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  1. psnet.ahrq.gov/issue/ticket-ride-reducing-handoff-risk-during-hospital-patient-transport
    May 30, 2018 - Commentary Ticket to ride: reducing handoff risk during hospital patient transport. Citation Text: Pesanka DA, Greenhouse PK, Rack LL, et al. Ticket to ride: reducing handoff risk during hospital patient transport. J Nurs Care Qual. 2009;24(2):109-15. doi:10.1097/01.NCQ.0000347446.982…
  2. psnet.ahrq.gov/issue/prevalence-undiagnosed-diabetes-identified-novel-electronic-medical-record-diabetes-screening
    January 04, 2021 - Study Prevalence of undiagnosed diabetes identified by a novel electronic medical record diabetes screening program in an urban emergency department in the US. Citation Text: Danielson KK, Rydzon B, Nicosia M, et al. Prevalence of undiagnosed diabetes identified by a novel electronic med…
  3. psnet.ahrq.gov/issue/randomized-controlled-trial-evaluating-impact-computerized-rounding-and-sign-out-system
    July 14, 2010 - Study Classic A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on continuity of care and resident work hours. Citation Text: Van Eaton EG, Horvath KD, Lober WB, et al. A randomized, controlled trial evaluating…
  4. psnet.ahrq.gov/issue/exploring-challenges-quality-and-safety-work-nursing-homes-and-home-care-case-study-basis
    August 14, 2019 - Study Exploring challenges in quality and safety work in nursing homes and home care - a case study as basis for theory development. Citation Text: Johannessen T, Ree E, Aase I, et al. Exploring challenges in quality and safety work in nursing homes and home care – a case study as basis …
  5. psnet.ahrq.gov/issue/safety-fragile-conflict-affected-and-vulnerable-settings-evidence-scanning-approach
    January 12, 2022 - Review Safety in fragile, conflict-affected, and vulnerable settings: An evidence scanning approach for identifying patient safety interventions. Citation Text: O’Brien N, Shaw A, Flott K, et al. Safety in fragile, conflict-affected, and vulnerable settings: an evidence scanning approach…
  6. psnet.ahrq.gov/issue/use-novel-electronic-health-record-centered-interprofessional-icu-rounding-simulation
    March 04, 2019 - Study Use of a novel, electronic health record–centered, interprofessional ICU rounding simulation to understand latent safety issues. Citation Text: Bordley J, Sakata KK, Bierman J, et al. Use of a Novel, Electronic Health Record-Centered, Interprofessional ICU Rounding Simulation to Un…
  7. psnet.ahrq.gov/issue/crisis-scenarios-simulation-based-nontechnical-skills-training-cardiac-surgery-teams-national
    January 08, 2020 - Commentary Crisis scenarios for simulation-based nontechnical skills training for cardiac surgery teams: a national survey among cardiac anesthesiologists, cardiac surgeons, clinical perfusionists, and cardiac operating room nurses. Citation Text: Kemper T, van Haperen M, Eberl S, et al.…
  8. psnet.ahrq.gov/issue/value-adding-verbal-report-written-handoffs-early-readmission-following-prolonged-respiratory
    July 19, 2023 - Study The value of adding a verbal report to written handoffs on early readmission following prolonged respiratory failure. Citation Text: Hess DR, Tokarczyk A, O'Malley M, et al. The value of adding a verbal report to written handoffs on early readmission following prolonged respira…
  9. psnet.ahrq.gov/issue/optimizing-patient-safety-clinical-trials-improving-transitions-care
    October 16, 2024 - Study Optimizing patient safety in clinical trials by improving transitions of care. Citation Text: Nair SC, Satish KP, Al Maini M, et al. Optimizing patient safety in clinical trials by improving transitions of care. Jt Comm J Qual Patient Saf. 2020;46(4). doi:10.1016/j.jcjq.2020.01.001…
  10. psnet.ahrq.gov/issue/development-multicomponent-intervention-decrease-racial-bias-among-healthcare-staff
    September 23, 2020 - Study Development of a multicomponent intervention to decrease racial bias among healthcare staff. Citation Text: Tajeu GS, Juarez L, Williams JH, et al. Development of a multicomponent intervention to decrease racial bias among healthcare staff. J Gen Intern Med. 2022;37(8):1970-1979. d…
  11. psnet.ahrq.gov/issue/patient-and-carer-identified-factors-which-contribute-safety-incidents-primary-care
    March 18, 2016 - Study Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. Citation Text: Hernan AL, Giles SJ, Fuller J, et al. Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. BMJ Q…
  12. psnet.ahrq.gov/issue/multifaceted-intervention-improve-patient-safety-incident-reporting-intensive-care-units
    January 18, 2023 - Study Multifaceted intervention to improve patient safety incident reporting in intensive care units. Citation Text: Griffeth EM, Gajic O, Schueler N, et al. Multifaceted intervention to improve patient safety incident reporting in intensive care units. J Patient Saf. 2023;19(7):422-428.…
  13. psnet.ahrq.gov/issue/inter-professional-clinical-handover-post-anaesthetic-care-units-tools-improve-quality-and
    April 24, 2013 - Study Inter-professional clinical handover in post-anaesthetic care units: tools to improve quality and safety. Citation Text: Redley B, Bucknall T, Evans S, et al. Inter-professional clinical handover in post-anaesthetic care units: tools to improve quality and safety. Int J Qual Health…
  14. psnet.ahrq.gov/issue/incidence-opioid-misuse-among-surgical-patients-persistent-opioid-use
    October 13, 2018 - Study The incidence of opioid misuse among the surgical patients with persistent opioid use. Citation Text: Namiranian, MD, PhD K. The incidence of opioid misuse among the surgical patients with persistent opioid use. J Opioid Manag. 2023;19(1):69-76. doi:10.5055/jom.2023.0760. Copy Ci…
  15. psnet.ahrq.gov/issue/simulation-exercises-patient-safety-strategy-systematic-review
    March 13, 2013 - Review Simulation exercises as a patient safety strategy: a systematic review. Citation Text: Schmidt E, Goldhaber-Fiebert SN, Ho LA, et al. Simulation exercises as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):426-32. doi:10.7326/0003-4819-158-5-2013…
  16. psnet.ahrq.gov/issue/reducing-automated-dispensing-cabinet-overrides-peri-anesthesia-care-unit-quality-improvement
    June 07, 2023 - Study Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement project. Citation Text: Franciscovich CD, Bieniek A, Dunn K, et al. Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement projec…
  17. psnet.ahrq.gov/issue/work-related-factors-cognitive-skills-unsafe-behavior-and-safety-incident-involvement-among
    October 27, 2021 - Study Work-related factors, cognitive skills, unsafe behavior and safety incident involvement among emergency medical services crew members: relationships and indirect effects. Citation Text: Sedlár M. Work-related factors, cognitive skills, unsafe behavior and safety incident involvemen…
  18. psnet.ahrq.gov/issue/multicenter-phased-cluster-randomized-controlled-trial-reduce-central-line-associated
    January 02, 2017 - Study A multicenter, phased, cluster-randomized controlled trial to reduce central line–associated bloodstream infections in intensive care units. Citation Text: Marsteller JA, Sexton B, Hsu Y-J, et al. A multicenter, phased, cluster-randomized controlled trial to reduce central line-a…
  19. psnet.ahrq.gov/issue/patient-notification-bloodborne-pathogen-testing-due-unsafe-injection-practices-us-health
    February 02, 2011 - Study Patient notification for bloodborne pathogen testing due to unsafe injection practices in the US health care settings, 2001–2011. Citation Text: Guh AY, Thompson ND, Schaefer MK, et al. Patient notification for bloodborne pathogen testing due to unsafe injection practices in the …
  20. psnet.ahrq.gov/issue/detecting-unapproved-abbreviations-electronic-medical-record
    August 08, 2018 - Study Detecting unapproved abbreviations in the electronic medical record. Citation Text: Capraro A, Stack AM, Harper MB, et al. Detecting unapproved abbreviations in the electronic medical record. Jt Comm J Qual Patient Saf. 2012;38(4):178-183. doi:10.1016/s1553-7250(12)38023-9. Copy …