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Omissions of care in nursing home settings: a narrative review. | PSNet

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November 18, 2020 - Review Omissions of care in nursing home settings: a narrative review. Citation Text: Ogletree AM, Mangrum R, Harris Y, et al. Omissions of care in nursing home settings: a narrative review. J Am Med Dir Assoc. 2020;21(5):604-614.e6. doi:10.1016/j.jamda.2020.02.016. Copy Citation F…

Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. | PSNet

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August 14, 2024 - SPOTLIGHT CASE Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. Citation Text: Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Servic…

In Conversation With… Alison Holmes, MD, MPH | PSNet

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March 01, 2014 - In Conversation With… Alison Holmes, MD, MPH March 1, 2014 Also Read an Essay Citation Text: In Conversation With… Alison Holmes, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…

Executive/senior leader checklist to improve culture and reduce central line–associated bloodstream infections. | PSNet

psnet.ahrq.gov/issue/executivesenior-leader-checklist-improve-culture-and-reduce-central-line-associated

August 25, 2010 - Commentary Executive/senior leader checklist to improve culture and reduce central line–associated bloodstream infections. Citation Text: Goeschel CA, Holzmueller CG, Berenholtz SM, et al. Executive/Senior Leader Checklist to improve culture and reduce central line-associated bloodstream…

The Armstrong Institute: an academic institute for patient safety and quality improvement, research, training, and practice. | PSNet

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September 27, 2017 - Commentary The Armstrong Institute: an academic institute for patient safety and quality improvement, research, training, and practice. Citation Text: Pronovost P, Holzmueller CG, Molello NE, et al. The Armstrong Institute: An Academic Institute for Patient Safety and Quality Improvement…

Pharmacy-led medication reconciliation programmes at hospital transitions: a systematic review and meta-analysis. | PSNet

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April 18, 2018 - Review Pharmacy-led medication reconciliation programmes at hospital transitions: a systematic review and meta-analysis. Citation Text: Mekonnen AB, McLachlan AJ, Brien J-AE. Pharmacy-led medication reconciliation programmes at hospital transitions: a systematic review and meta-analysis.…

Preventing falls and fall-related injuries in health care facilities. | PSNet

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December 23, 2016 - Sentinel Event Alerts Preventing falls and fall-related injuries in health care facilities. Citation Text: Preventing falls and fall-related injuries in health care facilities. Sentinel Event Alert. September 28, 2015;(55):1-5. Copy Citation Save Save to your li…

Safe Practices for Better Healthcare–2009 Update. | PSNet

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September 29, 2017 - Multi-use Website Safe Practices for Better Healthcare–2009 Update. Citation Text: Safe Practices for Better Healthcare–2009 Update. National Quality Forum. Washington, DC: National Quality Forum; 2009. Copy Citation Save Save to your library Print …

There is no such thing as a "nonjudgmental" debriefing: a theory and method for debriefing with good judgment. | PSNet

psnet.ahrq.gov/issue/there-no-such-thing-nonjudgmental-debriefing-theory-and-method-debriefing-good-judgment

December 19, 2014 - Commentary There is no such thing as a "nonjudgmental" debriefing: a theory and method for debriefing with good judgment. Citation Text: Rudolph JW, Simon R, Dufresne RL, et al. There's no such thing as "nonjudgmental" debriefing: a theory and method for debriefing with good judgment. Si…

Respectful Management of Serious Clinical Adverse Events. Second Edition. | PSNet

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January 27, 2016 - Book/Report Classic Respectful Management of Serious Clinical Adverse Events. Second Edition. Citation Text: Respectful Management of Serious Clinical Adverse Events. Second Edition. Conway J, Federico F, Stewart K, Campbell MJ. Cambridge, MA: Institute for Heal…

Nursing Home Survey on Patient Safety Culture. | PSNet

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November 23, 2016 - Measurement Tool/Indicator Nursing Home Survey on Patient Safety Culture. Citation Text: Nursing Home Survey on Patient Safety Culture. Rockville, MD: Agency for Healthcare Research and Quality; October 2020. Copy Citation Save Save to your library Print …

Lessons learned from a systems approach to engaging patients and families in patient safety transformation. | PSNet

psnet.ahrq.gov/issue/lessons-learned-systems-approach-engaging-patients-and-families-patient-safety-transformation

February 12, 2020 - Study Lessons learned from a systems approach to engaging patients and families in patient safety transformation. Citation Text: Hatlie MJ, Nahum A, Leonard R, et al. Lessons Learned from a Systems Approach to Engaging Patients and Families in Patient Safety Transformation. Jt Comm J Qua…

Organizational Learning | PSNet

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April 17, 2025 - health care leaders and organizations to implement and adapt effective tactics and supportive actions to establish

What We've Learned About Leveraging Leadership and Culture to Affect Change and Improve Patient Safety | PSNet

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March 01, 2017 - What We've Learned About Leveraging Leadership and Culture to Affect Change and Improve Patient Safety Sara J. Singer, MBA, PhD | September 1, 2013 View more articles from the same authors. Citation Text: Singer SJ. What We've Learned About Leveraging Leadership a…

Interventions to support nurses as second victims of patient safety incidents: a qualitative study of nurse managers' perceptions. | PSNet

psnet.ahrq.gov/issue/interventions-support-nurses-second-victims-patient-safety-incidents-qualitative-study-nurse

November 24, 2021 - Study Interventions to support nurses as second victims of patient safety incidents: a qualitative study of nurse managers' perceptions. Citation Text: Järvisalo P, Haatainen K, Von Bonsdorff M, et al. Interventions to support nurses as second victims of patient safety incidents: a quali…

Patient safety culture in assisted living: staff perceptions and association with state regulations. | PSNet

psnet.ahrq.gov/issue/patient-safety-culture-assisted-living-staff-perceptions-and-association-state-regulations

June 30, 2021 - Study Patient safety culture in assisted living: staff perceptions and association with state regulations. Citation Text: Temkin-Greener H, Mao Y, McGarry B, et al. Patient safety culture in assisted living: staff perceptions and association with state regulations. J Am Med Dir Assoc. 20…

Associations between safety outcomes and communication practices among pediatric nurses in the United States. | PSNet

psnet.ahrq.gov/issue/associations-between-safety-outcomes-and-communication-practices-among-pediatric-nurses

November 03, 2021 - Study Associations between safety outcomes and communication practices among pediatric nurses in the United States. Citation Text: Gampetro PJ, Segvich JP, Hughes AM, et al. Associations between safety outcomes and communication practices among pediatric nurses in the United States. J Pe…

Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: the Promoting Respect and Ongoing Safety through Patient Engagement Communication and Technology study. | PSNet

psnet.ahrq.gov/issue/prospective-evaluation-multifaceted-intervention-improve-outcomes-intensive-care-promoting

August 03, 2022 - Study Classic Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: the Promoting Respect and Ongoing Safety through Patient Engagement Communication and Technology study. Citation Text: Dykes PC, Rozenblum R, Dalal A, et a…

The barriers and enhancers to trust in a just culture in hospital settings: a systematic review. | PSNet

psnet.ahrq.gov/issue/barriers-and-enhancers-trust-just-culture-hospital-settings-systematic-review

February 02, 2022 - Review The barriers and enhancers to trust in a just culture in hospital settings: a systematic review. Citation Text: van Marum S, Verhoeven D, de Rooy D. The barriers and enhancers to trust in a just culture in hospital settings: a systematic review. J Patient Saf. 2022;18(7):e1067-e10…

Safe opioid prescribing: a prognostic machine learning approach to predicting 30-day risk after an opioid dispensation in Alberta, Canada. | PSNet

psnet.ahrq.gov/issue/safe-opioid-prescribing-prognostic-machine-learning-approach-predicting-30-day-risk-after

July 22, 2020 - Study Safe opioid prescribing: a prognostic machine learning approach to predicting 30-day risk after an opioid dispensation in Alberta, Canada. Citation Text: Sharma V, Kulkarni V, Eurich DT, et al. Safe opioid prescribing: a prognostic machine learning approach to predicting 30-day ris…

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