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  1. Medication errors involving patient-controlled analgesia.   | PSNet

    psnet.ahrq.gov/issue/medication-errors-involving-patient-controlled-analgesia
    May 24, 2015 - Study Medication errors involving patient-controlled analgesia.   Citation Text: Hicks RW, Sikirica V, Nelson W, et al. Medication errors involving patient-controlled analgesia. Am J Health Syst Pharm. 2008;65(5):429-40. doi:10.2146/ajhp070194. Copy Citation Format: DOI G…

  2. Medication event huddles: a tool for reducing adverse drug events. | PSNet

    psnet.ahrq.gov/issue/medication-event-huddles-tool-reducing-adverse-drug-events
    December 19, 2014 - Commentary Medication event huddles: a tool for reducing adverse drug events. Citation Text: Morvay S, Lewe D, Stewart B, et al. Medication event huddles: a tool for reducing adverse drug events. Jt Comm J Qual Patient Saf. 2014;40(1):39-45. Copy Citation Format: Google S…

  3. Conclusions | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/clabsi-hpwpreport/clabsi-hpwp4.html
    August 01, 2015 - High-Performance Work Practices in CLABSI Prevention Interventions Conclusions Previous Page Next Page Table of Contents High-Performance Work Practices in CLABSI Prevention Interventions Case Studies Key Findings Conclusions References Table 1. Case Study Sites Table 2. Summary of Key …

  4. Two sides of the safety coin?: how patient engagement and safety climate jointly affect error occurrence in hospital units. | PSNet

    psnet.ahrq.gov/issue/two-sides-safety-coin-how-patient-engagement-and-safety-climate-jointly-affect-error
    March 11, 2020 - Study Two sides of the safety coin?: how patient engagement and safety climate jointly affect error occurrence in hospital units. Citation Text: Schiffinger M, Latzke M, Steyrer J. Two sides of the safety coin?: How patient engagement and safety climate jointly affect error occurrence in…

  5. Simulation exercises as a patient safety strategy: a systematic review. | PSNet

    psnet.ahrq.gov/issue/simulation-exercises-patient-safety-strategy-systematic-review
    March 13, 2013 - Review Simulation exercises as a patient safety strategy: a systematic review. Citation Text: Schmidt E, Goldhaber-Fiebert SN, Ho LA, et al. Simulation exercises as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):426-32. doi:10.7326/0003-4819-158-5-2013…

  6. In conclusion | Agency for Healthcare Research and Quality

    www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary8.html
    September 01, 2015 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program In conclusion Previous Page   Table of Contents Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program Introduction Reporting and using the Child Core Set of quality mea…

  7. Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. | PSNet

    psnet.ahrq.gov/issue/do-eps-change-their-clinical-behaviour-hallway-or-when-companion-present-cross-sectional
    June 29, 2022 - Study Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. Citation Text: Stoklosa H, Scannell M, Ma Z, et al. Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. Emerg …

  8. Incidence, preventability and consequences of adverse events in older people: results of a retrospective case-note review. | PSNet

    psnet.ahrq.gov/issue/incidence-preventability-and-consequences-adverse-events-older-people-results-retrospective
    March 03, 2011 - Study Incidence, preventability and consequences of adverse events in older people: results of a retrospective case-note review. Citation Text: Sari ABA, Cracknell A, Sheldon T. Incidence, preventability and consequences of adverse events in older people: results of a retrospective cas…

  9. Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review. | PSNet

    psnet.ahrq.gov/issue/sensitivity-routine-system-reporting-patient-safety-incidents-nhs-hospital-retrospective
    March 28, 2012 - Study Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review. Citation Text: Sari AB-A, Sheldon T, Cracknell A, et al. Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retro…

  10. "Healthy Hearts NYC Recruitment Flyer" (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-flyer-chcanys-ny.pdf
    June 02, 2025 - "Healthy Hearts NYC Recruitment Flyer" WHAT IS HEALTHYHEARTS NYC? HealthyHearts NYC is a three-year city wide initiative funded by the Agency for Healthcare Research and Quality(AHRQ) aiming to build capacity among small tomedium sized primary care practices in the adoption and implementation of the ABC…

  11. What do parents think about the quality and safety of care provided by hospitals to children and young people with an intellectual disability? A qualitative study using thematic analysis. | PSNet

    psnet.ahrq.gov/issue/what-do-parents-think-about-quality-and-safety-care-provided-hospitals-children-and-young
    September 06, 2023 - Study What do parents think about the quality and safety of care provided by hospitals to children and young people with an intellectual disability? A qualitative study using thematic analysis. Citation Text: Ong N, Lucien A, Long JC, et al. What do parents think about the quality and sa…

  12. What do healthcare staff think about the quality and safety of care provided to children and young people with an intellectual disability? A qualitative study using the framework method of analysis. | PSNet

    psnet.ahrq.gov/issue/what-do-healthcare-staff-think-about-quality-and-safety-care-provided-children-and-young
    February 07, 2024 - Study What do healthcare staff think about the quality and safety of care provided to children and young people with an intellectual disability? A qualitative study using the framework method of analysis. Citation Text: Ong N, Lucien A, Long JC, et al. What do healthcare staff think abou…

  13. Suboptimal compliance with surgical safety checklists in Colorado: a prospective observational study reveals differences between surgical specialties. | PSNet

    psnet.ahrq.gov/issue/suboptimal-compliance-surgical-safety-checklists-colorado-prospective-observational-study
    May 23, 2018 - Study Suboptimal compliance with surgical safety checklists in Colorado: a prospective observational study reveals differences between surgical specialties. Citation Text: Biffl WL, Gallagher AW, Pieracci FM, et al. Suboptimal compliance with surgical safety checklists in Colorado: A pro…

  14. Development and validation of electronic health record–based triggers to detect delays in follow-up of abnormal lung imaging findings. | PSNet

    psnet.ahrq.gov/issue/development-and-validation-electronic-health-record-based-triggers-detect-delays-follow
    June 21, 2016 - Study Development and validation of electronic health record–based triggers to detect delays in follow-up of abnormal lung imaging findings. Citation Text: Murphy DR, Thomas EJ, Meyer AND, et al. Development and Validation of Electronic Health Record-based Triggers to Detect Delays in Fo…

  15. How does work environment relate to diagnostic quality? A prospective, mixed methods study in primary care. | PSNet

    psnet.ahrq.gov/issue/how-does-work-environment-relate-diagnostic-quality-prospective-mixed-methods-study-primary
    September 07, 2022 - Study How does work environment relate to diagnostic quality? A prospective, mixed methods study in primary care. Citation Text: Khazen M, Sullivan EE, Arabadjis S, et al. How does work environment relate to diagnostic quality? A prospective, mixed methods study in primary care. BMJ Open…

  16. From COVID-19 pandemic to patient safety: a new "spring" for telemedicine or a boomerang effect? | PSNet

    psnet.ahrq.gov/issue/covid-19-pandemic-patient-safety-new-spring-telemedicine-or-boomerang-effect
    April 13, 2022 - Commentary From COVID-19 pandemic to patient safety: a new "spring" for telemedicine or a boomerang effect? Citation Text: De Micco F, Fineschi V, Banfi G, et al. From COVID-19 pandemic to patient safety: a new "spring" for telemedicine or a boomerang effect? Front Med (Lausanne). 2022;9…

  17. Learning from patients' experiences related to diagnostic errors is essential for progress in patient safety. | PSNet

    psnet.ahrq.gov/issue/learning-patients-experiences-related-diagnostic-errors-essential-progress-patient-safety
    May 20, 2020 - Study Emerging Classic Learning from patients' experiences related to diagnostic errors is essential for progress in patient safety. Citation Text: Giardina TD, Haskell H, Menon S, et al. Learning From Patients' Experiences Related To Diagnostic Errors Is Essent…

  18. Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study. | PSNet

    psnet.ahrq.gov/issue/patient-safety-after-implementation-coproduced-family-centered-communication-programme
    April 24, 2018 - Study Emerging Classic Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study. Citation Text: Khan A, Spector ND, Baird JD, et al. Patient safety after implementation of a copr…

  19. Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/nursing-interventions-reduce-medication-errors-paediatrics-and-neonates-systematic-review-and
    November 24, 2021 - Review Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta-analysis. Citation Text: Marufu TC, Bower R, Hendron E, et al. Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta-analys…

  20. The effect of medication reconciliation via a patient portal on medication discrepancies: a randomized noninferiority study. | PSNet

    psnet.ahrq.gov/issue/effect-medication-reconciliation-patient-portal-medication-discrepancies-randomized
    April 27, 2022 - Study The effect of medication reconciliation via a patient portal on medication discrepancies: a randomized noninferiority study. Citation Text: Ebbens MM, Gombert-Handoko KB, Wesselink EJ, et al. The effect of medication reconciliation via a patient portal on medication discrepancies: …
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