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psnet.ahrq.gov/issue/patient-education-prevent-falls-among-older-hospital-inpatients-randomized-controlled-trial
February 14, 2017 - Study
Patient education to prevent falls among older hospital inpatients: a randomized controlled trial.
Citation Text:
Haines TP, Hill A-M, Hill KD, et al. Patient education to prevent falls among older hospital inpatients: a randomized controlled trial. Arch Intern Med. 2011;171(6):516…
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psnet.ahrq.gov/issue/workplace-violence-pervasiveness-perioperative-environment-multiprofessional-survey
November 11, 2020 - Study
Workplace violence pervasiveness in the perioperative environment: a multiprofessional survey.
Citation Text:
Lin DM, Lane-Fall MB, Lea JA, et al. Workplace violence pervasiveness in the perioperative environment: a multiprofessional survey. Jt Comm J Qual Patient Saf. 2024;50(11):…
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psnet.ahrq.gov/issue/development-and-evaluation-i-pass-picu-standard-electronic-template-improve-referral
June 14, 2023 - Study
Development and evaluation of I-PASS-to-PICU: a standard electronic template to improve referral communication for inter-facility transfers to the pediatric intensive care unit.
Citation Text:
Parikh NR, Francisco LS, Balikai SC, et al. Development and evaluation of I-PASS-to-PICU:…
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psnet.ahrq.gov/issue/perioperative-safety-determinants-ethnic-patient-groups
February 09, 2022 - Study
Perioperative safety determinants in ethnic patient groups.
Citation Text:
Bloo G, Calsbeek H, Westert GP, et al. Perioperative safety determinants in ethnic patient groups. J Patient Saf Risk Manag. 2023;28(1):31-46. doi:10.1177/25160435231151545.
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psnet.ahrq.gov/issue/emotional-responses-and-support-needs-healthcare-professionals-after-adverse-or-traumatic
April 03, 2019 - Study
Emotional responses and support needs of healthcare professionals after adverse or traumatic experiences in healthcare-evidence from seminars on peer support.
Citation Text:
Schrøder K, Assing Hvidt E. Emotional responses and support needs of healthcare professionals after adverse …
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psnet.ahrq.gov/issue/does-learning-mistakes-have-be-painful-analysis-5-years-experience-leeds-radiology
April 05, 2013 - Study
Does learning from mistakes have to be painful? Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common repetitive reporting errors and suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons.
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psnet.ahrq.gov/issue/electronic-approaches-making-sense-text-adverse-event-reporting-system
August 03, 2022 - Study
Electronic approaches to making sense of the text in the adverse event reporting system.
Citation Text:
Benin AL, Fodeh SJ, Lee K, et al. Electronic approaches to making sense of the text in the adverse event reporting system. J Healthc Risk Manag. 2016;36(2):10-20. doi:10.1002/jhr…
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psnet.ahrq.gov/issue/use-revised-second-victim-experience-and-support-tool-examine-second-victim-experiences
November 03, 2021 - Study
Use of the revised second victim experience and support tool to examine second victim experiences of respiratory therapists.
Citation Text:
Allender EA, Bottema SM, Bosley CL, et al. Use of the revised second victim experience and support tool to examine second victim experiences o…
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psnet.ahrq.gov/issue/improving-perceptions-patient-safety-through-standardizing-handoffs-emergency-department
December 21, 2022 - Review
Improving perceptions of patient safety through standardizing handoffs from the emergency department to the inpatient setting: a systematic review.
Citation Text:
Alimenti D, Buydos S, Cunliffe L, et al. Improving perceptions of patient safety through standardizing handoffs from t…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P4O-Comprehensive_Antibiogram_Toolkit_Phase4_Monitoring.doc
January 01, 2005 - Comprehensive Antibiogram Toolkit
Phase 4 Monitoring
It will be important to monitor the antibiogram program by (1) soliciting feedback from prescribing clinicians (physicians, nurse practitioners, physician assistants) and nursing home staff on ways to improve the usability of the antibiogram and (2) tracking the pres…
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psnet.ahrq.gov/issue/relationship-between-job-stress-and-patient-safety-culture-among-nurses-systematic-review
March 29, 2023 - Review
The relationship between job stress and patient safety culture among nurses: a systematic review.
Citation Text:
Zabin LM, Zaitoun RSA, Sweity EM, et al. The relationship between job stress and patient safety culture among nurses: a systematic review. BMC Nurs. 2023;22(1):39. doi:…
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psnet.ahrq.gov/issue/getting-whole-story-integrating-patient-complaints-and-staff-reports-unsafe-care
January 12, 2022 - Study
Getting the whole story: integrating patient complaints and staff reports of unsafe care.
Citation Text:
van Dael J, Gillespie A, Reader TW, et al. Getting the whole story: Integrating patient complaints and staff reports of unsafe care. J Health Serv Res Policy. 2022;27(1):41-49. …
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psnet.ahrq.gov/issue/risks-analogue-and-digitally-supported-medication-process-and-potential-solutions-increase
April 24, 2019 - Study
Risks in the analogue and digitally-supported medication process and potential solutions to increase patient safety in the hospital: a mixed methods study.
Citation Text:
Kopanz J, Lichtenegger K, Schwarz CM, et al. Risks in the analogue and digitally-supported medication process a…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK3_P3T5-Training_Slides_for_Nursing_Home_Nurses_Phase_3.ppt
May 01, 2014 - PowerPoint Presentation
Toolkit 3. How To Develop and Implement an Antibiogram Program
Phase 3. Implementation
Training Slides for Nursing Home Nurses
Nursing Home Antimicrobial Stewardship Guide
Help Clinicians Choose the Right Antibiotic
www.ahrq.gov/NH-ASPGuide ● May 2014
AHRQ Pub. No. 14-0023-6-EF
Today we wi…
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psnet.ahrq.gov/issue/analysis-prehospital-pediatric-medication-dosing-errors-after-implementation-state-wide-ems
August 25, 2021 - Study
An analysis of prehospital pediatric medication dosing errors after implementation of a state-wide EMS pediatric drug dosing reference.
Citation Text:
Kazi R, Hoyle JD, Huffman C, et al. An analysis of prehospital pediatric medication dosing errors after implementation of a state-w…
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psnet.ahrq.gov/issue/potentially-harmful-medication-dispenses-after-fall-or-hip-fracture-mixed-methods-study
May 05, 2021 - Study
Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure.
Citation Text:
Fischer H, Hahn EE, Li BH, et al. Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a common…
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psnet.ahrq.gov/issue/development-electronic-pediatric-all-cause-harm-measurement-tool-using-modified-delphi-method
July 03, 2016 - Study
Development of an electronic pediatric all-cause harm measurement tool using a modified Delphi method.
Citation Text:
Stockwell DC, Bisarya H, Classen D, et al. Development of an Electronic Pediatric All-Cause Harm Measurement Tool Using a Modified Delphi Method. J Patient Saf. 201…
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psnet.ahrq.gov/issue/care-homes-use-medicines-study-prevalence-causes-and-potential-harm-medication-errors-care
April 22, 2011 - Study
Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people.
Citation Text:
Barber ND, Alldred DP, Raynor DK, et al. Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in…
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psnet.ahrq.gov/issue/medication-discrepancies-upon-hospital-skilled-nursing-facility-transitions
July 20, 2011 - Study
Medication discrepancies upon hospital to skilled nursing facility transitions.
Citation Text:
Tjia J, Bonner A, Briesacher BA, et al. Medication discrepancies upon hospital to skilled nursing facility transitions. J Gen Intern Med. 2009;24(5):630-5. doi:10.1007/s11606-009-0948-2…
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psnet.ahrq.gov/issue/relationship-between-patient-safety-and-hospital-surgical-volume
May 04, 2012 - Study
Relationship between patient safety and hospital surgical volume.
Citation Text:
Hernandez-Boussard T, Downey JR, McDonald KM, et al. Relationship between Patient Safety and Hospital Surgical Volume. Health Serv Res. 2011;47(2). doi:10.1111/j.1475-6773.2011.01310.x.
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