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  1. psnet.ahrq.gov/issue/simulation-executive-suite-lessons-learned-building-patient-safety-leadership
    July 21, 2017 - Study Simulation in the executive suite: lessons learned for building patient safety leadership. Citation Text: Rosen MA, Goeschel CA, Che X-X, et al. Simulation in the Executive Suite: Lessons Learned for Building Patient Safety Leadership. Simul Healthc. 2015;10(6):372-377. Copy Cita…
  2. psnet.ahrq.gov/issue/improving-medication-administration-safety-using-naive-observation-assess-practice-and-guide
    October 06, 2016 - Study Improving medication administration safety: using naïve observation to assess practice and guide improvements in process and outcomes. Citation Text: Donaldson N, Aydin C, Fridman M, et al. Improving medication administration safety: using naïve observation to assess practice and g…
  3. psnet.ahrq.gov/issue/who-applies-intervention-influence-cultural-attributes-quality-improvement-collaborative
    January 22, 2016 - Study Who applies an intervention to influence cultural attributes in a quality improvement collaborative? Citation Text: Hsu Y-J, Marsteller JA. Who Applies an Intervention to Influence Cultural Attributes in a Quality Improvement Collaborative? J Patient Saf. 2020;16(1):1-6. Copy Cit…
  4. psnet.ahrq.gov/issue/identifying-risks-and-opportunities-outpatient-surgical-patient-safety-qualitative-analysis
    November 10, 2010 - Study Identifying risks and opportunities in outpatient surgical patient safety: a qualitative analysis of Veterans Health Administration staff perceptions. Citation Text: Mull HJ, Rosen AK, Charns MP, et al. Identifying Risks and Opportunities in Outpatient Surgical Patient Safety: A Qu…
  5. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/implement/action-plan.html
    March 01, 2017 - Facility Action Plan Template AHRQ Safety Program for Long-Term Care: HAIs/CAUTI The purpose of this tool is to support quality improvement efforts by identifying opportunities for improvement, strategies, and steps to accomplish the work. In order to implement activities identified, goals and obj…
  6. psnet.ahrq.gov/issue/assessment-basic-patient-safety-skills-residents-entering-first-year-clinical-training
    February 21, 2018 - Study An assessment of basic patient safety skills in residents entering the first year of clinical training. Citation Text: Comunale ME, Sandoval M, Broussard LT. An Assessment of Basic Patient Safety Skills in Residents Entering the First Year of Clinical Training. J Patient Saf. 2018;…
  7. psnet.ahrq.gov/issue/medical-negligence-drug-associated-deaths
    September 02, 2009 - Study Medical negligence in drug associated deaths. Citation Text: Madea B, Musshoff F, Preuss J. Medical negligence in drug associated deaths. Forensic Sci Int. 2009;190(1-3):67-73. doi:10.1016/j.forsciint.2009.05.014. Copy Citation Format: DOI Google Scholar PubMed BibT…
  8. psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-adverse-events-anesthesiology-nationwide
    April 12, 2019 - Study Sharing lessons learned to prevent adverse events in anesthesiology nationwide. Citation Text: Soncrant C, Neily J, Sum-Ping SJT, et al. Sharing Lessons Learned to Prevent Adverse Events in Anesthesiology Nationwide. J Patient Saf. 2021;17(4):e343-e349. doi:10.1097/PTS.000000000000…
  9. 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…
  10. psnet.ahrq.gov/issue/using-risk-assessment-approach-determine-which-factors-influence-whether-partially-bilingual
    March 22, 2023 - Study Using a risk assessment approach to determine which factors influence whether partially bilingual physicians rely on their non-English language skills or call an interpreter. Citation Text: Maul L, Regenstein M, Andres E, et al. Using a risk assessment approach to determine which f…
  11. www.uspreventiveservicestaskforce.org/home/getfilebytoken/tpCHxaLN8aUUEWELwGmFLd
    June 01, 2020 - Screening for Unhealthy Drug Use: Clinician Summary of USPSTF Recommendation 1 www.uspreventiveservicestaskforce.org B Grade Clinician Summary of USPSTF Recommendation Screening for Unhealthy Drug Use June 2020 What does the USPSTF recommend? B Grade For adults 18 years or older Screen by asking questions…
  12. digital.ahrq.gov/type-care/specialty-care
    January 01, 2023 - Specialty Care Bedside Notes: A Multicenter Trial to Improve Family Clinical Note Access and Outcomes for Hospitalized Children Description This research will evaluate the effectiveness of Bedside Notes, a digital health solution designed to provide caregivers with real-time a…
  13. psnet.ahrq.gov/issue/predictors-and-triggers-incivility-within-healthcare-teams-systematic-review-literature
    July 21, 2011 - Review Predictors and triggers of incivility within healthcare teams: a systematic review of the literature. Citation Text: Keller S, Yule S, Zagarese V, et al. Predictors and triggers of incivility within healthcare teams: a systematic review of the literature. BMJ Open. 2020;10(6):e035…
  14. www.uspreventiveservicestaskforce.org/home/getfilebytoken/rPyJKLWYZhmQ-Cc4pe2oMJ
    April 01, 2023 - USPSTF Clinician Summary of USPSTF Recommendation: Screening for Skin Cancer USPSTF Clinician Summary of USPSTF Recommendation Screening for Skin Cancer April 2023 What does the USPSTF recommend? I Statement For adolescents and adults who do n…
  15. psnet.ahrq.gov/issue/assessment-opioid-prescribing-practices-and-after-implementation-health-system-intervention
    November 16, 2022 - Study Emerging Classic Assessment of opioid prescribing practices before and after implementation of a health system intervention to reduce opioid overprescribing. Citation Text: Meisenberg BR, Grover J, Campbell C, et al. Assessment of Opioid Prescribing Practi…
  16. psnet.ahrq.gov/issue/organizational-factors-associated-high-performance-quality-and-safety-academic-medical
    January 03, 2017 - Study Classic Organizational factors associated with high performance in quality and safety in academic medical centers. Citation Text: Keroack MA, Youngberg BJ, Cerese JL, et al. Organizational factors associated with high performance in quality and safety in…
  17. psnet.ahrq.gov/issue/assessment-emergency-department-antibiotic-discharge-prescription-dosing-errors-pediatric
    March 01, 2011 - Study Assessment of emergency department antibiotic discharge prescription dosing errors for pediatric patients in a community hospital health system. Citation Text: Barstow L, Herman E, Phillips H, et al. Assessment of Emergency Department Antibiotic Discharge Prescription Dosing Errors…
  18. psnet.ahrq.gov/issue/race-differences-reported-harmful-patient-safety-events-healthcare-system-high-reliability
    March 01, 2023 - Study Race differences in reported harmful patient safety events in healthcare system high reliability organizations. Citation Text: Thomas AD, Pandit C, Krevat SA. Race Differences in Reported Harmful Patient Safety Events in Healthcare System High Reliability Organizations. J Patient S…
  19. psnet.ahrq.gov/issue/emergency-department-visits-medical-device-associated-adverse-events-among-children
    March 03, 2019 - Study Emergency department visits for medical device–associated adverse events among children. Citation Text: Wang C, Hefflin B, Cope JU, et al. Emergency department visits for medical device-associated adverse events among children. Pediatrics. 2010;126(2):247-59. doi:10.1542/peds.2010-…
  20. digital.ahrq.gov/technology/radio-frequency-identification-device
    January 01, 2023 - Radio Frequency Identification Device Overlaying multiple sources of data to identify bottlenecks in clinical workflow. Citation Vankipuram A, Patel VL, Traub S, et al. Overlaying multiple sources of data to identify bottlenecks in clinical workflow. Journal of Biomedical Info…