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  1. psnet.ahrq.gov/issue/unintended-adverse-consequences-introducing-electronic-health-records-residential-aged-care
    March 24, 2019 - Study Unintended adverse consequences of introducing electronic health records in residential aged care homes. Citation Text: Yu P, Zhang Y, Gong Y, et al. Unintended adverse consequences of introducing electronic health records in residential aged care homes. Int J Med Inform. 2013;82…
  2. psnet.ahrq.gov/issue/morbidity-and-mortality-conferences-narrative-review-strategies-prioritize-quality
    January 11, 2023 - Review Morbidity and mortality conferences: a narrative review of strategies to prioritize quality improvement. Citation Text: Giesbrecht V, Au S. Morbidity and Mortality Conferences: A Narrative Review of Strategies to Prioritize Quality Improvement. Jt Comm J Qual Patient Saf. 2016;42(…
  3. psnet.ahrq.gov/issue/sign-right-here-and-youre-good-go-content-analysis-audiotaped-emergency-department-discharge
    December 18, 2013 - Study "Sign right here and you're good to go": a content analysis of audiotaped emergency department discharge instructions. Citation Text: Vashi A, Rhodes K. "Sign right here and you're good to go": a content analysis of audiotaped emergency department discharge instructions. Ann Emer…
  4. psnet.ahrq.gov/issue/patient-perspectives-test-result-communication-primary-care-qualitative-study
    November 20, 2015 - Study Patient perspectives on test result communication in primary care: a qualitative study. Citation Text: Litchfield I, Bentham L, Lilford RJ, et al. Patient perspectives on test result communication in primary care: a qualitative study. Br J Med Pract. 2015;65(632):e133-e140. doi:10.…
  5. psnet.ahrq.gov/issue/establishing-ambulatory-medicine-quality-and-safety-oversight-structure-leveraging-fractal
    July 01, 2017 - Commentary Establishing an ambulatory medicine quality and safety oversight structure: leveraging the fractal model. Citation Text: Kravet SJ, Bailey J, Demski R, et al. Establishing an Ambulatory Medicine Quality and Safety Oversight Structure: Leveraging the Fractal Model. Acad Med. 20…
  6. psnet.ahrq.gov/issue/how-effective-teamwork-really-relationship-between-teamwork-and-performance-healthcare-teams
    February 14, 2017 - Review Classic How effective is teamwork really? The relationship between teamwork and performance in healthcare teams: a systematic review and meta-analysis. Citation Text: Schmutz JB, Meier LL, Manser T. How effective is teamwork really? The relationship betwe…
  7. psnet.ahrq.gov/issue/addressing-adultification-black-pediatric-patients-emergency-department-framework-decrease
    October 27, 2021 - Commentary Addressing adultification of black pediatric patients in the emergency department: a framework to decrease disparities. Citation Text: Koch A, Kozhumam A. Addressing adultification of black pediatric patients in the emergency department: a framework to decrease disparities. He…
  8. psnet.ahrq.gov/issue/frequency-passive-ehr-alerts-icu-another-form-alert-fatigue
    January 23, 2017 - Study Frequency of passive EHR alerts in the ICU: another form of alert fatigue? Citation Text: Kizzier-Carnahan V, Artis KA, Mohan V, et al. Frequency of Passive EHR Alerts in the ICU: Another Form of Alert Fatigue? J Patient Saf. 2019;15(3):246-250. doi:10.1097/PTS.0000000000000270. …
  9. psnet.ahrq.gov/issue/tenfold-medication-errors-5-years-experience-university-affiliated-pediatric-hospital
    August 07, 2024 - Study Tenfold medication errors: 5 years' experience at a university-affiliated pediatric hospital. Citation Text: Doherty C, Donnell CM. Tenfold medication errors: 5 years' experience at a university-affiliated pediatric hospital. Pediatrics. 2012;129(5):916-924. doi:10.1542/peds.2011-2…
  10. psnet.ahrq.gov/issue/impact-out-hours-admission-patient-mortality-longitudinal-analysis-tertiary-acute-hospital
    July 21, 2017 - Study Impact of out-of-hours admission on patient mortality: longitudinal analysis in a tertiary acute hospital. Citation Text: Han L, Sutton M, Clough S, et al. Impact of out-of-hours admission on patient mortality: longitudinal analysis in a tertiary acute hospital. BMJ Qual Saf. 2018;…
  11. psnet.ahrq.gov/issue/what-defines-high-performing-health-system-systematic-review
    August 17, 2022 - Review What defines a high-performing health system: a systematic review. Citation Text: Ahluwalia SC, Damberg CL, Silverman M, et al. What Defines a High-Performing Health Care Delivery System: A Systematic Review. Jt Comm J Qual Patient Saf. 2017;43(9):450-459. doi:10.1016/j.jcjq.2017.…
  12. psnet.ahrq.gov/issue/adverse-events-patients-return-emergency-department-visits
    May 31, 2017 - Study Adverse events in patients with return emergency department visits. Citation Text: Calder LA, Pozgay A, Riff S, et al. Adverse events in patients with return emergency department visits. BMJ Qual Saf. 2015;24(2):142-148. doi:10.1136/bmjqs-2014-003194. Copy Citation Format: …
  13. psnet.ahrq.gov/issue/test-result-communication-primary-care-clinical-and-office-staff-perspectives
    November 20, 2015 - Study Test result communication in primary care: clinical and office staff perspectives. Citation Text: Litchfield I, Bentham L, Lilford RJ, et al. Test result communication in primary care: clinical and office staff perspectives. Fam Pract. 2014;31(5):592-7. doi:10.1093/fampra/cmu041. …
  14. psnet.ahrq.gov/issue/test-retest-reliability-experienced-global-trigger-tool-review-team
    August 03, 2022 - Study Test-retest reliability of an experienced Global Trigger Tool review team. Citation Text: Bjørn B, Anhøj J, Østergaard M, et al. Test-retest reliability of an experienced Global Trigger Tool review team. J Patient Saf. 2021;17(7):e593-e598. doi:10.1097/pts.0000000000000433. Copy …
  15. psnet.ahrq.gov/issue/vignette-study-examine-health-care-professionals-attitudes-towards-patient-involvement-error
    March 11, 2013 - Study A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention. Citation Text: Schwappach DLB, Frank O, Davis R. A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention. J…
  16. psnet.ahrq.gov/issue/systems-approach-identify-factors-influencing-adverse-drug-events-nursing-homes
    March 18, 2020 - Study A systems approach to identify factors influencing adverse drug events in nursing homes. Citation Text: Al-Jumaili AA, Doucette WR. A Systems Approach to Identify Factors Influencing Adverse Drug Events in Nursing Homes. J Am Geriatr Soc. 2018;66(7):1420-1427. doi:10.1111/jgs.15389…
  17. psnet.ahrq.gov/issue/adverse-drug-event-nonrecognition-emergency-departments-exploratory-study-factors-related
    April 12, 2011 - Study Adverse drug event nonrecognition in emergency departments: an exploratory study on factors related to patients and drugs. Citation Text: Roulet L, Ballereau F, Hardouin J-B, et al. Adverse drug event nonrecognition in emergency departments: an exploratory study on factors related …
  18. psnet.ahrq.gov/issue/prevalence-medication-transfer-errors-nephrology-patients-and-potential-risk-factors
    January 26, 2022 - Study Prevalence of medication transfer errors in nephrology patients and potential risk factors. Citation Text: Ebbens MM, Errami H, Moes DJAR, et al. Prevalence of medication transfer errors in nephrology patients and potential risk factors. Eur J Intern Med. 2019;70:50-53. doi:10.1016…
  19. psnet.ahrq.gov/issue/impact-medication-reconciliation-improving-transitions-care
    June 19, 2019 - Review Emerging Classic Impact of medication reconciliation for improving transitions of care. Citation Text: Redmond P, Grimes TC, McDonnell R, et al. Impact of medication reconciliation for improving transitions of care. Cochrane Database Syst Rev. 2018;8(8):C…
  20. psnet.ahrq.gov/issue/root-cause-analyses-suicides-mental-health-clients
    March 16, 2016 - Study Root cause analyses of suicides of mental health clients. Citation Text: Gillies D, Chicop D, O'Halloran P. Root Cause Analyses of Suicides of Mental Health Clients: Identifying Systematic Processes and Service-Level Prevention Strategies. Crisis. 2015;36(5):316-324. doi:10.1027/02…

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