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  1. psnet.ahrq.gov/issue/large-scale-implementation-i-pass-handover-system-academic-medical-centre
    March 27, 2018 - Study Large-scale implementation of the I-PASS handover system at an academic medical centre. Citation Text: Shahian DM, McEachern K, Rossi L, et al. Large-scale implementation of the I-PASS handover system at an academic medical centre. BMJ Qual Saf. 2017;26(9):760-770. doi:10.1136/bmjq…
  2. psnet.ahrq.gov/issue/failure-follow-test-results-ambulatory-patients-systematic-review
    March 23, 2012 - Review Classic Failure to follow-up test results for ambulatory patients: a systematic review. Citation Text: Callen JL, Westbrook JI, Georgiou A, et al. Failure to Follow-Up Test Results for Ambulatory Patients: A Systematic Review. J Gen Intern Med. 2011;27(10…
  3. psnet.ahrq.gov/issue/medication-errors-home-multisite-study-children-cancer
    October 19, 2022 - Study Medication errors in the home: a multisite study of children with cancer. Citation Text: Walsh KE, Roblin DW, Weingart SN, et al. Medication errors in the home: a multisite study of children with cancer. Pediatrics. 2013;131(5):e1405-14. doi:10.1542/peds.2012-2434. Copy Citation…
  4. psnet.ahrq.gov/issue/low-rate-completion-recommended-tests-and-referrals-academic-primary-care-practice-resident
    January 17, 2024 - Study Low rate of completion of recommended tests and referrals in an academic primary care practice with resident trainees. Citation Text: Amat MJ, Anderson TS, Shafiq U, et al. Low rate of completion of recommended tests and referrals in an academic primary care practice with resident …
  5. psnet.ahrq.gov/issue/notification-abnormal-lab-test-results-electronic-medical-record-do-any-safety-concerns
    April 04, 2011 - Study Classic Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain? Citation Text: Singh H, Thomas EJ, Sittig DF, et al. Notification of abnormal lab test results in an electronic medical record: do any safet…
  6. psnet.ahrq.gov/issue/variation-printed-handoff-documents-results-and-recommendations-multicenter-needs-assessment
    June 25, 2014 - Study Variation in printed handoff documents: results and recommendations from a multicenter needs assessment. Citation Text: Rosenbluth G, Bale JF, Starmer AJ, et al. Variation in printed handoff documents: Results and recommendations from a multicenter needs assessment. J Hosp Med. 201…
  7. psnet.ahrq.gov/issue/rates-medical-errors-and-preventable-adverse-events-among-hospitalized-children-following
    November 12, 2014 - Study Classic Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle. Citation Text: Starmer AJ, Sectish TC, Simon DW, et al. Rates of medical errors and preventable adverse events…
  8. psnet.ahrq.gov/issue/dedicated-teams-optimize-quality-and-safety-surgery-systematic-review
    October 27, 2021 - Review Dedicated teams to optimize quality and safety of surgery: a systematic review. Citation Text: Lentz CM, De Lind Van Wijngaarden RAF, Willeboordse F, et al. Dedicated teams to optimize quality and safety of surgery: a systematic review. Int J Qual Health Care. 2022;34(4):mzac078.…
  9. Gibbons (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/gibbons.pdf
    January 01, 2010 - Gibbons Slide  1: Social Media  and Health Care  Disparities M. Chris Gibbons, M.D., M.P.H. Associate Director Johns Hopkins Urban Health Institute Baltimore, MD Slide  2: Can Social Media  Help Address Health Care  Disparities? • Are there determinants of disparities…
  10. psnet.ahrq.gov/issue/rethinking-resident-supervision-improve-safety-hierarchical-interprofessional-models
    April 09, 2013 - Study Rethinking resident supervision to improve safety: from hierarchical to interprofessional models. Citation Text: Tamuz M, Giardina TD, Thomas EJ, et al. Rethinking resident supervision to improve safety: From hierarchical to interprofessional models. J Hosp Med. 2011;6(8):445-452…
  11. psnet.ahrq.gov/issue/patient-initiated-voluntary-online-survey-adverse-medical-events-perspective-696-injured
    May 20, 2020 - Study Classic A patient-initiated voluntary online survey of adverse medical events: the perspective of 696 injured patients and families. Citation Text: Southwick FS, Cranley NM, Hallisy JA. A patient-initiated voluntary online survey of adverse medical events:…
  12. psnet.ahrq.gov/issue/feelings-trust-and-safety-are-related-facets-patients-experience-surgery-descriptive
    January 26, 2022 - Study Feelings of trust and of safety are related facets of the patient's experience in surgery: a descriptive qualitative study in 80 patients. Citation Text: Occelli P, Mougeot F, Robelet M, et al. Feelings of trust and of safety are related facets of the patient's experience in surger…
  13. psnet.ahrq.gov/issue/qualitative-analysis-physician-perspectives-missed-and-delayed-outpatient-diagnosis-focus
    October 19, 2012 - Study A qualitative analysis of physician perspectives on missed and delayed outpatient diagnosis: the focus on system-related factors. Citation Text: Sarkar U, Simchowitz B, Bonacum D, et al. A Qualitative Analysis of Physician Perspectives on Missed and Delayed Outpatient Diagnosis: Th…
  14. psnet.ahrq.gov/issue/power-and-conflict-effect-superiors-interpersonal-behaviour-trainees-ability-challenge
    December 13, 2017 - Study Power and conflict: the effect of a superior's interpersonal behaviour on trainees' ability to challenge authority during a simulated airway emergency. Citation Text: Friedman Z, Hayter MA, Everett TC, et al. Power and conflict: the effect of a superior's interpersonal behaviour on…
  15. psnet.ahrq.gov/issue/root-cause-analysis-reports-help-identify-common-factors-delayed-diagnosis-and-treatment
    October 24, 2018 - Study Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. Citation Text: Giardina TD, King BJ, Ignaczak AP, et al. Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. Health A…
  16. psnet.ahrq.gov/issue/understanding-missed-opportunities-more-timely-diagnosis-cancer-symptomatic-patients-after
    February 17, 2021 - Study Understanding missed opportunities for more timely diagnosis of cancer in symptomatic patients after presentation. Citation Text: Lyratzopoulos G, Vedsted P, Singh H. Understanding missed opportunities for more timely diagnosis of cancer in symptomatic patients after presentation. …
  17. psnet.ahrq.gov/issue/medication-reconciliation-hospital-discharge-qualitative-exploration-acute-care-nurses
    October 20, 2021 - Study Medication reconciliation at hospital discharge: a qualitative exploration of acute care nurses' perceptions of their roles and responsibilities. Citation Text: Latimer S, Hewitt J, de Wet C, et al. Medication reconciliation at hospital discharge: A qualitative exploration of acute…
  18. psnet.ahrq.gov/issue/pilot-testing-model-insurer-driven-large-scale-multicenter-simulation-training-operating-room
    July 25, 2011 - Study Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating room teams. Citation Text: Arriaga AF, Gawande AA, Raemer D, et al. Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating room t…
  19. psnet.ahrq.gov/issue/frequency-and-outcome-cervical-cancer-prevention-failures-united-states
    April 09, 2013 - Study Frequency and outcome of cervical cancer prevention failures in the United States. Citation Text: Raab SS, Grzybicki DM, Zarbo RJ, et al. Frequency and outcome of cervical cancer prevention failures in the United States. Am J Clin Pathol. 2007;128(5):817-24. Copy Citation F…
  20. psnet.ahrq.gov/issue/implementation-comprehensive-unit-based-safety-program-reduce-surgical-site-infections
    December 20, 2023 - Study Implementation of a comprehensive unit-based safety program to reduce surgical site infections in cesarean delivery. Citation Text: Dieplinger B, Egger M, Jezek C, et al. Implementation of a comprehensive unit-based safety program to reduce surgical site infections in cesarean deli…