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psnet.ahrq.gov/issue/self-reported-patient-safety-competence-among-canadian-medical-students-and-postgraduate
December 04, 2015 - Study
Self-reported patient safety competence among Canadian medical students and postgraduate trainees: a cross-sectional survey.
Citation Text:
Doyle P, VanDenKerkhof E, Edge DS, et al. Self-reported patient safety competence among Canadian medical students and postgraduate trainees: a…
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psnet.ahrq.gov/issue/impact-traditional-and-smart-pump-infusion-technology-nurse-medication-administration
May 18, 2022 - Study
The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit.
Citation Text:
Trbovich PL, Pinkney S, Cafazzo JA, et al. The impact of traditional and smart pump infusion technology on nurse medication ad…
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psnet.ahrq.gov/issue/physician-evaluation-after-medical-errors-does-having-computer-decision-aid-help-or-hurt
May 19, 2021 - Study
Physician evaluation after medical errors: does having a computer decision aid help or hurt in hindsight?
Citation Text:
Pezzo M, Pezzo SP. Physician evaluation after medical errors: does having a computer decision aid help or hurt in hindsight? Med Decis Making. 2006;26(1):48-56…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-joy-in-work.pdf
June 02, 2025 - Job Aid: Joy in Work
Primary Care Practice Facilitator
Training Series
1
Job Aid: Joy in Work
Joy in work is one of three categories of common goals practices
have for improvement. Joy in work is central to good patient
care and in recognition of this, the national triple aim has been
expanded to…
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psnet.ahrq.gov/issue/delayed-workup-rectal-bleeding-adult-primary-care-examining-process-care-failures
April 24, 2018 - Study
Delayed workup of rectal bleeding in adult primary care: examining process-of-care failures.
Citation Text:
Weingart SN, Stoffel EM, Chung DC, et al. Delayed Workup of Rectal Bleeding in Adult Primary Care: Examining Process-of-Care Failures. The Joint Commission Journal on Quality…
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psnet.ahrq.gov/issue/changing-hospital-organisational-culture-improved-patient-outcomes-developing-and
June 17, 2020 - Study
Changing hospital organisational culture for improved patient outcomes: developing and implementing the Leadership Saves Lives intervention.
Citation Text:
Linnander EL, McNatt Z, Boehmer K, et al. Changing hospital organisational culture for improved patient outcomes: developing a…
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psnet.ahrq.gov/issue/types-and-effects-feedback-emergency-ambulance-staff-systematic-mixed-studies-review-and-meta
April 06, 2022 - Study
Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis.
Citation Text:
Wilson C, Janes G, Lawton R, et al. Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis. BMJ…
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www.ahrq.gov/ecareplan/past-contributors/index.html
August 01, 2024 - eCare Plan Past Contributors
Technical Expert Panels The Technical Expert Panels (TEP) were created to identify data elements important for care for people with Long COVID, type 2 diabetes, chronic pain and opioid use, cardiovascular diseases, and chronic kidney disease—especially in the context of multiple chr…
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psnet.ahrq.gov/issue/randomized-controlled-trial-evaluating-impact-computerized-rounding-and-sign-out-system
July 14, 2010 - Study
Classic
A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on continuity of care and resident work hours.
Citation Text:
Van Eaton EG, Horvath KD, Lober WB, et al. A randomized, controlled trial evaluating…
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psnet.ahrq.gov/issue/designing-and-pilot-testing-leadership-intervention-improve-quality-and-safety-nursing-homes
April 29, 2020 - Study
Designing and pilot testing of a leadership intervention to improve quality and safety in nursing homes and home care (the SAFE-LEAD intervention).
Citation Text:
Johannessen T, Ree E, Strømme T, et al. Designing and pilot testing of a leadership intervention to improve quality and…
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www.ahrq.gov/ecareplan/about/index.html
August 01, 2024 - About the eCare Plan for Multiple Chronic Conditions
The eCare Plan project aims to build care planning tools that will improve how we do research and provide healthcare for people with multiple chronic conditions (MCC). These tools include data standards and electronic care plan applications that allow all mem…
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psnet.ahrq.gov/issue/unscheduled-returns-emergency-department-outcome-medical-errors
November 12, 2014 - Study
Unscheduled returns to the emergency department: an outcome of medical errors?
Citation Text:
Nuñez S, Hexdall A, Aguirre-Jaime A. Unscheduled returns to the emergency department: an outcome of medical errors? Qual Saf Health Care. 2006;15(2):102-8.
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psnet.ahrq.gov/issue/exploring-challenges-quality-and-safety-work-nursing-homes-and-home-care-case-study-basis
August 14, 2019 - Study
Exploring challenges in quality and safety work in nursing homes and home care - a case study as basis for theory development.
Citation Text:
Johannessen T, Ree E, Aase I, et al. Exploring challenges in quality and safety work in nursing homes and home care – a case study as basis …
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psnet.ahrq.gov/issue/effects-electronic-nursing-handover-patient-safety-general-non-covid-19-and-covid-19
February 26, 2020 - Study
The effects of electronic nursing handover on patient safety in the general (non-COVID-19) and COVID-19 intensive care units: a quasi-experimental study.
Citation Text:
Tataei A, Rahimi B, Afshar HL, et al. The effects of electronic nursing handover on patient safety in the general…
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psnet.ahrq.gov/issue/safety-fragile-conflict-affected-and-vulnerable-settings-evidence-scanning-approach
January 12, 2022 - Review
Safety in fragile, conflict-affected, and vulnerable settings: An evidence scanning approach for identifying patient safety interventions.
Citation Text:
O’Brien N, Shaw A, Flott K, et al. Safety in fragile, conflict-affected, and vulnerable settings: an evidence scanning approach…
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www.ahrq.gov/teamstepps-program/curriculum/communication/tools/handoff.html
May 01, 2023 - Tool: Handoff
A handoff is a standardized method for transferring information, along with authority and responsibility, during transitions in patient care. Handoffs include the transfer of knowledge and information about the degree of uncertainty (uncertainty about diagnoses, etc.), response to treatment, recen…
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psnet.ahrq.gov/issue/childrens-hospitals-solutions-patient-safety-collaborative-impact-hospital-acquired-harm
August 10, 2022 - Study
Classic
Children's hospitals' solutions for patient safety collaborative impact on hospital-acquired harm.
Citation Text:
Lyren A, Brilli RJ, Zieker K, et al. Children's Hospitals' Solutions for Patient Safety Collaborative Impact on Hospital-Acquired Harm…
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psnet.ahrq.gov/issue/clinical-diagnoses-and-autopsy-findings-discrepancies-critically-ill-patients
March 09, 2022 - Study
Clinical diagnoses and autopsy findings: discrepancies in critically ill patients.
Citation Text:
Tejerina E, Esteban A, Fernández-Segoviano P, et al. Clinical diagnoses and autopsy findings: discrepancies in critically ill patients*. Crit Care Med. 2012;40(3):842-6. doi:10.1097/…
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psnet.ahrq.gov/issue/physician-mentorship-associated-occurrence-adverse-patient-safety-events
February 11, 2015 - Study
Is physician mentorship associated with the occurrence of adverse patient safety events?
Citation Text:
Harrison R, Sharma A, Lawton R, et al. Is Physician Mentorship Associated With the Occurrence of Adverse Patient Safety Events? J Patient Saf. 2021;17(8):e1633-e1637. doi:10.1097…
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psnet.ahrq.gov/issue/safely-practicing-new-environment-qualitative-study-inform-physician-onboarding-practices
July 02, 2019 - Study
Safely practicing in a new environment: a qualitative study to inform physician onboarding practices.
Citation Text:
Lagoo J, Berry WR, Henrich N, et al. Safely practicing in a new environment: a qualitative study to inform physician onboarding practices. Jt Comm J Qual Patient Saf…