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  1. psnet.ahrq.gov/issue/enhancing-teamwork-communication-and-patient-safety-responsiveness-paediatric-intensive-care
    March 10, 2021 - Study Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit using the daily safety huddle tool. Citation Text: Aldawood F, Kazzaz Y, AlShehri A, et al. Enhancing teamwork communication and patient safety responsiveness in a paediatric inte…
  2. psnet.ahrq.gov/issue/learning-diagnostic-errors-improve-patient-safety-when-gps-work-or-alongside-emergency
    December 15, 2021 - Study Learning from diagnostic errors to improve patient safety when GPs work in or alongside emergency departments: incorporating realist methodology into patient safety incident report analysis. Citation Text: Cooper A, Carson-Stevens A, Cooke M, et al. Learning from diagnostic errors …
  3. psnet.ahrq.gov/issue/barriers-and-facilitators-healthcare-workers-adherence-infection-prevention-and-control-ipc
    March 02, 2011 - Review Classic Barriers and facilitators to healthcare workers' adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis. Citation Text: Houghton C, Meskell P, Delaney H, et al. …
  4. psnet.ahrq.gov/issue/evaluation-policies-limiting-opioid-exposure-opioid-prescribing-and-patient-pain-opioid-naive
    May 18, 2022 - Study Evaluation of policies limiting opioid exposure on opioid prescribing and patient pain in opioid-naive patients undergoing elective surgery in a large American health system. Citation Text: Rennert L, Howard KA, Walker KB, et al. Evaluation of policies limiting opioid exposure on o…
  5. psnet.ahrq.gov/issue/evaluating-safety-mental-health-related-prescribing-uk-primary-care-cross-sectional-study
    August 14, 2019 - Study Evaluating the safety of mental health-related prescribing in UK primary care: a cross-sectional study using the Clinical Practice Research Datalink (CPRD). Citation Text: Khawagi WY, Steinke DT, Carr MJ, et al. Evaluating the safety of mental health-related prescribing in UK prima…
  6. psnet.ahrq.gov/issue/scaling-pharmacist-led-information-technology-intervention-pincer-reduce-hazardous
    December 16, 2020 - Study Scaling-up a pharmacist-led information technology intervention (PINCER) to reduce hazardous prescribing in general practices: multiple interrupted time series study. Citation Text: Rodgers S, Taylor AC, Roberts SA, et al. Scaling-up a pharmacist-led information technology interven…
  7. psnet.ahrq.gov/issue/safe-practice-recommendations-use-copy-forward-nursing-flow-sheets-hospital-settings
    May 18, 2022 - Study Safe practice recommendations for the use of copy-forward with nursing flow sheets in hospital settings. Citation Text: Patterson ES, Sillars DM, Staggers N, et al. Safe Practice Recommendations for the Use of Copy-Forward with Nursing Flow Sheets in Hospital Settings. Jt Comm J Qu…
  8. psnet.ahrq.gov/issue/primary-care-relevant-interventions-prevent-falling-older-adults-systematic-evidence-review
    May 27, 2020 - Review Primary care–relevant interventions to prevent falling in older adults: a systematic evidence review for the U.S. Preventive Services Task Force. Citation Text: Michael YL, Whitlock EP, Lin JS, et al. Primary care-relevant interventions to prevent falling in older adults: a syst…
  9. psnet.ahrq.gov/issue/effect-standardized-handoff-curriculum-improved-clinician-preparedness-intensive-care-unit
    October 19, 2022 - Study Classic Effect of standardized handoff curriculum on improved clinician preparedness in the intensive care unit: a stepped-wedge cluster randomized clinical trial. Citation Text: Parent B, LaGrone LN, Albirair MT, et al. Effect of Standardized Handoff Curr…
  10. psnet.ahrq.gov/issue/patient-safety-incidents-involving-sick-children-primary-care-england-and-wales-mixed-methods
    October 12, 2016 - Study Patient safety incidents involving sick children in primary care in England and Wales: a mixed methods analysis. Citation Text: Rees P, Edwards A, Powell C, et al. Patient Safety Incidents Involving Sick Children in Primary Care in England and Wales: A Mixed Methods Analysis. PLoS …
  11. psnet.ahrq.gov/issue/using-stakeholder-intervention-refinement-teams-develop-approaches-real-time-integration
    January 21, 2019 - Commentary Using stakeholder intervention refinement teams to develop approaches for real-time integration of patient-reported safety information during older adults’ hospital-to-home-health care transitions. Citation Text: Arbaje AI, Greyson S, Keita Fakeye M, et al. Using stakeholder i…
  12. psnet.ahrq.gov/innovation/stoplight-mobility-alert-system-safety-and-prevention-falls-children-physical-and
    September 14, 2022 - EMERGING INNOVATIONS The Stoplight Mobility Alert System for safety and prevention of falls in children with physical and cognitive impairments. Citation Text: The Stoplight Mobility Alert System for safety and prevention of falls in children with physical and cognitive impairments. Mullen JB,&nbs…
  13. psnet.ahrq.gov/issue/safer-not-safe-service-users-experiences-psychological-safety-inpatient-mental-health-wards
    March 13, 2024 - Study 'Safer, not safe': service users' experiences of psychological safety in inpatient mental health wards in the United Kingdom. Citation Text: Vogt K S, Baker J, Kendal S, et al. 'Safer, not safe': service users' experiences of psychological safety in inpatient mental health wards in…
  14. psnet.ahrq.gov/issue/how-effective-are-patient-safety-initiatives-retrospective-patient-record-review-study
    March 18, 2013 - Study Classic How effective are patient safety initiatives? A retrospective patient record review study of changes to patient safety over time. Citation Text: Baines RJ, Langelaan M, de Bruijne M, et al. How effective are patient safety initiatives? A retrospect…
  15. psnet.ahrq.gov/issue/how-intervention-studies-measure-effectiveness-medication-safety-related-clinical-decision
    December 14, 2022 - Review How intervention studies measure the effectiveness of medication safety-related clinical decision support systems in primary and long-term care: a systematic review. Citation Text: Lampe D, Grosser J, Grothe D, et al. How intervention studies measure the effectiveness of medicatio…
  16. psnet.ahrq.gov/issue/partially-structured-postoperative-handoff-protocol-improves-communication-2-mixed-surgical
    November 19, 2018 - Study A partially structured postoperative handoff protocol improves communication in 2 mixed surgical intensive care units: findings from the Handoffs and Transitions in Critical Care (HATRICC) prospective cohort study. Citation Text: Lane-Fall MB, Pascual JL, Peifer HG, et al. A Partia…
  17. psnet.ahrq.gov/issue/human-based-errors-involving-smart-infusion-pumps-catalog-error-types-and-prevention
    November 16, 2022 - Review Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies. Citation Text: Kirkendall ES, Timmons K, Huth H, et al. Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies. Drug Saf. 2020;43(1…
  18. psnet.ahrq.gov/issue/assessment-health-information-technology-related-outpatient-diagnostic-delays-us-veterans
    June 24, 2020 - Study Assessment of health information technology-related outpatient diagnostic delays in the US Veterans Affairs health care system: a qualitative study of aggregated root cause analysis data. Citation Text: Powell L, Sittig DF, Chrouser K, et al. Assessment of health information techno…
  19. psnet.ahrq.gov/issue/transmission-community-and-hospital-acquired-sars-cov-2-hospital-settings-uk-cohort-study
    September 23, 2020 - Study Transmission of community- and hospital-acquired SARS-CoV-2 in hospital settings in the UK: a cohort study. Citation Text: Mo Y, Eyre DW, Lumley SF, et al. Transmission of community- and hospital-acquired SARS-CoV-2 in hospital settings in the UK: a cohort study. PLoS Med. 2021;18(…
  20. psnet.ahrq.gov/issue/do-medical-inpatients-who-report-poor-service-quality-experience-more-adverse-events-and
    July 14, 2021 - Study Classic Do medical inpatients who report poor service quality experience more adverse events and medical errors? Citation Text: Taylor BB, Marcantonio ER, Pagovich O, et al. Do medical inpatients who report poor service quality experience more adverse ev…

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