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psnet.ahrq.gov/issue/longitudinal-analysis-culture-patient-safety-survey-results-surgical-departments
October 12, 2022 - Study
Longitudinal analysis of culture of patient safety survey results in surgical departments.
Citation Text:
Butler LR, Lashani S, Mitchell C, et al. Longitudinal analysis of culture of patient safety survey results in surgical departments. Front Health Serv. 2024;4:1419248. doi:10.33…
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psnet.ahrq.gov/issue/how-do-we-know-when-we-have-done-enough-ensuring-sufficient-patient-notification-efforts
August 18, 2021 - Commentary
How do we know when we have done enough? Ensuring sufficient patient notification efforts after a large-scale adverse event.
Citation Text:
Alfandre D, Foglia MB, Holodniy M, et al. How do we know when we have done enough? Ensuring sufficient patient notification efforts after…
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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/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/relationship-between-nurse-burnout-patient-and-organizational-outcomes-systematic-review
December 01, 2021 - Review
Relationship between nurse burnout, patient and organizational outcomes: systematic review.
Citation Text:
Jun J, Ojemeni MM, Kalamani R, et al. Relationship between nurse burnout, patient and organizational outcomes: systematic review. Int J Nurs Stud. 2021;119:103933. doi:10.101…
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psnet.ahrq.gov/issue/nature-adverse-events-hospitalized-patients-results-harvard-medical-practice-study-ii
February 18, 2011 - Study
Classic
The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II.
Citation Text:
Leape L, Brennan TA, Laird N, et al. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Pra…
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psnet.ahrq.gov/issue/understanding-principles-high-reliability-organizations-through-eyes-vione-clinical-program
November 15, 2023 - Study
Understanding principles of high reliability organizations through the eyes of VIONE: a clinical program to improve patient safety by deprescribing potentially inappropriate medications and reducing polypharmacy.
Citation Text:
Battar S, Dickerson KRW, Sedgwick C, et al. Understand…
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psnet.ahrq.gov/issue/anesthesia-related-closed-claims-free-standing-ambulatory-surgery-centers
March 29, 2023 - Study
Anesthesia-related closed claims in free-standing ambulatory surgery centers.
Citation Text:
Pimentel MPT, Chung S, Ross JM, et al. Anesthesia-related closed claims in free-standing ambulatory surgery centers. Anesth Analg. 2024;139(3):521-531. doi:10.1213/ane.0000000000006700.
C…
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psnet.ahrq.gov/issue/medical-team-training-applying-crew-resource-management-veterans-health-administration
April 30, 2014 - Study
Classic
Medical team training: applying crew resource management in the Veterans Health Administration.
Citation Text:
Dunn EJ, Mills PD, Neily J, et al. Medical team training: applying crew resource management in the Veterans Health Administration. Jt Com…
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psnet.ahrq.gov/issue/risk-adverse-drug-events-neonates-treated-opioids-and-effect-bar-code-assisted-medication
May 21, 2009 - Study
Risk of adverse drug events in neonates treated with opioids and the effect of a bar-code–assisted medication administration system.
Citation Text:
Morriss FH, Abramowitz PW, Nelson S, et al. Risk of adverse drug events in neonates treated with opioids and the effect of a bar-cod…
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psnet.ahrq.gov/issue/application-failure-mode-effect-analysis-improve-care-septic-patients-admitted-through
February 01, 2013 - Study
Application of failure mode effect analysis to improve the care of septic patients admitted through the emergency department.
Citation Text:
Alamry A, Owais SMA, Marini AM, et al. Application of Failure Mode Effect Analysis to Improve the Care of Septic Patients Admitted Through th…
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psnet.ahrq.gov/issue/competencies-improving-diagnosis-interprofessional-framework-education-and-training-health
September 12, 2018 - Study
Competencies for improving diagnosis: an interprofessional framework for education and training in health care.
Citation Text:
Olson A, Rencic J, Cosby K, et al. Competencies for improving diagnosis: an interprofessional framework for education and training in health care. Diagnosi…
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psnet.ahrq.gov/issue/speaking-about-patient-safety-concerns-influence-safety-management-approaches-and-climate
August 12, 2020 - Study
Classic
Speaking up about patient safety concerns: the influence of safety management approaches and climate on nurses' willingness to speak up.
Citation Text:
Alingh CW, van Wijngaarden JDH, van de Voorde K, et al. Speaking up about patient safety concern…
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psnet.ahrq.gov/issue/importance-prevention-and-early-intervention-adverse-events-pediatric-cardiac-catheterization
March 24, 2019 - Study
Importance of prevention and early intervention of adverse events in pediatric cardiac catheterization: a review of three years of experience.
Citation Text:
Huang Y-C, Chang J-S, Lai Y-C, et al. Importance of prevention and early intervention of adverse events in pediatric cardi…
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psnet.ahrq.gov/issue/high-risk-medication-errors-insight-uk-national-reporting-and-learning-system
January 12, 2022 - Study
High-risk medication errors: insight from the UK National Reporting and Learning System.
Citation Text:
Alrowily A, Alfaraidy K, Almutairi S, et al. High-risk medication errors: Insight from the UK National Reporting and learning system. Explor Res Clin Soc Pharm. 2025;17:100531. d…
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psnet.ahrq.gov/issue/using-simulation-augment-root-cause-analysis-patient-safety-incidents-tertiary-care-womens
January 22, 2025 - Study
Using simulation to augment root cause analysis for patient safety incidents at a tertiary care women's and children's hospital: a qualitative feasibility study.
Citation Text:
Burchell D, MacPhee S, Sinclair D, et al. Using simulation to augment root cause analysis for patient saf…
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psnet.ahrq.gov/issue/interprofessional-collaboration-among-care-professionals-obstetrical-care-are-perceptions
May 28, 2014 - Study
Interprofessional collaboration among care professionals in obstetrical care: are perceptions aligned?
Citation Text:
Romijn A, Teunissen PW, de Bruijne M, et al. Interprofessional collaboration among care professionals in obstetrical care: are perceptions aligned? BMJ Qual Saf. 20…
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psnet.ahrq.gov/issue/does-one-size-fit-all-assessing-need-organizational-second-victim-support-programs
January 14, 2011 - Study
Emerging Classic
Does one size fit all? Assessing the need for organizational second victim support programs.
Citation Text:
Edrees HH, Wu AW. Does one size fit all? Assessing the need for organizational second victim support programs. J Patient Saf. 2021;…
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psnet.ahrq.gov/issue/pharmacists-reducing-medication-risk-medical-outpatient-clinics-retrospective-study-18
June 16, 2021 - Study
Pharmacists reducing medication risk in medical outpatient clinics: a retrospective study of 18 clinics.
Citation Text:
Snoswell CL, De Guzman KR, Barras M. Pharmacists reducing medication risk in medical outpatient clinics: a retrospective study of 18 clinics. Intern Med J. 2023;5…
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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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