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  1. Do hospitals support second victims? Collective insights from patient safety leaders in Maryland. | PSNet

    psnet.ahrq.gov/issue/do-hospitals-support-second-victims-collective-insights-patient-safety-leaders-maryland
    May 11, 2016 - Study Do hospitals support second victims? Collective insights from patient safety leaders in Maryland. Citation Text: Edrees HH, Morlock L, Wu AW. Do Hospitals Support Second Victims? Collective Insights From Patient Safety Leaders in Maryland. Jt Comm J Qual Saf. 2017;43(9):471-483. do…

  2. Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a patient safety incident. | PSNet

    psnet.ahrq.gov/issue/suicide-risk-changing-jobs-or-leaving-nursing-profession-aftermath-patient-safety-incident
    July 22, 2020 - Study Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a patient safety incident. Citation Text: Stovall M, Hansen L. Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a patient safety incident. Worldviews Evid Based Nurs…

  3. Improving handoffs in the perioperative environment: a conceptual framework of key theories, system factors, methods, and core interventions to ensure success. | PSNet

    psnet.ahrq.gov/issue/improving-handoffs-perioperative-environment-conceptual-framework-key-theories-system-factors
    November 16, 2022 - Commentary Improving handoffs in the perioperative environment: a conceptual framework of key theories, system factors, methods, and core interventions to ensure success. Citation Text: Starmer AJ, Michael MM, Spector ND, et al. Improving handoffs in the perioperative environment: a conc…

  4. What causes delays in diagnosing blood cancers? A rapid review of the evidence. | PSNet

    psnet.ahrq.gov/issue/what-causes-delays-diagnosing-blood-cancers-rapid-review-evidence
    August 14, 2019 - Review What causes delays in diagnosing blood cancers? A rapid review of the evidence. Citation Text: Black GB, Boswell L, Harris J, et al. What causes delays in diagnosing blood cancers? A rapid review of the evidence. Prim Health Care Res Dev. 2023;24:e26. doi:10.1017/s1463423623000129…

  5. Healthcare Safety Competencies Affinity Group | Agency for Healthcare Research and Quality

    www.ahrq.gov/action-alliance/competencies-affinity-group/index.html
    April 01, 2025 - Healthcare Safety Competencies Affinity Group Background The AHRQ National Action Alliance Healthcare Safety Competencies Affinity Group provided a forum for identifying and exploring the patient and workforce safety competencies needed by our healthcare workforce to support the safety of healthcare delivery.  …

  6. Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes. | PSNet

    psnet.ahrq.gov/issue/team-cognition-handoffs-relating-system-factors-team-cognition-functions-and-outcomes-two
    February 16, 2022 - Study Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes. Citation Text: Wooldridge AR, Carayon P, Hoonakker PLT, et al. Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two hand…

  7. Care transition of trauma patients: processes with articulation work before and after handoff. | PSNet

    psnet.ahrq.gov/issue/care-transition-trauma-patients-processes-articulation-work-and-after-handoff
    June 22, 2022 - Study Care transition of trauma patients: processes with articulation work before and after handoff. Citation Text: Wooldridge AR, Carayon P, Hoonakker PLT, et al. Care transition of trauma patients: processes with articulation work before and after handoff. Appl Ergon. 2022;98:103606. d…

  8. Device use errors among patients with asthma and COPD and the role of training: a real-life study. | PSNet

    psnet.ahrq.gov/issue/device-use-errors-among-patients-asthma-and-copd-and-role-training-real-life-study
    June 22, 2022 - Study Device use errors among patients with asthma and COPD and the role of training: a real-life study. Citation Text: Papaioannou AI, Bartziokas K, Hillas G, et al. Device use errors among patients with asthma and COPD and the role of training: a real-life study. Postgrad Med. 2021;133…

  9. COVID-19: the dark side and the sunny side for patient safety. | PSNet

    psnet.ahrq.gov/issue/covid-19-dark-side-and-sunny-side-patient-safety
    August 05, 2020 - Commentary COVID-19: the dark side and the sunny side for patient safety. Citation Text: Wu AW, Sax H, Letaief M, et al. COVID-19: the dark side and the sunny side for patient safety. J Patient Saf Risk Manag. 2020;25(4):137-141. doi:10.1177/2516043520957116. Copy Citation Format: …

  10. Adverse event reporting priorities: an integrative review. | PSNet

    psnet.ahrq.gov/issue/adverse-event-reporting-priorities-integrative-review
    March 10, 2021 - Review Adverse event reporting priorities: an integrative review. Citation Text: Falcone ML, Van Stee SK, Tokac U, et al. Adverse event reporting priorities: an integrative review. J Patient Saf. 2022;18(4):e727-e740. doi:10.1097/pts.0000000000000945. Copy Citation Format: …

  11. Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency department: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/frontline-providers-and-patients-perspectives-improving-diagnostic-safety-emergency
    May 15, 2024 - Study Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency department: a qualitative study. Citation Text: Mangus CW, James TG, Parker SJ, et al. Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency dep…

  12. What can safety cases offer for patient safety? A multisite case study. | PSNet

    psnet.ahrq.gov/issue/what-can-safety-cases-offer-patient-safety-multisite-case-study
    February 07, 2024 - Study What can safety cases offer for patient safety? A multisite case study. Citation Text: Liberati EG, Martin GP, Lamé G, et al. What can Safety Cases offer for patient safety? A multisite case study. BMJ Qual Saf. 2024;33(3):156-165. doi:10.1136/bmjqs-2023-016042. Copy Citation …

  13. Clinical Content Enhancement Toolkit

    hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/home_toolkits.jsp
    September 01, 2014 - Clinical Content Enhancement Toolkit An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …

  14. Adherence to black box warnings for prescription medications in outpatients. | PSNet

    psnet.ahrq.gov/issue/adherence-black-box-warnings-prescription-medications-outpatients
    September 29, 2017 - Study Adherence to black box warnings for prescription medications in outpatients. Citation Text: Lasser KE, Seger DL, Yu T, et al. Adherence to black box warnings for prescription medications in outpatients. Arch Intern Med. 2006;166(3):338-44. Copy Citation Format: Goog…

  15. Analysis of medication therapy discontinuation orders in new electronic prescriptions and opportunities for implementing CancelRx. | PSNet

    psnet.ahrq.gov/issue/analysis-medication-therapy-discontinuation-orders-new-electronic-prescriptions-and
    July 23, 2018 - Study Analysis of medication therapy discontinuation orders in new electronic prescriptions and opportunities for implementing CancelRx. Citation Text: Yang Y, Ward-Charlerie S, Kashyap N, et al. Analysis of medication therapy discontinuation orders in new electronic prescriptions and op…

  16. Making communication and resolution programmes mission critical in healthcare organisations. | PSNet

    psnet.ahrq.gov/issue/making-communication-and-resolution-programmes-mission-critical-healthcare-organisations
    September 09, 2020 - Commentary Making communication and resolution programmes mission critical in healthcare organisations. Citation Text: Gallagher TH, Boothman RC, Schweitzer L, et al. Making communication and resolution programmes mission critical in healthcare organisations. BMJ Qual Saf. 2020;29(11):87…

  17. Risk perception on the labour ward: a mixed methods study. | PSNet

    psnet.ahrq.gov/issue/risk-perception-labour-ward-mixed-methods-study
    June 08, 2022 - Study Risk perception on the labour ward: a mixed methods study. Citation Text: McCarthy C, Meaney S, Rochford M, et al. Risk perception on the labour ward: a mixed methods study. J Patient Saf Risk Manag. 2021;26(2):56-63. doi:10.1177/25160435211002428. Copy Citation Format: …

  18. The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot study. | PSNet

    psnet.ahrq.gov/issue/impact-electronic-communication-medication-discontinuation-cancelrx-medication-safety-pilot
    December 07, 2022 - Study The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot study. Citation Text: Pitts S, Yang Y, Woodroof T, et al. The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot stud…

  19. Information transfer at hospital discharge: a systematic review. | PSNet

    psnet.ahrq.gov/issue/information-transfer-hospital-discharge-systematic-review
    February 21, 2015 - Review Classic Information transfer at hospital discharge: a systematic review. Citation Text: Kattel S, Manning DM, Erwin PJ, et al. Information transfer at hospital discharge: a systematic review. J Patient Saf. 2020;16(1):e25-e33. doi:10.1097/pts.000000000000…

  20. Ambulatory medication safety in primary care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/ambulatory-medication-safety-primary-care-systematic-review
    February 22, 2023 - Review Ambulatory medication safety in primary care: a systematic review. Citation Text: Young RA, Fulda KG, Espinoza A, et al. Ambulatory medication safety in primary care: a systematic review. J Am Board Fam Med. 2022;35(3):610-628. doi:10.3122/jabfm.2022.03.210334. Copy Citation …
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