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psnet.ahrq.gov/issue/healthcare-system-intervention-safer-use-medicines-elderly-patients-primary-care-qualitative
June 20, 2012 - Study
Healthcare system intervention for safer use of medicines in elderly patients in primary care—a qualitative study of the participants' perceptions of self-assessment, peer review, feedback and agreement for change.
Citation Text:
Lenander C, Bondesson Å, Midlöv P, et al. Healthcare…
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psnet.ahrq.gov/issue/pathologists-perspectives-disclosing-harmful-pathology-error
January 22, 2020 - Study
Pathologists' perspectives on disclosing harmful pathology error.
Citation Text:
Dintzis SM, Clennon EK, Prouty CD, et al. Pathologists' Perspectives on Disclosing Harmful Pathology Error. Arch Pathol Lab Med. 2017;141(6):841-845. doi:10.5858/arpa.2016-0136-OA.
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psnet.ahrq.gov/issue/implementation-crew-resource-management-qualitative-study-3-intensive-care-units
July 10, 2013 - Study
Implementation of crew resource management: a qualitative study in 3 intensive care units.
Citation Text:
Kemper PF, van Dyck C, Wagner C, et al. Implementation of Crew Resource Management: A Qualitative Study in 3 Intensive Care Units. J Patient Saf. 2017;13(4):223-231. doi:10.109…
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psnet.ahrq.gov/issue/test-retest-reliability-experienced-global-trigger-tool-review-team
August 03, 2022 - Study
Test-retest reliability of an experienced Global Trigger Tool review team.
Citation Text:
Bjørn B, Anhøj J, Østergaard M, et al. Test-retest reliability of an experienced Global Trigger Tool review team. J Patient Saf. 2021;17(7):e593-e598. doi:10.1097/pts.0000000000000433.
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psnet.ahrq.gov/issue/action-patient-safety-can-reduce-health-inequalities
February 05, 2020 - Commentary
Action on patient safety can reduce health inequalities.
Citation Text:
Wade C, Malhotra AM, McGuire P, et al. Action on patient safety can reduce health inequalities. BMJ. 2022;376:e067090. doi:10.1136/bmj-2021-067090.
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psnet.ahrq.gov/issue/microbiological-evaluation-two-hand-hygiene-procedures-achieved-healthcare-workers-during
June 13, 2011 - Study
Microbiological evaluation of two hand hygiene procedures achieved by healthcare workers during routine patient care: a randomized study.
Citation Text:
Kac G, Podglajen I, Gueneret M, et al. Microbiological evaluation of two hand hygiene procedures achieved by healthcare workers…
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psnet.ahrq.gov/issue/near-miss-mixed-methods-analysis-medical-student-assignments-patient-safety
May 25, 2016 - Study
"Near miss": a mixed-methods analysis of medical student assignments in patient safety.
Citation Text:
Plugge T, Breviu A, Lappé K, et al. "Near miss": a mixed-methods analysis of medical student assignments in patient safety. Am J Med Qual. 2024;39(4):168-173. doi:10.1097/jmq.0000…
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psnet.ahrq.gov/issue/diagnostic-accuracy-artificial-intelligence-based-automated-diabetic-retinopathy-screening
September 28, 2022 - Review
Diagnostic accuracy of artificial intelligence-based automated diabetic retinopathy screening in real-world settings: a systematic review and meta-analysis.
Citation Text:
Joseph S, Selvaraj J, Mani I, et al. Diagnostic accuracy of artificial intelligence-based automated diabetic …
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psnet.ahrq.gov/issue/what-driving-hospitals-patient-safety-efforts
February 10, 2015 - Commentary
What is driving hospitals' patient-safety efforts?
Citation Text:
Devers KJ, Pham HH, Liu G. What is driving hospitals' patient-safety efforts? Health Aff (Millwood). 2004;23(2):103-15.
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psnet.ahrq.gov/issue/drug-related-morbidity-and-mortality-and-economic-impact-pharmaceutical-care
December 23, 2008 - Study
Drug-related morbidity and mortality and the economic impact of pharmaceutical care.
Citation Text:
Johnson JA, Bootman JL. Drug-related morbidity and mortality and the economic impact of pharmaceutical care. Am J Health Syst Pharm. 1997;54(5):554-8.
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psnet.ahrq.gov/issue/why-do-people-sue-doctors-study-patients-and-relatives-taking-legal-action
August 04, 2021 - Study
Classic
Why do people sue doctors? A study of patients and relatives taking legal action.
Citation Text:
Vincent C, Young M, Phillips A. Why do people sue doctors? A study of patients and relatives taking legal action. Lancet. 1994;343(8913):1609-1613.
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psnet.ahrq.gov/issue/patient-safety-community-dementia-services-what-can-we-learn-experiences-caregivers-and
March 05, 2025 - Study
Patient safety in community dementia services: what can we learn from the experiences of caregivers and healthcare professionals?
Citation Text:
Behrman S, Wilkinson P, Lloyd H, et al. Patient safety in community dementia services: what can we learn from the experiences of caregive…
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psnet.ahrq.gov/issue/comparing-utility-standard-pediatric-resuscitation-cart-pediatric-resuscitation-cart-based
December 15, 2011 - Study
Comparing the utility of a standard pediatric resuscitation cart with a pediatric resuscitation cart based on the Broselow tape: a randomized, controlled, crossover trial involving simulated resuscitation scenarios.
Citation Text:
Agarwal S, Swanson S, Murphy A, et al. Comparing …
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psnet.ahrq.gov/issue/surgical-ward-round-checklist-improving-patient-safety-and-clinical-documentation
March 17, 2021 - Study
The surgical ward round checklist: improving patient safety and clinical documentation.
Citation Text:
Krishnamohan N, Maitra I, Shetty VD. The surgical ward round checklist: improving patient safety and clinical documentation. J Multidiscip Healthc. 2019;12:789-794. doi:10.2147/JM…
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psnet.ahrq.gov/issue/us-national-trends-pediatric-deaths-prescription-and-illicit-opioids-1999-2016
January 23, 2017 - Study
US national trends in pediatric deaths from prescription and illicit opioids, 1999–2016.
Citation Text:
Gaither JR, Shabanova V, Leventhal JM. US National Trends in Pediatric Deaths From Prescription and Illicit Opioids, 1999-2016. JAMA Netw Open. 2018;1(8):e186558. doi:10.1001/jam…
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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/debunking-myth-majority-medical-errors-are-attributed-communication
February 14, 2024 - Journal Article
Debunking the myth that the majority of medical errors are attributed to communication.
Citation Text:
Clapper TC, Ching K. Debunking the myth that the majority of medical errors are attributed to communication. Med Educ. 2020;54(1):74-81. doi:10.1111/medu.13821.
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digital.ahrq.gov/principal-investigator/field-terry
January 01, 2023 - Field, Terry
A pilot health information technology-based effort to increase the quality of transitions from skilled nursing facility to home: compelling evidence of high rate of adverse outcomes.
Citation
Donovan JL, Kanaan AO, Gurwitz JH, et al. A pilot health information tec…
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psnet.ahrq.gov/node/837761/psn-pdf
August 03, 2022 - The effectiveness of improving healthcare teams' human
factor skills using simulation-based training: a systematic
review.
August 3, 2022
Abildgren L, Lebahn-Hadidi M, Mogensen CB, et al. The effectiveness of improving healthcare teams’
human factor skills using simulation-based training: a systematic review. Adv …
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psnet.ahrq.gov/node/40171/psn-pdf
May 30, 2011 - Qualities and attributes of a safe practitioner:
identification of safety skills in healthcare.
May 30, 2011
Long S, Arora S, Moorthy K, et al. Qualities and attributes of a safe practitioner: identification of safety skills
in healthcare. BMJ Qual Saf. 2011;20(6):483-490. doi:10.1136/bmjqs.2010.043166.
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