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Discussion of medical errors in morbidity and mortality conferences. | PSNet

psnet.ahrq.gov/issue/discussion-medical-errors-morbidity-and-mortality-conferences

August 04, 2015 - Study Classic Discussion of medical errors in morbidity and mortality conferences. Citation Text: Pierluissi E, Fischer M, Campbell AR, et al. Discussion of medical errors in morbidity and mortality conferences. JAMA. 2003;290(21):2838-2842. Copy Citation …

Surveying care teams after in-hospital deaths to identify preventable harm and opportunities to improve advance care planning. | PSNet

psnet.ahrq.gov/issue/surveying-care-teams-after-hospital-deaths-identify-preventable-harm-and-opportunities

April 17, 2024 - Study Surveying care teams after in-hospital deaths to identify preventable harm and opportunities to improve advance care planning. Citation Text: Lucier D, Folcarelli P, Totte C, et al. Surveying Care Teams after in-Hospital Deaths to Identify Preventable Harm and Opportunities to Impr…

Leveraging a redesigned morbidity and mortality conference that incorporates the clinical and educational missions of improving quality and patient safety. | PSNet

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April 24, 2018 - Commentary Leveraging a redesigned morbidity and mortality conference that incorporates the clinical and educational missions of improving quality and patient safety. Citation Text: Tad-Y DB, Pierce RG, Pell JM, et al. Leveraging a Redesigned Morbidity and Mortality Conference That Incor…

Getting the whole story: integrating patient complaints and staff reports of unsafe care. | PSNet

psnet.ahrq.gov/issue/getting-whole-story-integrating-patient-complaints-and-staff-reports-unsafe-care

January 12, 2022 - Study Getting the whole story: integrating patient complaints and staff reports of unsafe care. Citation Text: van Dael J, Gillespie A, Reader TW, et al. Getting the whole story: Integrating patient complaints and staff reports of unsafe care. J Health Serv Res Policy. 2022;27(1):41-49. …

Communication during interhospital transfers of emergency general surgery patients: a qualitative study of challenges and opportunities. | PSNet

psnet.ahrq.gov/issue/communication-during-interhospital-transfers-emergency-general-surgery-patients-qualitative

August 24, 2022 - Study Communication during interhospital transfers of emergency general surgery patients: a qualitative study of challenges and opportunities. Citation Text: Alagoz E, Saucke M, Arroyo N, et al. Communication during interhospital transfers of emergency general surgery patients: a qualita…

To what extent are patients involved in researching safety in acute mental healthcare? | PSNet

psnet.ahrq.gov/issue/what-extent-are-patients-involved-researching-safety-acute-mental-healthcare

August 18, 2021 - Review To what extent are patients involved in researching safety in acute mental healthcare? Citation Text: Brierley-Jones L, Ramsey L, Canvin K, et al. To what extent are patients involved in researching safety in acute mental healthcare? Res Involv Engagem. 2022;8(1):8. doi:10.1186/s4…

Electronic prescribing and other forms of technology to reduce inappropriate medication use and polypharmacy in older people: a review of current evidence. | PSNet

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August 10, 2022 - Review Electronic prescribing and other forms of technology to reduce inappropriate medication use and polypharmacy in older people: a review of current evidence. Citation Text: Clyne B, Bradley MC, Hughes C, et al. Electronic prescribing and other forms of technology to reduce inapprop…

A mixed-methods study of challenges experienced by clinical teams in measuring improvement. | PSNet

psnet.ahrq.gov/issue/mixed-methods-study-challenges-experienced-clinical-teams-measuring-improvement

February 20, 2019 - Study A mixed-methods study of challenges experienced by clinical teams in measuring improvement. Citation Text: Woodcock T, Liberati EG, Dixon-Woods M. A mixed-methods study of challenges experienced by clinical teams in measuring improvement. BMJ Qual Saf. 2021;30(2):106-115. doi:10.11…

"The patient is awake and we need to stay calm": reconsidering indirect communication in the face of medical error and professionalism lapses. | PSNet

psnet.ahrq.gov/issue/patient-awake-and-we-need-stay-calm-reconsidering-indirect-communication-face-medical-error

October 11, 2023 - Study "The patient is awake and we need to stay calm": reconsidering indirect communication in the face of medical error and professionalism lapses. Citation Text: Taylor T, Columbus L, Banner H, et al. “The patient is awake and we need to stay calm”: reconsidering indirect communication…

Nurse-reported bullying and documented adverse patient events: an exploratory study in a US Hospital. | PSNet

psnet.ahrq.gov/issue/nurse-reported-bullying-and-documented-adverse-patient-events-exploratory-study-us-hospital

November 11, 2020 - Study Nurse-reported bullying and documented adverse patient events: an exploratory study in a US Hospital. Citation Text: Arnetz JE, Neufcourt L, Sudan S, et al. Nurse-reported bullying and documented adverse patient events: an exploratory study in a US Hospital. J Nurs Care Qual. 2020;…

Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care. | PSNet

psnet.ahrq.gov/issue/unplanned-transfers-medical-intensive-care-unit-causes-and-relationship-preventable-errors

July 19, 2023 - Study Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care. Citation Text: Bapoje SR, Gaudiani JL, Narayanan V, et al. Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care. J …

Impact of repeated reimbursement penalties on hospital total quality scores. | PSNet

psnet.ahrq.gov/issue/impact-repeated-reimbursement-penalties-hospital-total-quality-scores

November 16, 2022 - Study Impact of repeated reimbursement penalties on hospital total quality scores. Citation Text: Brewer A, Hughes MC, Patel KN. Impact of repeated reimbursement penalties on hospital total quality scores. J Patient Saf. 2024;20(3):198-201. doi:10.1097/pts.0000000000001199. Copy Citati…

Involving patients and carers in patient safety in primary care: a qualitative study of a co-designed patient safety guide. | PSNet

psnet.ahrq.gov/issue/involving-patients-and-carers-patient-safety-primary-care-qualitative-study-co-designed

February 22, 2023 - Study Involving patients and carers in patient safety in primary care: a qualitative study of a co-designed patient safety guide. Citation Text: Morris RL, Giles SJ, Campbell S. Involving patients and carers in patient safety in primary care: a qualitative study of a co‐designed patient …

Making safety training stickier: a richer model of safety training engagement and transfer. | PSNet

psnet.ahrq.gov/issue/making-safety-training-stickier-richer-model-safety-training-engagement-and-transfer

October 06, 2021 - Review Making safety training stickier: a richer model of safety training engagement and transfer. Citation Text: Casey T, Turner N, Hu X, et al. Making safety training stickier: a richer model of safety training engagement and transfer. J Safety Res. 2021;78:303-313. doi:10.1016/j.jsr.2…

Perception of medication safety-related behaviors among different age groups: web-based cross-sectional study. | PSNet

psnet.ahrq.gov/issue/perception-medication-safety-related-behaviors-among-different-age-groups-web-based-cross

April 24, 2024 - Study Perception of medication safety-related behaviors among different age groups: web-based cross-sectional study. Citation Text: Lang Y, Chen K-Y, Zhou Y, et al. Perception of medication safety-related behaviors among different age groups: web-based cross-sectional study. Interact J M…

Barcode medication administration technology use in hospital practice: a mixed-methods observational study of policy deviations. | PSNet

psnet.ahrq.gov/issue/barcode-medication-administration-technology-use-hospital-practice-mixed-methods

December 07, 2022 - Study Barcode medication administration technology use in hospital practice: a mixed-methods observational study of policy deviations. Citation Text: Mulac A, Mathiesen L, Taxis K, et al. Barcode medication administration technology use in hospital practice: a mixed-methods observational…

Improving resident and fellow engagement in patient safety through a graduate medical education incentive program. | PSNet

psnet.ahrq.gov/issue/improving-resident-and-fellow-engagement-patient-safety-through-graduate-medical-education

June 02, 2021 - Study Improving resident and fellow engagement in patient safety through a graduate medical education incentive program. Citation Text: Turner DA, Bae J, Cheely G, et al. Improving Resident and Fellow Engagement in Patient Safety Through a Graduate Medical Education Incentive Program. J …

Addressing patient safety hazards using critical incident reporting in hospitals: a systematic review. | PSNet

psnet.ahrq.gov/issue/addressing-patient-safety-hazards-using-critical-incident-reporting-hospitals-systematic

June 08, 2022 - Review Addressing patient safety hazards using critical incident reporting in hospitals: a systematic review. Citation Text: Goekcimen K, Schwendimann R, Pfeiffer Y, et al. Addressing patient safety hazards using critical incident reporting in hospitals: a systematic review. J Patient Sa…

Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. | PSNet

psnet.ahrq.gov/issue/effectiveness-different-nursing-handover-styles-ensuring-continuity-information-hospitalised

May 19, 2018 - Review Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. Citation Text: Smeulers M, Lucas C, Vermeulen H. Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. …

Overdose risk in young children of women prescribed opioids. | PSNet

psnet.ahrq.gov/issue/overdose-risk-young-children-women-prescribed-opioids

September 07, 2016 - Study Overdose risk in young children of women prescribed opioids. Citation Text: Finkelstein Y, Macdonald EM, Gonzalez A, et al. Overdose Risk in Young Children of Women Prescribed Opioids. Pediatrics. 2017;139(3). doi:10.1542/peds.2016-2887. Copy Citation Format: DOI Goog…

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