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  1. psnet.ahrq.gov/issue/improving-safety-during-transitions-care-through-use-electronic-referral-loops-receive-and
    October 19, 2022 - Study Improving safety during transitions of care through the use of electronic referral loops to receive and reconcile health information. Citation Text: Allen G, Setzer J, Jones R, et al. Improving safety during transitions of care through the use of electronic referral loops to receiv…
  2. psnet.ahrq.gov/issue/incidence-adverse-events-among-home-care-patients
    December 04, 2015 - Study The incidence of adverse events among home care patients. Citation Text: Sears NA, Baker R, Barnsley J, et al. The incidence of adverse events among home care patients. Int J Qual Health Care. 2013;25(1):16-28. doi:10.1093/intqhc/mzs075. Copy Citation Format: DOI Go…
  3. www.ahrq.gov/news/newsroom/case-studies/cquips0603.html
    October 01, 2014 - AHRQ's Patient Safety Culture Survey Yields Meaningful Results at Palo Alto Medical Foundation Search All Impact Case Studies November 2005 The Palo Alto Medical Foundation, a multi-specialty medical group located near San Francisco, is now using AHRQ's Hospital Survey on Patient Safety Culture . The first…
  4. psnet.ahrq.gov/issue/team-safety-and-innovation-learning-errors-long-term-care-settings
    March 05, 2010 - Study Team safety and innovation by learning from errors in long-term care settings. Citation Text: Buljac-Samardzic M, van Woerkom M, Paauwe J. Team safety and innovation by learning from errors in long-term care settings. Health Care Manage Rev. 2012;37(3):280-91. doi:10.1097/HMR.0b0…
  5. psnet.ahrq.gov/issue/virtual-urgent-care-quality-and-safety-time-coronavirus
    April 24, 2018 - Study Virtual urgent care quality and safety in the time of Coronavirus. Citation Text: Smith SW, Tiu J, Caspers CG, et al. Virtual Urgent Care Quality and Safety in the Time of Coronavirus. Jt Comm J Qual Patient Saf. 2021;47(2):86-98. doi:10.1016/j.jcjq.2020.10.001. Copy Citation …
  6. psnet.ahrq.gov/issue/developing-conceptual-framework-patient-safety-culture-emergency-department-review-literature
    March 02, 2011 - Review Developing a conceptual framework for patient safety culture in emergency department: a review of the literature. Citation Text: Alshyyab MA, FitzGerald G, Dingle K, et al. Developing a conceptual framework for patient safety culture in emergency department: A review of the litera…
  7. psnet.ahrq.gov/issue/safety-culture-long-term-care-cross-sectional-analysis-safety-attitudes-questionnaire-nursing
    March 05, 2010 - Study Safety culture in long-term care: a cross-sectional analysis of the Safety Attitudes Questionnaire in nursing and residential homes in the Netherlands. Citation Text: Buljac-Samardzic M, van Wijngaarden JD, van Doorn CMD-. Safety culture in long-term care: a cross-sectional analysi…
  8. psnet.ahrq.gov/issue/patient-safety-incidents-endoscopy-human-factors-analysis-non-procedural-significant-harm
    January 29, 2020 - Study Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents from the National Reporting and Learning System (NRLS). Citation Text: Ravindran S, Matharoo M, Rutter MD, et al. Patient safety incidents in endoscopy: a human factors anal…
  9. psnet.ahrq.gov/issue/5th-national-audit-project-nap5-accidental-awareness-during-general-anaesthesia-patient
    October 01, 2014 - Study The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues. Citation Text: Cook TM, Andrade J, Bogod DG, et al. The 5th National Audit Project (NAP5) on accidental awareness …
  10. psnet.ahrq.gov/issue/pharmacy-leadership-amid-pandemic-maintaining-patient-safety-during-uncertain-times
    March 29, 2023 - Commentary Pharmacy leadership amid the pandemic: maintaining patient safety during uncertain times. Citation Text: Derrong Lin I, Hertig JB. Pharmacy leadership amid the pandemic: maintaining patient safety during uncertain times. Hosp Pharm. 2022;57(3):323-328. doi:10.1177/001857872110…
  11. psnet.ahrq.gov/issue/learning-lawsuits-using-malpractice-claims-data-develop-care-transitions-planning-tools
    January 21, 2019 - Study Learning from lawsuits: using malpractice claims data to develop care transitions planning tools. Citation Text: Arbaje AI, Werner NE, Kasda EM, et al. Learning From Lawsuits: Using Malpractice Claims Data to Develop Care Transitions Planning Tools. J Patient Saf. 2020;16(1):52-57.…
  12. psnet.ahrq.gov/issue/another-medical-malpractice-crisis-try-something-different
    November 11, 2020 - Commentary Another medical malpractice crisis?: Try something different. Citation Text: Sage WM, Boothman RC, Gallagher TH. Another medical malpractice crisis?: Try something different. JAMA. 2020;324(14):1395-1396. doi:10.1001/jama.2020.16557. Copy Citation Format: DOI Goo…
  13. psnet.ahrq.gov/issue/disclosure-apology-and-offer-programs-stakeholders-views-barriers-and-strategies-broad
    December 19, 2018 - Study Disclosure, apology, and offer programs: stakeholders' views of barriers to and strategies for broad implementation. Citation Text: Bell SK, Smulowitz PB, Woodward AC, et al. Disclosure, apology, and offer programs: stakeholders' views of barriers to and strategies for broad implem…
  14. psnet.ahrq.gov/issue/ensuring-safe-practice-late-career-physicians-institutional-policies-and-implementation
    May 20, 2019 - Study Ensuring safe practice by late career physicians: institutional policies and implementation experiences. Citation Text: White AA, Gallagher TH, Osinska PH, et al. Ensuring safe practice by late career physicians: institutional policies and implementation experiences. Ann Intern Med…
  15. psnet.ahrq.gov/issue/pediatric-trainees-speaking-about-unprofessional-behavior-and-traditional-patient-safety
    December 21, 2017 - Study Pediatric trainees' speaking up about unprofessional behavior and traditional patient safety threats. Citation Text: Kesselheim JC, Shelburne JT, Bell SK, et al. Pediatric trainees' speaking up about unprofessional behavior and traditional patient safety threats. Acad Pediatr. 2021…
  16. psnet.ahrq.gov/issue/deficiencies-facility-leaders-response-critical-surgical-events-michael-e-debakey-va-medical
    November 29, 2023 - Book/Report Deficiencies in Facility Leaders' Response to Critical Surgical Events at the Michael E. DeBakey VA Medical Center in Houston, Texas. Citation Text: Deficiencies in Facility Leaders' Response to Critical Surgical Events at the Michael E. DeBakey VA Medical Center in Houston, …
  17. digital.ahrq.gov/ahrq-funded-projects/electronic-records-improve-care-children
    January 01, 2023 - Electronic Records to Improve Care for Children Project Final Report ( PDF , 84.66 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No sta…
  18. psnet.ahrq.gov/issue/impact-medical-education-patient-safety-finding-signal-through-noise
    December 31, 2018 - Commentary Impact of medical education on patient safety: finding the signal through the noise. Citation Text: Hwang J, Kelz RR. Impact of medical education on patient safety: finding the signal through the noise. BMJ Qual Saf. 2023;32(2):61-64. doi:10.1136/bmjqs-2022-015054. Copy Cita…
  19. psnet.ahrq.gov/issue/quality-and-safety-hospital-pediatrics-during-covid-19-national-qualitative-study
    November 17, 2021 - Study Quality and safety in hospital pediatrics during COVID-19: a national qualitative study. Citation Text: De Angulo NR, Penwill N, Pathak PR, et al. Quality and safety in hospital pediatrics during COVID-19: a national qualitative study. Hosp Pediatr. 2022;12(1):e2021006115. doi:10.1…
  20. psnet.ahrq.gov/issue/e-prescribing-and-medication-safety-community-settings-rapid-scoping-review
    January 22, 2025 - Review E-prescribing and medication safety in community settings: a rapid scoping review. Citation Text: Cassidy CE, Boulos L, McConnell E, et al. E-prescribing and medication safety in community settings: a rapid scoping review. Explor Res Clin Soc Pharm. 2023;12:100365. doi:10.1016/j.r…