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psnet.ahrq.gov/issue/taking-pulse-health-care-systems-experiences-patients-health-problems-six-countries
December 23, 2012 - Multi-use Website
Classic
Taking the pulse of health care systems: experiences of patients with health problems in six countries.
Citation Text:
Schoen C, Osborn R, Huynh PT, et al. Taking The Pulse Of Health Care Systems: Experiences Of Patients With Health P…
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psnet.ahrq.gov/issue/effect-electronic-prescribing-medication-errors-and-adverse-drug-events-systematic-review
October 30, 2013 - Review
The effect of electronic prescribing on medication errors and adverse drug events: a systematic review.
Citation Text:
Ammenwerth E, Schnell-Inderst P, Machan C, et al. The effect of electronic prescribing on medication errors and adverse drug events: a systematic review. J Am M…
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psnet.ahrq.gov/issue/medical-errors-and-quality-care-control-commitment
July 15, 2020 - Commentary
Medical errors and quality of care: from control to commitment.
Citation Text:
Khatri N, Baveja A, Boren SA, et al. Medical Errors and Quality of Care: From Control to Commitment. California Manage Review. 2006;48(3):115-141. doi:10.2307/41166353.
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psnet.ahrq.gov/node/33810/psn-pdf
June 01, 2016 - Becoming a Certified Professional in Patient Safety—A
Registered Nurse's Perspective
June 1, 2016
Frank K. Becoming a Certified Professional in Patient Safety—A Registered Nurse's Perspective. PSNet
[internet]. 2016.
https://psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-registered-nurse…
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psnet.ahrq.gov/issue/radiation-oncology-specific-automated-trigger-indicator-tool-high-risk-near-miss-safety
October 14, 2020 - Study
A radiation oncology-specific automated trigger indicator tool for high-risk near-miss safety events.
Citation Text:
Hartvigson PE, Gensheimer MF, Spady PK, et al. A Radiation Oncology–Specific Automated Trigger Indicator Tool for High-Risk, Near-Miss Safety Events. Pract Radiat On…
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psnet.ahrq.gov/issue/defining-critical-role-nurses-diagnostic-error-prevention-conceptual-framework-and-call
October 28, 2020 - Review
Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to action.
Citation Text:
Gleason KT, Davidson PM, Tanner EK, et al. Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to act…
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psnet.ahrq.gov/issue/creating-learning-health-system-improving-diagnostic-safety-pragmatic-insights-us-health-care
May 12, 2021 - Study
Creating a learning health system for improving diagnostic safety: pragmatic insights from US health care organizations.
Citation Text:
Giardina TD, Shahid U, Mushtaq U, et al. Creating a learning health system for improving diagnostic safety: pragmatic insights from US health care…
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psnet.ahrq.gov/issue/veterans-health-administration-response-covid-19-crisis-surveillance-action
November 17, 2021 - Commentary
Veterans Health Administration response to the COVID-19 crisis: surveillance to action.
Citation Text:
Charles MA, Yackel EE, Mills PD, et al. Veterans Health Administration response to the COVID-19 crisis: surveillance to action. J Patient Saf. 2022;18(7):686-691. doi:10.1097…
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psnet.ahrq.gov/issue/safety-climate-associated-adverse-events-nursing-homes-national-va-study
September 08, 2021 - Study
Safety climate associated with adverse events in nursing homes: a national VA study.
Citation Text:
Quach ED, Kazis LE, Zhao S, et al. Safety climate associated with adverse events in nursing homes: a national VA study. J Am Med Dir Assoc. 2021;22(2):388-392. doi:10.1016/j.jamda.20…
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psnet.ahrq.gov/issue/what-can-safety-cases-offer-patient-safety-multisite-case-study
February 07, 2024 - Study
What can safety cases offer for patient safety? A multisite case study.
Citation Text:
Liberati EG, Martin GP, Lamé G, et al. What can Safety Cases offer for patient safety? A multisite case study. BMJ Qual Saf. 2024;33(3):156-165. doi:10.1136/bmjqs-2023-016042.
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psnet.ahrq.gov/issue/what-became-eyes-and-ears-exploring-challenges-reporting-poor-quality-care-among-trainee
June 24, 2020 - Commentary
What became of the 'eyes and the ears'?: exploring the challenges to reporting poor quality of care among trainee medical staff.
Citation Text:
Berry P. What became of the ‘eyes and the ears’?: exploring the challenges to reporting poor quality of care among trainee medical st…
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psnet.ahrq.gov/issue/role-organizational-and-professional-cultures-medication-safety-scoping-review-literature
February 12, 2020 - Review
The role of organizational and professional cultures in medication safety: a scoping review of the literature.
Citation Text:
Machen S, Jani Y, Turner S, et al. The role of organizational and professional cultures in medication safety: a scoping review of the literature. Int J Hea…
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psnet.ahrq.gov/issue/improving-handoffs-perioperative-environment-conceptual-framework-key-theories-system-factors
November 16, 2022 - Commentary
Improving handoffs in the perioperative environment: a conceptual framework of key theories, system factors, methods, and core interventions to ensure success.
Citation Text:
Starmer AJ, Michael MM, Spector ND, et al. Improving handoffs in the perioperative environment: a conc…
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psnet.ahrq.gov/issue/improving-self-reported-empathy-and-communication-skills-through-harm-healthcare-response
March 09, 2022 - Study
Improving self-reported empathy and communication skills through harm in healthcare response training.
Citation Text:
Samuels A, Broome ME, McDonald TB, et al. Improving self-reported empathy and communication skills through harm in healthcare response training. J Patient Saf Risk …
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psnet.ahrq.gov/issue/impact-electronic-communication-medication-discontinuation-cancelrx-medication-safety-pilot
December 07, 2022 - Study
The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot study.
Citation Text:
Pitts S, Yang Y, Woodroof T, et al. The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot stud…
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psnet.ahrq.gov/issue/analysis-medication-therapy-discontinuation-orders-new-electronic-prescriptions-and
July 23, 2018 - Study
Analysis of medication therapy discontinuation orders in new electronic prescriptions and opportunities for implementing CancelRx.
Citation Text:
Yang Y, Ward-Charlerie S, Kashyap N, et al. Analysis of medication therapy discontinuation orders in new electronic prescriptions and op…
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psnet.ahrq.gov/issue/development-and-usability-testing-agency-healthcare-research-and-quality-common-formats
October 12, 2022 - Study
Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture diagnostic safety events.
Citation Text:
Bradford A, Shahid U, Schiff GD, et al. Development and usability testing of the Agency for Healthcare Research and Quality Common …
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psnet.ahrq.gov/issue/positive-approaches-safety-learning-what-we-do-well
September 15, 2021 - Commentary
Positive approaches to safety: learning from what we do well.
Citation Text:
Plunkett A, Plunkett E. Positive approaches to safety: learning from what we do well. Paediatr Anaesth. 2022;32(11):1223-1229. doi:10.1111/pan.14509.
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psnet.ahrq.gov/issue/evolving-quality-improvement-support-strategies-improve-plan-do-study-act-cycle-fidelity
March 17, 2014 - Study
Emerging Classic
Evolving quality improvement support strategies to improve Plan–Do–Study–Act cycle fidelity: a retrospective mixed-methods study.
Citation Text:
McNicholas C, Lennox L, Woodcock T, et al. Evolving quality improvement support strategies to …
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psnet.ahrq.gov/issue/can-medical-students-identify-potentially-serious-acetaminophen-dosing-error-simulated
March 30, 2011 - Study
Can medical students identify a potentially serious acetaminophen dosing error in a simulated encounter? A case control study.
Citation Text:
Dudas RA, Barone MA. Can medical students identify a potentially serious acetaminophen dosing error in a simulated encounter? a case control…