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psnet.ahrq.gov/issue/role-patients-and-their-relatives-speaking-about-their-own-safety-qualitative-study-acute
January 19, 2012 - Study
The role of patients and their relatives in 'speaking up' about their own safety—a qualitative study of acute illness.
Citation Text:
Rainey H, Ehrich K, Mackintosh N, et al. The role of patients and their relatives in 'speaking up' about their own safety - a qualitative study of a…
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psnet.ahrq.gov/issue/has-improved-hand-hygiene-compliance-reduced-risk-hospital-acquired-infections-among
July 10, 2024 - Study
Has improved hand hygiene compliance reduced the risk of hospital-acquired infections among hospitalized patients in Ontario? Analysis of publicly reported patient safety data from 2008 to 2011.
Citation Text:
DiDiodato G. Has improved hand hygiene compliance reduced the risk of h…
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psnet.ahrq.gov/issue/closing-loop-process-evaluation-inpatient-care-team-communication
March 09, 2019 - Study
Closing the loop: a process evaluation of inpatient care team communication.
Citation Text:
Broman KK, Kensinger C, Hart H, et al. Closing the loop: a process evaluation of inpatient care team communication. BMJ Qual Saf. 2017;26(1):30-32. doi:10.1136/bmjqs-2015-004580.
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psnet.ahrq.gov/issue/improving-patient-safety-automated-laboratory-based-adverse-event-grading
October 19, 2022 - Study
Improving patient safety via automated laboratory-based adverse event grading.
Citation Text:
Niland JC, Stiller T, Neat J, et al. Improving patient safety via automated laboratory-based adverse event grading. J Am Med Inform Assoc. 2012;19(1):111-5. doi:10.1136/amiajnl-2011-0005…
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psnet.ahrq.gov/issue/safety-culture-long-term-care-cross-sectional-analysis-safety-attitudes-questionnaire-nursing
March 05, 2010 - Study
Safety culture in long-term care: a cross-sectional analysis of the Safety Attitudes Questionnaire in nursing and residential homes in the Netherlands.
Citation Text:
Buljac-Samardzic M, van Wijngaarden JD, van Doorn CMD-. Safety culture in long-term care: a cross-sectional analysi…
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psnet.ahrq.gov/issue/role-dynamic-trade-offs-creating-safety-qualitative-study-handover-across-care-boundaries
January 21, 2015 - Study
The role of dynamic trade-offs in creating safety—a qualitative study of handover across care boundaries in emergency care.
Citation Text:
Sujan M, Spurgeon P, Cooke M. The role of dynamic trade-offs in creating safety—A qualitative study of handover across care boundaries in emerg…
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psnet.ahrq.gov/issue/embracing-errors-simulation-based-training-effect-error-training-retention-and-transfer
May 23, 2013 - Study
Embracing errors in simulation-based training: the effect of error training on retention and transfer of central venous catheter skills.
Citation Text:
Gardner AK, Abdelfattah K, Wiersch J, et al. Embracing Errors in Simulation-Based Training: The Effect of Error Training on Retent…
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psnet.ahrq.gov/issue/improving-quality-drug-error-reporting
December 21, 2016 - Study
Improving the quality of drug error reporting.
Citation Text:
Armitage G, Newell R, Wright J. Improving the quality of drug error reporting. J Eval Clin Pract. 2010;16(6):1189-97. doi:10.1111/j.1365-2753.2009.01293.x.
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DOI Google Scholar PubMed …
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psnet.ahrq.gov/issue/design-safe-or-sorry-study-cluster-randomised-trial-development-and-testing-evidence-based
May 22, 2013 - Study
The design of the SAFE or SORRY? study: a cluster randomised trial on the development and testing of an evidence based inpatient safety program for the prevention of adverse events.
Citation Text:
van Gaal BGI, Schoonhoven L, Hulscher M, et al. The design of the SAFE or SORRY? st…
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psnet.ahrq.gov/issue/getting-it-right-patient-safety-specimen-collection-process-improvement-operating-room
July 16, 2013 - Commentary
Getting it right for patient safety: specimen collection process improvement from operating room to pathology.
Citation Text:
D'Angelo R, Mejabi O. Getting It Right for Patient Safety: Specimen Collection Process Improvement From Operating Room to Pathology. Am J Clin Pathol.…
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psnet.ahrq.gov/issue/why-didnt-you-call-me-factors-junior-learners-consider-when-deciding-whether-call-their
July 14, 2021 - Study
Why didn't you call me? Factors junior learners consider when deciding whether to call their supervisor.
Citation Text:
Alibhai KM, Zabolotniuk TR, Raîche I, et al. Why didn't you call me? Factors junior learners consider when deciding whether to call their supervisor. J Surg Educ.…
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psnet.ahrq.gov/issue/clinical-risk-management-hospitals-strategy-central-coordination-and-dialogue-key-enablers
November 27, 2013 - Study
Clinical risk management in hospitals: strategy, central coordination and dialogue as key enablers.
Citation Text:
Briner M, Manser T, Kessler O. Clinical risk management in hospitals: strategy, central coordination and dialogue as key enablers. J Eval Clin Pract. 2013;19(2):363-…
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psnet.ahrq.gov/issue/association-between-health-care-staff-engagement-and-patient-safety-outcomes-systematic
February 02, 2022 - Review
Emerging Classic
The association between health care staff engagement and patient safety outcomes: a systematic review and meta-analysis.
Citation Text:
Janes G, Mills T, Budworth L, et al. The association between health care staff engagement and patient …
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psnet.ahrq.gov/issue/post-discharge-adverse-events-among-urban-and-rural-patients-urban-community-hospital
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…
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psnet.ahrq.gov/issue/patient-safety-patients-who-occupy-beds-clinically-inappropriate-wards-qualitative-interview
January 12, 2022 - Study
Patient safety in patients who occupy beds on clinically inappropriate wards: a qualitative interview study with NHS staff.
Citation Text:
Goulding L, Adamson J, Watt I, et al. Patient safety in patients who occupy beds on clinically inappropriate wards: a qualitative interview s…
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psnet.ahrq.gov/issue/there-role-patients-and-their-relatives-escalating-clinical-deterioration-hospital-systematic
March 08, 2023 - Review
Is there a role for patients and their relatives in escalating clinical deterioration in hospital? A systematic review.
Citation Text:
Albutt AK, O'Hara JK, Conner MT, et al. Is there a role for patients and their relatives in escalating clinical deterioration in hospital? A syste…
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psnet.ahrq.gov/node/38079/psn-pdf
February 15, 2011 - Improvement Global Trigger Tool methodology and evaluates a refined process to improve
the interrater reliability … The authors found that a high level of interrater reliability was
possible with well-trained primary
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psnet.ahrq.gov/node/46783/psn-pdf
January 24, 2018 - PSNet interview, the president and chief executive
officer of The Joint Commission discusses high reliability … /psnet.ahrq.gov/perspective/conversation-mark-chassin-md-mpp-mph
https://psnet.ahrq.gov/primer/high-reliability
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psnet.ahrq.gov/node/34087/psn-pdf
June 16, 2011 - experiences in non-health
care industries also suggested the importance of culture on creating high reliability … psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/issue/organizational-culture-source-high-reliability
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psnet.ahrq.gov/issue/healthcare-climate-framework-measuring-and-improving-patient-safety
November 02, 2010 - Interview
In Conversation with Timothy Vogus about High Reliability … Patient Safety
February 26, 2025
Perspective
High Reliability … April 5, 2023
High-reliability organizations (HROs): what they know that we don't (Part