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  1. The patient perspective on errors in cancer care: results of a cross-sectional survey. | PSNet

    psnet.ahrq.gov/issue/patient-perspective-errors-cancer-care-results-cross-sectional-survey
    August 18, 2021 - Study The patient perspective on errors in cancer care: results of a cross-sectional survey. Citation Text: Carey M, Boyes AW, Bryant J, et al. The patient perspective on errors in cancer care: results of a cross-sectional survey. J Patient Saf. 2019;15(4):322-327. doi:10.1097/pts.000000…

  2. Role of clinical context in residents' physical examination diagnostic accuracy. | PSNet

    psnet.ahrq.gov/issue/role-clinical-context-residents-physical-examination-diagnostic-accuracy
    April 02, 2014 - Study Role of clinical context in residents' physical examination diagnostic accuracy. Citation Text: Sibbald M, Panisko D, Cavalcanti RB. Role of clinical context in residents' physical examination diagnostic accuracy. Med Educ. 2011;45(4):415-21. doi:10.1111/j.1365-2923.2010.03896.x.…

  3. What do patients and relatives know about problems and failures in care? | PSNet

    psnet.ahrq.gov/issue/what-do-patients-and-relatives-know-about-problems-and-failures-care
    November 28, 2016 - Study What do patients and relatives know about problems and failures in care? Citation Text: Iedema R, Allen S, Britton K, et al. What do patients and relatives know about problems and failures in care? BMJ Qual Saf. 2012;21(3):198-205. doi:10.1136/bmjqs-2011-000100. Copy Citation …

  4. Shifting indirect patient care duties to after hours in the era of work hours restrictions. | PSNet

    psnet.ahrq.gov/issue/shifting-indirect-patient-care-duties-after-hours-era-work-hours-restrictions
    February 18, 2011 - Study Shifting indirect patient care duties to after hours in the era of work hours restrictions. Citation Text: Mourad M, Vidyarthi A, Hollander H, et al. Shifting indirect patient care duties to after hours in the era of work hours restrictions. Acad Med. 2011;86(5):586-90. doi:10.1097…

  5. Using co-design to develop a collective leadership intervention for healthcare teams to improve safety culture. | PSNet

    psnet.ahrq.gov/issue/using-co-design-develop-collective-leadership-intervention-healthcare-teams-improve-safety
    October 02, 2019 - Commentary Emerging Classic Using co-design to develop a collective leadership intervention for healthcare teams to improve safety culture. Citation Text: Ward ME, De Brún A, Beirne D, et al. Using Co-Design to Develop a Collective Leadership Intervention for He…

  6. Systematic review on the frequency and quality of reporting patient and public involvement in patient safety research. | PSNet

    psnet.ahrq.gov/issue/systematic-review-frequency-and-quality-reporting-patient-and-public-involvement-patient
    February 17, 2021 - Review Systematic review on the frequency and quality of reporting patient and public involvement in patient safety research. Citation Text: Hammoud S, Alsabek L, Rogers L, et al. Systematic review on the frequency and quality of reporting patient and public involvement in patient safety…

  7. Becoming Hand Hygiene Heroes: implementation of an infection prevention and control campaign for patient and family hospital safety. | PSNet

    psnet.ahrq.gov/issue/becoming-hand-hygiene-heroes-implementation-infection-prevention-and-control-campaign-patient
    June 15, 2016 - Study Becoming Hand Hygiene Heroes: implementation of an infection prevention and control campaign for patient and family hospital safety. Citation Text: Cheng B, Chan M, Abi-Farrage D, et al. Becoming hand hygiene heroes: implementation of an infection prevention and control campaign fo…

  8. 055-Patient-Instructions-Chg-Cloths (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/055-patient-instructions-chg-cloths.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Patient Instructions: Cleaning With CHG Cloths Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries What Is Decolonization? Preoperative Decolonization = Preemptive treatment to kill bacteria on your body BEFORE surgery, to r…

  9. 057-Patient-Instructions-Mupirocin (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/057-patient-instructions-mupirocin.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Patient Instructions: Preoperative Nasal Decolonization With Mupirocin Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries What Is Nasal Decolonization? Some bacteria can live inside your nostrils for long periods of time. N…

  10. Patient safety in medical imaging: a joint paper of the European Society of Radiology (ESR) and the European Federation of Radiographer Societies (EFRS). | PSNet

    psnet.ahrq.gov/issue/patient-safety-medical-imaging-joint-paper-european-society-radiology-esr-and-european
    September 30, 2010 - Commentary Patient safety in medical imaging: a joint paper of the European Society of Radiology (ESR) and the European Federation of Radiographer Societies (EFRS). Citation Text: Radiology ES of, Societies EF of R. Patient Safety in Medical Imaging: a joint paper of the European Society…

  11. National Partnership for Maternal Safety: consensus bundle on support after a severe maternal event. | PSNet

    psnet.ahrq.gov/issue/national-partnership-maternal-safety-consensus-bundle-support-after-severe-maternal-event
    December 15, 2021 - Organizational Policy/Guidelines National Partnership for Maternal Safety: consensus bundle on support after a severe maternal event. Citation Text: Morton CH, Hall MF, Shaefer SJM, et al. National Partnership for Maternal Safety: Consensus Bundle on Support After a Severe Maternal Event…

  12. Patient perspectives on test result communication in primary care: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/patient-perspectives-test-result-communication-primary-care-qualitative-study
    November 20, 2015 - Study Patient perspectives on test result communication in primary care: a qualitative study. Citation Text: Litchfield I, Bentham L, Lilford RJ, et al. Patient perspectives on test result communication in primary care: a qualitative study. Br J Med Pract. 2015;65(632):e133-e140. doi:10.…

  13. When the lights go down in the delivery room: lessons from a ransomware attack. | PSNet

    psnet.ahrq.gov/issue/when-lights-go-down-delivery-room-lessons-ransomware-attack
    September 02, 2020 - Commentary When the lights go down in the delivery room: lessons from a ransomware attack. Citation Text: Gabbay‐Benziv R, Ben‐Natan M, Roguin A, et al. When the lights go down in the delivery room: lessons from a ransomware attack. Int J Gynaecol Obstet. 2023;162(2):562-568. doi:10.1002…

  14. Test result communication in primary care: clinical and office staff perspectives. | PSNet

    psnet.ahrq.gov/issue/test-result-communication-primary-care-clinical-and-office-staff-perspectives
    November 20, 2015 - Study Test result communication in primary care: clinical and office staff perspectives. Citation Text: Litchfield I, Bentham L, Lilford RJ, et al. Test result communication in primary care: clinical and office staff perspectives. Fam Pract. 2014;31(5):592-7. doi:10.1093/fampra/cmu041. …

  15. The impact of health information management professionals on patient safety: a systematic review. | PSNet

    psnet.ahrq.gov/issue/impact-health-information-management-professionals-patient-safety-systematic-review
    August 25, 2021 - Review The impact of health information management professionals on patient safety: a systematic review. Citation Text: Kemp T, Butler‐Henderson K, Allen P, et al. The impact of health information management professionals on patient safety: a systematic review. Health Info Libr J. 2021;3…

  16. Introduction | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/match/intro.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introduction Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introduction Chapter 1. Building the Project Founda…

  17. The use of technology for urgent clinician to clinician communications: a systematic review of the literature. | PSNet

    psnet.ahrq.gov/issue/use-technology-urgent-clinician-clinician-communications-systematic-review-literature
    September 09, 2015 - Review The use of technology for urgent clinician to clinician communications: a systematic review of the literature. Citation Text: Nguyen C, McElroy LM, Abecassis MM, et al. The use of technology for urgent clinician to clinician communications: a systematic review of the literature. I…

  18. Predicting potential postdischarge adverse drug events and 30-day unplanned hospital readmissions from medication regimen complexity. | PSNet

    psnet.ahrq.gov/issue/predicting-potential-postdischarge-adverse-drug-events-and-30-day-unplanned-hospital
    December 09, 2009 - Study Predicting potential postdischarge adverse drug events and 30-day unplanned hospital readmissions from medication regimen complexity. Citation Text: Schoonover H, Corbett CF, Weeks DL, et al. Predicting potential postdischarge adverse drug events and 30-day unplanned hospital readm…

  19. Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback. | PSNet

    psnet.ahrq.gov/issue/verifying-patient-identity-and-site-surgery-improving-compliance-protocol-audit-and-feedback
    October 26, 2010 - Study Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback. Citation Text: Garnerin P, Arès M, Huchet A, et al. Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback. Qual Saf Health …

  20. Toolkit 1. Suspected UTI SBAR Toolkit | Agency for Healthcare Research and Quality

    www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit1-suspected-uti-sbar.html
    November 01, 2024 - Toolkit 1. Suspected UTI SBAR Toolkit Toolkit Effectiveness A study in 12 nursing homes in Texas found that using the Suspected UTI SBAR form reduced antibiotic prescriptions for asymptomatic bacteriuria by about one-third. 1 Overview of the Toolkit Why Should a Nursing Home Use the Suspected UTI SBAR Toolkit? …
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