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psnet.ahrq.gov/issue/meta-review-methods-measuring-and-monitoring-safety-primary-care
November 03, 2021 - Review
A meta-review of methods of measuring and monitoring safety in primary care.
Citation Text:
O’Connor P, Madden C, O’Dowd E, et al. A meta-review of methods of measuring and monitoring safety in primary care. Int J Qual Health Care. 2021;33(3):mzab117. doi:10.1093/intqhc/mzab117.
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psnet.ahrq.gov/issue/using-communication-and-teamwork-skills-cats-assessment-measure-health-care-team-performance
July 05, 2013 - Commentary
Using the Communication and Teamwork Skills (CATS) assessment to measure health care team performance.
Citation Text:
Frankel A, Gardner R, Maynard L, et al. Using the Communication and Teamwork Skills (CATS) Assessment to measure health care team performance. Jt Comm J Qual P…
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psnet.ahrq.gov/issue/dashboards-visual-display-patient-safety-data-systematic-review
November 11, 2020 - Review
Dashboards for visual display of patient safety data: a systematic review.
Citation Text:
Murphy DR, Savoy A, Satterly T, et al. Dashboards for visual display of patient safety data: a systematic review. BMJ Health Care Inform. 2021;28(1):e100437. doi:10.1136/bmjhci-2021-100437.
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psnet.ahrq.gov/issue/idea4ps-development-research-oriented-learning-healthcare-system
April 24, 2018 - Commentary
IDEA4PS: the development of a research-oriented learning healthcare system.
Citation Text:
Moffatt-Bruce SD, Huerta T, Gaughan A, et al. IDEA4PS: The Development of a Research-Oriented Learning Healthcare System. Am J Med Qual. 2018;33(4):420-425. doi:10.1177/1062860617751044.…
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psnet.ahrq.gov/issue/negative-behaviours-health-care-prevalence-and-strategies
May 01, 2024 - Study
Negative behaviours in health care: prevalence and strategies.
Citation Text:
Layne DM, Nemeth LS, Mueller M, et al. Negative behaviours in health care: Prevalence and strategies. J Nurs Manag. 2019;27(1):154-160. doi:10.1111/jonm.12660.
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psnet.ahrq.gov/issue/maximizing-ability-health-it-and-ai-improve-patient-safety
May 22, 2015 - Commentary
Maximizing the ability of health IT and AI to improve patient safety.
Citation Text:
Singh H, Sittig DF, Classen DC. Maximizing the ability of health IT and AI to improve patient safety. JAMA Intern Med. 2025;185(1):10-12. doi:10.1001/jamainternmed.2024.4343.
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psnet.ahrq.gov/issue/ethical-dilemma-missed-melanoma-what-tell-patient-and-other-providers
March 17, 2021 - Commentary
Ethical dilemma in missed melanoma: what to tell the patient and other providers.
Citation Text:
Vangipuram R, Horner ME, Menter A. Ethical dilemma in missed melanoma: What to tell the patient and other providers. J Am Acad Dermatol. 2017;76(2):365-367. doi:10.1016/j.jaad.2016…
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psnet.ahrq.gov/issue/effects-cpoe-based-medication-ordering-outcomes-overview-systematic-reviews
March 10, 2021 - Review
Effects of CPOE-based medication ordering on outcomes: an overview of systematic reviews.
Citation Text:
Abraham J, Kitsiou S, Meng A, et al. Effects of CPOE-based medication ordering on outcomes: an overview of systematic reviews. BMJ Qual Saf. 2020;29(10):854–863. doi:10.1136/bm…
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psnet.ahrq.gov/issue/courage-speak-out-study-describing-nurses-attitudes-report-unsafe-practices-patient-care
April 24, 2018 - Study
The courage to speak out: a study describing nurses' attitudes to report unsafe practices in patient care.
Citation Text:
Cole DA, Bersick E, Skarbek A, et al. The courage to speak out: A study describing nurses' attitudes to report unsafe practices in patient care. J Nurs Manag. 2…
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psnet.ahrq.gov/issue/just-culture-foundation-staff-safety-perioperative-environment
June 09, 2021 - Commentary
Just culture: the foundation of staff safety in the perioperative environment.
Citation Text:
Fencl JL, Willoughby C, Jackson K. Just culture: the foundation of staff safety in the perioperative environment. AORN J. 2021;113(4):329-336. doi:10.1002/aorn.13352.
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psnet.ahrq.gov/issue/role-personal-health-information-management-promoting-patient-safety-home-qualitative
June 15, 2022 - Study
The role of personal health information management in promoting patient safety in the home: a qualitative analysis
Citation Text:
Demiris G, Lin S-Y, Turner AM. The role of personal health information management in promoting patient safety in the home: a qualitative analysis. Stud …
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psnet.ahrq.gov/issue/complementary-approach-promoting-professionalism-identifying-measuring-and-addressing
June 27, 2018 - Study
Classic
A complementary approach to promoting professionalism: identifying, measuring, and addressing unprofessional behaviors.
Citation Text:
Hickson GB, Pichert JW, Webb LE, et al. A complementary approach to promoting professionalism: identifying, mea…
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psnet.ahrq.gov/issue/understanding-and-responding-health-literacy-social-determinant-health
September 27, 2017 - Commentary
Classic
Understanding and responding to health literacy as a social determinant of health.
Citation Text:
Nutbeam D, Lloyd JE. Understanding and responding to health literacy as a social determinant of health. Annu Rev Public Health. 2021;42(1):159-17…
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psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2023-analysis-23970-reports
July 08, 2020 - Study
Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports.
Citation Text:
Kepner S, Bennett A, Jones RM. Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports. Patient Safety. 2024;6(1). doi:10.33940/001c.116555.
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psnet.ahrq.gov/issue/just-time-training-high-risk-low-volume-therapies-approach-ensure-patient-safety
April 24, 2018 - Commentary
Just-in-time training for high-risk low-volume therapies: an approach to ensure patient safety.
Citation Text:
Helman S, Lisanti AJ, Adams A, et al. Just-in-Time Training for High-Risk Low-Volume Therapies: An Approach to Ensure Patient Safety. J Nurs Care Qual. 2016;31(1):33-…
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psnet.ahrq.gov/issue/patients-role-diagnostic-safety-and-excellence-passive-reception-towards-co-design
April 10, 2019 - Book/Report
The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception towards Co-Design.
Citation Text:
Epstein HM, Haskell H, Hemmelgarn C, et al. The Patient’s Role In Diagnostic Safety And Excellence: From Passive Reception Towards Co-Design. Rockville, MD: Agency…
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psnet.ahrq.gov/issue/evidence-base-us-joint-commission-hospital-accreditation-standards-cross-sectional-study
June 09, 2021 - Study
The evidence base for US Joint Commission hospital accreditation standards: cross sectional study.
Citation Text:
Ibrahim SA, Reynolds KA, Poon E, et al. The evidence base for US joint commission hospital accreditation standards: cross sectional study. BMJ. 2022;377:e063064. doi:10…
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psnet.ahrq.gov/issue/improving-safety-and-quality-care-enhanced-teamwork-through-operating-room-briefings
May 11, 2019 - Commentary
Improving safety and quality of care with enhanced teamwork through operating room briefings.
Citation Text:
Hicks CW, Rosen MA, Hobson DB, et al. Improving safety and quality of care with enhanced teamwork through operating room briefings. JAMA Surg. 2014;149(8):863-8. doi:10…
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psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-comparison-two-common-risk-prioritisation-methods
September 09, 2015 - Study
Failure mode and effects analysis: a comparison of two common risk prioritisation methods.
Citation Text:
McElroy LM, Khorzad R, Nannicelli AP, et al. Failure mode and effects analysis: a comparison of two common risk prioritisation methods. BMJ Qual Saf. 2016;25(5):329-336. doi:10…
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psnet.ahrq.gov/issue/designing-abstraction-instrument-lessons-efforts-validate-ahrq-patient-safety-indicators
January 13, 2010 - Commentary
Designing an abstraction instrument: lessons from efforts to validate the AHRQ Patient Safety Indicators.
Citation Text:
Utter GH, Borzecki A, Rosen AK, et al. Designing an abstraction instrument: lessons from efforts to validate the AHRQ patient safety indicators. Jt Comm J Q…