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psnet.ahrq.gov/issue/health-care-worker-fatigue-and-patient-safety
December 23, 2016 - Sentinel Event Alerts
Health care worker fatigue and patient safety.
Citation Text:
Health care worker fatigue and patient safety. Sentinel Event Alert. December 14, 2011;(48):1-4. (addendum May 14, 2018).
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psnet.ahrq.gov/issue/improving-patient-safety-older-people-acute-admissions-implementation-frailsafe-checklist-12
February 20, 2016 - Study
Improving patient safety for older people in acute admissions: implementation of the Frailsafe checklist in 12 hospitals across the UK.
Citation Text:
Papoutsi C, Poots A, Clements J, et al. Improving patient safety for older people in acute admissions: implementation of the Frails…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-tables-13-14.pdf
June 02, 2025 - Section 7.B, Tables 13 and 14
Indicator Indicator Does not live Lives in
ID in MSA MSA
(N=217) (n=625)
Care Coordination Services
Has care coordinator FECC-1 73.5 69.8
Access to care coordinator FECC-2 97.5 96.1
Care coordinator helped to obtain
community services
FECC-3
…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-tables-15-16.pdf
June 02, 2025 - Section 7.E, Tables 15 and 16
Indicator Indicator
ID
English
proficient
(n=1094)
LEP
(n=154)
Care Coordination Services
Has care coordinator
Access to care coordinator
Care coordinator helped to obtain community
services
Care coordinator contact in the last 3 months
Care coo…
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psnet.ahrq.gov/issue/barriers-incident-reporting-among-nurses-qualitative-systematic-review
September 21, 2022 - Review
Emerging Classic
Barriers to incident reporting among nurses: a qualitative systematic review.
Citation Text:
Hamed MMM, Konstantinidis S. Barriers to incident reporting among nurses: a qualitative systematic review. West J Nurs Res. 2022;44(5):506-523. d…
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digital.ahrq.gov/sites/default/files/docs/page/THQITStoriesHorn2010.pdf
June 16, 2021 - Nursing Home Health IT Reduces Pressure Ulcers and Increases Staff’s Job Satisfaction
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psnet.ahrq.gov/issue/peer-support-nurses-second-victims-resilience-burnout-and-job-satisfaction
March 03, 2019 - Study
Emerging Classic
Peer support for nurses as second victims: resilience, burnout, and job satisfaction.
Citation Text:
Connors C, Dukhanin V, March AL, et al. Peer support for nurses as second victims: Resilience, burnout, and job satisfaction. J Patient Sa…
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psnet.ahrq.gov/issue/new-argument-no-fault-compensation-health-care-introduction-artificial-intelligence-systems
May 13, 2020 - Commentary
A new argument for no-fault compensation in health care: the introduction of artificial intelligence systems.
Citation Text:
Holm S, Stanton C, Bartlett B. A new argument for no-fault compensation in health care: the introduction of artificial intelligence systems. Health Care…
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psnet.ahrq.gov/issue/artificial-intelligence-can-be-regulated-using-current-patient-safety-procedures-and
March 06, 2019 - Commentary
Artificial intelligence can be regulated using current patient safety procedures and infrastructure in hospitals.
Citation Text:
Fleisher LA, Economou-Zavlanos NJ. Artificial intelligence can be regulated using current patient safety procedures and infrastructure in hospitals.…
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psnet.ahrq.gov/issue/team-training-safer-birth
July 16, 2013 - Review
Team training for safer birth.
Citation Text:
Cornthwaite K, Alvarez M, Siassakos D. Team training for safer birth. Best Pract Res Clin Obstet Gynaecol. 2015;29(8):1044-1057. doi:10.1016/j.bpobgyn.2015.03.020.
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psnet.ahrq.gov/issue/patient-and-clinician-experiences-uncertainty-diagnostic-process-current-understanding-and
March 11, 2020 - Commentary
Patient and clinician experiences of uncertainty in the diagnostic process: current understanding and future directions.
Citation Text:
Meyer AND, Giardina TD, Khawaja L, et al. Patient and clinician experiences of uncertainty in the diagnostic process: current understanding a…
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psnet.ahrq.gov/issue/influence-perioperative-handoffs-complications-and-outcomes
October 14, 2020 - Commentary
Influence of perioperative handoffs on complications and outcomes.
Citation Text:
Burden AR, Potestio C, Pukenas E. Influence of perioperative handoffs on complications and outcomes. Adv Anesth. 2021;39:133-148. doi:10.1016/j.aan.2021.07.008.
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psnet.ahrq.gov/issue/necessary-leadership-skillsets-high-reliability-organization-framework-adoption-within-acute
March 23, 2022 - Study
The necessary leadership skillsets for the high-reliability organization framework adoption within acute healthcare organizations.
Citation Text:
Logan‐Athmer AL. The necessary leadership skillsets for the high‐reliability organization framework adoption within acute healthcare org…
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psnet.ahrq.gov/issue/implementation-parent-centered-approach-preinduction-checklist-pediatric-surgery
October 05, 2022 - Study
Implementation of a parent-centered approach to the preinduction checklist in pediatric surgery.
Citation Text:
Arshad SA, Ferguson DM, Garcia EI, et al. Implementation of a Parent-centered Approach to the Preinduction Checklist in Pediatric Surgery. J Surg Res. 2021;257:455-461. d…
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psnet.ahrq.gov/issue/public-perceptions-and-preferences-patient-notification-after-unsafe-injection
July 14, 2010 - Study
Public perceptions and preferences for patient notification after an unsafe injection.
Citation Text:
Schneider AK, Brinsley-Rainisch KJ, Schaefer MK, et al. Public perceptions and preferences for patient notification after an unsafe injection. J Patient Saf. 2013;9(1):8-12. doi:…
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psnet.ahrq.gov/issue/lack-patient-knowledge-regarding-hospital-medications
September 20, 2006 - Study
Lack of patient knowledge regarding hospital medications.
Citation Text:
Lack of patient knowledge regarding hospital medications.
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psnet.ahrq.gov/issue/senior-charge-nurses-leadership-behaviours-relation-hospital-ward-safety-mixed-method-study
December 06, 2010 - Study
Senior charge nurses' leadership behaviours in relation to hospital ward safety: a mixed method study.
Citation Text:
Agnew C, Flin R. Senior charge nurses' leadership behaviours in relation to hospital ward safety: a mixed method study. Int J Nurs Stud. 2014;51(5):768-80. doi:10.1…
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psnet.ahrq.gov/issue/recognising-and-responding-cutting-corners-when-providing-nursing-care-qualitative-study
July 01, 2017 - Study
Recognising and responding to 'cutting corners' when providing nursing care: a qualitative study.
Citation Text:
Jones A, Johnstone M-J, Duke M. Recognising and responding to 'cutting corners' when providing nursing care: a qualitative study. J Clin Nurs. 2016;25(15-16):2126-33. do…
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psnet.ahrq.gov/issue/speaking-about-dangers-hidden-curriculum
September 30, 2020 - Commentary
Speaking up about the dangers of the hidden curriculum.
Citation Text:
Liao JM, Thomas EJ, Bell SK. Speaking up about the dangers of the hidden curriculum. Health Aff (Millwood). 2014;33(1):168-171. doi:10.1377/hlthaff.2013.1073.
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psnet.ahrq.gov/issue/exploring-factors-drive-clinical-negligence-claims-stated-preferences-those-who-have
April 08, 2020 - Study
Exploring the factors that drive clinical negligence claims: stated preferences of those who have experienced unintended harm.
Citation Text:
Wickramasekera N, Hole AR, Rowen D, et al. Exploring the factors that drive clinical negligence claims: stated preferences of those who have…