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  1. Hospital Survey on Patient Safety Culture: 2016 User Comparative Database Report. | PSNet

    psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2016-user-comparative-database-report
    November 30, 2016 - Book/Report Hospital Survey on Patient Safety Culture: 2016 User Comparative Database Report. Citation Text: Hospital Survey on Patient Safety Culture: 2016 User Comparative Database Report. Famolaro T, Yount ND, Burns W, Flashner E, Liu H, Sorra J. Rockville, MD: Agency for Healthcare …

  2. Patient safety and the problem of many hands. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-problem-many-hands
    June 16, 2021 - Commentary Patient safety and the problem of many hands. Citation Text: Dixon-Woods M, Pronovost P. Patient safety and the problem of many hands. BMJ Qual Saf. 2016;25(7):485-488. doi:10.1136/bmjqs-2016-005232. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …

  3. Evaluation of AHRQ’s On-Time Pressure Ulcer Program - 2012 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program/annual-summary/2012
    January 01, 2012 - Evaluation of AHRQ’s On-Time Pressure Ulcer Program - 2012 Project Name Evaluation of AHRQ's On-time Pressure Ulcer Program Principal Investigator Hurd, Donna Organization Abt Associates, Inc. Funding Mechanism Accelerating Change and Transformation in Organizations…

  4. Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. | PSNet

    psnet.ahrq.gov/issue/comparing-process-and-outcome-oriented-approaches-voluntary-incident-reporting-two-hospitals
    June 15, 2011 - Study Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. Citation Text: Nuckols TK, Bell D, Paddock SM, et al. Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. Jt Comm J Qual Patient Saf…

  5. Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. | PSNet

    psnet.ahrq.gov/issue/programmable-infusion-pumps-icus-analysis-corresponding-adverse-drug-events
    January 16, 2008 - Study Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. Citation Text: Nuckols TK, Bower AG, Paddock SM, et al. Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. J Gen Intern Med. 2008;23 Suppl 1:41-5. doi:10.100…

  6. Validation of the Primary Care Patient Measure of Safety (PC PMOS) questionnaire. | PSNet

    psnet.ahrq.gov/issue/validation-primary-care-patient-measure-safety-pc-pmos-questionnaire
    June 25, 2014 - Study Validation of the Primary Care Patient Measure of Safety (PC PMOS) questionnaire. Citation Text: Giles SJ, Parveen S, Hernan AL. Validation of the Primary Care Patient Measure of Safety (PC PMOS) questionnaire. BMJ Qual Saf. 2019;28(5):389-396. doi:10.1136/bmjqs-2018-007988. Copy…

  7. Chief of Residents for Quality Improvement and Patient Safety: a recipe for a new role in graduate medical education. | PSNet

    psnet.ahrq.gov/issue/chief-residents-quality-improvement-and-patient-safety-recipe-new-role-graduate-medical
    August 13, 2014 - Commentary Chief of Residents for Quality Improvement and Patient Safety: a recipe for a new role in graduate medical education. Citation Text: Ferraro K, Zernzach R, Maturo S, et al. Chief of Residents for Quality Improvement and Patient Safety: A Recipe for a New Role in Graduate Medic…

  8. The Medication Metronome Project - 2010 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/medication-metronome-project/annual-summary/2010
    January 01, 2010 - The Medication Metronome Project - 2010 Project Name The Medication Metronome Project Principal Investigator Grant, Richard Organization Massachusetts General Hospital Funding Mechanism PAR: HS08-270: Utilizing Health Information Technology (IT) to Improve Health Ca…

  9. Unintentional discontinuation of chronic medications for seniors in nursing homes: evaluation of a national medication reconciliation accreditation requirement using a population-based cohort study. | PSNet

    psnet.ahrq.gov/issue/unintentional-discontinuation-chronic-medications-seniors-nursing-homes-evaluation-national
    October 16, 2012 - Study Unintentional discontinuation of chronic medications for seniors in nursing homes: evaluation of a national medication reconciliation accreditation requirement using a population-based cohort study. Citation Text: Stall NM, Fischer HD, Wu F, et al. Unintentional Discontinuation of …

  10. The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units. | PSNet

    psnet.ahrq.gov/issue/effect-executive-walk-rounds-nurse-safety-climate-attitudes-randomized-trial-clinical-units
    June 16, 2011 - Study Classic The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units. Citation Text: Thomas EJ, Sexton B, Neilands TB, et al. The effect of executive walk rounds on nurse safety climate attitudes: a randomiz…

  11. Patient Safety Metadata - 2010 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/patient-safety-metadata/activity/patient-safety-metadata/annual-summary/2010
    January 01, 2010 - Patient Safety Metadata - 2010 Project Name Patient Safety Metadata Principal Investigator Penoza, Chuck Organization Data Consulting Group Contract Number 290-08-10005M Project Period January 2008 – December 2010, Completion of Contract AHRQ Funding A…

  12. The prevalence of incivility in hospitals and the effects of incivility on patient safety culture and outcomes: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/prevalence-incivility-hospitals-and-effects-incivility-patient-safety-culture-and-outcomes
    March 24, 2019 - Review The prevalence of incivility in hospitals and the effects of incivility on patient safety culture and outcomes: a systematic review and meta-analysis. Citation Text: Freedman B, Li WW, Liang Z, et al. The prevalence of incivility in hospitals and the effects of incivility on patie…

  13. An Electronic Personal Health Record for Mental Health Consumers - 2010 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/electronic-personal-health-record-mental-health-consumers/annual-summary/2010
    January 01, 2010 - An Electronic Personal Health Record for Mental Health Consumers - 2010 Project Name An Electronic Personal Health Record for Mental Health Consumers Principal Investigator Druss, Benjamin Organization Emory University Funding Mechanism RFA: HS08-002: Ambulatory Saf…

  14. Disclosing and reporting practice errors by nurses in residential long-term care settings: a systematic review. | PSNet

    psnet.ahrq.gov/issue/disclosing-and-reporting-practice-errors-nurses-residential-long-term-care-settings
    April 02, 2015 - Review Disclosing and reporting practice errors by nurses in residential long-term care settings: a systematic review. Citation Text: Vaismoradi M, Vizcaya-Moreno F, Jordan S, et al. Disclosing and reporting practice errors by nurses in residential long-term care settings: a systematic r…

  15. More Than 1,000 Preventable Deaths a Day Is Too Many: The Need to Improve Patient Safety. | PSNet

    psnet.ahrq.gov/issue/more-1000-preventable-deaths-day-too-many-need-improve-patient-safety
    September 02, 2016 - Congressional Testimony More Than 1,000 Preventable Deaths a Day Is Too Many: The Need to Improve Patient Safety. Citation Text: More Than 1,000 Preventable Deaths a Day Is Too Many: The Need to Improve Patient Safety. Hearing Before the Subcommittee on Primary Health and Aging, 113th Co…

  16. Deployment of rapid response teams by 31 hospitals in a statewide collaborative. | PSNet

    psnet.ahrq.gov/issue/deployment-rapid-response-teams-31-hospitals-statewide-collaborative
    April 15, 2020 - Study Deployment of rapid response teams by 31 hospitals in a statewide collaborative. Citation Text: Stolldorf DP, Jones CB. Deployment of rapid response teams by 31 hospitals in a statewide collaborative. Jt Comm J Qual Patient Saf. 2015;41(4):186-191. Copy Citation Format: …

  17. Reaching the summit of discharge summaries: a quality improvement project. | PSNet

    psnet.ahrq.gov/issue/reaching-summit-discharge-summaries-quality-improvement-project
    March 17, 2021 - Study Reaching the summit of discharge summaries: a quality improvement project. Citation Text: Richmond RT, McFadzean IJ, Vallabhaneni P. Reaching the summit of discharge summaries: a quality improvement project. BMJ Open Qual. 2021;10(1):e001142. doi:10.1136/bmjoq-2020-001142. Copy C…

  18. Psychological safety as a new ACGME requirement: a comprehensive all-in-one guide to radiology residency programs. | PSNet

    psnet.ahrq.gov/issue/psychological-safety-new-acgme-requirement-comprehensive-all-one-guide-radiology-residency
    April 24, 2018 - Review Psychological safety as a new ACGME requirement: a comprehensive all-in-one guide to radiology residency programs. Citation Text: Mohamed I, Hom GL, Jiang S, et al. Psychological safety as a new ACGME requirement: a comprehensive all-in-one guide to radiology residency programs. A…

  19. "Disruptive behavior" in the operating room: A prospective observational study of triggers and effects of tense communication episodes in surgical teams. | PSNet

    psnet.ahrq.gov/issue/disruptive-behavior-operating-room-prospective-observational-study-triggers-and-effects-tense
    October 29, 2014 - Study "Disruptive behavior" in the operating room: A prospective observational study of triggers and effects of tense communication episodes in surgical teams. Citation Text: Keller S, Tschan F, Semmer NK, et al. “Disruptive behavior” in the operating room: A prospective observational st…

  20. Should medical errors be disclosed to pediatric patients? Pediatricians' attitudes toward error disclosure. | PSNet

    psnet.ahrq.gov/issue/should-medical-errors-be-disclosed-pediatric-patients-pediatricians-attitudes-toward-error
    June 15, 2011 - Study Should medical errors be disclosed to pediatric patients? Pediatricians' attitudes toward error disclosure. Citation Text: Kolaitis IN, Schinasi DA, Ross LF. Should Medical Errors Be Disclosed to Pediatric Patients? Pediatricians' Attitudes Toward Error Disclosure. Acad Pediatr. 20…
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