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psnet.ahrq.gov/issue/identifying-safety-practices-perceived-low-value-exploratory-survey-healthcare-staff-united
February 03, 2021 - Study
Identifying safety practices perceived as low value: an exploratory survey of healthcare staff in the United Kingdom and Australia.
Citation Text:
Halligan D, Janes G, Conner M, et al. Identifying safety practices perceived as low value: an exploratory survey of healthcare staff in…
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psnet.ahrq.gov/issue/patient-safety-after-implementation-coproduced-family-centered-communication-programme
April 24, 2018 - Study
Emerging Classic
Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study.
Citation Text:
Khan A, Spector ND, Baird JD, et al. Patient safety after implementation of a copr…
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psnet.ahrq.gov/issue/support-healthcare-professionals-after-surgical-patient-safety-incidents-qualitative
June 15, 2022 - Study
Support for healthcare professionals after surgical patient safety incidents: a qualitative descriptive study in 5 teaching hospitals.
Citation Text:
Serou N, Husband AK, Forrest SP, et al. Support for healthcare professionals after surgical patient safety incidents: a qualitative …
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psnet.ahrq.gov/issue/effect-providing-staff-training-and-enhanced-support-care-homes-care-processes-safety-climate
September 15, 2021 - Study
The effect of providing staff training and enhanced support to care homes on care processes, safety climate and avoidable harms: evaluation of a care home quality improvement programme in England.
Citation Text:
Damery S, Flanagan S, Jones J, et al. The effect of providing staff tr…
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psnet.ahrq.gov/issue/perceptions-institutional-support-second-victims-are-associated-safety-culture-and-workforce
February 01, 2023 - Study
Perceptions of institutional support for “second victims” are associated with safety culture and workforce well-being.
Citation Text:
Sexton JB, Adair KC, Profit J, et al. Perceptions of Institutional Support for “Second Victims” Are Associated with Safety Culture and Workforce Wel…
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psnet.ahrq.gov/issue/use-e-triggers-identify-diagnostic-errors-paediatric-ed
October 27, 2021 - Study
Use of e-triggers to identify diagnostic errors in the paediatric ED.
Citation Text:
Lam D, Dominguez F, Leonard J, et al. Use of e-triggers to identify diagnostic errors in the paediatric ED. BMJ Qual Saf. 2022;31(10):735-743. doi:10.1136/bmjqs-2021-013683.
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psnet.ahrq.gov/issue/enhancing-implementation-i-pass-handoff-tool-using-provider-handoff-task-force-comprehensive
March 09, 2022 - Study
Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center.
Citation Text:
Franco Vega MC, Ait Aiss M, George M, et al. Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Compreh…
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psnet.ahrq.gov/issue/frequency-type-and-degree-potential-harm-adverse-safety-events-among-pediatric-emergency
October 19, 2022 - Study
Frequency, type, and degree of potential harm of adverse safety events among pediatric emergency medical services encounters.
Citation Text:
Cicero MX, Baird J, Brown L, et al. Frequency, type, and degree of potential harm of adverse safety events among pediatric emergency medical …
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psnet.ahrq.gov/issue/posttraumatic-growth-and-second-victim-distress-resulting-medical-mishaps-among-physicians
January 12, 2022 - Study
Posttraumatic growth and second victim distress resulting from medical mishaps among physicians and nurses.
Citation Text:
Pado K, Fraus K, Mulhem E, et al. Posttraumatic growth and second victim distress resulting from medical mishaps among physicians and nurses. J Clin Psychol Me…
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psnet.ahrq.gov/issue/effects-leadership-curricula-and-without-implicit-bias-training-graduate-medical-education
January 31, 2024 - Study
The effects of leadership curricula with and without implicit bias training on graduate medical education: a multicenter randomized trial.
Citation Text:
Hansen M, Harrod T, Bahr N, et al. The effects of leadership curricula with and without implicit bias training on graduate medic…
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psnet.ahrq.gov/issue/adverse-events-related-accidental-unintentional-ingestions-cough-and-cold-medications
May 06, 2020 - Study
Adverse events related to accidental unintentional ingestions from cough and cold medications in children.
Citation Text:
Wang GS, Reynolds KM, Banner W, et al. Adverse events related to accidental unintentional ingestions from cough and cold medications in children. Pediatr Emerg …
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psnet.ahrq.gov/issue/systematic-review-and-meta-analysis-interventions-operating-room-intensive-care-unit-handoffs
July 08, 2020 - Review
Emerging Classic
Systematic review and meta-analysis of interventions for operating room to intensive care unit handoffs.
Citation Text:
Abraham J, Meng A, Tripathy S, et al. Systematic review and meta-analysis of interventions for operating room to inten…
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psnet.ahrq.gov/issue/automated-surveillance-adverse-drug-events-community-hospital-and-academic-medical-center
September 23, 2020 - Study
Automated surveillance for adverse drug events at a community hospital and an academic medical center.
Citation Text:
Kilbridge PM, Campbell UC, Cozart HB, et al. Automated surveillance for adverse drug events at a community hospital and an academic medical center. J Am Med Infor…
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psnet.ahrq.gov/issue/understanding-nurses-and-physicians-fear-repercussions-reporting-errors-clinician
October 13, 2021 - Study
Understanding nurses' and physicians' fear of repercussions for reporting errors: clinician characteristics, organization demographics, or leadership factors?
Citation Text:
Castel ES, Ginsburg LR, Zaheer S, et al. Understanding nurses' and physicians' fear of repercussions for rep…
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psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act
October 12, 2018 - EMERGING INNOVATIONS
Let us to the TWISST; Plan, Simulate, Study and Act.
Citation Text:
Colman N, Hebbar KB. Let us to the TWISST; Plan, Simulate, Study and Act. Pediatr Qual Saf. 2023;8(4):e664. doi:10.1097/pq9.0000000000000664.
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psnet.ahrq.gov/issue/impact-electronic-alert-reduce-risk-co-prescription-low-molecular-weight-heparins-and-direct
August 17, 2022 - Study
The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight heparins and direct oral anticoagulants.
Citation Text:
Brown A, Cavell G, Dogra N, et al. The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight…
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psnet.ahrq.gov/issue/association-implementation-and-social-network-factors-patient-safety-culture-medical-homes
September 28, 2022 - Study
Association of implementation and social network factors with patient safety culture in medical homes: a coincidence analysis.
Citation Text:
Dy SM, Acton RM, Yuan CT, et al. Association of implementation and social network factors with patient safety culture in medical homes: a co…
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psnet.ahrq.gov/issue/incorporating-harms-weighting-revised-ahrq-patient-safety-selected-indicators-composite-psi
June 29, 2022 - Study
Incorporating harms into the weighting of the Revised AHRQ Patient Safety for Selected Indicators Composite (PSI 90).
Citation Text:
Zrelak PA, Utter GH, McDonald KM, et al. Incorporating harms into the weighting of the revised Agency for Healthcare Research and Quality Patient Saf…
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psnet.ahrq.gov/issue/patient-harm-during-covid-19-pandemic-using-human-factors-lens-promote-patient-and-workforce
September 14, 2022 - Commentary
Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety.
Citation Text:
Alagha MA, Jaulin F, Yeung W, et al. Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety. J Patient S…
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psnet.ahrq.gov/issue/systemic-safety-inequities-people-learning-disabilities-qualitative-integrative-analysis
June 30, 2021 - Study
Systemic safety inequities for people with learning disabilities: a qualitative integrative analysis of the experiences of English health and social care for people with learning disabilities, their families and carers.
Citation Text:
Ramsey L, Albutt AK, Perfetto K, et al. Systemi…