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  1. The critical incident technique. | PSNet

    psnet.ahrq.gov/issue/critical-incident-technique
    January 07, 2015 - Study Classic The critical incident technique. Citation Text: FLANAGAN JC. The critical incident technique. Psychol Bull. 1954;51(4):327-358. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

  2. Why do people sue doctors? A study of patients and relatives taking legal action. | PSNet

    psnet.ahrq.gov/issue/why-do-people-sue-doctors-study-patients-and-relatives-taking-legal-action
    August 04, 2021 - Study Classic Why do people sue doctors? A study of patients and relatives taking legal action. Citation Text: Vincent C, Young M, Phillips A. Why do people sue doctors? A study of patients and relatives taking legal action. Lancet. 1994;343(8913):1609-1613. …

  3. The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events. | PSNet

    psnet.ahrq.gov/issue/psychiatry-morbidity-and-mortality-incident-reporting-tool-increases-psychiatrist
    March 10, 2021 - Study The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events. Citation Text: Kroll DS, Shellman AD, Gitlin DF. The Psychiatry Morbidity and Mortality Incident Reporting Tool Increases Psychiatrist Participation in R…

  4. Exploring the relationship between hospital patient safety culture and performance on measures of hospital-acquired conditions. | PSNet

    psnet.ahrq.gov/issue/exploring-relationship-between-hospital-patient-safety-culture-and-performance-measures
    August 28, 2024 - Commentary Exploring the relationship between hospital patient safety culture and performance on measures of hospital-acquired conditions. Citation Text: Noghrehchi P, Hefner JL, Stegall H, et al. Exploring the relationship between hospital patient safety culture and performance on measu…

  5. Impact of a computerized physician order entry system on nurse-physician collaboration in the medication process. | PSNet

    psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-nurse-physician-collaboration-medication
    February 23, 2009 - Study Impact of a computerized physician order entry system on nurse-physician collaboration in the medication process. Citation Text: Pirnejad H, Niazkhani Z, van der Sijs H, et al. Impact of a computerized physician order entry system on nurse-physician collaboration in the medi…

  6. Patient safety in community dementia services: what can we learn from the experiences of caregivers and healthcare professionals? | PSNet

    psnet.ahrq.gov/issue/patient-safety-community-dementia-services-what-can-we-learn-experiences-caregivers-and
    March 05, 2025 - Study Patient safety in community dementia services: what can we learn from the experiences of caregivers and healthcare professionals? Citation Text: Behrman S, Wilkinson P, Lloyd H, et al. Patient safety in community dementia services: what can we learn from the experiences of caregive…

  7. Is there a role for patients and their relatives in escalating clinical deterioration in hospital? A systematic review. | PSNet

    psnet.ahrq.gov/issue/there-role-patients-and-their-relatives-escalating-clinical-deterioration-hospital-systematic
    March 08, 2023 - Review Is there a role for patients and their relatives in escalating clinical deterioration in hospital? A systematic review. Citation Text: Albutt AK, O'Hara JK, Conner MT, et al. Is there a role for patients and their relatives in escalating clinical deterioration in hospital? A syste…

  8. Detection rates of mild cognitive impairment in primary care for the United States Medicare population. | PSNet

    psnet.ahrq.gov/issue/detection-rates-mild-cognitive-impairment-primary-care-united-states-medicare-population
    February 16, 2022 - Study Detection rates of mild cognitive impairment in primary care for the United States Medicare population. Citation Text: Liu Y, Jun H, Becker A, et al. Detection rates of mild cognitive impairment in primary care for the United States Medicare population. J Prev Alz Dis. 2024;11:7–12…

  9. An examination of Leapfrog safety measures and Magnet designation. | PSNet

    psnet.ahrq.gov/issue/examination-leapfrog-safety-measures-and-magnet-designation
    January 27, 2021 - Study An examination of Leapfrog safety measures and Magnet designation. Citation Text: Tai TWC, Mattie A, Miller SM, et al. An examination of Leapfrog safety measures and Magnet designation. J Healthc Risk Manag. 2023;42(3-4):21-29. doi:10.1002/jhrm.21533. Copy Citation Format: …

  10. A systematic review of interventions to follow-up test results pending at discharge. | PSNet

    psnet.ahrq.gov/issue/systematic-review-interventions-follow-test-results-pending-discharge
    November 16, 2022 - Review A systematic review of interventions to follow-up test results pending at discharge. Citation Text: Darragh PJ, Bodley T, Orchanian-Cheff A, et al. A Systematic Review of Interventions to Follow-Up Test Results Pending at Discharge. J Gen Intern Med. 2018;33(5):750-758. doi:10.100…

  11. Influence of psychological safety and organizational support on the impact of humiliation on trainee well-being. | PSNet

    psnet.ahrq.gov/issue/influence-psychological-safety-and-organizational-support-impact-humiliation-trainee-well
    January 26, 2022 - Study Influence of psychological safety and organizational support on the impact of humiliation on trainee well-being. Citation Text: Appelbaum NP, Santen SA, Perera RA, et al. Influence of psychological safety and organizational support on the impact of humiliation on trainee well-being…

  12. Improving patient handovers from hospital to primary care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/improving-patient-handovers-hospital-primary-care-systematic-review
    March 06, 2013 - Review Improving patient handovers from hospital to primary care: a systematic review. Citation Text: Hesselink G, Schoonhoven L, Barach P, et al. Improving patient handovers from hospital to primary care: a systematic review. Ann Intern Med. 2013;157(6):417. doi:10.7326/0003-4819-157-6-…

  13. Clinicians' perceptions of opioid error–contributing factors in inpatient palliative care services: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/clinicians-perceptions-opioid-error-contributing-factors-inpatient-palliative-care-services
    June 01, 2016 - Study Clinicians' perceptions of opioid error–contributing factors in inpatient palliative care services: a qualitative study. Citation Text: Heneka N, Bhattarai P, Shaw T, et al. Clinicians' perceptions of opioid error-contributing factors in inpatient palliative care services: A qualit…

  14. Effects of patient-, environment- and medication-related factors on high-alert medication incidents. | PSNet

    psnet.ahrq.gov/issue/effects-patient-environment-and-medication-related-factors-high-alert-medication-incidents
    January 22, 2016 - Study Effects of patient-, environment- and medication-related factors on high-alert medication incidents. Citation Text: Manias E, Williams A, Liew D, et al. Effects of patient-, environment- and medication-related factors on high-alert medication incidents. Int J Qual Health Care. 2014…

  15. Introducing the CAHPS Child Hospital Survey (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150122/3_barbara_burke.pdf
    June 09, 2012 - Introducing the CAHPS Child Hospital Survey Child HCAHPS Barbara Burke, Administrator, Patient Family Experience Center of Excellence Ann & Robert H. Lurie Children’s Hospital of Chicago 37 Outline • An introduction to Lurie Children’s • Impetus for change • Child HCAHPS • Moving forward …

  16. Closing the loop with ambulatory staff on safety reports. | PSNet

    psnet.ahrq.gov/issue/closing-loop-ambulatory-staff-safety-reports
    April 22, 2016 - Study Closing the loop with ambulatory staff on safety reports. Citation Text: Williams S, Fiumara K, Kachalia A, et al. Closing the Loop with Ambulatory Staff on Safety Reports. Jt Comm J Qual Saf. 2020;46(1):44-50. doi:10.1016/j.jcjq.2019.09.009. Copy Citation Format: DOI…

  17. Warm Handoffs: A Guide for Clinicians (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-guide-for-clinicians.pdf
    June 02, 2025 - Warm Handoffs: A Guide for Clinicians Why is it important? Communication breakdowns can result in medical errors. Warm handoffs can help address communication issues and: ■ Engage patients and families and encourage them to ask questions. ■ Allow patients to clarify or correct the information exchanged. ■…

  18. Chronic Disease Management | Digital Healthcare Research

    digital.ahrq.gov/health-care-theme/chronic-disease-management
    January 01, 2023 - Chronic Disease Management Patient Intestinal Failure-ECHO Project (PIF-ECHO) Description This study will evaluate the feasibility and effectiveness of providing chronic intestinal failure patients and their family caregivers with direct access to live, virtual, multi-discipli…

  19. Predictors and triggers of incivility within healthcare teams: a systematic review of the literature. | PSNet

    psnet.ahrq.gov/issue/predictors-and-triggers-incivility-within-healthcare-teams-systematic-review-literature
    July 21, 2011 - Review Predictors and triggers of incivility within healthcare teams: a systematic review of the literature. Citation Text: Keller S, Yule S, Zagarese V, et al. Predictors and triggers of incivility within healthcare teams: a systematic review of the literature. BMJ Open. 2020;10(6):e035…

  20. CHaMP: A model for building a center to support health care worker well-being after experiencing an adverse event. | PSNet

    psnet.ahrq.gov/issue/champ-model-building-center-support-health-care-worker-well-being-after-experiencing-adverse
    January 18, 2023 - Commentary CHaMP: A model for building a center to support health care worker well-being after experiencing an adverse event. Citation Text: McIntosh MS, Garvan C, Kalynych CJ, et al. CHaMP: A model for building a center to support health care worker well-being after experiencing an adve…
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