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  1. psnet.ahrq.gov/issue/medication-administration-aged-care-facilities-mixed-methods-systematic-review-0
    July 31, 2024 - Review Medication administration in aged care facilities: a mixed-methods systematic review. Citation Text: Garratt S, Dowling A, Manias E. Medication administration in aged care facilities: a mixed‐methods systematic review. J Adv Nurs. 2025;81(2):621-640. doi:10.1111/jan.16318. Copy …
  2. psnet.ahrq.gov/issue/medication-administration-aged-care-facilities-mixed-methods-systematic-review
    March 05, 2025 - Review Medication administration in aged care facilities: a mixed-methods systematic review. Citation Text: Garratt S, Dowling A, Manias E. Medication administration in aged care facilities: a mixed‐methods systematic review. J Adv Nurs. 2025;81(2):621-640. doi:10.1111/jan.16318. Copy …
  3. psnet.ahrq.gov/issue/ethnography-parents-perceptions-patient-safety-neonatal-intensive-care-unit
    September 01, 2018 - Study An ethnography of parents' perceptions of patient safety in the neonatal intensive care unit. Citation Text: Ottosen MJ, Engebretson J, Etchegaray J, et al. An Ethnography of Parents' Perceptions of Patient Safety in the Neonatal Intensive Care Unit. Adv Neonatal Care. 2019;19(6):5…
  4. psnet.ahrq.gov/issue/challenging-authority-during-emergency-effect-teaching-intervention
    December 13, 2017 - Study Challenging authority during an emergency—the effect of a teaching intervention. Citation Text: Friedman Z, Perelman V, McLuckie D, et al. Challenging Authority During an Emergency-the Effect of a Teaching Intervention. Crit Care Med. 2017;45(8):e814-e820. doi:10.1097/CCM.000000000…
  5. psnet.ahrq.gov/issue/hospira-issues-voluntary-nationwide-recall-one-lot-05-bupivacaine-hydrochloride-injection-usp
    June 20, 2018 - Press Release/Announcement Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine Hydrochloride Injection, USP and one lot of 1% Lidocaine HCl Injection, USP due to mislabeling. Citation Text: Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivaca…
  6. psnet.ahrq.gov/issue/theoretical-framework-and-competency-based-approach-improving-handoffs
    March 28, 2011 - Commentary A theoretical framework and competency-based approach to improving handoffs. Citation Text: Arora VM, Johnson JK, Meltzer DO, et al. A theoretical framework and competency-based approach to improving handoffs. Qual Saf Health Care. 2008;17(1):11-4. doi:10.1136/qshc.2006.0189…
  7. psnet.ahrq.gov/issue/surgical-intraoperative-handoff-initiative-standardizing-operating-room-communication-using
    October 04, 2023 - Study Surgical intraoperative handoff initiative: standardizing operating room communication using SHRIMPS. Citation Text: Stephens WA, Anderson MJ, Levy BE, et al. Surgical intraoperative handoff initiative: standardizing operating room communication using SHRIMPS. J Am Coll Surg. 2024;…
  8. psnet.ahrq.gov/issue/seen-through-patients-eyes-safety-chronic-illness-care
    May 16, 2018 - Study Seen through the patients' eyes: safety of chronic illness care. Citation Text: Desmedt M, Petrovic M, Bergs J, et al. Seen through the patients' eyes: Safety of chronic illness care. Int J Qual Health Care. 2017;29(7):916-921. doi:10.1093/intqhc/mzx137. Copy Citation Format:…
  9. psnet.ahrq.gov/issue/doctors-stress-responses-and-poor-communication-performance-simulated-bad-news-consultations
    July 19, 2023 - Study Doctors' stress responses and poor communication performance in simulated bad-news consultations. Citation Text: Brown R, Dunn S, Byrnes K, et al. Doctors' stress responses and poor communication performance in simulated bad-news consultations. Acad Med. 2009;84(11):1595-602. doi…
  10. psnet.ahrq.gov/issue/simulation-based-medical-error-disclosure-training-pediatric-healthcare-professionals
    April 11, 2011 - Study Simulation-based medical error disclosure training for pediatric healthcare professionals. Citation Text: Wayman KI, Yaeger KA, Sharek PJ, et al. Simulation-based medical error disclosure training for pediatric healthcare professionals. J Healthc Qual. 2007;29(4):12-9. Copy Cit…
  11. psnet.ahrq.gov/issue/call-safety-anticipating-and-mitigating-risk-across-obstetrics-and-gynecology-service-line
    February 24, 2016 - Commentary A call for safety: anticipating and mitigating risk across an obstetrics and gynecology service line. Citation Text: Combs A, Klein VR. A call for safety: anticipating and mitigating risk across an obstetrics and gynecology service line. J Healthc Risk Manag. 2023;43(1):38-42.…
  12. psnet.ahrq.gov/issue/psychological-safety-communication-openness-nurse-job-outcomes-and-patient-safety-hospital
    August 19, 2020 - Study Psychological safety, communication openness, nurse job outcomes, and patient safety in hospital nurses. Citation Text: Cho H, Steege LM, Arsenault Knudsen ÉN. Psychological safety, communication openness, nurse job outcomes, and patient safety in hospital nurses. Res Nurs Health. …
  13. psnet.ahrq.gov/issue/communication-improved-implementation-obstetrical-version-world-health-organization-safe
    February 02, 2022 - Study Is communication improved with the implementation of an obstetrical version of the World Health Organization safe surgery checklist? Citation Text: Govindappagari S, Guardado A, Goffman D, et al. Is Communication Improved With the Implementation of an Obstetrical Version of the Wor…
  14. www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/instructor.html
    October 01, 2014 - Improving Patient Safety in Long-Term Care Facilities Next Page Table of Contents Improving Patient Safety in Long-Term Care Facilities Introduction Module 1. Detecting Change in a Resident's Condition Module 2. Communicating Change in a Resident's Condition Module 3. Falls Prevention Append…
  15. psnet.ahrq.gov/issue/analysis-surgical-errors-closed-malpractice-claims-4-liability-insurers
    February 17, 2011 - Study Analysis of surgical errors in closed malpractice claims at 4 liability insurers. Citation Text: Rogers SO, Gawande AA, Kwaan M, et al. Analysis of surgical errors in closed malpractice claims at 4 liability insurers. Surgery. 2006;140(1):25-33. Copy Citation Format: …
  16. psnet.ahrq.gov/issue/incorrect-surgical-counts-qualitative-analysis
    September 12, 2012 - Study Incorrect surgical counts: a qualitative analysis. Citation Text: Rowlands A, Steeves R. Incorrect surgical counts: a qualitative analysis. AORN J. 2010;92(4):410-9. doi:10.1016/j.aorn.2010.01.019. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…
  17. digital.ahrq.gov/health-care-theme/care-coordination
    January 01, 2023 - Care Coordination Scalable Digital Communication Intervention to Support Older Adults and Care Partners Transitioning Home After Major Surgery Description This research will develop and evaluate the Perioperative Optimization of Senior Health (myPOSH) mobile application that s…
  18. hcup-us.ahrq.gov/datainnovations/clinicaldata/FinalResultsofLOINCMapEval.jsp
    October 05, 2010 - Our success in this project was due to working with the right people and maintaining ongoing communications
  19. hcup-us.ahrq.gov/datainnovations/clinicaldata/FinalResultsofLOINCMapEval.pdf
    September 01, 2009 - Our success in this project was due to working with the right people and maintaining ongoing communications
  20. psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy
    August 05, 2022 - Communications with the pharmacy and between providers may not happen consistently due to time constraints