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  1. psnet.ahrq.gov/issue/evaluating-implementation-project-re-engineered-discharge-red-five-veterans-health
    June 26, 2024 - Study Evaluating the implementation of Project Re-Engineered Discharge (RED) in five Veterans Health Administration (VHA) hospitals. Citation Text: Sullivan JL, Shin MH, Engle RL, et al. Evaluating the Implementation of Project Re-Engineered Discharge (RED) in Five Veterans Health Admini…
  2. psnet.ahrq.gov/issue/implementing-patient-and-family-involvement-interventions-promoting-patient-safety-systematic
    February 02, 2022 - Review Implementing patient and family involvement interventions for promoting patient safety: a systematic review and meta-analysis. Citation Text: Giap T-T-T, Park M. Implementing patient and family involvement interventions for promoting patient safety. J Patient Saf. 2021;17(2):131-1…
  3. psnet.ahrq.gov/issue/medication-errors-and-processes-reduce-them-care-homes-united-kingdom-scoping-review
    October 28, 2020 - Review Medication errors and processes to reduce them in care homes in the United Kingdom: a scoping review. Citation Text: Irons MW, Auta A, Portlock JC, et al. Medication errors and processes to reduce them in care homes in the United Kingdom: a scoping review. Home Health Care Serv Q.…
  4. psnet.ahrq.gov/issue/fifth-vital-sign-nurse-worry-predicts-inpatient-deterioration-within-24-hours
    October 14, 2015 - Study The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. Citation Text: The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. Romero-Brufau S, Gaines K, Nicolas CT, et al. JAMIA Open. 2019;2(4):465-470. Copy Citation …
  5. psnet.ahrq.gov/issue/humanizing-harm-using-restorative-approach-heal-and-learn-adverse-events
    November 30, 2022 - Commentary Humanizing harm: using a restorative approach to heal and learn from adverse events. Citation Text: Wailling J, Kooijman A, Hughes J, et al. Humanizing harm: Using a restorative approach to heal and learn from adverse events. Health Expect. 2022;25(4):1192-1199. doi:10.1111/he…
  6. psnet.ahrq.gov/issue/safety-participation-direct-care-level-results-patient-questionnaire
    August 26, 2020 - Study Safety participation at the direct care level: results of a patient questionnaire. Citation Text: Duhn L, Gumapac N, Medves J. Safety participation at the direct care level: results of a patient questionnaire. Patient Exp J. 2021;8(1):59-68. doi:10.35680/2372-0247.1506. Copy Cita…
  7. psnet.ahrq.gov/issue/barriers-and-success-factors-implementation-multi-site-prospective-adverse-event-surveillance
    November 15, 2017 - Study Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. Citation Text: Backman C, Forster AJ, Vanderloo S. Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. Int…
  8. psnet.ahrq.gov/issue/impact-automated-email-notification-system-results-tests-pending-discharge-cluster-randomized
    December 31, 2014 - Study Impact of an automated email notification system for results of tests pending at discharge: a cluster-randomized controlled trial. Citation Text: Dalal A, Roy CL, Poon EG, et al. Impact of an automated email notification system for results of tests pending at discharge: a cluster-r…
  9. psnet.ahrq.gov/issue/laboratory-safety-monitoring-chronic-medications-ambulatory-care-settings
    January 06, 2017 - Study Laboratory safety monitoring of chronic medications in ambulatory care settings. Citation Text: Hurley JS, Roberts M, Solberg LI, et al. Brief report: Laboratory safety monitoring of chronic medications in ambulatory care settings. J Gen Intern Med. 2005;20(4). doi:10.1111/j.1525…
  10. psnet.ahrq.gov/issue/impact-80-hour-work-week-appropriate-resident-case-coverage
    June 18, 2008 - Study The impact of the 80-hour work week on appropriate resident case coverage. Citation Text: Shin S, Britt R, Doviak M, et al. The Impact of the 80-Hour Work Week on Appropriate Resident Case Coverage. Journal of Surgical Research. 2009;162(1). doi:10.1016/j.jss.2009.12.003. Copy …
  11. psnet.ahrq.gov/issue/trigger-tool-identify-adverse-events-intensive-care-unit
    April 08, 2011 - Study A trigger tool to identify adverse events in the intensive care unit.  Citation Text: Resar RK, Rozich JD, Simmonds T, et al. A Trigger Tool to Identify Adverse Events in the Intensive Care Unit. The Joint Commission Journal on Quality and Patient Safety. 2016;32(10). doi:10.1016/s…
  12. psnet.ahrq.gov/issue/older-patients-understanding-emergency-department-discharge-information-and-its-relationship
    October 10, 2012 - Study Older patients' understanding of emergency department discharge information and its relationship with adverse outcomes. Citation Text: Hastings SN, Barrett A, Weinberger M, et al. Older Patients' Understanding of Emergency Department Discharge Information and Its Relationship Wit…
  13. psnet.ahrq.gov/issue/identifying-barriers-effective-use-clinical-reminders-bootstrapping-multiple-methods
    March 11, 2011 - Study Identifying barriers to the effective use of clinical reminders: bootstrapping multiple methods. Citation Text: Patterson ES, Doebbeling BN, Fung CH, et al. Identifying barriers to the effective use of clinical reminders: bootstrapping multiple methods. J Biomed Inform. 2005;38(3):…
  14. psnet.ahrq.gov/issue/enhancing-safe-medication-use-home-care-insights-informal-caregivers
    December 02, 2020 - Study Enhancing safe medication use in home care: insights from informal caregivers. Citation Text: Gil-Hernández E, Ballester P, Guilabert M, et al. Enhancing safe medication use in home care: insights from informal caregivers. Front Med (Lausanne). 2024;11:1494771. doi:10.3389/fmed.202…
  15. psnet.ahrq.gov/issue/quality-measures-patients-risk-adverse-outcomes-veterans-health-administration-expert-panel
    June 22, 2022 - Commentary Quality measures for patients at risk of adverse outcomes in the Veterans Health Administration: expert panel recommendations. Citation Text: Chang ET, Newberry S, Rubenstein LV, et al. Quality Measures for Patients at Risk of Adverse Outcomes in the Veterans Health Administra…
  16. psnet.ahrq.gov/issue/risks-and-medication-errors-analysis-evaluate-impact-chemotherapy-compounding-workflow
    January 27, 2019 - Study Risks and medication errors analysis to evaluate the impact of a chemotherapy compounding workflow management system on cancer patients' safety. Citation Text: Marzal-Alfaro MB, Rodriguez-Gonzalez CG, Escudero-Vilaplana V, et al. Risks and medication errors analysis to evaluate the…
  17. psnet.ahrq.gov/issue/medication-use-evaluation-high-dose-long-term-opioid-de-prescribing-multiple-veterans-affairs
    October 12, 2022 - Study Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans Affairs medical centers. Citation Text: Barrett AK, Sandbrink F, Mardian A, et al. Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans Affairs medical…
  18. psnet.ahrq.gov/issue/improvement-brief-detecting-and-assessing-suicide-ideation-during-covid-19-pandemic
    October 13, 2021 - Study Detecting and assessing suicide ideation during the COVID-19 pandemic. Citation Text: Simon GE, Stewart CC, Gary MC, et al. Improvement brief: detecting and assessing suicide ideation during the COVID-19 pandemic. Jt Comm J Qual Patient Saf. 2021;47(7):452-457. doi:10.1016/j.jcjq.2…
  19. psnet.ahrq.gov/issue/laboratory-test-ordering-and-results-management-systems-qualitative-study-safety-risks
    March 16, 2016 - Study Laboratory test ordering and results management systems: a qualitative study of safety risks identified by administrators in general practice. Citation Text: Bowie P, Halley L, McKay J. Laboratory test ordering and results management systems: a qualitative study of safety risks id…
  20. psnet.ahrq.gov/issue/systems-approach-health-service-design-delivery-and-improvement-systematic-review-and-meta
    February 02, 2022 - Review Emerging Classic Systems approach to health service design, delivery and improvement: a systematic review and meta-analysis. Citation Text: Komashie A, Ward JR, Bashford T, et al. Systems approach to health service design, delivery and improvement: a syst…

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