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  1. Executive Summary | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilysum.html
    July 01, 2018 - Guide to Patient and Family Engagement Executive Summary Previous Page Next Page Table of Contents Guide to Patient and Family Engagement Executive Summary Introduction Methods Findings Implications for the Guide Summary and Discussion Next Steps References Appendix A: Draft Key In…

  2. A National Conference on the Role of Health IT to Improve Medication Management - Slides (pdf file)

    digital.ahrq.gov/sites/default/files/docs/improve-medication-management-slides-091318.pdf
    September 27, 2018 - A National Conference on the Role of Health IT to Improve Medication Management - Slides A National Web Conference on the Role of Health IT to Improve Medication Management Presented by: Karen Farris, PhD Jeffrey Schnipper, MD, MPH, FHM Margie Snyder, PharmD, MPH, FCCP Modera…

  3. Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. | PSNet

    psnet.ahrq.gov/issue/designing-distractions-human-factors-approach-decreasing-interruptions-centralised-medication
    July 27, 2018 - Study Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. Citation Text: Colligan L, Guerlain S, Steck SE, et al. Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication…

  4. National and local medication error reporting systems—a survey of practices in 16 countries. | PSNet

    psnet.ahrq.gov/issue/national-and-local-medication-error-reporting-systems-survey-practices-16-countries
    September 09, 2015 - Study National and local medication error reporting systems—a survey of practices in 16 countries. Citation Text: Holmström A-R, Airaksinen M, Weiss M, et al. National and local medication error reporting systems: a survey of practices in 16 countries. J Patient Saf. 2012;8(4):165-76. …

  5. How well is quality improvement described in the perioperative care literature? A systematic review. | PSNet

    psnet.ahrq.gov/issue/how-well-quality-improvement-described-perioperative-care-literature-systematic-review
    January 19, 2022 - Review How well is quality improvement described in the perioperative care literature? A systematic review. Citation Text: Jones EL, Lees N, Martin G, et al. How Well Is Quality Improvement Described in the Perioperative Care Literature? A Systematic Review. Jt Comm J Qual Patient Saf. 2…

  6. Allocation of Scarce Resources During MCEs | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/evidence-based-reports/er207-abstract.html
    October 01, 2014 - Allocation of Scarce Resources During MCEs Full Title: Allocation of Scarce Resources During Mass Casualty Events Topic page summarizing evidence report on allocation of scarce resources during mass casualty events (MCEs). June 2012 This report reviews the evidence regarding allocation of scarce medical r…

  7. Increasing patient safety with neonates via handoff communication during delivery: a call for interprofessional health care team training across GME and CME. | PSNet

    psnet.ahrq.gov/issue/increasing-patient-safety-neonates-handoff-communication-during-delivery-call
    March 19, 2019 - Commentary Increasing patient safety with neonates via handoff communication during delivery: a call for interprofessional health care team training across GME and CME. Citation Text: Vanderbilt AA, Pappada SM, Stein H, et al. Increasing patient safety with neonates via handoff communica…

  8. Improving employee voice about transgressive or disruptive behavior: a case study. | PSNet

    psnet.ahrq.gov/issue/improving-employee-voice-about-transgressive-or-disruptive-behavior-case-study
    June 16, 2021 - Study Improving employee voice about transgressive or disruptive behavior: a case study. Citation Text: Dixon-Woods M, Campbell A, Martin G, et al. Improving Employee Voice About Transgressive or Disruptive Behavior: A Case Study. Acad Med. 2019;94(4):579-585. doi:10.1097/ACM.00000000000…

  9. The multidisciplinary approach to GI cancer results in change of diagnosis and management of patients. Multidisciplinary care impacts diagnosis and management of patients. | PSNet

    psnet.ahrq.gov/issue/multidisciplinary-approach-gi-cancer-results-change-diagnosis-and-management-patients
    December 21, 2014 - Study The multidisciplinary approach to GI cancer results in change of diagnosis and management of patients. Multidisciplinary care impacts diagnosis and management of patients. Citation Text: Meguid C, Schulick RD, Schefter TE, et al. The Multidisciplinary Approach to GI Cancer Results …

  10. Operationalizing occupational fatigue in pharmacists: an exploratory factor analysis. | PSNet

    psnet.ahrq.gov/issue/operationalizing-occupational-fatigue-pharmacists-exploratory-factor-analysis
    March 23, 2022 - Study Operationalizing occupational fatigue in pharmacists: an exploratory factor analysis. Citation Text: Watterson TL, Look KA, Steege LM, et al. Operationalizing occupational fatigue in pharmacists: an exploratory factor analysis. Res Social Adm Pharm. 2021;17(7):1282-1287. doi:10.101…

  11. Often overlooked problems with handoffs: from the intensive care unit to the operating room. | PSNet

    psnet.ahrq.gov/issue/often-overlooked-problems-handoffs-intensive-care-unit-operating-room
    May 25, 2016 - Review Often overlooked problems with handoffs: from the intensive care unit to the operating room. Citation Text: Evans AS, Yee M-S, Hogue CW. Often overlooked problems with handoffs: from the intensive care unit to the operating room. Anesth Analg. 2014;118(3):687-9. doi:10.1213/ANE.00…

  12. Outpatient adverse drug events identified by screening electronic health records. | PSNet

    psnet.ahrq.gov/issue/outpatient-adverse-drug-events-identified-screening-electronic-health-records
    June 08, 2016 - Study Outpatient adverse drug events identified by screening electronic health records. Citation Text: Gandhi TK, Seger AC, Overhage M, et al. Outpatient adverse drug events identified by screening electronic health records. J Patient Saf. 2010;6(2):91-6. doi:10.1097/PTS.0b013e3181dcae06…

  13. Accurate measurement in California's safety-net health systems has gaps and barriers. | PSNet

    psnet.ahrq.gov/issue/accurate-measurement-californias-safety-net-health-systems-has-gaps-and-barriers
    April 04, 2018 - Study Accurate measurement in California's safety-net health systems has gaps and barriers. Citation Text: Khoong EC, Cherian R, Rivadeneira NA, et al. Accurate Measurement In California's Safety-Net Health Systems Has Gaps And Barriers. Health Aff (Millwood). 2018;37(11):1760-1769. doi:…

  14. Impact of digitally acquired peer diagnostic input on diagnostic confidence in outpatient cases: a pragmatic randomized trial. | PSNet

    psnet.ahrq.gov/issue/impact-digitally-acquired-peer-diagnostic-input-diagnostic-confidence-outpatient-cases
    June 15, 2022 - Study Impact of digitally acquired peer diagnostic input on diagnostic confidence in outpatient cases: a pragmatic randomized trial. Citation Text: Khoong EC, Fontil V, Rivadeneira NA, et al. Impact of digitally acquired peer diagnostic input on diagnostic confidence in outpatient cases:…

  15. Should medical errors be disclosed to pediatric patients? Pediatricians' attitudes toward error disclosure. | PSNet

    psnet.ahrq.gov/issue/should-medical-errors-be-disclosed-pediatric-patients-pediatricians-attitudes-toward-error
    June 15, 2011 - Study Should medical errors be disclosed to pediatric patients? Pediatricians' attitudes toward error disclosure. Citation Text: Kolaitis IN, Schinasi DA, Ross LF. Should Medical Errors Be Disclosed to Pediatric Patients? Pediatricians' Attitudes Toward Error Disclosure. Acad Pediatr. 20…

  16. Influence of surgeon behavior on trainee willingness to speak up: a randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/influence-surgeon-behavior-trainee-willingness-speak-randomized-controlled-trial
    February 22, 2019 - Study Influence of surgeon behavior on trainee willingness to speak up: a randomized controlled trial. Citation Text: Salazar MJB, Minkoff H, Bayya J, et al. Influence of surgeon behavior on trainee willingness to speak up: a randomized controlled trial. J Am Coll Surg. 2014;219(5):1001-…

  17. Are physician assistants able to correctly identify prescribing errors? A cross-sectional study. | PSNet

    psnet.ahrq.gov/issue/are-physician-assistants-able-correctly-identify-prescribing-errors-cross-sectional-study
    May 29, 2019 - Study Are physician assistants able to correctly identify prescribing errors? A cross-sectional study. Citation Text: Gillette C, Perry CJ, Ferreri SP, et al. Are physician assistants able to correctly identify prescribing errors? A cross-sectional study. J Physician Assist Educ. 2023;34…

  18. Evolution of intravenous medication errors and preventive systemic defenses in hospital settings-a narrative review of recent evidence. | PSNet

    psnet.ahrq.gov/issue/evolution-intravenous-medication-errors-and-preventive-systemic-defenses-hospital-settings
    July 01, 2020 - Review Evolution of intravenous medication errors and preventive systemic defenses in hospital settings-a narrative review of recent evidence. Citation Text: Kuitunen S, Airaksinen M, Holmström A-R. Evolution of intravenous medication errors and preventive systemic defenses in hospital s…

  19. Resident fatigue: is there a patient safety issue? | PSNet

    psnet.ahrq.gov/issue/resident-fatigue-there-patient-safety-issue
    February 03, 2010 - Study Resident fatigue: is there a patient safety issue? Citation Text: Mitchell CD, Mooty CR, Dunn EL, et al. Resident fatigue: is there a patient safety issue? Am J Surg. 2009;198(6):811-6. doi:10.1016/j.amjsurg.2009.04.028. Copy Citation Format: DOI Google Scholar PubM…

  20. Association of hospital public quality reporting with electronic health record medication safety performance. | PSNet

    psnet.ahrq.gov/issue/association-hospital-public-quality-reporting-electronic-health-record-medication-safety
    October 21, 2020 - Study Association of hospital public quality reporting with electronic health record medication safety performance. Citation Text: Holmgren AJ, Bates DW. Association of hospital public quality reporting with electronic health record medication safety performance. JAMA Netw Open. 2021;4(9…
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