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psnet.ahrq.gov/issue/diagnostic-errors-hospitalized-adults-who-died-or-were-transferred-intensive-care
October 13, 2021 - Study
Diagnostic errors in hospitalized adults who died or were transferred to intensive care.
Citation Text:
Diagnostic errors in hospitalized adults who died or were transferred to intensive care. Auerbach AD, Lee TM, Hubbard CC, et al for the UPSIDE Research Group. JAMA Inte…
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psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-empirical-comparison-failure-mode-scoring-procedures
January 03, 2017 - Study
Failure mode and effects analysis: an empirical comparison of failure mode scoring procedures.
Citation Text:
Ashley L, Armitage G. Failure Mode and Effects Analysis. J Patient Saf. 2010;6(4):210-215. doi:10.1097/pts.0b013e3181fc98d7.
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psnet.ahrq.gov/issue/design-patient-safety-systems-based-risk-identification-framework
February 03, 2021 - Study
Emerging Classic
Design for patient safety: a systems-based risk identification framework.
Citation Text:
Simsekler MCE, Ward JR, Clarkson J. Design for patient safety: a systems-based risk identification framework. Ergonomics. 2018;61(8):1046-1064. doi:10…
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psnet.ahrq.gov/issue/surgical-never-events-and-contributing-human-factors
August 20, 2018 - Study
Classic
Surgical never events and contributing human factors.
Citation Text:
Thiels CA, Lal TM, Nienow JM, et al. Surgical never events and contributing human factors. Surgery. 2015;158(2):515-21. doi:10.1016/j.surg.2015.03.053.
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psnet.ahrq.gov/issue/bedside-shift-shift-handoffs-systematic-review-literature
January 23, 2017 - Review
Bedside shift-to-shift handoffs: a systematic review of the literature.
Citation Text:
Mardis T, Mardis M, Davis JJ, et al. Bedside Shift-to-Shift Handoffs: A Systematic Review of the Literature. J Nurs Care Qual. 2016;31(1):54-60. doi:10.1097/NCQ.0000000000000142.
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psnet.ahrq.gov/issue/patient-safety-systems-primary-health-care-diabetes-story-missed-opportunities
March 28, 2011 - Review
Patient safety systems in the primary health care of diabetes—a story of missed opportunities?
Citation Text:
Taub N, Baker R, Khunti K, et al. Patient safety systems in the primary health care of diabetes—a story of missed opportunities? Diabet Med. 2010;27(11):1322-6.
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psnet.ahrq.gov/issue/physician-burnout-and-medical-errors-exploring-relationship-cost-and-solutions-received
April 12, 2023 - Review
Physician burnout and medical errors: exploring the relationship, cost, and solutions received.
Citation Text:
Li CJ, Shah YB, Harness ED, et al. Physician burnout and medical errors: exploring the relationship, cost, and solutions received. Am J Med Qual. 2023;38(4):196-202. doi:…
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psnet.ahrq.gov/issue/peer-support-and-second-victim-programs-anesthesia-professionals-involved-stressful-or
October 26, 2022 - Study
Peer support and second victim programs for anesthesia professionals involved in stressful or traumatic clinical events.
Citation Text:
Finney RE, Jacob AK. Peer support and second victim programs for anesthesia professionals involved in stressful or traumatic clinical events. Adv …
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psnet.ahrq.gov/issue/role-error-organizing-behaviour
April 21, 2011 - Study
Classic
The role of error in organizing behaviour.
Citation Text:
Rasmussen J. The role of error in organizing behaviour. Qual Saf Health Care. 2003;12(5):377-383. doi:10.1136/qhc.12.5.377.
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psnet.ahrq.gov/issue/adherence-simple-and-effective-measures-reduces-incidence-ventilator-associated-pneumonia
November 16, 2011 - Study
Adherence to simple and effective measures reduces the incidence of ventilator-associated pneumonia: [L'observation de mesures simples et efficaces reduit l'incidence de pneumonie associee a la ventilation mecanique].
Citation Text:
Baxter AD, Allan J, Bedard J, et al. Adherence to…
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psnet.ahrq.gov/issue/requirements-implementing-just-culture-within-healthcare-organisations-integrative-review
October 31, 2014 - Review
Requirements for implementing a 'just culture' within healthcare organisations: an integrative review.
Citation Text:
Murray JS, Lee J, Larson S, et al. Requirements for implementing a ‘just culture’ within healthcare organisations: an integrative review. BMJ Open Qual. 2023;12(2)…
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psnet.ahrq.gov/issue/nurses-perspectives-regarding-disclosure-errors-patients-qualitative-study
January 28, 2015 - Study
Nurses' perspectives regarding the disclosure of errors to patients: a qualitative study.
Citation Text:
McLennan SR, Diebold M, Rich LE, et al. Nurses' perspectives regarding the disclosure of errors to patients: A qualitative study. Int J Nurs Stud. 2016;54:16-22. doi:10.1016/j.i…
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psnet.ahrq.gov/issue/effect-fit-between-organizational-culture-and-structure-medication-errors-medical-group
June 30, 2009 - Study
The effect of the fit between organizational culture and structure on medication errors in medical group practices.
Citation Text:
Kaissi A, Kralewski J, Dowd B, et al. The effect of the fit between organizational culture and structure on medication errors in medical group practi…
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psnet.ahrq.gov/issue/race-differences-malpractice-event-database-large-healthcare-system
December 15, 2021 - Study
Race differences in a malpractice event database in a large healthcare system.
Citation Text:
Thomas AD, Pandit C, Krevat S. Race differences in a malpractice event database in a large healthcare system. J Patient Saf. 2023;19(2):67-70. doi:10.1097/pts.0000000000001090.
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psnet.ahrq.gov/issue/allowing-failure-educational-purposes-postgraduate-clinical-training-narrative-review
February 08, 2023 - Review
Allowing failure for educational purposes in postgraduate clinical training: a narrative review.
Citation Text:
Klasen JM, Lingard LA. Allowing failure for educational purposes in postgraduate clinical training: A narrative review. Med Teach. 2019;41(11):1263-1269. doi:10.1080/014…
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psnet.ahrq.gov/issue/changing-work-environment-icus-achieve-patient-focused-care-time-has-come
April 05, 2023 - Commentary
Changing the work environment in ICUs to achieve patient-focused care: the time has come.
Citation Text:
McCauley K, Irwin RS. Changing the work environment in ICUs to achieve patient-focused care: the time has come. Chest. 2006;130(5):1571-8.
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psnet.ahrq.gov/issue/impact-participation-california-healthcare-associated-infection-prevention-initiative
September 28, 2011 - Study
Impact of participation in the California Healthcare-Associated Infection Prevention Initiative on adoption and implementation of evidence-based practices for patient safety and health care–associated infection rates in a cohort of acute care general hospitals.
Citation Text:
Hal…
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psnet.ahrq.gov/issue/patient-safety-and-ethical-implications-healthcare-sick-leave-policies-pandemic-era
September 16, 2020 - Commentary
Patient safety and ethical implications of healthcare sick leave policies in the pandemic era.
Citation Text:
Preston-Suni K, Celedon MA, Cordasco KM. Patient safety and ethical implications of healthcare sick leave policies in the pandemic era. Jt Comm J Qual Patient Saf. 202…
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psnet.ahrq.gov/issue/competencies-patient-safety-and-quality-improvement-synthesis-recommendations-influential
March 31, 2022 - Review
Competencies for patient safety and quality improvement: a synthesis of recommendations in influential position papers.
Citation Text:
Moran KM, Harris IB, Valenta AL. Competencies for Patient Safety and Quality Improvement: A Synthesis of Recommendations in Influential Position P…
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psnet.ahrq.gov/issue/future-safety-and-quality-radiation-oncology
May 17, 2023 - Commentary
The future of safety and quality in radiation oncology.
Citation Text:
Talcott W, Covington E, Bazan J, et al. The future of safety and quality in radiation oncology. Semin Radiat Oncol. 2024;34(4):433-440. doi:10.1016/j.semradonc.2024.07.008.
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