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Eliminating explicit and implicit biases in health care: evidence and research needs. | PSNet

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May 11, 2016 - Review Eliminating explicit and implicit biases in health care: evidence and research needs. Citation Text: Vela MB, Erondu AI, Smith NA, et al. Eliminating explicit and implicit biases in health care: evidence and research needs. Annu Rev Public Health. 2022;43(1):477-501. doi:10.1146/…

Incident reporting behaviours following the Francis report: a cross-sectional survey. | PSNet

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October 12, 2016 - Study Incident reporting behaviours following the Francis report: a cross-sectional survey. Citation Text: Archer G, Colhoun A. Incident reporting behaviours following the Francis report: A cross-sectional survey. J Eval Clin Pract. 2017;24(2). doi:10.1111/jep.12849. Copy Citation …

Risk perception on the labour ward: a mixed methods study. | PSNet

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June 08, 2022 - Study Risk perception on the labour ward: a mixed methods study. Citation Text: McCarthy C, Meaney S, Rochford M, et al. Risk perception on the labour ward: a mixed methods study. J Patient Saf Risk Manag. 2021;26(2):56-63. doi:10.1177/25160435211002428. Copy Citation Format: …

Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice? | PSNet

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June 08, 2022 - Commentary Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice? Citation Text: Mandel KE, Cady SH. Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice? BMJ Qual Saf. 2022;31(12):860-866. d…

Levels of agreement on the grading, analysis and reporting of significant events by general practitioners: a cross-sectional study. | PSNet

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April 06, 2011 - Study Levels of agreement on the grading, analysis and reporting of significant events by general practitioners: a cross-sectional study. Citation Text: McKay J, Bowie P, Murray L, et al. Levels of agreement on the grading, analysis and reporting of significant events by general practit…

An educational intervention to enhance nurse leaders' perceptions of patient safety culture. | PSNet

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February 14, 2015 - Study An educational intervention to enhance nurse leaders' perceptions of patient safety culture. Citation Text: Ginsburg LR, Norton PG, Casebeer A, et al. An educational intervention to enhance nurse leaders' perceptions of patient safety culture. Health Serv Res. 2005;40(4):997-1020…

Implementing delivery room checklists and communication standards in a multi-neonatal ICU quality improvement collaborative. | PSNet

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November 20, 2019 - Study Implementing delivery room checklists and communication standards in a multi-neonatal ICU quality improvement collaborative. Citation Text: Bennett SC, Finer N, Halamek LP, et al. Implementing Delivery Room Checklists and Communication Standards in a Multi-Neonatal ICU Quality Impr…

Post-discharge adverse events among urban and rural patients of an urban community hospital: a prospective cohort study. | PSNet

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September 07, 2022 - Study Post-discharge adverse events among urban and rural patients of an urban community hospital: a prospective cohort study. Citation Text: Tsilimingras D, Schnipper JL, Duke A, et al. Post-Discharge Adverse Events Among Urban and Rural Patients of an Urban Community Hospital: A Prospe…

Is it rational to pursue zero suicides among patients in health care? | PSNet

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October 18, 2023 - Commentary Is it rational to pursue zero suicides among patients in health care? Citation Text: Mokkenstorm JK, Kerkhof AJFM, Smit JH, et al. Is It Rational to Pursue Zero Suicides Among Patients in Health Care? Suicide Life Threat Behav. 2018;48(6):745-754. doi:10.1111/sltb.12396. Cop…

Adverse event and error of unexpected life-threatening events within 24h of emergency department admission. | PSNet

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October 27, 2016 - Study Adverse event and error of unexpected life-threatening events within 24h of emergency department admission. Citation Text: Zhang E, Hung S-C, Wu C-H, et al. Adverse event and error of unexpected life-threatening events within 24hours of ED admission. Am J Emerg Med. 2017;35(3):479-…

Health care workers as second victims of medical errors. | PSNet

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April 07, 2021 - Study Health care workers as second victims of medical errors. Citation Text: Edrees HH, Paine LA, Feroli R, et al. Health care workers as second victims of medical errors. Pol Arch Med Wewn. 2011;121(4):101-108. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3…

Advance care planning documentation practices and accessibility in the electronic health record: implications for patient safety. | PSNet

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December 05, 2012 - Study Emerging Classic Advance care planning documentation practices and accessibility in the electronic health record: implications for patient safety. Citation Text: Walker E, McMahan R, Barnes D, et al. Advance Care Planning Documentation Practices and Access…

AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative Database Report. | PSNet

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June 08, 2016 - Government Resource AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative Database Report. Citation Text: AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative Database Report. Famolaro T, Yount ND, Greene, K, Hare R, Thorton S, Sorra J. Rockville,…

How can regulatory authorities improve safety in organizations by influencing safety culture? A conceptual model of the relationships and a discussion of implications. | PSNet

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July 07, 2021 - Commentary How can regulatory authorities improve safety in organizations by influencing safety culture? A conceptual model of the relationships and a discussion of implications. Citation Text: Nævestad T-O, Storesund Hesjevoll I, Elvik R. How can regulatory authorities improve safety in…

Effects of patient-, environment- and medication-related factors on high-alert medication incidents. | PSNet

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January 22, 2016 - Study Effects of patient-, environment- and medication-related factors on high-alert medication incidents. Citation Text: Manias E, Williams A, Liew D, et al. Effects of patient-, environment- and medication-related factors on high-alert medication incidents. Int J Qual Health Care. 2014…

A qualitative study of senior hospital managers' views on current and innovative strategies to improve hand hygiene. | PSNet

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March 08, 2023 - Study A qualitative study of senior hospital managers' views on current and innovative strategies to improve hand hygiene. Citation Text: McInnes E, Phillips R, Middleton S, et al. A qualitative study of senior hospital managers' views on current and innovative strategies to improve hand…

Challenges and strategies for patient safety in primary care: a qualitative study. | PSNet

psnet.ahrq.gov/issue/challenges-and-strategies-patient-safety-primary-care-qualitative-study

October 13, 2021 - Study Challenges and strategies for patient safety in primary care: a qualitative study. Citation Text: Yuan CT, Dy SM, Yuanhong Lai A, et al. Challenges and strategies for patient safety in primary care: a qualitative study. Am J Med Qual. 2022;37(5):379-387. doi:10.1097/jmq.00000000000…

Strengths and weaknesses of working with the Global Trigger Tool method for retrospective record review: focus group interviews with team members. | PSNet

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March 24, 2012 - Study Strengths and weaknesses of working with the Global Trigger Tool method for retrospective record review: focus group interviews with team members. Citation Text: Schildmeijer K, Nilsson L, Perk J, et al. Strengths and weaknesses of working with the Global Trigger Tool method for r…

Improving patient safety in intensive care units in Michigan. | PSNet

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February 17, 2011 - Study Classic Improving patient safety in intensive care units in Michigan. Citation Text: Pronovost P, Berenholtz SM, Goeschel CA, et al. Improving patient safety in intensive care units in Michigan. J Crit Care. 2008;23(2):207-212. doi:10.1016/j.jcrc.2007.09…

A scoping review of the methodological approaches used in retrospective chart reviews to validate adverse event rates in administrative data. | PSNet

psnet.ahrq.gov/issue/scoping-review-methodological-approaches-used-retrospective-chart-reviews-validate-adverse

April 29, 2020 - Review A scoping review of the methodological approaches used in retrospective chart reviews to validate adverse event rates in administrative data. Citation Text: Connolly A, Kirwan M, Matthews A. A scoping review of the methodological approaches used in retrospective chart reviews to v…

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