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  1. Missouri Hospitals Improve Medication Reconciliation Process Using AHRQ Toolkit | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/case-studies/ktcquips93.html
    October 01, 2014 - Missouri Hospitals Improve Medication Reconciliation Process Using AHRQ Toolkit Search All Impact Case Studies April 2012 After participating in AHRQ-sponsored learning sessions and provider support calls, Primaris, the Missouri Quality Improvement Organization (QIO), worked with hospitals in the State to i…

  2. Medication errors involving oral chemotherapy. | PSNet

    psnet.ahrq.gov/issue/medication-errors-involving-oral-chemotherapy
    January 06, 2017 - Study Medication errors involving oral chemotherapy. Citation Text: Weingart SN, Toro J, Spencer J, et al. Medication errors involving oral chemotherapy. Cancer. 2010;116(10):2455-2464. doi:10.1002/cncr.25027. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…

  3. Adverse mental health inpatient experiences: qualitative systematic review of international literature. | PSNet

    psnet.ahrq.gov/issue/adverse-mental-health-inpatient-experiences-qualitative-systematic-review-international
    January 13, 2021 - Review Adverse mental health inpatient experiences: qualitative systematic review of international literature. Citation Text: Hallett N, Dickinson R, Eneje E, et al. Adverse mental health inpatient experiences: qualitative systematic review of international literature. Int J Nurs Stud. 2…

  4. Potentially inappropriate prescribing in older patients discharged from acute care hospitals to residential aged care facilities. | PSNet

    psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-older-patients-discharged-acute-care-hospitals
    June 23, 2021 - Study Potentially inappropriate prescribing in older patients discharged from acute care hospitals to residential aged care facilities. Citation Text: Poudel A, Peel NM, Nissen L, et al. Potentially inappropriate prescribing in older patients discharged from acute care hospitals to resid…

  5. Is disruptive behavior inherent to the surgeon or the environment? Analysis of 314 events at a single academic medical center. | PSNet

    psnet.ahrq.gov/issue/disruptive-behavior-inherent-surgeon-or-environment-analysis-314-events-single-academic
    October 19, 2022 - Study Is disruptive behavior inherent to the surgeon or the environment? Analysis of 314 events at a single academic medical center. Citation Text: Heslin MJ, Singletary BA, Benos KC, et al. Is Disruptive Behavior Inherent to the Surgeon or the Environment? Analysis of 314 Events at a Si…

  6. High-reliability organisation principles implemented in dentistry. | PSNet

    psnet.ahrq.gov/issue/high-reliability-organisation-principles-implemented-dentistry
    April 06, 2022 - Commentary High-reliability organisation principles implemented in dentistry. Citation Text: Minyé HM, Benjamin EM. High-reliability organisation principles implemented in dentistry. Br Dent J. 2022;232(12):879-885. doi:10.1038/s41415-022-4354-z. Copy Citation Format: DOI G…

  7. The impact of critical incidents on nurses and midwives: a systematic review. | PSNet

    psnet.ahrq.gov/issue/impact-critical-incidents-nurses-and-midwives-systematic-review
    May 11, 2022 - Review The impact of critical incidents on nurses and midwives: a systematic review. Citation Text: Buhlmann M, Ewens B, Rashidi A. The impact of critical incidents on nurses and midwives: A systematic review. J Clin Nurs. 2020;30(9-10):1195-1205. doi:10.1111/jocn.15608. Copy Citation …

  8. Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention interventions for older adults. | PSNet

    psnet.ahrq.gov/issue/optimizing-post-acute-care-patient-safety-scoping-review-multifactorial-fall-prevention
    January 12, 2022 - Review Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention interventions for older adults. Citation Text: Leland NE, Lekovitch C, Martínez J, et al. Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention int…

  9. Social disparities in patient safety in primary care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/social-disparities-patient-safety-primary-care-systematic-review
    January 08, 2025 - Review Emerging Classic Social disparities in patient safety in primary care: a systematic review. Citation Text: Piccardi C, Detollenaere J, Bussche PV, et al. Social disparities in patient safety in primary care: a systematic review. Int J Equity Health. 2018;…

  10. The association between professional burnout and engagement with patient safety culture and outcomes: a systematic review. | PSNet

    psnet.ahrq.gov/issue/association-between-professional-burnout-and-engagement-patient-safety-culture-and-outcomes
    October 28, 2020 - Review The association between professional burnout and engagement with patient safety culture and outcomes: a systematic review. Citation Text: Mossburg SE, Himmelfarb CD. The Association Between Professional Burnout and Engagement With Patient Safety Culture and Outcomes: A Systematic …

  11. Cybersecurity in health is an urgent patient safety concern: we can learn from existing patient safety improvement strategies to address it. | PSNet

    psnet.ahrq.gov/issue/cybersecurity-health-urgent-patient-safety-concern-we-can-learn-existing-patient-safety
    October 28, 2020 - Commentary Cybersecurity in health is an urgent patient safety concern: we can learn from existing patient safety improvement strategies to address it. Citation Text: O’Brien N, Ghafur S, Durkin M. Cybersecurity in health is an urgent patient safety concern: we can learn from existing pa…

  12. Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care. | PSNet

    psnet.ahrq.gov/issue/challenging-hierarchy-healthcare-teams-ways-flatten-gradients-improve-teamwork-and-patient
    October 29, 2017 - Review Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care. Citation Text: Green B, Oeppen RS, Smith DW, et al. Challenging hierarchy in healthcare teams - ways to flatten gradients to improve teamwork and patient care. Br J Oral Maxi…

  13. Burnout in mental health professionals: a systematic review and meta-analysis of prevalence and determinants. | PSNet

    psnet.ahrq.gov/issue/burnout-mental-health-professionals-systematic-review-and-meta-analysis-prevalence-and
    July 15, 2020 - Review Classic Burnout in mental health professionals: a systematic review and meta-analysis of prevalence and determinants. Citation Text: O'Connor K, Neff DM, Pitman S. Burnout in mental health professionals: a systematic review and meta-analysis of prevalence…

  14. Medication errors in acute cardiovascular and stroke patients. A scientific statement from the American Heart Association. | PSNet

    psnet.ahrq.gov/issue/medication-errors-acute-cardiovascular-and-stroke-patients-scientific-statement-american
    February 03, 2011 - Organizational Policy/Guidelines Medication errors in acute cardiovascular and stroke patients. A scientific statement from the American Heart Association. Citation Text: Michaels AD, Spinler SA, Leeper B, et al. Medication Errors in Acute Cardiovascular and Stroke Patients. Circulatio…

  15. Shared understanding of resilient practices in the context of inpatient suicide prevention: a narrative synthesis. | PSNet

    psnet.ahrq.gov/issue/shared-understanding-resilient-practices-context-inpatient-suicide-prevention-narrative
    December 23, 2020 - Study Shared understanding of resilient practices in the context of inpatient suicide prevention: a narrative synthesis. Citation Text: Berg SH, Rørtveit K, Walby FA, et al. Shared understanding of resilient practices in the context of inpatient suicide prevention: a narrative synthesis.…

  16. Trends in maternal mortality and severe maternal morbidity during delivery-related hospitalizations in the United States, 2008 to 2021. | PSNet

    psnet.ahrq.gov/issue/trends-maternal-mortality-and-severe-maternal-morbidity-during-delivery-related
    September 29, 2017 - Study Trends in maternal mortality and severe maternal morbidity during delivery-related hospitalizations in the United States, 2008 to 2021. Citation Text: Fink DA, Kilday D, Cao Z, et al. Trends in maternal mortality and severe maternal morbidity during delivery-related hospitalization…

  17. Making health care safer: what is the contribution of health psychology? | PSNet

    psnet.ahrq.gov/issue/making-health-care-safer-what-contribution-health-psychology
    November 26, 2008 - Commentary Making health care safer: what is the contribution of health psychology? Citation Text: Vincent CA, Wearden A, French DP. Making health care safer: What is the contribution of health psychology? Br J Health Psychol. 2015;20(4):681-7. doi:10.1111/bjhp.12166. Copy Citation …

  18. Teaching medical error disclosure to physicians-in-training: a scoping review. | PSNet

    psnet.ahrq.gov/issue/teaching-medical-error-disclosure-physicians-training-scoping-review
    June 09, 2015 - Review Teaching medical error disclosure to physicians-in-training: a scoping review. Citation Text: Stroud L, Wong BM, Hollenberg E, et al. Teaching medical error disclosure to physicians-in-training: a scoping review. Acad Med. 2013;88(6):884-92. doi:10.1097/ACM.0b013e31828f898f. Cop…

  19. Archived: Published Response - Will Recommendations against Spirometry Make Chronic Obstructive Pulmonary Disease Harder to Treat?: Chronic Obstructive Pulmonary Disease (COPD): Screening | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/document/published-response---will-recommendations-against-spirometry-make-chronic-obstructive-pulmonary-disease-harder-to-treat/chronic-obstructive-pulmonary-disease-copd-screening-2008
    November 15, 2008 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Published Response - Will Recommendations against Spirometry Make Chronic Obstructive Pulmonary Disease Harder to Treat? Chronic Obstructive Pulmonary Disease (COPD): Scre…

  20. Is the Surgical Safety Checklist successfully conducted? An observational study of social interactions in the operating rooms of a tertiary hospital. | PSNet

    psnet.ahrq.gov/issue/surgical-safety-checklist-successfully-conducted-observational-study-social-interactions
    November 29, 2023 - Study Is the Surgical Safety Checklist successfully conducted? An observational study of social interactions in the operating rooms of a tertiary hospital. Citation Text: Cullati S, Le Du S, Raë A-C, et al. Is the Surgical Safety Checklist successfully conducted? An observational study …
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