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psnet.ahrq.gov/issue/review-reported-adverse-events-occurring-among-homeless-veteran-population-veterans-health
March 25, 2020 - Study
Review of reported adverse events occurring among the homeless veteran population in the Veterans Health Administration.
Citation Text:
Soncrant C, Mills PD, Pendley Louis RP, et al. Review of reported adverse events occurring among the homeless veteran population in the Veterans H…
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psnet.ahrq.gov/issue/system-issues-leading-found-floor-incidents-multi-incident-analysis
August 04, 2021 - Study
System issues leading to "found-on-floor" incidents: a multi-incident analysis.
Citation Text:
Shaw J, Bastawrous M, Burns S, et al. System Issues Leading to “Found-on-Floor” Incidents: A Multi-Incident Analysis. J Patient Saf. 2021;17(1):30-35. doi:10.1097/pts.0000000000000294.
…
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psnet.ahrq.gov/issue/opioid-abuse-and-poisoning-trends-inpatient-and-emergency-department-discharges
June 03, 2020 - Study
Opioid abuse and poisoning: trends in inpatient and emergency department discharges.
Citation Text:
Tedesco D, Asch SM, Curtin C, et al. Opioid Abuse And Poisoning: Trends In Inpatient And Emergency Department Discharges. Health Aff (Millwood). 2017;36(10):1748-1753. doi:10.1377/hl…
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psnet.ahrq.gov/issue/quality-framework-remote-antenatal-care-qualitative-study-women-healthcare-professionals-and
October 21, 2020 - Study
Quality framework for remote antenatal care: qualitative study with women, healthcare professionals and system-level stakeholders.
Citation Text:
Hinton L, Dakin FH, Kuberska K, et al. Quality framework for remote antenatal care: qualitative study with women, healthcare professiona…
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psnet.ahrq.gov/issue/assessment-impact-just-culture-quality-and-safety-us-hospitals
April 13, 2017 - Study
Emerging Classic
An assessment of the impact of just culture on quality and safety in US hospitals.
Citation Text:
Edwards MT. An Assessment of the Impact of Just Culture on Quality and Safety in US Hospitals. Am J Med Qual. 2018;33(5):502-508. doi:10.1177…
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digital.ahrq.gov/sites/default/files/docs/phr-impact-chronic-disease-transcript-012512.pdf
August 01, 2012 - Trained as a clinical psychologist with an
emphasis in behavioral medicine, Dr. … Stepnowksy’s current research efforts are focused on
merging behavioral sleep medicine and health information … There
have been some studies that look at behavioral change, increasing motivation, cognitive behavior
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-engaging-clinicians-051413.ppt
January 01, 2013 - Outcomes Program of Excellence (HOPE)
(http://va-hope.org)
Systems redesign grant to Ann Arbor VAMC
Behavioral
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psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
August 02, 2015 - The Safety Organizing Scale: development and validation of a behavioral measure of safety culture in
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hcup-us.ahrq.gov/reports/race/stand_alone_r_e_rpt.jsp
May 01, 2016 - Data sources commonly used and listed as helpful include the Behavioral Risk Factor Surveillance System
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-usability-testing.pdf
November 01, 2018 - Priorities for future research are treatment in adjunctive or add-on (e.g., to behavioral/family … issues outside the context of a mental disorder (e.g., aggression, agitation, behavioral dyscontrol, … Evidence on the effectiveness and safety of combining antipsychotics with other types of therapy (e.g.,
behavioral … Controlled
clinical trial
30 5 Insufficient for practitioner adherence and fidelity to
cognitive behavioral … therapy and monitoring
techniques
Insufficient
Embedding a behavioral healthcare
practitioner in
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/chronic-pain-opioid-treatment_executive.pdf
September 19, 2014 - Rockville,
MD: Center for Behavioral Health Statistics and Quality;
2012.
14.
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hcup-us.ahrq.gov/reports/factsandfigures/2008/exhibit5_6.jsp
January 01, 2008 - Facts and Figures Exhibit 5.6
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs
Email Updates
…
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psnet.ahrq.gov/node/49695/psn-pdf
October 01, 2013 - Finding Fault With the Default Alert
October 1, 2013
Baysari M. Finding Fault With the Default Alert. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/finding-fault-default-alert
The Case
A 33-year-old man with known refractory epilepsy and developmental delay was admitted to the hospital
after experiencing …
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psnet.ahrq.gov/node/33638/psn-pdf
August 01, 2006 - Getting Into Patient Safety: A Personal Story
August 1, 2006
Cooper JB. Getting Into Patient Safety: A Personal Story. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
Perspective
My journey into patient safety began in 1972. It was born of serendipity enabled by the…
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www.ahrq.gov/sites/default/files/publications/files/simulproj11.pdf
June 30, 2014 - Improving Patient Safety Through Simulation Research: Funded Projects
Introduction
Simulation in health care creates a safe
learning environment that allows
researchers and practitioners to test new
clinical processes and enhance
individual and team skills before
encountering patients. Many simulation
applications in…
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psnet.ahrq.gov/node/857060/psn-pdf
November 27, 2023 - The Role of Undergraduate Nursing Education in Patient
Safety
November 27, 2023
Stanley J, Gale B, Mossburg S. The Role of Undergraduate Nursing Education in Patient Safety. PSNet
[internet]. 2023.
https://psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
Introduction
Nurses are a li…
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psnet.ahrq.gov/node/49631/psn-pdf
July 01, 2011 - Patient Safety and Adherence to Self-Administered
Medications
July 1, 2011
Spall H, Van-Spall C, Nieuwlaat R, et al. Patient Safety and Adherence to Self-Administered Medications.
PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/patient-safety-and-adherence-self-administered-medications
The Case
A 30-year-o…
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www.ahrq.gov/teamstepps-program/curriculum/situation/tools/index.html
June 01, 2023 - Section 2: Explanation of Key Concepts and Tools
This section contains explanations and illustrations to help you better understand and appreciate the importance of situation monitoring and TeamSTEPPS situation monitoring tools. If you teach this content or want additional insights on how the material can be mo…
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www.ahrq.gov/sops/bibliography/index.html?page=3
January 01, 2025 - SOPS Bibliography
Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture.
Results
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www.ahrq.gov/es/sops/bibliography/index.html?page=3
January 01, 2025 - SOPS Bibliography
Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture.
Results
151-200 of 505 Bibliography Items displayed
Pagination
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