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psnet.ahrq.gov/issue/surveillance-medical-device-related-hazards-and-adverse-events-hospitalized-patients
March 11, 2011 - Study
Classic
Surveillance of medical device-related hazards and adverse events in hospitalized patients.
Citation Text:
Samore MH, Evans S, Lassen A, et al. Surveillance of medical device-related hazards and adverse events in hospitalized patients. JAMA. 2004;2…
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psnet.ahrq.gov/issue/frontline-providers-and-patients-perspectives-improving-diagnostic-safety-emergency
May 15, 2024 - Study
Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency department: a qualitative study.
Citation Text:
Mangus CW, James TG, Parker SJ, et al. Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency dep…
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psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-telemedicine-obstetrics-quality-and-safety
August 10, 2022 - Organizational Policy/Guidelines
Society for Maternal-Fetal Medicine Special Statement: telemedicine in obstetrics-quality and safety considerations.
Citation Text:
Healy A, Davidson C, Allbert J, et al. Society for Maternal-Fetal Medicine Special Statement: telemedicine in obstetrics-qu…
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psnet.ahrq.gov/issue/hastened-death-due-disease-burden-and-distress-has-not-received-timely-quality-palliative
October 31, 2023 - Commentary
Hastened death due to disease burden and distress that has not received timely, quality palliative care is a medical error.
Citation Text:
Gallagher R, Passmore MJ, Baldwin C. Hastened death due to disease burden and distress that has not received timely, quality palliative ca…
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psnet.ahrq.gov/issue/implementation-strategies-context-medication-reconciliation-qualitative-study
August 05, 2020 - Study
Implementation strategies in the context of medication reconciliation: a qualitative study.
Citation Text:
Stolldorf DP, Ridner SH, Vogus TJ, et al. Implementation strategies in the context of medication reconciliation: a qualitative study. Implement Sci Commun. 2021;2(1):63. doi:1…
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psnet.ahrq.gov/issue/electronic-health-record-based-triggers-detect-adverse-events-after-outpatient-orthopaedic
December 19, 2017 - Study
Electronic health record-based triggers to detect adverse events after outpatient orthopaedic surgery.
Citation Text:
Menendez ME, Janssen SJ, Ring D. Electronic health record-based triggers to detect adverse events after outpatient orthopaedic surgery. BMJ Qual Saf. 2016;25(1):25-…
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psnet.ahrq.gov/issue/speaking-behaviours-safety-voices-healthcare-workers-metasynthesis-qualitative-research
June 23, 2021 - Review
Speaking up behaviours (safety voices) of healthcare workers: a metasynthesis of qualitative research studies.
Citation Text:
Morrow KJ, Gustavson AM, Jones J. Speaking up behaviours (safety voices) of healthcare workers: a metasynthesis of qualitative research studies. Int J Nurs…
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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/curated-library/covid-19-pandemic-impact-healthcare-associated-conditions
July 21, 2025 - Breadcrumb
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psnet.ahrq.gov/issue/analysis-structure-and-content-dashboards-used-monitor-patient-safety-inpatient-setting
March 09, 2022 - Study
An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting.
Citation Text:
Kuznetsova M, Frits ML, Dulgarian S, et al. An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting.…
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psnet.ahrq.gov/issue/adherence-black-box-warnings-prescription-medications-outpatients
September 29, 2017 - Study
Adherence to black box warnings for prescription medications in outpatients.
Citation Text:
Lasser KE, Seger DL, Yu T, et al. Adherence to black box warnings for prescription medications in outpatients. Arch Intern Med. 2006;166(3):338-44.
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psnet.ahrq.gov/issue/inappropriate-prescribing-opioids-patients-undergoing-surgery
June 30, 2021 - Study
Inappropriate prescribing of opioids for patients undergoing surgery.
Citation Text:
Varady NH, Worsham CM, Chen AF, et al. Inappropriate prescribing of opioids for patients undergoing surgery. Proc Natl Acad Sci USA. 2022;119(49):e2210226119. doi:10.1073/pnas.2210226119.
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psnet.ahrq.gov/issue/association-safety-culture-surgical-site-infection-outcomes
October 23, 2024 - Study
Classic
Association of safety culture with surgical site infection outcomes.
Citation Text:
Fan CJ, Pawlik TM, Daniels T, et al. Association of safety culture with surgical site infection outcomes. J Am Coll Surg. 2016;222(2):122-128. doi:10.1016/j.jamcoll…
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psnet.ahrq.gov/issue/use-prospective-risk-analysis-method-improve-safety-cancer-chemotherapy-process
May 29, 2019 - Study
Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process.
Citation Text:
Bonnabry P, Cingria L, Ackermann M, et al. Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. Int J Qual Health Care…
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psnet.ahrq.gov/issue/radiology-errors-are-we-learning-our-mistakes
May 26, 2011 - Study
Radiology errors: are we learning from our mistakes?
Citation Text:
Mankad K, Hoey ETD, Jones JB, et al. Radiology errors: are we learning from our mistakes? Clin Radiol. 2009;64(10):988-93. doi:10.1016/j.crad.2009.06.002.
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psnet.ahrq.gov/issue/double-reading-breast-cancer-screening-cohort-evaluation-co-ops-trial
July 10, 2017 - Study
Double reading in breast cancer screening: cohort evaluation in the CO-OPS trial.
Citation Text:
Taylor-Phillips S, Jenkinson D, Stinton C, et al. Double Reading in Breast Cancer Screening: Cohort Evaluation in the CO-OPS Trial. Radiology. 2018;287(3):749-757. doi:10.1148/radiol.20…
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psnet.ahrq.gov/issue/educational-intervention-enhance-nurse-leaders-perceptions-patient-safety-culture
February 14, 2015 - Study
An educational intervention to enhance nurse leaders' perceptions of patient safety culture.
Citation Text:
Ginsburg LR, Norton PG, Casebeer A, et al. An educational intervention to enhance nurse leaders' perceptions of patient safety culture. Health Serv Res. 2005;40(4):997-1020…
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psnet.ahrq.gov/issue/do-hospitals-provide-lower-quality-care-weekends
January 12, 2022 - Study
Do hospitals provide lower quality care on weekends?
Citation Text:
Becker DJ. Do hospitals provide lower quality care on weekends? Health Serv Res. 2007;42(4):1589-612.
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psnet.ahrq.gov/issue/mr-smiths-been-our-problem-child-today-anticipatory-management-communication-amc-va-end-shift
January 22, 2016 - Study
"Mr Smith's been our problem child today...": anticipatory management communication (AMC) in VA end-of-shift medicine and nursing handoffs.
Citation Text:
Bergman AA, Flanagan ME, Ebright PR, et al. "Mr Smith's been our problem child today…": anticipatory management communication (…
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psnet.ahrq.gov/issue/does-perception-severity-medical-error-differ-between-varying-levels-clinical-seniority
August 31, 2022 - Study
Does the perception of severity of medical error differ between varying levels of clinical seniority?
Citation Text:
Khan I, Arsanious M. Does the perception of severity of medical error differ between varying levels of clinical seniority? Adv Med Educ Pract. 2018;9:443-452. doi:10…