of Overlapping Surgery at a High-volume Referral Center. Ann Surg. 2017;265(4):639-644. doi:10.1097/SLA.0000000000002084. …
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psnet.ahrq.gov/issue/laboratory-test-ordering-and-results-management-systems-qualitative-study-safety-risks
March 16, 2016 - Study
Laboratory test ordering and results management systems: a qualitative study of safety risks identified by administrators in general practice.
Citation Text:
Bowie P, Halley L, McKay J. Laboratory test ordering and results management systems: a qualitative study of safety risks id…
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psnet.ahrq.gov/issue/chief-residents-quality-improvement-and-patient-safety-recipe-new-role-graduate-medical
August 13, 2014 - Commentary
Chief of Residents for Quality Improvement and Patient Safety: a recipe for a new role in graduate medical education.
Citation Text:
Ferraro K, Zernzach R, Maturo S, et al. Chief of Residents for Quality Improvement and Patient Safety: A Recipe for a New Role in Graduate Medic…
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psnet.ahrq.gov/issue/increasing-rate-detection-wrong-patient-radiographs-use-photographs-obtained-time-radiography
June 13, 2015 - Study
Increasing rate of detection of wrong-patient radiographs: use of photographs obtained at time of radiography.
Citation Text:
Tridandapani S, Ramamurthy S, Galgano SJ, et al. Increasing Rate of Detection of Wrong-Patient Radiographs: Use of Photographs Obtained at Time of Radiograp…
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psnet.ahrq.gov/issue/how-willing-are-patients-question-healthcare-staff-issues-related-quality-and-safety-their
July 31, 2008 - Study
How willing are patients to question healthcare staff on issues related to the quality and safety of their healthcare? An exploratory study.
Citation Text:
Davis R, Koutantji M, Vincent C. How willing are patients to question healthcare staff on issues related to the quality and …
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psnet.ahrq.gov/issue/root-cause-analyses-suicides-mental-health-clients
March 16, 2016 - Study
Root cause analyses of suicides of mental health clients.
Citation Text:
Gillies D, Chicop D, O'Halloran P. Root Cause Analyses of Suicides of Mental Health Clients: Identifying Systematic Processes and Service-Level Prevention Strategies. Crisis. 2015;36(5):316-324. doi:10.1027/02…
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psnet.ahrq.gov/issue/vignette-study-examine-health-care-professionals-attitudes-towards-patient-involvement-error
March 11, 2013 - Study
A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention.
Citation Text:
Schwappach DLB, Frank O, Davis R. A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention. J…
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psnet.ahrq.gov/issue/radiographers-experience-preventing-patient-safety-incidents-context-radiological
December 20, 2017 - Study
Radiographers' experience of preventing patient safety incidents in the context of radiological examinations.
Citation Text:
Wallin A, Ringdal M, Ahlberg K, et al. Radiographers' experience of preventing patient safety incidents in the context of radiological examinations. Scand J …
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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/examination-opportunities-active-patient-improving-patient-safety
October 04, 2011 - Review
An examination of opportunities for the active patient in improving patient safety.
Citation Text:
Davis R, Sevdalis N, Jacklin R, et al. An examination of opportunities for the active patient in improving patient safety. J Patient Saf. 2012;8(1):36-43. doi:10.1097/PTS.0b013e318…
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psnet.ahrq.gov/node/36193/psn-pdf
September 30, 2010 - The Ethics of Using QI Methods to Improve Health Care
Quality and Safety.
September 30, 2010
Baily MA, Bottrell M, Lynn J, Jennings J. Hastings Center Report; 2006(July-August): S2-S40.
https://psnet.ahrq.gov/issue/ethics-using-qi-methods-improve-health-care-quality-and-safety
The participants in this AHRQ–funded …
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psnet.ahrq.gov/node/37128/psn-pdf
February 24, 2011 - Development and implementation of an oral sign-out
skills curriculum.
February 24, 2011
Horwitz LI, Moin T, Green M. Development and implementation of an oral sign-out skills curriculum. J Gen
Intern Med. 2007;22(10):1470-4.
https://psnet.ahrq.gov/issue/development-and-implementation-oral-sign-out-skills-curriculu…
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psnet.ahrq.gov/node/36352/psn-pdf
April 14, 2011 - Patient expectations of fair complaint handling in
hospitals: empirical data.
April 14, 2011
Friele RD, Sluijs EM. Patient expectations of fair complaint handling in hospitals: empirical data. BMC
Health Serv Res. 2006;6:106.
https://psnet.ahrq.gov/issue/patient-expectations-fair-complaint-handling-hospitals-empir…
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psnet.ahrq.gov/node/39737/psn-pdf
November 30, 2016 - Physician's Guide to Patient Safety Organizations.
November 30, 2016
Chicago, IL: American Medical Association; 2009.
https://psnet.ahrq.gov/issue/physicians-guide-patient-safety-organizations
This guide reviews the Patient Safety Quality and Improvement Act of 2005 and aims to further physician
knowledge of and p…
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psnet.ahrq.gov/node/41933/psn-pdf
February 19, 2013 - Overarching goals: a strategy for improving healthcare
quality and safety?
February 19, 2013
Nanji KC, Ferris T, Torchiana DF, et al. Overarching goals: a strategy for improving healthcare quality and
safety? BMJ Qual Saf. 2013;22(3):187-93. doi:10.1136/bmjqs-2012-001082.
https://psnet.ahrq.gov/issue/overarching-g…
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psnet.ahrq.gov/node/38439/psn-pdf
December 23, 2012 - Legality of technicians' involvement in medication
reconciliation not clear.
December 23, 2012
Thompson CA. Legality of technicians' involvement in medication reconciliation not clear. American journal
of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists.
2009;66…
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psnet.ahrq.gov/node/38972/psn-pdf
January 31, 2019 - From tragedy to advocacy.
January 31, 2019
DerGurahian J. From tragedy to advocacy. Modern healthc. 2009;39(36):6-7, 12, 1.
https://psnet.ahrq.gov/issue/tragedy-advocacy
This article highlights stories of family members who have become influential patient safety advocates
following tragic medical errors. Among tho…
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psnet.ahrq.gov/node/35020/psn-pdf
June 22, 2009 - Surgical skill is predicted by the ability to detect errors.
June 22, 2009
Bann S, Khan M, Datta V, et al. Surgical skill is predicted by the ability to detect errors. Am J Surg.
2005;189(4):412-5.
https://psnet.ahrq.gov/issue/surgical-skill-predicted-ability-detect-errors
The investigators observed surgeons parti…
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psnet.ahrq.gov/node/38537/psn-pdf
November 15, 2017 - Engaging as partners in patient safety: the experience of
librarians.
November 15, 2017
Zipperer L, Sykes J. Patient Saf Qual Healthc. March/April 2009;6:28-30,32-33.
https://psnet.ahrq.gov/issue/engaging-partners-patient-safety-experience-librarians
This survey explores the varied roles that medical librarians p…