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psnet.ahrq.gov/issue/development-and-validation-brief-culture-safety-survey
May 26, 2021 - Study
Development and validation of a brief culture-of-safety survey.
Citation Text:
Barnard C, Chung JW, Flaherty V, et al. Development and validation of a brief culture-of-safety survey. Jt Comm J Qual Patient Saf. 2022;48(9):430-438. doi:10.1016/j.jcjq.2022.04.006.
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psnet.ahrq.gov/issue/integrating-principles-safety-culture-and-just-culture-nursing-homes-lessons-pandemic
October 28, 2020 - Commentary
Integrating principles of safety culture and just culture into nursing homes: lessons from the pandemic.
Citation Text:
Gaur S, Kumar R, Gillespie SM, et al. Integrating Principles of Safety Culture and Just Culture Into Nursing Homes: Lessons From the Pandemic. J Am Med Dir A…
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psnet.ahrq.gov/issue/patient-safety-over-power-hierarchy-scoping-review-healthcare-professionals-speaking-skills
November 11, 2009 - Review
Emerging Classic
Patient safety over power hierarchy: a scoping review of healthcare professionals' speaking-up skills training.
Citation Text:
Kim S, Appelbaum NP, Baker N, et al. Patient Safety Over Power Hierarchy: A Scoping Review of Healthcare Profes…
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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/impact-implementing-alerts-about-medication-black-box-warnings-electronic-health-records
July 10, 2008 - Study
Impact of implementing alerts about medication black-box warnings in electronic health records.
Citation Text:
Yu DT, Seger DL, Lasser KE, et al. Impact of implementing alerts about medication black-box warnings in electronic health records. Pharmacoepidemiol Drug Saf. 2011;20(2):1…
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psnet.ahrq.gov/issue/incident-reporting-improve-patient-safety-effects-process-variance-pediatric-patient-safety
June 07, 2017 - Study
Incident reporting to improve patient safety: the effects of process variance on pediatric patient safety in the emergency department.
Citation Text:
OʼConnell KJ, Shaw KN, Ruddy RM, et al. Incident Reporting to Improve Patient Safety: The Effects of Process Variance on Pediatric P…
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psnet.ahrq.gov/issue/striving-high-reliability-healthcare-qualitative-study-implementation-hospital-safety
July 10, 2019 - Study
Striving for high reliability in healthcare: a qualitative study of the implementation of a hospital safety programme.
Citation Text:
Rotteau L, Goldman J, Shojania KG, et al. Striving for high reliability in healthcare: a qualitative study of the implementation of a hospital safet…
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psnet.ahrq.gov/issue/organizational-factors-associated-high-performance-quality-and-safety-academic-medical
January 03, 2017 - Study
Classic
Organizational factors associated with high performance in quality and safety in academic medical centers.
Citation Text:
Keroack MA, Youngberg BJ, Cerese JL, et al. Organizational factors associated with high performance in quality and safety in…
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psnet.ahrq.gov/issue/safety-culture-assessment-community-pharmacy-development-face-validity-and-feasibility
June 09, 2011 - Study
Safety culture assessment in community pharmacy: development, face validity, and feasibility of the Manchester Patient Safety Assessment Framework.
Citation Text:
Ashcroft DM, Morecroft C, Parker D, et al. Safety culture assessment in community pharmacy: development, face validit…
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psnet.ahrq.gov/issue/association-between-primary-care-physician-diagnostic-knowledge-and-death-hospitalisation-and
May 27, 2020 - Study
Association between primary care physician diagnostic knowledge and death, hospitalisation and emergency department visits following an outpatient visit at risk for diagnostic error: a retrospective cohort study using medicare claims.
Citation Text:
Gray BM, Vandergrift JL, McCoy R…
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psnet.ahrq.gov/issue/surgical-leadership-culture-safety-inter-professional-study-metrics-and-tools-improving
September 14, 2022 - Study
Surgical leadership in a culture of safety: an inter-professional study of metrics and tools for improving clinical practice.
Citation Text:
Gogalniceanu P, Kunduzi B, Ruckley C, et al. Surgical leadership in a culture of safety: an inter-professional study of metrics and tools for…
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psnet.ahrq.gov/issue/test-result-communication-primary-care-survey-current-practice
November 20, 2015 - Study
Test result communication in primary care: a survey of current practice.
Citation Text:
Litchfield I, Bentham L, Lilford RJ, et al. Test result communication in primary care: a survey of current practice. BMJ Qual Saf. 2015;24(11):691-9. doi:10.1136/bmjqs-2014-003712.
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psnet.ahrq.gov/issue/accuracy-infection-reporting-us-nursing-home-ratings
August 24, 2022 - Study
Accuracy of infection reporting in US nursing home ratings.
Citation Text:
Chen Z, Gleason LJ, Konetzka RT, et al. Accuracy of infection reporting in US nursing home ratings. Health Serv Res. 2023;58(5):1109-1118. doi:10.1111/1475-6773.14195.
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psnet.ahrq.gov/issue/multicenter-development-implementation-and-patient-safety-impacts-simulation-based-module
June 03, 2013 - Study
Multicenter development, implementation, and patient safety impacts of a simulation-based module to teach handovers to pediatric residents.
Citation Text:
Johnson DP, Zimmerman K, Staples B, et al. Multicenter development, implementation, and patient safety impacts of a simulation-…
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psnet.ahrq.gov/issue/seen-through-patients-eyes-surgical-safety-and-checklists
May 16, 2018 - Study
Seen through the patients' eyes: surgical safety and checklists.
Citation Text:
Bergs J, Lambrechts F, Desmedt M, et al. Seen through the patients' eyes: surgical safety and checklists. Int J Qual Health Care. 2018;30(2):118-123. doi:10.1093/intqhc/mzx180.
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psnet.ahrq.gov/issue/making-transition-nursing-bedside-shift-reports
September 29, 2017 - Study
Making the transition to nursing bedside shift reports.
Citation Text:
Wakefield DS, Ragan R, Brandt J, et al. Making the transition to nursing bedside shift reports. Jt Comm J Qual Patient Saf. 2012;38(6):243-53.
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psnet.ahrq.gov/issue/do-professionalism-lapses-medical-school-predict-problems-residency-and-clinical-practice
February 15, 2017 - Study
Do professionalism lapses in medical school predict problems in residency and clinical practice?
Citation Text:
Krupat E, Dienstag JL, Padrino SL, et al. Do professionalism lapses in medical school predict problems in residency and clinical practice? Acad Med. 2020;95(6):888-895. d…
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psnet.ahrq.gov/issue/rooting-error-review-process-just-culture-lessons-learned
April 20, 2022 - Commentary
Rooting an error review process in just culture: lessons learned.
Citation Text:
Neiswender K, Figueroa-Altmann A, Granahan K, et al. Rooting an error review process in just culture: lessons learned. Patient Safety. 2022;4(3):34-38. doi:10.33940/culture/2022.9.5.
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psnet.ahrq.gov/issue/risk-factors-retained-instruments-and-sponges-after-surgery
February 17, 2011 - Study
Classic
Risk factors for retained instruments and sponges after surgery.
Citation Text:
Gawande AA, Studdert DM, Orav J, et al. Risk factors for retained instruments and sponges after surgery. N Engl J Med. 2003;348(3):229-35.
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psnet.ahrq.gov/issue/why-there-another-persons-name-my-infusion-bag-patient-safety-chemotherapy-care-review
May 01, 2024 - Review
'Why is there another person's name on my infusion bag?' Patient safety in chemotherapy care—a review of the literature.
Citation Text:
Kullberg A, Larsen J, Sharp L. 'Why is there another person's name on my infusion bag?' Patient safety in chemotherapy care - a review of the l…