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psnet.ahrq.gov/issue/my-whole-room-went-chaos-because-thing-corner-unintended-consequences-central-fetal
February 15, 2023 - Study
"My whole room went into chaos because of that thing in the corner": unintended consequences of a central fetal monitoring system.
Citation Text:
Small K, Sidebotham M, Gamble J, et al. “My whole room went into chaos because of that thing in the corner”: unintended consequences of …
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psnet.ahrq.gov/issue/learning-high-risk-industries-may-not-be-straightforward-qualitative-study-hierarchy-risk
September 11, 2019 - Study
Classic
Learning from high risk industries may not be straightforward: a qualitative study of the hierarchy of risk controls approach in healthcare.
Citation Text:
Liberati EG, Peerally MF, Dixon-Woods M. Learning from high risk industries may not be strai…
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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;…
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psnet.ahrq.gov/issue/health-and-social-care-associated-harm-amongst-vulnerable-children-primary-care-mixed-methods
October 12, 2016 - Study
Health and social care-associated harm amongst vulnerable children in primary care: mixed methods analysis of national safety reports.
Citation Text:
Omar A, Rees P, Cooper A, et al. Health and social care-associated harm amongst vulnerable children in primary care: mixed methods a…
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psnet.ahrq.gov/issue/sources-unsafe-primary-care-older-adults-mixed-methods-analysis-patient-safety-incident
October 12, 2016 - Study
Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports.
Citation Text:
Cooper A, Edwards A, Williams H, et al. Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports. Age Age…
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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 …
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psnet.ahrq.gov/issue/conceptual-and-practical-challenges-associated-understanding-patient-safety-within-community
December 15, 2021 - Review
Conceptual and practical challenges associated with understanding patient safety within community-based mental health services.
Citation Text:
Averill P, Vincent CA, Reen G, et al. Conceptual and practical challenges associated with understanding patient safety within community‐ba…
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psnet.ahrq.gov/issue/ensuring-successful-implementation-communication-and-resolution-programmes
November 11, 2020 - Study
Ensuring successful implementation of communication-and-resolution programmes.
Citation Text:
Mello MM, Roche S, Greenberg Y, et al. Ensuring successful implementation of communication-and-resolution programmes. BMJ Qual Saf. 2020;29(11):895-904. doi:10.1136/bmjqs-2019-010296.
Co…
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psnet.ahrq.gov/issue/covid-19-related-negative-emotions-and-emotional-suppression-are-associated-greater-risk
November 17, 2021 - Study
COVID-19 related negative emotions and emotional suppression are associated with greater risk perceptions among emergency nurses: a cross-sectional study.
Citation Text:
Huff NR, Liu G, Chimowitz H, et al. COVID-19 related negative emotions and emotional suppression are associated …
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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…
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psnet.ahrq.gov/issue/effects-multifaceted-medication-reconciliation-quality-improvement-intervention-patient
April 12, 2023 - Study
Emerging Classic
Effects of a multifaceted medication reconciliation quality improvement intervention on patient safety: final results of the MARQUIS study.
Citation Text:
Schnipper JL, Mixon A, Stein J, et al. Effects of a multifaceted medication reconcil…
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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 …
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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…
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psnet.ahrq.gov/issue/medication-related-emergency-department-visits-pediatrics-prospective-observational-study
October 16, 2013 - Study
Medication-related emergency department visits in pediatrics: a prospective observational study.
Citation Text:
Zed PJ, Black KJL, Fitzpatrick EA, et al. Medication-related emergency department visits in pediatrics: a prospective observational study. Pediatrics. 2015;135(3):435-43.…
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psnet.ahrq.gov/issue/high-delayed-and-missed-injury-rate-after-inter-hospital-transfer-severely-injured-trauma
December 02, 2020 - Study
High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients.
Citation Text:
Hensgens RL, El Moumni M, IJpma FFA, et al. High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients. Eur J Trauma Emer…
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psnet.ahrq.gov/issue/uncovering-system-errors-using-rapid-response-team-cross-coverage-caught-crossfire
April 24, 2018 - Study
Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire.
Citation Text:
Kaplan LJ, Maerz LL, Schuster KM, et al. Uncovering System Errors Using a Rapid Response Team: Cross-Coverage Caught in the Crossfire. The Journal of Trauma: Injury, Infect…
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psnet.ahrq.gov/issue/operational-failures-general-practice-consensus-building-study-priorities-improvement
February 07, 2024 - Study
Operational failures in general practice: a consensus-building study on the priorities for improvement.
Citation Text:
Sinnott C, Alboksmaty A, Moxey JM, et al. Operational failures in general practice: a consensus-building study on the priorities for improvement. Br J Gen Pract. 2…
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psnet.ahrq.gov/issue/updated-results-ahrq-surveys-patient-safety-culture-workplace-safety-supplemental-item-set
December 11, 2024 - Book/Report
Updated Results for the AHRQ Surveys on Patient Safety Culture Workplace Safety Supplemental Item Set for Hospitals.
Citation Text:
Tyler ER, Yalden O, Fan L, et al. Results For The Ahrq Surveys On Patient Safety Culture (Sops) Workplace Safety Supplemental Item Set For Hospi…
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psnet.ahrq.gov/issue/effect-medication-reconciliation-patient-reported-potential-adverse-events-after-hospital
April 27, 2022 - Study
Effect of medication reconciliation on patient reported potential adverse events after hospital discharge.
Citation Text:
Stuijt CCM, Bekker CL, van den Bemt BJF, et al. Effect of medication reconciliation on patient reported potential adverse events after hospital discharge. Res S…
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psnet.ahrq.gov/issue/safe-sound-patient-safety-meets-evidence-based-medicine
March 13, 2013 - Commentary
Classic
Safe but sound: patient safety meets evidence-based medicine.
Citation Text:
Shojania KG, Duncan BW, McDonald KM, et al. Safe but Sound. JAMA. 2003;288(4):508-513. doi:10.1001/jama.288.4.508.
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