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  1. psnet.ahrq.gov/issue/qualitative-study-speaking-out-about-patient-safety-concerns-intensive-care-units
    August 21, 2013 - Study A qualitative study of speaking out about patient safety concerns in intensive care units. Citation Text: Tarrant C, Leslie M, Bion J, et al. A qualitative study of speaking out about patient safety concerns in intensive care units. Soc Sci Med. 2017;193:8-15. doi:10.1016/j.socscim…
  2. psnet.ahrq.gov/issue/empowering-informal-caregivers-health-information-opennotes-safety-strategy
    June 06, 2018 - Study Empowering informal caregivers with health information: OpenNotes as a safety strategy. Citation Text: Chimowitz H, Gerard M, Fossa A, et al. Empowering Informal Caregivers with Health Information: OpenNotes as a Safety Strategy. Jt Comm J Qual Saf. 2018;44(3):130-136. doi:10.1016/…
  3. psnet.ahrq.gov/issue/assessment-health-information-technology-related-outpatient-diagnostic-delays-us-veterans
    June 24, 2020 - Study Assessment of health information technology-related outpatient diagnostic delays in the US Veterans Affairs health care system: a qualitative study of aggregated root cause analysis data. Citation Text: Powell L, Sittig DF, Chrouser K, et al. Assessment of health information techno…
  4. psnet.ahrq.gov/issue/problem-list-completeness-electronic-health-records-multi-site-study-and-assessment-success
    April 29, 2018 - Study Problem list completeness in electronic health records: a multi-site study and assessment of success factors. Citation Text: Wright A, McCoy AB, Hickman T-TT, et al. Problem list completeness in electronic health records: A multi-site study and assessment of success factors. Int J …
  5. psnet.ahrq.gov/issue/improving-healthcare-systems-disclosures-large-scale-adverse-events-department-veterans
    August 18, 2021 - Study Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs leadership, policymaker, research and stakeholder partnership. Citation Text: Elwy R, Bokhour BG, Maguire EM, et al. Improving healthcare systems' disclosures of large-scale ad…
  6. psnet.ahrq.gov/issue/critical-role-health-information-technology-safe-integration-behavioral-health-and-primary
    February 22, 2023 - Commentary The critical role of health information technology in the safe integration of behavioral health and primary care to improve patient care. Citation Text: Segal M, Giuffrida P, Possanza L, et al. The critical role of health information technology in the safe integration of behav…
  7. psnet.ahrq.gov/issue/how-context-affects-electronic-health-record-based-test-result-follow-mixed-methods
    April 04, 2011 - Study How context affects electronic health record–based test result follow-up: a mixed-methods evaluation. Citation Text: Menon S, Smith MW, Sittig DF, et al. How context affects electronic health record-based test result follow-up: a mixed-methods evaluation. BMJ Open. 2014;4(11):e0059…
  8. psnet.ahrq.gov/issue/feasibility-and-added-value-executive-walkrounds-long-term-care-organizations-netherlands
    January 07, 2015 - Study Feasibility and added value of Executive WalkRounds in long term care organizations in the Netherlands. Citation Text: van Dusseldorp L, de Waal GH-, Hamers H, et al. Feasibility and Added Value of Executive WalkRounds in Long Term Care Organizations in the Netherlands. Jt Comm J Q…
  9. psnet.ahrq.gov/issue/safety-culture-and-workforce-well-being-associations-positive-leadership-walkrounds
    January 21, 2019 - Study Safety culture and workforce well-being associations with Positive Leadership WalkRounds. Citation Text: Sexton JB, Adair KC, Profit J, et al. Safety culture and workforce well-being associations with Positive Leadership WalkRounds. Jt Comm J Qual Patient Saf. 2021;47(7):403-411. d…
  10. psnet.ahrq.gov/issue/renal-medication-related-clinical-decision-support-cds-alerts-and-overrides-inpatient-setting
    May 20, 2020 - Study Renal medication-related clinical decision support (CDS) alerts and overrides in the inpatient setting following implementation of a commercial electronic health record: implications for designing more effective alerts. Citation Text: Shah SN, Amato MG, Garlo KG, et al. Renal medic…
  11. psnet.ahrq.gov/issue/impact-commercial-order-entry-system-prescribing-errors-amenable-computerised-decision
    December 21, 2022 - Study Impact of a commercial order entry system on prescribing errors amenable to computerised decision support in the hospital setting: a prospective pre–post study. Citation Text: Pontefract SK, Hodson J, Slee A, et al. Impact of a commercial order entry system on prescribing errors am…
  12. psnet.ahrq.gov/issue/patient-safety-and-telephone-medicine-some-lessons-closed-claim-case-review
    May 18, 2022 - Study Patient safety and telephone medicine: some lessons from closed claim case review. Citation Text: Katz HP, Kaltsounis D, Halloran L, et al. Patient safety and telephone medicine : some lessons from closed claim case review. J Gen Intern Med. 2008;23(5):517-22. doi:10.1007/s11606-…
  13. psnet.ahrq.gov/issue/impact-coronavirus-disease-2019-covid-19-healthcare-associated-infections-2020-summary-data
    February 07, 2022 - Study The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary of data reported to the National Healthcare Safety Network. Citation Text: Weiner-Lastinger LM, Pattabiraman V, Konnor RY, et al. The impact of coronavirus disease 2019 (COVID-1…
  14. psnet.ahrq.gov/issue/remote-video-auditing-real-time-feedback-academic-surgical-suite-improves-safety-and
    August 04, 2021 - Study Remote video auditing with real-time feedback in an academic surgical suite improves safety and efficiency metrics: a cluster randomised study. Citation Text: Overdyk FJ, Dowling O, Newman S, et al. Remote video auditing with real-time feedback in an academic surgical suite improve…
  15. psnet.ahrq.gov/issue/effect-health-information-exchange-recognition-medication-discrepancies-interrupted-when-data
    November 16, 2022 - Study Effect of health information exchange on recognition of medication discrepancies is interrupted when data charges are introduced: results of a cluster-randomized controlled trial. Citation Text: Boockvar K, Ho W, Pruskowski J, et al. Effect of health information exchange on recogni…
  16. psnet.ahrq.gov/issue/variations-gps-decisions-investigate-suspected-lung-cancer-factorial-experiment-using
    August 03, 2022 - Study Variations in GPs' decisions to investigate suspected lung cancer: a factorial experiment using multimedia vignettes. Citation Text: Sheringham J, Sequeira R, Myles J, et al. Variations in GPs' decisions to investigate suspected lung cancer: a factorial experiment using multimedia …
  17. psnet.ahrq.gov/innovation/assessing-impact-virtual-medication-history-technicians-medication-reconciliation
    December 01, 2021 - EMERGING INNOVATIONS Assessing the impact of virtual medication history technicians on medication reconciliation discrepancies. Citation Text: Gadallah A, McGinnis B, Nguyen B, et al. Assessing the impact of virtual medication history technicians on medication reconciliation discrepancies. Int J C…
  18. psnet.ahrq.gov/issue/prospective-controlled-trial-electronic-hand-hygiene-reminder-system
    April 07, 2021 - Study A prospective controlled trial of an electronic hand hygiene reminder system. Citation Text: Ellison RT, Barysauskas CM, Rundensteiner EA, et al. A Prospective Controlled Trial of an Electronic Hand Hygiene Reminder System. Open Forum Infect Dis. 2015;2(4):ofv121. doi:10.1093/ofid/…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866869/psn-pdf
    October 02, 2024 - Core Elements of Hospital Diagnostic Excellence (DxEx). October 2, 2024 Core Elements of Hospital Diagnostic Excellence (DxEx). Centers for Disease Control and Prevention. https://psnet.ahrq.gov/issue/core-elements-hospital-diagnostic-excellence-dxex Diagnostic excellence is an expansion of the diagnostic error red…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867695/psn-pdf
    March 05, 2025 - The Future of Patient and Family Engagement in Quality and Patient Safety. March 5, 2025 The Future of Patient and Family Engagement in Quality and Patient Safety. Front Health Serv. 2024. https://psnet.ahrq.gov/issue/future-patient-and-family-engagement-quality-and-patient-safety Patient and family engagement in …

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