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psnet.ahrq.gov/issue/us-clinicians-experiences-and-perspectives-resource-limitation-and-patient-care-during-covid
November 30, 2022 - Study
US clinicians' experiences and perspectives on resource limitation and patient care during the COVID-19 pandemic.
Citation Text:
Butler CR, Wong SPY, Wightman AG, et al. US clinicians' experiences and perspectives on resource limitation and patient care during the COVID-19 pandemic…
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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-…
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psnet.ahrq.gov/issue/effects-patient-safety-culture-interventions-incident-reporting-general-practice-cluster
September 07, 2016 - Study
Effects of patient safety culture interventions on incident reporting in general practice: a cluster randomised trial.
Citation Text:
Verbakel NJ, Langelaan M, Verheij TJM, et al. Effects of patient safety culture interventions on incident reporting in general practice: a cluster r…
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psnet.ahrq.gov/issue/study-error-reporting-nurses-significant-impact-nursing-team-dynamics
April 12, 2014 - Study
A study of error reporting by nurses: the significant impact of nursing team dynamics.
Citation Text:
Munn LT, Lynn MR, Knafl GJ, et al. A study of error reporting by nurses: the significant impact of nursing team dynamics. J Res Nurs. 2023;28(5):354-364. doi:10.1177/17449871231194…
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psnet.ahrq.gov/issue/differences-reasons-alert-overrides-contraindicated-co-prescriptions-admitting-department
January 23, 2017 - Study
Differences of reasons for alert overrides on contraindicated co-prescriptions by admitting department.
Citation Text:
Ahn EK, Cho S-Y, Shin D, et al. Differences of Reasons for Alert Overrides on Contraindicated Co-prescriptions by Admitting Department. Healthc Inform Res. 2014;20…
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psnet.ahrq.gov/issue/piece-my-mind-shame-guilt-love
January 02, 2017 - Commentary
A piece of my mind. From shame to guilt to love.
Citation Text:
Pronovost P, Bienvenu J. A piece of my mind. From shame to guilt to love. JAMA. 2015;314(23):2507-2508. doi:10.1001/jama.2015.11521.
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psnet.ahrq.gov/issue/intensive-care-unit-safety-incidents-medical-versus-surgical-patients-prospective-multicenter
June 29, 2009 - Study
Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study.
Citation Text:
Sinopoli DJ, Needham DM, Thompson DA, et al. Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study. J Cr…
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psnet.ahrq.gov/issue/relationship-between-nursing-home-staffing-and-resident-safety-outcomes-systematic-review
April 20, 2022 - Review
The relationship between nursing home staffing and resident safety outcomes: a systematic review of reviews.
Citation Text:
Blatter C, Osińska M, Simon M, et al. The relationship between nursing home staffing and resident safety outcomes: a systematic review of reviews. Int J Nurs…
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psnet.ahrq.gov/issue/lost-opportunities-how-physicians-communicate-about-medical-errors
July 10, 2008 - Study
Lost opportunities: how physicians communicate about medical errors.
Citation Text:
Garbutt J, Waterman AD, Kapp JM, et al. Lost Opportunities: How Physicians Communicate About Medical Errors. Health Aff (Millwood). 2008;27(1):246-255. doi:10.1377/hlthaff.27.1.246.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/impmenu.html
December 01, 2017 - Menu of Implementation Strategies
AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing
Menu of Implementation Strategies
The On-Time Menu of Process Improvement Strategies for using reports is a list of potential ways facility teams may choose to integrate the pressure ulcer healing repor…
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psnet.ahrq.gov/issue/development-and-evaluation-patient-safety-interventions-perspectives-operational-safety
February 26, 2025 - Study
Development and evaluation of patient safety interventions: perspectives of operational safety leaders and patient safety organizations.
Citation Text:
Gomes KM, Handley J, Pruitt ZM, et al. Development and evaluation of patient safety interventions: perspectives of operational saf…
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psnet.ahrq.gov/issue/identifying-health-information-technology-related-safety-event-reports-patient-safety-event
July 07, 2021 - Study
Identifying health information technology related safety event reports from patient safety event report databases.
Citation Text:
Fong A, Adams KT, Gaunt MJ, et al. Identifying health information technology related safety event reports from patient safety event report databases. J …
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psnet.ahrq.gov/issue/quality-improvement-ambulatory-surgery-centers-major-national-effort-aimed-reducing
September 23, 2020 - Study
Quality improvement in ambulatory surgery centers: a major national effort aimed at reducing infections and other surgical complications.
Citation Text:
Davis KK, Mahishi V, Singal R, et al. Quality Improvement in Ambulatory Surgery Centers: A Major National Effort Aimed at Reducin…
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psnet.ahrq.gov/issue/patient-safety-incidents-home-hospice-care-experiences-hospice-interdisciplinary-team-members
February 15, 2011 - Study
Patient safety incidents in home hospice care: the experiences of hospice interdisciplinary team members.
Citation Text:
Smucker DR, Regan S, Elder NC, et al. Patient safety incidents in home hospice care: the experiences of hospice interdisciplinary team members. J Palliat Med. 20…
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psnet.ahrq.gov/issue/socio-technical-issues-and-challenges-implementing-safe-patient-handovers-insights
July 19, 2023 - Study
Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case studies.
Citation Text:
Balka E, Tolar M, Coates S, et al. Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case st…
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psnet.ahrq.gov/issue/managing-diagnostic-uncertainty-primary-care-systematic-critical-review
February 15, 2017 - Review
Managing diagnostic uncertainty in primary care: a systematic critical review.
Citation Text:
Alam R, Cheraghi-Sohi S, Panagioti M, et al. Managing diagnostic uncertainty in primary care: a systematic critical review. BMC Fam Pract. 2017;18(1):79. doi:10.1186/s12875-017-0650-0.
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psnet.ahrq.gov/issue/medication-errors-community-pharmacies-evaluation-standardized-safety-program
June 29, 2022 - Study
Medication errors in community pharmacies: evaluation of a standardized safety program.
Citation Text:
Ledlie S, Gomes T, Dolovich L, et al. Medication errors in community pharmacies: evaluation of a standardized safety program. Explor Res Clin Soc Pharm. 2023;9:100218. doi:10.1016…
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psnet.ahrq.gov/issue/factors-differentiating-nursing-homes-strong-resident-safety-climate-qualitative-study
August 26, 2020 - Study
Factors differentiating nursing homes with strong resident safety climate: a qualitative study of leadership and staff perspectives.
Citation Text:
Engle RL, Gillespie C, Clark VA, et al. Factors differentiating nursing homes with strong resident safety climate: a qualitative study…
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psnet.ahrq.gov/issue/impact-errors-healthcare-professionals-critical-care-setting
October 27, 2021 - Study
The impact of errors on healthcare professionals in the critical care setting.
Citation Text:
Kaur AP, Levinson AT, Monteiro JFG, et al. The impact of errors on healthcare professionals in the critical care setting. J Crit Care. 2019;52:16-21. doi:10.1016/j.jcrc.2019.03.001.
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psnet.ahrq.gov/issue/patient-safety-incidents-and-adverse-events-ambulatory-dental-care-systematic-scoping-review
August 29, 2018 - Review
Patient safety incidents and adverse events in ambulatory dental care: a systematic scoping review.
Citation Text:
Ensaldo-Carrasco E, Suarez-Ortegon MF, Carson-Stevens A, et al. Patient Safety Incidents and Adverse Events in Ambulatory Dental Care: A Systematic Scoping Review. J …