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  1. psnet.ahrq.gov/issue/leveraging-trainees-improve-quality-and-safety-point-care-three-models-engagement
    September 20, 2017 - Commentary Leveraging trainees to improve quality and safety at the point of care: three models for engagement. Citation Text: Faherty LJ, Mate KS, Moses JM. Leveraging Trainees to Improve Quality and Safety at the Point of Care: Three Models for Engagement. Acad Med. 2016;91(4):503-9. d…
  2. psnet.ahrq.gov/issue/accuracy-adverse-drug-event-reports-collected-using-automated-dispensing-system
    April 06, 2022 - Study Accuracy of adverse-drug-event reports collected using an automated dispensing system. Citation Text: Romero A, Malone DC. Accuracy of adverse-drug-event reports collected using an automated dispensing system. Am J Health Syst Pharm. 2005;62(13):1375-80. Copy Citation Forma…
  3. digital.ahrq.gov/track-2-implementation-issues-patient-safety-and-health-it
    January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
  4. psnet.ahrq.gov/issue/communication-and-patient-safety-training-programme-all-healthcare-staff-can-it-make
    July 01, 2017 - Study A 'Communication and Patient Safety' training programme for all healthcare staff: can it make a difference? Citation Text: Lee P, Allen K, Daly M. A ‘Communication and Patient Safety’ training programme for all healthcare staff: can it make a difference? BMJ Qual Saf. 2011;21(1).…
  5. psnet.ahrq.gov/issue/could-it-be-done-safely-pharmacists-views-safety-and-clinical-outcomes-introduction-advanced
    October 22, 2014 - Study Could it be done safely? Pharmacists views on safety and clinical outcomes from the introduction of an advanced role for technicians. Citation Text: Napier P, Norris P, Braund R. Could it be done safely? Pharmacists views on safety and clinical outcomes from the introduction of an …
  6. psnet.ahrq.gov/issue/do-team-processes-really-have-effect-clinical-performance-systematic-literature-review
    November 13, 2019 - Review Do team processes really have an effect on clinical performance? A systematic literature review. Citation Text: Schmutz J, Manser T. Do team processes really have an effect on clinical performance? A systematic literature review. Br J Anaesth. 2013;110(4). doi:10.1093/bja/aes513.…
  7. psnet.ahrq.gov/issue/errors-medical-interpretation-and-their-potential-clinical-consequences-comparison
    November 23, 2016 - Study Errors of medical interpretation and their potential clinical consequences: a comparison of professional versus ad hoc versus no interpreters. Citation Text: Flores G, Abreu M, Barone CP, et al. Errors of medical interpretation and their potential clinical consequences: a compari…
  8. psnet.ahrq.gov/issue/predictors-completeness-patients-self-reported-personal-medication-lists-and-discrepancies
    October 19, 2022 - Study Predictors of completeness of patients' self-reported personal medication lists and discrepancies with clinic medication lists. Citation Text: Lee KP, Nishimura K, Ngu B, et al. Predictors of completeness of patients' self-reported personal medication lists and discrepancies with…
  9. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-sops-hospital-survey-workplace-item-set-webcast-yount.pdf
    June 02, 2025 - SOPS State Hospital Association Webcast - Yount Presentation Research Linking Workplace Safety Culture and Patient Safety Culture Naomi Yount, Ph.D. Westat Data Source • Analyses used data from the pilot test of the SOPS Hospital Survey 2.0 with Workplace Safety Supplemental Item Set in 2021 • 28 Hospitals •…
  10. psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-education-cross-sectional-study-medical-students
    September 23, 2020 - Study Patient safety and quality improvement education: a cross-sectional study of medical students' preferences and attitudes. Citation Text: Teigland CL, Blasiak RC, Wilson LA, et al. Patient safety and quality improvement education: a cross-sectional study of medical students' prefer…
  11. psnet.ahrq.gov/issue/adoption-order-entry-decision-support-chronic-care-physician-organizations
    October 06, 2011 - Study Adoption of order entry with decision support for chronic care by physician organizations. Citation Text: Simon JS, Rundall TG, Shortell SM. Adoption of order entry with decision support for chronic care by physician organizations. J Am Med Inform Assoc. 2007;14(4):432-9. Copy …
  12. psnet.ahrq.gov/issue/perceived-value-ward-based-pharmacists-perspective-physicians-and-nurses
    February 15, 2011 - Study Perceived value of ward-based pharmacists from the perspective of physicians and nurses. Citation Text: Gillespie U, Mörlin C, Hammarlund-Udenaes M, et al. Perceived value of ward-based pharmacists from the perspective of physicians and nurses. Int J Clin Pharm. 2012;34(1):127-35…
  13. psnet.ahrq.gov/issue/experimental-evidence-structured-information-sharing-networks-reducing-medical-errors
    December 15, 2021 - Study Experimental evidence for structured information-sharing networks reducing medical errors. Citation Text: Centola D, Becker J, Zhang J, et al. Experimental evidence for structured information–sharing networks reducing medical errors. Proc Natl Acad Sci U S A. 2023;120(31):e21082901…
  14. psnet.ahrq.gov/issue/evidence-bias-and-variation-diagnostic-accuracy-studies
    February 15, 2023 - Review Evidence of bias and variation in diagnostic accuracy studies. Citation Text: Rutjes AWS, Reitsma JB, Di Nisio M, et al. Evidence of bias and variation in diagnostic accuracy studies. CMAJ. 2006;174(4):469-476. doi:10.1503/cmaj.050090. Copy Citation Format: DOI Googl…
  15. psnet.ahrq.gov/issue/decreasing-clinically-significant-adverse-events-using-feedback-emergency-physicians
    January 21, 2015 - Study Decreasing clinically significant adverse events using feedback to emergency physicians of telephone follow-up outcomes. Citation Text: Chern C-H, How C-K, Wang L-M, et al. Decreasing clinically significant adverse events using feedback to emergency physicians of telephone follow-…
  16. psnet.ahrq.gov/issue/six-year-audit-cardiac-arrests-and-medical-emergency-team-calls-australian-outer-metropolitan
    October 29, 2008 - Study Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan teaching hospital. Citation Text: Buist M, Harrison J, Abaloz E, et al. Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan te…
  17. psnet.ahrq.gov/issue/flaw-medicine-addressing-racial-and-gender-disparities-critical-care
    June 16, 2010 - Commentary The flaw of medicine: addressing racial and gender disparities in critical care. Citation Text: Hilton EJ, Goff KL, Sreedharan R, et al. The flaw of medicine: addressing racial and gender disparities in critical care. Anesthesiol Clin. 2020;38(2):357-368. doi:10.1016/j.anclin.…
  18. psnet.ahrq.gov/issue/what-covid-19-teaches-us-about-implicit-bias-pediatric-health-care
    March 25, 2020 - Commentary What COVID-19 teaches us about implicit bias in pediatric health care. Citation Text: Mulchan SS, Wakefield EO, Santos M. What COVID-19 teaches us about implicit bias in pediatric health care. J Ped Psychol. 2021;46(2):138-143. doi:10.1093/jpepsy/jsaa131. Copy Citation F…
  19. psnet.ahrq.gov/issue/minimizing-electronic-health-record-patient-note-mismatches
    December 27, 2014 - Study Minimizing electronic health record patient–note mismatches. Citation Text: Wilcox AB, Chen Y-H, Hripcsak G. Minimizing electronic health record patient-note mismatches. J Am Med Inform Assoc. 2011;18(4):511-4. doi:10.1136/amiajnl-2010-000068. Copy Citation Format: …
  20. psnet.ahrq.gov/issue/what-near-misses-tell-us-about-risk-and-safety-mental-health-care
    October 19, 2022 - Study What near misses tell us about risk and safety in mental health care. Citation Text: Jeffs L, Rose D, Macrae C, et al. What near misses tell us about risk and safety in mental health care. J Psychiatr Ment Health Nurs. 2012;19(5):430-7. doi:10.1111/j.1365-2850.2011.01812.x. Cop…