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psnet.ahrq.gov/issue/co-design-implementation-and-evaluation-serious-board-game-playdecide-patient-safety-educate
September 12, 2018 - Journal Article
The co-design, implementation and evaluation of a serious board game 'PlayDecide patient safety' to educate junior doctors about patient safety and the importance of reporting safety concerns
Citation Text:
Ward M, Shé ÉN, De Brún A, et al. The co-design, implementation a…
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psnet.ahrq.gov/issue/use-complete-medication-history-identify-and-correct-transitions-care-medication-errors
October 28, 2020 - Study
Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission.
Citation Text:
Vargas V, Blakeslee WW, Banas CA, et al. Use of complete medication history to identify and correct transitions-of-care medication erro…
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psnet.ahrq.gov/issue/policy-based-intervention-reduction-communication-breakdowns-inpatient-surgical-care-results
January 04, 2010 - Study
A policy-based intervention for the reduction of communication breakdowns in inpatient surgical care: results from a Harvard surgical safety collaborative.
Citation Text:
Arriaga AF, Elbardissi AW, Regenbogen SE, et al. A policy-based intervention for the reduction of communication…
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psnet.ahrq.gov/issue/surveying-care-teams-after-hospital-deaths-identify-preventable-harm-and-opportunities
April 17, 2024 - Study
Surveying care teams after in-hospital deaths to identify preventable harm and opportunities to improve advance care planning.
Citation Text:
Lucier D, Folcarelli P, Totte C, et al. Surveying Care Teams after in-Hospital Deaths to Identify Preventable Harm and Opportunities to Impr…
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psnet.ahrq.gov/issue/interventions-reduce-adverse-drug-event-related-outcomes-older-adults-systematic-review-and
July 19, 2023 - Review
Emerging Classic
Interventions to reduce adverse drug event-related outcomes in older adults: a systematic review and meta-analysis.
Citation Text:
Tecklenborg S, Byrne C, Cahir C, et al. Interventions to Reduce Adverse Drug Event-Related Outcomes in Olde…
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psnet.ahrq.gov/issue/patient-reporting-and-action-safe-environment-prase-intervention-feasibility-study
July 21, 2017 - Study
The patient reporting and action for a safe environment (PRASE) intervention: a feasibility study.
Citation Text:
O'Hara JK, Lawton R, Armitage G, et al. The patient reporting and action for a safe environment (PRASE) intervention: a feasibility study. BMC Health Serv Res. 2016;16(…
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psnet.ahrq.gov/issue/association-coworker-reports-about-unprofessional-behavior-surgeons-surgical-complications
June 27, 2018 - Study
Association of coworker reports about unprofessional behavior by surgeons with surgical complications in their patients.
Citation Text:
Cooper WO, Spain DA, Guillamondegui O, et al. Association of Coworker Reports About Unprofessional Behavior by Surgeons With Surgical Complication…
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psnet.ahrq.gov/issue/registration-associated-patient-misidentification-academic-medical-center-causes-and
September 02, 2020 - Study
Registration-associated patient misidentification in an academic medical center: causes and corrections.
Citation Text:
Bittle MJ, Charache P, Wassilchalk DM. Registration-associated patient misidentification in an academic medical center: causes and corrections. Jt Comm J Qual Pat…
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psnet.ahrq.gov/issue/critical-care-safety-study-incidence-and-nature-adverse-events-and-serious-medical-errors
July 15, 2020 - Study
The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care.
Citation Text:
Rothschild JM, Landrigan CP, Cronin JW, et al. The Critical Care Safety Study: The incidence and nature of adverse events and serious medical e…
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psnet.ahrq.gov/issue/surgical-residents-work-hours-and-well-being-year-2-first-trial
March 15, 2017 - Study
Surgical residents' work hours and well-being in year 2 of the FIRST trial.
Citation Text:
Dahlke AR, Quinn CM, Chung JW, et al. Surgical Residents' Work Hours and Well-Being in Year 2 of the FIRST Trial. New Engl J Med. 2017;377(2):192-194. doi:10.1056/NEJMc1703812.
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psnet.ahrq.gov/issue/next-organizational-challenge-finding-and-addressing-diagnostic-error
November 16, 2022 - Commentary
The next organizational challenge: finding and addressing diagnostic error.
Citation Text:
Graber ML, Trowbridge RL, Myers JS, et al. The next organizational challenge: finding and addressing diagnostic error. Jt Comm J Qual Patient Saf. 2014;40(3):102-10.
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psnet.ahrq.gov/issue/nurses-and-patients-appraisals-show-patient-safety-hospitals-remains-concern
October 16, 2012 - Study
Emerging Classic
Nurses' and patients' appraisals show patient safety in hospitals remains a concern.
Citation Text:
Aiken LH, Sloane DM, Barnes H, et al. Nurses' And Patients' Appraisals Show Patient Safety In Hospitals Remains A Concern. Health Aff (Mill…
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digital.ahrq.gov/ahrq-funded-projects/developing-and-evaluating-online-education-improve-older-adults-health/annual-summary/2011
January 01, 2011 - Developing and Evaluating Online Education to Improve Older Adults Health Information - 2011
Project Name
Developing and Evaluating Online Education to Improve Older Adults Health Information
Principal Investigator
Fink, Arlene
Organization
Langley Research Institute
…
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psnet.ahrq.gov/issue/teamwork-and-during-covid-19-good-same-and-ugly
September 14, 2022 - Study
Teamwork before and during COVID-19: the good, the same, and the ugly….
Citation Text:
Rehder KJ, Adair KC, Eckert E, et al. Teamwork before and during COVID-19: the good, the same, and the ugly…. J Patient Saf. 2023;19(1):36-41. doi:10.1097/pts.0000000000001070.
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psnet.ahrq.gov/issue/effect-burnout-among-physicians-observed-adverse-patient-outcomes-literature-review
October 27, 2021 - Review
Effect of burnout among physicians on observed adverse patient outcomes: a literature review.
Citation Text:
Mangory KY, Ali LY, Rø KI, et al. Effect of burnout among physicians on observed adverse patient outcomes: a literature review. BMC Health Serv Res. 2021;21(1):369. doi:10.…
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psnet.ahrq.gov/issue/effects-introduction-who-surgical-safety-checklist-hospital-mortality-cohort-study
April 24, 2018 - Study
Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital mortality: a cohort study.
Citation Text:
van Klei WA, Hoff RG, van Aarnhem EEHL, et al. Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital mortality: a cohort study. …
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psnet.ahrq.gov/issue/how-safe-do-dying-people-feel-home-patients-perception-safety-while-receiving-specialist
June 23, 2021 - Study
How safe do dying people feel at home? Patients' perception of safety while receiving specialist community palliative care.
Citation Text:
Pedrosa Carrasco AJ, Bezmenov A, Sibelius U, et al. How safe do dying people feel at home? Patients' perception of safety while receiving speci…
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psnet.ahrq.gov/issue/patient-safety-home-care-multicenter-cross-sectional-study-about-medication-errors-and
March 03, 2021 - Study
Patient safety in home care: a multicenter cross-sectional study about medication errors and medication management of nurses.
Citation Text:
Strube‐Lahmann S, Müller‐Werdan U, Klingelhöfer‐Noe J, et al. Patient safety in home care: A multicenter cross‐sectional study about medicati…
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psnet.ahrq.gov/issue/reasons-bias-ambulance-clinicians-assessments-non-conveyed-patients-mixed-methods-study
January 26, 2022 - Study
Reasons for bias in ambulance clinicians' assessments of non-conveyed patients: a mixed-methods study.
Citation Text:
Johansson H, Lundgren K, Hagiwara MA. Reasons for bias in ambulance clinicians’ assessments of non-conveyed patients: a mixed-methods study. BMC Emerg Med. 2022;22(…
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psnet.ahrq.gov/issue/missing-evidence-systematic-review-patients-experiences-adverse-events-health-care
September 06, 2017 - Review
Classic
The missing evidence: a systematic review of patients' experiences of adverse events in health care.
Citation Text:
Harrison R, Walton M, Manias E, et al. The missing evidence: a systematic review of patients' experiences of adverse events in heal…