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  1. psnet.ahrq.gov/issue/standardised-proformas-improve-patient-handover-audit-trauma-handover-practice
    October 19, 2022 - Study Standardised proformas improve patient handover: audit of trauma handover practice. Citation Text: Ferran NA, Metcalfe AJ, O'Doherty D. Standardised proformas improve patient handover: Audit of trauma handover practice. Patient Saf Surg. 2008;2:24. doi:10.1186/1754-9493-2-24. C…
  2. psnet.ahrq.gov/issue/why-patients-need-leaders-introducing-ward-safety-checklist
    October 28, 2020 - Commentary Why patients need leaders: introducing a ward safety checklist. Citation Text: Amin Y, Grewcock D, Andrews S, et al. Why patients need leaders: introducing a ward safety checklist. J R Soc Med. 2012;105(9):377-83. doi:10.1258/jrsm.2012.120098. Copy Citation Format: …
  3. psnet.ahrq.gov/issue/multifaceted-program-improving-quality-care-intensive-care-units-iatroref-study
    April 12, 2011 - Study A multifaceted program for improving quality of care in intensive care units: IATROREF study. Citation Text: Garrouste-Orgeas M, Soufir L, Tabah A, et al. A multifaceted program for improving quality of care in intensive care units: IATROREF study. Crit Care Med. 2012;40(2):468-7…
  4. psnet.ahrq.gov/issue/chemotherapy-safety-and-severe-adverse-events-cancer-patients-strategies-efficiently-avoid
    May 31, 2017 - Study Chemotherapy safety and severe adverse events in cancer patients: strategies to efficiently avoid chemotherapy errors in in- and outpatient treatment. Citation Text: Markert A, Thierry V, Kleber M, et al. Chemotherapy safety and severe adverse events in cancer patients: Strategi…
  5. psnet.ahrq.gov/issue/clinical-transformation-ascension-health-eliminating-all-preventable-injuries-and-deaths
    January 05, 2017 - Commentary The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. Citation Text: Pryor DB, Tolchin SF, Hendrich A, et al. The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. Jt Comm J Qual Patient Sa…
  6. psnet.ahrq.gov/issue/leadership-framework-culture-change-health-care
    January 02, 2017 - Commentary A leadership framework for culture change in health care. Citation Text: Rose JS, Thomas CS, Tersigni AR, et al. A leadership framework for culture change in health care. Jt Comm J Qual Patient Saf. 2006;32(8):433-42. Copy Citation Format: Google Scholar PubMed B…
  7. psnet.ahrq.gov/issue/comparing-safety-climate-between-two-populations-hospitals-united-states
    June 16, 2011 - Study Comparing safety climate between two populations of hospitals in the United States. Citation Text: Singer SJ, Hartmann CW, Hanchate A, et al. Comparing Safety Climate between Two Populations of Hospitals in the United States. Health Serv Res. 2009;44(5p1). doi:10.1111/j.1475-6773…
  8. psnet.ahrq.gov/issue/reducing-diagnostic-error-through-medical-home-based-primary-care-reform
    July 15, 2015 - Commentary Reducing diagnostic error through medical home-based primary care reform. Citation Text: Singh H, Graber ML. Reducing diagnostic error through medical home-based primary care reform. JAMA. 2010;304(4):463-4. doi:10.1001/jama.2010.1035. Copy Citation Format: DOI G…
  9. psnet.ahrq.gov/issue/acute-care-patients-discuss-patient-role-patient-safety
    October 12, 2011 - Study Acute care patients discuss the patient role in patient safety. Citation Text: Rathert C, Huddleston N, Pak Y. Acute care patients discuss the patient role in patient safety. Health Care Manage Rev. 2011;36(2):134-144. doi:10.1097/HMR.0b013e318208cd31. Copy Citation Format:…
  10. psnet.ahrq.gov/issue/medical-error-care-unrepresented-disclosure-and-apology-vulnerable-patient-population
    March 13, 2024 - Commentary Medical error in the care of the unrepresented: disclosure and apology for a vulnerable patient population. Citation Text: Byju AS, Mayo K. Medical error in the care of the unrepresented: disclosure and apology for a vulnerable patient population. J Med Ethics. 2019;45(12):821…
  11. psnet.ahrq.gov/issue/college-students-return-crisis-campus-care-awaits
    September 09, 2020 - Newspaper/Magazine Article As college students return, a crisis in campus care awaits. Citation Text: Abelson J, Tran AB, Kornfield M, et al. As college students return, a crisis in campus care awaits. The Seattle Times. 2020;July 13. Copy Citation Format: Google Scholar Bi…
  12. psnet.ahrq.gov/issue/safety-culture-nursing-homes-opinions-top-managers
    June 02, 2010 - Study Safety culture of nursing homes: opinions of top managers. Citation Text: Castle NG, Wagner LM, Ferguson JC, et al. Safety culture of nursing homes: opinions of top managers. Health Care Manage Rev. 2011;36(2):175-187. doi:10.1097/HMR.0b013e3182080d5f. Copy Citation Format:…
  13. psnet.ahrq.gov/issue/how-well-do-health-professionals-interpret-diagnostic-information-systematic-review
    August 03, 2022 - Review How well do health professionals interpret diagnostic information? A systematic review. Citation Text: Whiting PF, Davenport C, Jameson C, et al. How well do health professionals interpret diagnostic information? A systematic review. BMJ Open. 2015;5(7):e008155. doi:10.1136/bmjope…
  14. psnet.ahrq.gov/issue/task-uncertainty-and-communication-during-nursing-shift-handovers
    August 20, 2018 - Study Task uncertainty and communication during nursing shift handovers. Citation Text: Mayor E, Bangerter A, Aribot M. Task uncertainty and communication during nursing shift handovers. J Adv Nurs. 2012;68(9):1956-66. doi:10.1111/j.1365-2648.2011.05880.x. Copy Citation Format: …
  15. psnet.ahrq.gov/issue/building-bridges-future-directions-medical-error-disclosure-research
    October 10, 2018 - Study Building bridges: future directions for medical error disclosure research. Citation Text: Hannawa AF, Beckman H, Mazor KM, et al. Building bridges: future directions for medical error disclosure research. Patient Educ Couns. 2013;92(3):319-327. doi:10.1016/j.pec.2013.05.017. Copy…
  16. psnet.ahrq.gov/issue/time-out-procedure-institutional-ethnography-how-it-conducted-actual-clinical-practice
    November 06, 2015 - Study The 'time-out' procedure: an institutional ethnography of how it is conducted in actual clinical practice. Citation Text: Braaf S, Manias E, Riley R. The 'time-out' procedure: an institutional ethnography of how it is conducted in actual clinical practice. BMJ Qual Saf. 2013;22(8)…
  17. psnet.ahrq.gov/issue/request-information-creating-national-healthcare-system-action-alliance-advance-patient
    June 22, 2022 - Press Release/Announcement Request for Information: Creating a National Healthcare System Action Alliance to Advance Patient Safety. Citation Text: Request for Information: Creating a National Healthcare System Action Alliance to Advance Patient Safety. Agency for Healthcare Research and…
  18. psnet.ahrq.gov/issue/eliminating-preventable-death-ascension-health
    June 03, 2020 - Commentary Eliminating preventable death at Ascension Health. Citation Text: Tolchin S, Brush R, Lange P, et al. Eliminating preventable death at Ascension Health. Jt Comm J Qual Patient Saf. 2007;33(3):145-54. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 X…
  19. psnet.ahrq.gov/issue/reasons-after-hours-calls-hospital-floor-nurses-call-physicians
    March 21, 2017 - Study Reasons for after-hours calls by hospital floor nurses to on-call physicians. Citation Text: Bernstam E, Pancheri KK, Johnson CM, et al. Reasons for after-hours calls by hospital floor nurses to on-call physicians. Jt Comm J Qual Patient Saf. 2007;33(6):342-9. Copy Citation F…
  20. psnet.ahrq.gov/issue/model-building-standardized-hand-protocol
    September 22, 2010 - Commentary A model for building a standardized hand-off protocol.  Citation Text: Arora V, Johnson J. A model for building a standardized hand-off protocol. Jt Comm J Qual Saf. 2006;32(11):646-655. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote …

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