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  1. Reducing risks in complex care transitions in rural areas: a grounded theory. | PSNet

    psnet.ahrq.gov/issue/reducing-risks-complex-care-transitions-rural-areas-grounded-theory
    June 23, 2021 - Study Reducing risks in complex care transitions in rural areas: a grounded theory. Citation Text: Winqvist I, Näppä U, Rönning H, et al. Reducing risks in complex care transitions in rural areas: a grounded theory. Int J Qual Stud Health Well-being. 2023;18(1):2185964. doi:10.1080/17482…

  2. Comparison of a focused family cancer history questionnaire to family history documentation in the electronic medical record. | PSNet

    psnet.ahrq.gov/issue/comparison-focused-family-cancer-history-questionnaire-family-history-documentation
    June 23, 2021 - Study Comparison of a focused family cancer history questionnaire to family history documentation in the electronic medical record. Citation Text: Clift K, Macklin-Mantia S, Barnhorst M, et al. Comparison of a focused family cancer history questionnaire to family history documentation in…

  3. Elevated mortality among weekend hospital admissions is not associated with adoption of seven day clinical standards. | PSNet

    psnet.ahrq.gov/issue/elevated-mortality-among-weekend-hospital-admissions-not-associated-adoption-seven-day
    July 21, 2017 - Study Elevated mortality among weekend hospital admissions is not associated with adoption of seven day clinical standards. Citation Text: Meacock R, Sutton M. Elevated mortality among weekend hospital admissions is not associated with adoption of seven day clinical standards. Emerg Med …

  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. The incidence of opioid misuse among the surgical patients with persistent opioid use. | PSNet

    psnet.ahrq.gov/issue/incidence-opioid-misuse-among-surgical-patients-persistent-opioid-use
    October 13, 2018 - Study The incidence of opioid misuse among the surgical patients with persistent opioid use. Citation Text: Namiranian, MD, PhD K. The incidence of opioid misuse among the surgical patients with persistent opioid use. J Opioid Manag. 2023;19(1):69-76. doi:10.5055/jom.2023.0760. Copy Ci…

  6. Analysis of results from event investigations in industrial and patient safety contexts. | PSNet

    psnet.ahrq.gov/issue/analysis-results-event-investigations-industrial-and-patient-safety-contexts
    July 06, 2022 - Commentary Analysis of results from event investigations in industrial and patient safety contexts. Citation Text: Harms-Ringdahl L. Analysis of results from event investigations in industrial and patient safety contexts. Safety. 2021;7(1):19. doi:10.3390/safety7010019. Copy Citation …

  7. Assessment of automating safety surveillance from electronic health records: analysis for the quality and safety review system. | PSNet

    psnet.ahrq.gov/issue/assessment-automating-safety-surveillance-electronic-health-records-analysis-quality-and
    October 17, 2018 - Study Assessment of automating safety surveillance from electronic health records: analysis for the quality and safety review system. Citation Text: Fong A, Adams KT, Samarth A, et al. Assessment of Automating Safety Surveillance From Electronic Health Records: Analysis for the Quality a…

  8. Barcoded medication administration: a last line of defense. | PSNet

    psnet.ahrq.gov/issue/barcoded-medication-administration-last-line-defense
    November 06, 2015 - Commentary Barcoded medication administration: a last line of defense. Citation Text: Cescon DW, Etchells E. Barcoded medication administration: a last line of defense. JAMA. 2008;299(18):2200-2. doi:10.1001/jama.299.18.2200. Copy Citation Format: DOI Google Scholar PubMe…

  9. Digestive Health Clinic, LLC: Slide Presentation (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/brownslides.pdf
    June 02, 2025 - Digestive Health Clinic, LLC: Slide Presentation 34 34 Digestive Health Clinic, LLC Idaho Endoscopy Center, LLC Erin Brown, RN Director of Nursing Services 35 35 Digestive Health Clinic (DHC) • State-of-the-art physician-owned outpatient healthcare facility • Provides for the comprehensive care o…

  10. Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors. | PSNet

    psnet.ahrq.gov/issue/risk-factors-wrong-site-surgery-study-1166-reports-informed-consent-and-schedule-errors
    January 20, 2021 - Study Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors. Citation Text: Taylor MA, Yonash RA. Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors. Patient Safety. 2024;6(1):1-11. doi:10.…

  11. Housestaff and medical student attitudes toward medical errors and adverse events. | PSNet

    psnet.ahrq.gov/issue/housestaff-and-medical-student-attitudes-toward-medical-errors-and-adverse-events
    March 06, 2013 - Study Housestaff and medical student attitudes toward medical errors and adverse events. Citation Text: Vohra PD, Johnson J, Daugherty CK, et al. Housestaff and medical student attitudes toward medical errors and adverse events. Jt Comm J Qual Patient Saf. 2007;33(8):493-501. Copy Cita…

  12. Hypertension Screening for Children Who Are Overweight or Obese: Table 2 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0232-table2.pdf
    January 01, 2011 - Hypertension Screening for Children Who Are Overweight or Obese: Table 2 Table 2: Evidence for Hypertension Screening for Children Who are Overweight or Obese Type of Evidence Key Findings Level of Evidence (USPSTF Ranking*) Citations Expert recommendation Hypertension is a risk factor for car…

  13. Risky procedures by nurses in hospitals: problems and (contemplated) refusals of orders by physicians, and views of physicians and nurses: a questionnaire survey.   | PSNet

    psnet.ahrq.gov/issue/risky-procedures-nurses-hospitals-problems-and-contemplated-refusals-orders-physicians-and
    February 14, 2024 - Study Risky procedures by nurses in hospitals: problems and (contemplated) refusals of orders by physicians, and views of physicians and nurses: a questionnaire survey.   Citation Text: de Bie J, Cuperus-Bosma JM, van der Jagt MAB, et al. Risky procedures by nurses in hospitals: proble…

  14. Oncologist perceptions of racial disparity, racial anxiety, and unconscious bias in clinical interactions, treatment, and outcomes. | PSNet

    psnet.ahrq.gov/issue/oncologist-perceptions-racial-disparity-racial-anxiety-and-unconscious-bias-clinical
    October 19, 2022 - Study Oncologist perceptions of racial disparity, racial anxiety, and unconscious bias in clinical interactions, treatment, and outcomes. Citation Text: Balanean A, Bland E, Gajra A, et al. Oncologist perceptions of racial disparity, racial anxiety, and unconscious bias in clinical inter…

  15. Doing 'detective work' to find a cancer: how are non-specific symptom pathways for cancer investigation organised, and what are the implications for safety and quality of care? A multisite qualitative approach. | PSNet

    psnet.ahrq.gov/issue/doing-detective-work-find-cancer-how-are-non-specific-symptom-pathways-cancer-investigation
    April 05, 2023 - Commentary Doing 'detective work' to find a cancer: how are non-specific symptom pathways for cancer investigation organised, and what are the implications for safety and quality of care? A multisite qualitative approach. Citation Text: Black GB, Nicholson BD, Moreland J-A, et al. Doing …

  16. 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…

  17. Patients and relatives as auditors of safe practices in oncology and hematology day hospitals. | PSNet

    psnet.ahrq.gov/issue/patients-and-relatives-auditors-safe-practices-oncology-and-hematology-day-hospitals
    April 22, 2020 - Study Patients and relatives as auditors of safe practices in oncology and hematology day hospitals. Citation Text: Rodrigo Rincón I, Irigoyen Aristorena I, Tirapu León B, et al. Patients and relatives as auditors of safe practices in oncology and hematology day hospitals. BMC Health Ser…

  18. 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: …

  19. Use of e-triggers to identify diagnostic errors in the paediatric ED. | PSNet

    psnet.ahrq.gov/issue/use-e-triggers-identify-diagnostic-errors-paediatric-ed
    October 27, 2021 - Study Use of e-triggers to identify diagnostic errors in the paediatric ED. Citation Text: Lam D, Dominguez F, Leonard J, et al. Use of e-triggers to identify diagnostic errors in the paediatric ED. BMJ Qual Saf. 2022;31(10):735-743. doi:10.1136/bmjqs-2021-013683. Copy Citation For…

  20. Hospital staff reports of coworker positive and unprofessional behaviours across eight hospitals: who reports what about whom? | PSNet

    psnet.ahrq.gov/issue/hospital-staff-reports-coworker-positive-and-unprofessional-behaviours-across-eight-hospitals
    May 01, 2024 - Study Hospital staff reports of coworker positive and unprofessional behaviours across eight hospitals: who reports what about whom? Citation Text: Urwin R, Pavithra A, Mcmullan RD, et al. Hospital staff reports of coworker positive and unprofessional behaviours across eight hospitals: w…
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