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  1. Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple Medications. | PSNet

    psnet.ahrq.gov/issue/assessment-dod-wounded-warrior-matters-managing-risks-multiple-medications
    March 16, 2022 - Government Resource Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple Medications. Citation Text: Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple Medications. Alexandria, VA: Department of Defense, Office of the Inspector General; February 21…

  2. A system-based approach to managing patient safety in ambulatory care (and beyond). | PSNet

    psnet.ahrq.gov/issue/system-based-approach-managing-patient-safety-ambulatory-care-and-beyond
    December 09, 2020 - Newspaper/Magazine Article A system-based approach to managing patient safety in ambulatory care (and beyond). Citation Text: A system-based approach to managing patient safety in ambulatory care (and beyond). Burger C, Eaton P, Hess K, et al. Patient Saf Qual Healthc. December 12, 2017.…

  3. Assessing hospital safety on nights and weekends: the SWAN tool. | PSNet

    psnet.ahrq.gov/issue/assessing-hospital-safety-nights-and-weekends-swan-tool
    September 28, 2010 - Commentary Assessing hospital safety on nights and weekends: the SWAN tool. Citation Text: Shulkin DJ. Assessing hospital safety on nights and weekends: the SWAN tool. J Patient Saf. 2009;5(2):75-8. doi:10.1097/PTS.0b013e3181a5db10. Copy Citation Format: DOI Google Schola…

  4. Quality-related event learning in community pharmacies: manual versus computerized reporting processes. | PSNet

    psnet.ahrq.gov/issue/quality-related-event-learning-community-pharmacies-manual-versus-computerized-reporting
    November 09, 2016 - Study Quality-related event learning in community pharmacies: manual versus computerized reporting processes. Citation Text: Boyle TA, Scobie A, MacKinnon NJ, et al. Quality-related event learning in community pharmacies: Manual versus computerized reporting processes. J Am Pharm Assoc…

  5. Preventing medication errors at small and rural hospitals. | PSNet

    psnet.ahrq.gov/issue/preventing-medication-errors-small-and-rural-hospitals
    May 19, 2021 - Newspaper/Magazine Article Preventing medication errors at small and rural hospitals. Citation Text: Preventing medication errors at small and rural hospitals. McCook A. Preventing medication errors at small and rural hospitals.  Pharmacy Practice News. May 6, 2020. Copy Citatio…

  6. ASHP guidelines on preventing medication errors in hospitals. | PSNet

    psnet.ahrq.gov/issue/ashp-guidelines-preventing-medication-errors-hospitals-0
    May 09, 2014 - Organizational Policy/Guidelines Emerging Classic ASHP guidelines on preventing medication errors in hospitals. Citation Text: Billstein-Leber M, Carrillo CJD, Cassano AT, et al. ASHP Guidelines on Preventing Medication Errors in Hospitals. Am J Health-Syst Phar…

  7. Hand-off Communications. | PSNet

    psnet.ahrq.gov/issue/hand-communications
    January 04, 2017 - Multi-use Website Hand-off Communications. Citation Text: DeRosier JM, Stalhandske E, Bagian JP, et al. Using health care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system. Copy Citation Format: Google Scholar P…

  8. Improving sleep hygiene of medical interns: can the sleep, alertness, and fatigue education in residency program help? | PSNet

    psnet.ahrq.gov/issue/improving-sleep-hygiene-medical-interns-can-sleep-alertness-and-fatigue-education-residency
    February 03, 2011 - Study Improving sleep hygiene of medical interns: can the sleep, alertness, and fatigue education in residency program help? Citation Text: Arora V, Georgitis E, Woodruff JN, et al. Improving sleep hygiene of medical interns: can the sleep, alertness, and fatigue education in residency…

  9. The impact of a pharmacist's participation on hospitalists' rounds. | PSNet

    psnet.ahrq.gov/issue/impact-pharmacists-participation-hospitalists-rounds
    March 16, 2022 - Study The impact of a pharmacist's participation on hospitalists' rounds. Citation Text: Patel R, Butler K, Garrett D, et al. The Impact of a Pharmacist's Participation on Hospitalists' Rounds. Hosp Pharm. 2010;45(2). doi:10.1310/hpj4502-129. Copy Citation Format: DOI Goog…

  10. The quality and safety track: training future physician leaders. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-track-training-future-physician-leaders
    March 28, 2018 - Commentary The quality and safety track: training future physician leaders. Citation Text: Vinci LM, Oyler J, Arora V. The Quality and Safety Track: Training Future Physician Leaders. Am J Med Qual. 2014;29(4):277-83. doi:10.1177/1062860613498264. Copy Citation Format: DOI …

  11. Ahcptemplsp (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/ahcptemplsp.docx
    June 02, 2025 - Template for Manual Creation of the AHCP: Spanish-Speaking Patients ** Triaga este plan a TODAS sus citas ** Plan de Cuidado Para: [Patient name] Dia de Alta: [discharge date] ¿Preguntas o problemas sobre este paquete? Llame a su transición a la portada enfermera: (xxx) xxx-xxxx DE PHOTO HERE ¿Problemas serios de …

  12. Effect of ACGME duty hours on attending physician teaching and satisfaction. | PSNet

    psnet.ahrq.gov/issue/effect-acgme-duty-hours-attending-physician-teaching-and-satisfaction
    February 17, 2009 - Study Effect of ACGME duty hours on attending physician teaching and satisfaction. Citation Text: Arora V, Meltzer DO. Effect of ACGME duty hours on attending physician teaching and satisfaction. Arch Intern Med. 2008;168(11):1226-8. doi:10.1001/archinte.168.11.1226. Copy Citation …

  13. National Reporting and Learning System Research and Development. | PSNet

    psnet.ahrq.gov/issue/national-reporting-and-learning-system-research-and-development
    April 06, 2016 - Book/Report National Reporting and Learning System Research and Development. Citation Text: National Reporting and Learning System Research and Development. Mayer E, Flott K, Callahan R, Darzi A. London, UK: NIHR Imperial Patient Safety Translational Research Centre; 2016. Copy Citatio…

  14. Under-mined. | PSNet

    psnet.ahrq.gov/issue/under-mined
    October 27, 2010 - Newspaper/Magazine Article Under-mined. Citation Text: Greene J. Under-mined. Hospitals & health networks. 2006;80(12):38-40, 42, 44, 1. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  15. Failure mode and effects analysis application to critical care medicine. | PSNet

    psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-application-critical-care-medicine
    June 10, 2013 - Review Failure mode and effects analysis application to critical care medicine. Citation Text: Duwe B, Fuchs BD, Hansen-Flaschen J. Failure mode and effects analysis application to critical care medicine. Crit Care Clin. 2005;21(1):21-30, vii. Copy Citation Format: Google…

  16. Barriers and facilitators to communicating nursing errors in long-term care settings. | PSNet

    psnet.ahrq.gov/issue/barriers-and-facilitators-communicating-nursing-errors-long-term-care-settings
    March 27, 2018 - Study Barriers and facilitators to communicating nursing errors in long-term care settings. Citation Text: Wagner LM, Damianakis T, Pho L, et al. Barriers and facilitators to communicating nursing errors in long-term care settings. J Patient Saf. 2013;9(1):1-7. doi:10.1097/PTS.0b013e31…

  17. The effects of on-duty napping on intern sleep time and fatigue. | PSNet

    psnet.ahrq.gov/issue/effects-duty-napping-intern-sleep-time-and-fatigue
    February 03, 2011 - Study The effects of on-duty napping on intern sleep time and fatigue. Citation Text: Arora V, Dunphy C, Chang VY, et al. The effects of on-duty napping on intern sleep time and fatigue. Ann Intern Med. 2006;144(11):792-8. Copy Citation Format: Google Scholar PubMed BibTe…

  18. Comparing two safety culture surveys: Safety Attitudes Questionnaire and Hospital Survey on Patient Safety. | PSNet

    psnet.ahrq.gov/issue/comparing-two-safety-culture-surveys-safety-attitudes-questionnaire-and-hospital-survey
    September 01, 2018 - Study Comparing two safety culture surveys: Safety Attitudes Questionnaire and Hospital Survey on Patient Safety. Citation Text: Etchegaray J, Thomas EJ. Comparing two safety culture surveys: safety attitudes questionnaire and hospital survey on patient safety. BMJ Qual Saf. 2012;21(6)…

  19. Multi-level strategies to achieve resilience for an organisation operating at capacity: a case study at a trauma centre. | PSNet

    psnet.ahrq.gov/issue/multi-level-strategies-achieve-resilience-organisation-operating-capacity-case-study-trauma
    November 20, 2024 - Study Multi-level strategies to achieve resilience for an organisation operating at capacity: a case study at a trauma centre. Citation Text: Miller A, Xiao Y. Multi-level strategies to achieve resilience for an organisation operating at capacity: a case study at a trauma centre. Cogni…

  20. Preventing medication errors in community pharmacy: root-cause analysis of transcription errors. | PSNet

    psnet.ahrq.gov/issue/preventing-medication-errors-community-pharmacy-root-cause-analysis-transcription-errors
    March 24, 2011 - Study Preventing medication errors in community pharmacy: root-cause analysis of transcription errors. Citation Text: Knudsen P, Herborg H, Mortensen AR, et al. Preventing medication errors in community pharmacy: root-cause analysis of transcription errors. Qual Saf Health Care. 2007;1…
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