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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-electronic-health-record-design-and-use-factors-clinician-stress-and-burnout
January 23, 2017 - Study
Classic
Association of electronic health record design and use factors with clinician stress and burnout.
Citation Text:
Kroth PJ, Morioka-Douglas N, Veres S, et al. Association of electronic health record design and use factors with clinician stress and b…
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psnet.ahrq.gov/issue/medical-record-review-deaths-unexpected-intensive-care-unit-admissions-and-clinician
October 12, 2022 - Study
Medical record review of deaths, unexpected intensive care unit admissions and clinician referrals: detection of adverse events and insight into the system.
Citation Text:
Dunn KL, Reddy P, Moulden A, et al. Medical record review of deaths, unexpected intensive care unit admissio…
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psnet.ahrq.gov/issue/patient-safety-related-hospital-deaths-england-thematic-analysis-incidents-reported-national
October 31, 2014 - Study
Patient-safety–related hospital deaths in England: thematic analysis of incidents reported to a national database, 2010–2012.
Citation Text:
Donaldson LJ, Panesar S, Darzi A. Patient-safety-related hospital deaths in England: thematic analysis of incidents reported to a national da…
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psnet.ahrq.gov/issue/identifying-understanding-and-minimizing-unconscious-cognitive-biases-perioperative-crisis
June 19, 2019 - Review
Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis management: a narrative review.
Citation Text:
Yan L, Karamchandani K, Gaiser RR, et al. Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis …
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psnet.ahrq.gov/issue/reporting-perioperative-adverse-events-pediatric-anesthesiologists-tertiary-childrens
April 24, 2018 - Study
Reporting of perioperative adverse events by pediatric anesthesiologists at a tertiary children's hospital: targeted interventions to increase the rate of reporting.
Citation Text:
Williams GD, Muffly MK, Mendoza JM, et al. Reporting of Perioperative Adverse Events by Pediatric Ane…
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psnet.ahrq.gov/issue/clinical-profile-hospitalized-children-provided-urgent-assistance-medical-emergency-team
February 01, 2011 - Study
Clinical profile of hospitalized children provided with urgent assistance from a medical emergency team.
Citation Text:
Kinney S, Tibballs J, Johnston L, et al. Clinical profile of hospitalized children provided with urgent assistance from a medical emergency team. Pediatrics. 20…
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psnet.ahrq.gov/issue/reducing-diagnostic-errors-emergency-department-time-patient-treatment
August 26, 2020 - Study
Reducing diagnostic errors in the emergency department at the time of patient treatment.
Citation Text:
Petts A, Neep M, Thakkalpalli M. Reducing diagnostic errors in the emergency department at the time of patient treatment. Emerg Med Australas. 2023;35(3):466-473. doi:10.1111/174…
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psnet.ahrq.gov/issue/adverse-event-reporting-practices-us-hospitals-results-national-survey
December 30, 2014 - Study
Adverse-event-reporting practices by US hospitals: results of a national survey.
Citation Text:
Farley DO, Haviland A, Champagne S, et al. Adverse-event-reporting practices by US hospitals: results of a national survey. Qual Saf Health Care. 2008;17(6):416-23. doi:10.1136/qshc.20…
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psnet.ahrq.gov/issue/effectiveness-and-efficiency-root-cause-analysis-medicine
July 11, 2012 - Commentary
Classic
Effectiveness and efficiency of root cause analysis in medicine.
Citation Text:
Wu AW. Effectiveness and Efficiency of Root Cause Analysis in Medicine. JAMA. 2008;299(6):685-687. doi:10.1001/jama.299.6.685.
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psnet.ahrq.gov/issue/physicians-perceptions-preparedness-reporting-and-experiences-related-impaired-and
February 10, 2015 - Study
Classic
Physicians' perceptions, preparedness for reporting, and experiences related to impaired and incompetent colleagues.
Citation Text:
DesRoches CM, Rao SR, Fromson J, et al. Physicians' perceptions, preparedness for reporting, and experiences relat…
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psnet.ahrq.gov/issue/incidence-adverse-events-and-negligence-hospitalized-patients-results-harvard-medical
February 18, 2011 - Study
Classic
Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I.
Citation Text:
Brennan TA, Leape LL, Laird NM, et al. Incidence of Adverse Events and Negligence in Hospitalized Patients. N Eng…
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psnet.ahrq.gov/issue/medical-office-survey-patient-safety-culture-2018-user-database-report
April 22, 2018 - Book/Report
Medical Office Survey on Patient Safety Culture: 2018 User Database Report.
Citation Text:
Medical Office Survey on Patient Safety Culture: 2018 User Database Report. Famolaro T, Yount N, Hare R, et al. Rockville, MD: Agency for Healthcare Research and Quality; April 2018. AH…
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psnet.ahrq.gov/issue/medical-malpractice-litigation-and-daylight-saving-time
March 24, 2019 - Study
Medical malpractice litigation and daylight saving time.
Citation Text:
Gao C, Lage C, Scullin MK. Medical malpractice litigation and daylight saving time. J Clin Sleep Med. 2024;20(6):933-940. doi:10.5664/jcsm.11038.
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psnet.ahrq.gov/issue/identifying-and-reconciling-patients-allergy-information-within-electronic-health-record
June 15, 2022 - Study
Identifying and reconciling patients' allergy information within the electronic health record.
Citation Text:
Vallamkonda S, Ortega CA, Lo YC, et al. Identifying and reconciling patients' allergy information within the electronic health record. Stud Health Technol Inform. 2022;290:…
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psnet.ahrq.gov/issue/reliability-verbal-handoff-assessment-and-handoff-quality-and-after-implementation-resident
November 16, 2022 - Study
Reliability of verbal handoff assessment and handoff quality before and after implementation of a resident handoff bundle.
Citation Text:
Feraco AM, Starmer AJ, Sectish TC, et al. Reliability of Verbal Handoff Assessment and Handoff Quality Before and After Implementation of a Resi…
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psnet.ahrq.gov/issue/good-bad-and-ugly-what-do-we-really-do-when-we-identify-best-and-worst-organisations
August 20, 2018 - Commentary
The good, the bad and the ugly: what do we really do when we identify the best and the worst organisations?.
Citation Text:
Abel GA, Agniel D, Elliott MN. The good, the bad and the ugly: what do we really do when we identify the best and the worst organisations? BMJ Qual Saf. …
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psnet.ahrq.gov/issue/national-partnership-maternal-safety-consensus-bundle-support-after-severe-maternal-event
December 15, 2021 - Organizational Policy/Guidelines
National Partnership for Maternal Safety: consensus bundle on support after a severe maternal event.
Citation Text:
Morton CH, Hall MF, Shaefer SJM, et al. National Partnership for Maternal Safety: Consensus Bundle on Support After a Severe Maternal Event…
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psnet.ahrq.gov/issue/making-business-case-patient-safety
March 04, 2011 - Commentary
Making the business case for patient safety.
Citation Text:
Weeks WB, Bagian JP. Making the business case for patient safety. Jt Comm J Qual Saf. 2003;29(1):51-4, 1.
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psnet.ahrq.gov/issue/interventions-reducing-wrong-site-surgery-and-invasive-procedures
September 07, 2011 - Review
Interventions for reducing wrong-site surgery and invasive procedures.
Citation Text:
Algie CM, Mahar RK, Wasiak J, et al. Interventions for reducing wrong-site surgery and invasive clinical procedures. Cochrane Database Syst Rev. 2015;3)(3):CD009404. doi:10.1002/14651858.CD009404…