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psnet.ahrq.gov/issue/human-factors-systems-approach-healthcare-quality-and-patient-safety
October 03, 2013 - Commentary
Human factors systems approach to healthcare quality and patient safety.
Citation Text:
Carayon P, Wetterneck TB, Rivera-Rodriguez J, et al. Human factors systems approach to healthcare quality and patient safety. Appl Ergon. 2014;45(1):14-25. doi:10.1016/j.apergo.2013.04.02…
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psnet.ahrq.gov/issue/framework-patient-safety-defense-nuclear-industry-based-high-reliability-model
June 14, 2017 - Commentary
A framework for patient safety: a defense nuclear industry-based high-reliability model.
Citation Text:
Birnbach DJ, Rosen LF, Williams L, et al. A framework for patient safety: a defense nuclear industry--based high-reliability model. Jt Comm J Qual Patient Saf. 2013;39(5):…
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psnet.ahrq.gov/issue/was-close-call-endorsing-broad-definition-near-misses-health-care
August 31, 2016 - Commentary
"That was a close call": endorsing a broad definition of near misses in health care.
Citation Text:
Marks CM, Kasda E, Paine LA, et al. "That was a close call": endorsing a broad definition of near misses in health care. Jt Comm J Qual Patient Saf. 2013;39(10):475-479.
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psnet.ahrq.gov/issue/comparative-analysis-incident-reporting-lag-times-academic-medical-centres-japan-and-usa
March 23, 2011 - Study
A comparative analysis of incident reporting lag times in academic medical centres in Japan and the USA.
Citation Text:
Regenbogen SE, Hirose M, Imanaka Y, et al. A comparative analysis of incident reporting lag times in academic medical centres in Japan and the USA. Qual Saf Hea…
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psnet.ahrq.gov/issue/preventing-blood-transfusion-failures-fmea-effective-assessment-method
August 25, 2021 - Study
Preventing blood transfusion failures: FMEA, an effective assessment method.
Citation Text:
Najafpour Z, Hasoumi M, Behzadi F, et al. Preventing blood transfusion failures: FMEA, an effective assessment method. BMC Health Serv Res. 2017;17(1):453. doi:10.1186/s12913-017-2380-3.
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psnet.ahrq.gov/issue/making-infection-prevention-and-control-everyones-business-hospital-staff-views-patient
April 29, 2015 - Study
Making infection prevention and control everyone's business? Hospital staff views on patient involvement.
Citation Text:
Sutton E, Brewster L, Tarrant C. Making infection prevention and control everyone's business? Hospital staff views on patient involvement. Health Expect. 2019;22…
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psnet.ahrq.gov/issue/supporting-second-victims-patient-safety-events-shouldnt-these-communications-be-covered
November 06, 2019 - Commentary
Supporting second victims of patient safety events: shouldn't these communications be covered by legal privilege?
Citation Text:
de Wit ME, Marks CM, Natterman JP, et al. Supporting second victims of patient safety events: shouldn't these communications be covered by legal pri…
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psnet.ahrq.gov/issue/team-training-healthcare-narrative-synthesis-literature
July 02, 2014 - Review
Team-training in healthcare: a narrative synthesis of the literature.
Citation Text:
Weaver SJ, Dy SM, Rosen MA. Team-training in healthcare: a narrative synthesis of the literature. BMJ Qual Saf. 2014;23(5):359-72. doi:10.1136/bmjqs-2013-001848.
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psnet.ahrq.gov/issue/please-reconcile-not-wait-while
April 19, 2023 - Commentary
Please reconcile, not wait a while.
Citation Text:
Trivedi A, Sharma S, Ajitsaria R, et al. Please reconcile, not wait a while. Arch Dis Child Educ Pract Ed. 2019;105(2):122-126. doi:10.1136/archdischild-2018-316356.
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psnet.ahrq.gov/issue/investigation-urology-intraoperative-events-leading-root-cause-analysis-national-va-medical
June 02, 2021 - Study
Investigation of urology intraoperative events leading to root cause analysis at national VA medical centers.
Citation Text:
Investigation of urology intraoperative events leading to root cause analysis at national VA medical centers. Peard LM, Teplitsky S, Annabathula A, et al. Ca…
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psnet.ahrq.gov/issue/framing-patient-safety-initiatives-working-model-and-case-example
April 05, 2017 - Commentary
Framing patient safety initiatives: working model and case example.
Citation Text:
Kruger N, Hurley A, Gustafson M. Framing patient safety initiatives: working model and case example. J Nurs Adm. 2006;36(4):200-204.
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psnet.ahrq.gov/issue/ten-challenges-improving-quality-healthcare-lessons-health-foundations-programme-evaluations
February 19, 2020 - Commentary
Ten challenges in improving quality in healthcare: lessons from the Health Foundation's programme evaluations and relevant literature.
Citation Text:
Dixon-Woods M, McNicol S, Martin G. Ten challenges in improving quality in healthcare: lessons from the Health Foundation's p…
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psnet.ahrq.gov/issue/using-logic-model-design-and-evaluate-quality-and-patient-safety-improvement-programs
November 10, 2010 - Commentary
Using a logic model to design and evaluate quality and patient safety improvement programs.
Citation Text:
Goeschel CA, Weiss WM, Pronovost P. Using a logic model to design and evaluate quality and patient safety improvement programs. Int J Qual Health Care. 2012;24(4):330-7. …
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psnet.ahrq.gov/issue/err-system-comparison-methodologies-investigation-adverse-outcomes-healthcare
January 26, 2022 - Commentary
To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare.
Citation Text:
Isherwood P, Waterson P. To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare. J Patient Saf Risk Manag. 2…
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psnet.ahrq.gov/issue/patient-safety-and-workplace-bullying-integrative-review
March 11, 2020 - Review
Patient safety and workplace bullying: an integrative review.
Citation Text:
Houck NM, Colbert AM. Patient Safety and Workplace Bullying: An Integrative Review. J Nurs Care Qual. 2017;32(2):164-171. doi:10.1097/NCQ.0000000000000209.
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psnet.ahrq.gov/issue/associations-between-perceived-crisis-mode-work-climate-and-poor-information-exchange-within
October 19, 2022 - Study
Associations between perceived crisis mode work climate and poor information exchange within hospitals.
Citation Text:
Patterson ME, Bogart MS, Starr KR. Associations between perceived crisis mode work climate and poor information exchange within hospitals. J Hosp Med. 2015;10(3):1…
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psnet.ahrq.gov/issue/challenges-implementing-communication-and-resolution-program-where-multiple-organizations
May 11, 2016 - Study
Challenges of implementing a communication-and-resolution program where multiple organizations must cooperate.
Citation Text:
Mello MM, Armstrong S, Greenberg Y, et al. Challenges of Implementing a Communication-and-Resolution Program Where Multiple Organizations Must Cooperate. He…
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psnet.ahrq.gov/issue/association-between-patient-safety-indicators-and-medical-malpractice-risk-evidence-florida
September 28, 2022 - Study
The association between patient safety indicators and medical malpractice risk: evidence from Florida and Texas.
Citation Text:
Black BS, Wagner AR, Zabinski Z. The Association between Patient Safety Indicators and Medical Malpractice Risk: Evidence from Florida and Texas. Am J Hea…
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psnet.ahrq.gov/issue/trends-medical-and-nonmedical-use-prescription-opioids-among-us-adolescents-1976-2015
January 23, 2019 - Study
Trends in medical and nonmedical use of prescription opioids among US adolescents: 1976–2015.
Citation Text:
McCabe SE, West BT, Veliz P, et al. Trends in Medical and Nonmedical Use of Prescription Opioids Among US Adolescents: 1976-2015. Pediatrics. 2017;139(4):e20162387. doi:10.1…
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psnet.ahrq.gov/issue/conducting-efficient-proactive-risk-assessment-prior-cpoe-implementation-intensive-care-unit
December 31, 2014 - Study
Conducting an efficient proactive risk assessment prior to CPOE implementation in an intensive care unit.
Citation Text:
Hundt AS, Adams JA, Schmid A, et al. Conducting an efficient proactive risk assessment prior to CPOE implementation in an intensive care unit. Int J Med Inform…