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psnet.ahrq.gov/issue/patient-and-family-engagement-potential-approach-improving-patient-safety-systematic-review
February 17, 2021 - Review
Emerging Classic
Patient and family engagement as a potential approach for improving patient safety: a systematic review.
Citation Text:
Park M, Giap T-T-T. Patient and family engagement as a potential approach for improving patient safety: A systematic r…
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psnet.ahrq.gov/issue/who-world-alliance-patient-safety-new-challenge-or-old-one-neglected
February 14, 2024 - Commentary
The WHO World Alliance for Patient Safety: a new challenge or an old one neglected?
Citation Text:
Edwards R. The WHO World Alliance for Patient Safety: a new challenge or an old one neglected? Drug Saf. 2005;28(5):379-86.
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psnet.ahrq.gov/issue/equipped-overcoming-barriers-change-improve-quality-care-theories-change
May 23, 2018 - Commentary
Equipped: overcoming barriers to change to improve quality of care (theories of change).
Citation Text:
Lachman P, Runnacles J, Dudley J, et al. Equipped: overcoming barriers to change to improve quality of care (theories of change). Arch Dis Child Educ Pract Ed. 2015;100(1):1…
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psnet.ahrq.gov/issue/effects-physical-environments-medical-wards-medication-communication-processes-affecting
November 17, 2021 - Study
The effects of physical environments in medical wards on medication communication processes affecting patient safety.
Citation Text:
Liu W, Manias E, Gerdtz M. The effects of physical environments in medical wards on medication communication processes affecting patient safety. Heal…
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psnet.ahrq.gov/issue/speaking-patient-safety-and-staff-well-being-qualitative-study
November 16, 2016 - Study
'Speaking Up' for patient safety and staff well-being: a qualitative study.
Citation Text:
Delpino R, Lees-Deutsch L, Solanki B. ‘Speaking Up’ for patient safety and staff well-being: a qualitative study. BMJ Open Qual. 2023;12(2):e002047. doi:10.1136/bmjoq-2022-002047.
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psnet.ahrq.gov/issue/public-sector-organizational-failure-study-collective-denial-uk-national-health-service
June 03, 2020 - Study
Public sector organizational failure: a study of collective denial in the UK national health service.
Citation Text:
Hendy J, Tucker DA. Public sector organizational failure: a study of collective denial in the UK national health service. J Bus Ethics. 2020;2021;172:691–706. doi:10…
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psnet.ahrq.gov/issue/implementation-electronic-system-medication-reconciliation
December 02, 2020 - Study
Implementation of an electronic system for medication reconciliation.
Citation Text:
Kramer JS, Hopkins PJ, Rosendale JC, et al. Implementation of an electronic system for medication reconciliation. Am J Health-Syst Pharm. 2007;64(4):404-422. doi:10.2146/ajhp060506.
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psnet.ahrq.gov/issue/quality-care-concerns-and-facility-response-following-medical-emergency-va-southern-nevada
July 13, 2022 - Book/Report
Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care System in Las Vegas.
Citation Text:
Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care Sy…
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psnet.ahrq.gov/issue/digital-doctor-hope-hype-and-harm-dawn-medicines-computer-age
January 09, 2018 - Book/Report
Classic
The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine's Computer Age.
Citation Text:
The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine's Computer Age. Wachter R. New York, NY: McGraw-Hill; 2015. ISBN: 9780071849463. …
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psnet.ahrq.gov/issue/case-34-2010-65-year-old-woman-incorrect-operation-left-hand
March 13, 2013 - Commentary
Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand.
Citation Text:
Ring DC, Herndon JH, Meyer GS. Case records of The Massachusetts General Hospital: Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand. N Engl J Med. 201…
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psnet.ahrq.gov/issue/guidelines-human-factors-critical-situations-2023
November 29, 2023 - Organizational Policy/Guidelines
Guidelines on Human Factors in Critical Situations 2023.
Citation Text:
Bijok B, Jaulin F, Picard J, et al. Guidelines on human factors in critical situations 2023. Anaesth Crit Care Pain Med. 2023;42(4):101262. doi:10.1016/j.accpm.2023.101262.
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psnet.ahrq.gov/issue/rise-human-factors-optimising-performance-individuals-and-teams-improve-patients-outcomes
July 10, 2024 - Commentary
The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes.
Citation Text:
Casali G, Cullen W, Lock G. The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes. J Thorac Dis. 2019;11(…
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psnet.ahrq.gov/issue/promoting-engagement-patients-and-families-reduce-adverse-events-acute-care-settings
July 02, 2014 - Review
Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic review.
Citation Text:
Berger ZD, Flickinger TE, Pfoh ER, et al. Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic …
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psnet.ahrq.gov/issue/improving-safety-and-quality-care-enhanced-teamwork-through-operating-room-briefings
May 11, 2019 - Commentary
Improving safety and quality of care with enhanced teamwork through operating room briefings.
Citation Text:
Hicks CW, Rosen MA, Hobson DB, et al. Improving safety and quality of care with enhanced teamwork through operating room briefings. JAMA Surg. 2014;149(8):863-8. doi:10…
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psnet.ahrq.gov/issue/medical-error-second-victim
March 23, 2011 - Commentary
Classic
Medical error: the second victim.
Citation Text:
Wu AW. Medical error: the second victim. The doctor who makes the mistake needs help too. BMJ. 2000;320(7237):726-727.
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psnet.ahrq.gov/issue/natural-history-recovery-healthcare-provider-second-victim-after-adverse-patient-events
January 03, 2017 - Study
The natural history of recovery for the healthcare provider "second victim" after adverse patient events.
Citation Text:
Scott SD, Hirschinger LE, Cox KR, et al. The natural history of recovery for the healthcare provider "second victim" after adverse patient events. Qual Saf Healt…
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psnet.ahrq.gov/issue/health-care-consumers-inclination-engage-selected-patient-safety-practices-survey-adults
March 03, 2011 - Study
Health care consumers' inclination to engage in selected patient safety practices: a survey of adults in Pennsylvania.
Citation Text:
Marella WM, Finley E, Thomas AD, et al. Health Care Consumers' Inclination to Engage in Selected Patient Safety Practices. J Patient Saf. 2008;3(4…
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psnet.ahrq.gov/issue/risk-management-or-just-different-risk-national-survey-newborn-units-following-patient-safety
April 12, 2011 - Study
Risk management, or just a different risk: a national survey of newborn units following a patient safety alert.
Citation Text:
Freer Y. Risk management, or just a different risk? Archives of Disease in Childhood - Fetal and Neonatal Edition. 2006;91(5). doi:10.1136/adc.2005.08954…
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psnet.ahrq.gov/issue/medication-orders-are-written-clearly-and-transcribed-accurately-implementing-medication
May 27, 2011 - Commentary
Medication orders are written clearly and transcribed accurately – implementing Medication Management Standard 3.20 and National Patient Safety Goal 2b.
Citation Text:
Laselle TJ, May SK. Medication Orders are Written Clearly and Transcribed Accurately – Implementing Medicatio…
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psnet.ahrq.gov/issue/back-basics-checklists-aviation-and-healthcare
May 15, 2024 - Commentary
Back to basics: checklists in aviation and healthcare.
Citation Text:
Clay-Williams R, Colligan L. Back to basics: checklists in aviation and healthcare. BMJ Qual Saf. 2015;24(7):428-31. doi:10.1136/bmjqs-2015-003957.
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