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  1. psnet.ahrq.gov/issue/delineation-risk-through-exploration-culture-safety-community-home-health
    December 04, 2016 - Study Delineation of risk through the exploration of a culture of safety in community home health. Citation Text: Stevenson L, McRae C, Mughal WA. Delineation of Risk Through the Exploration of a Culture of Safety in Community Home Health. Home Health Care Manag Pract. 2007;19(6). doi:…
  2. digital.ahrq.gov/ahrq-funded-projects/patient-centered-medical-home-information-model/annual-summary/2011
    January 01, 2011 - Patient-Centered Medical Home Information Model - 2011 Project Name Patient-Centered Medical Home Information Model Principal Investigator Waldren, Steven Organization Westat Contract Number 290-09-00023I-6 Project Period August 2010 - August 2011 AHRQ…
  3. psnet.ahrq.gov/issue/getting-message-quality-improvement-initiative-reduce-pages-sent-wrong-physician
    April 30, 2014 - Study Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician. Citation Text: Wong BM, Cheung M, Dharamshi H, et al. Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician. BMJ Qual Saf. 2012;21(10):85…
  4. psnet.ahrq.gov/issue/role-talking-and-keeping-silent-physician-coping-medical-error-qualitative-study
    February 16, 2011 - Study The role of talking (and keeping silent) in physician coping with medical error: a qualitative study. Citation Text: May NB, Plews-Ogan M. The role of talking (and keeping silent) in physician coping with medical error: a qualitative study. Patient Educ Couns. 2012;88(3):449-54. …
  5. psnet.ahrq.gov/issue/intravenous-chemotherapy-preparation-errors-patient-safety-risks-identified-pan-canadian
    March 18, 2011 - Study Intravenous chemotherapy preparation errors: patient safety risks identified in a pan-Canadian exploratory study. Citation Text: White R, Cassano-Piché A, Fields A, et al. Intravenous chemotherapy preparation errors: patient safety risks identified in a pan-Canadian exploratory stu…
  6. psnet.ahrq.gov/issue/case-improving-measurement-intraoperative-iatrogenic-injuries
    February 14, 2017 - Commentary A case for improving measurement of intraoperative iatrogenic injuries. Citation Text: Paruch JL, Ko CY, Bilimoria KY. A case for improving measurement of intraoperative iatrogenic injuries. JAMA Surg. 2014;149(9):887-8. doi:10.1001/jamasurg.2013.5237. Copy Citation Form…
  7. psnet.ahrq.gov/issue/how-physicians-financial-wellness-could-impact-patient-safety
    May 08, 2024 - Commentary How the physician's financial wellness could impact patient safety. Citation Text: Richards JL, Brook K. How the physician’s financial wellness could impact patient safety. Postgrad Med J. 2024;100(1182):276-278. doi:10.1093/postmj/qgad076. Copy Citation Format: …
  8. psnet.ahrq.gov/issue/approaches-decreasing-medication-and-other-care-errors-icu
    September 30, 2010 - Review Approaches to decreasing medication and other care errors in the ICU. Citation Text: Valentin A. Approaches to decreasing medication and other care errors in the ICU. Curr Opin Crit Care. 2013;19(5):474-9. doi:10.1097/MCC.0b013e328364d4f9. Copy Citation Format: DOI …
  9. psnet.ahrq.gov/issue/association-shift-level-nurse-staffing-adverse-patient-events
    October 06, 2016 - Study The association of shift-level nurse staffing with adverse patient events. Citation Text: Patrician PA, Loan L, McCarthy MC, et al. The association of shift-level nurse staffing with adverse patient events. J Nurs Adm. 2011;41(2):64-70. doi:10.1097/NNA.0b013e31820594bf. Copy Ci…
  10. psnet.ahrq.gov/issue/observation-assessment-clinician-performance-narrative-review
    September 09, 2015 - Review Observation for assessment of clinician performance: a narrative review. Citation Text: Yanes AF, McElroy LM, Abecassis ZA, et al. Observation for assessment of clinician performance: a narrative review. BMJ Qual Saf. 2016;25(1):46-55. doi:10.1136/bmjqs-2015-004171. Copy Citatio…
  11. psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-terminology
    August 18, 2021 - Review Patient safety and quality improvement: terminology. Citation Text: Pereira-Argenziano L, Levy FH. Patient Safety and Quality Improvement: Terminology. Pediatr Rev. 2015;36(9):403-11; quiz 412-3. doi:10.1542/pir.36-9-403. Copy Citation Format: DOI Google Scholar PubM…
  12. psnet.ahrq.gov/issue/addressing-physician-burnout-way-forward
    December 02, 2020 - Commentary Addressing physician burnout: the way forward. Citation Text: Shanafelt TD, Dyrbye LN, West CP. Addressing Physician Burnout: The Way Forward. JAMA. 2017;317(9):901-902. doi:10.1001/jama.2017.0076. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…
  13. www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-compendium-self-assessment-instructions.pdf
    December 01, 2023 - How to Complete the Practice Self-Assessment Tool for Opioid Use in Older Adults www.ahrq.gov How to Complete the Practice Self-Assessment Tool for Opioid Use in Older Adults The Practice Self-Assessment Tool for Opioid Use in Older Adults (Self-Assessment tool) is for primary care practices that want to improve…
  14. psnet.ahrq.gov/issue/formalizing-hidden-curriculum-performance-enhancing-errors
    February 17, 2021 - Review Formalizing the hidden curriculum of performance enhancing errors. Citation Text: Kerray FM, Yule SJ, Tambyraja AL. Formalizing the hidden curriculum of performance enhancing errors. J Surg Educ. 2023;80(5):619-623. doi:10.1016/j.jsurg.2023.01.009. Copy Citation Format: …
  15. psnet.ahrq.gov/issue/longitudinal-analyses-nurse-staffing-and-patient-outcomes-more-about-failure-rescue
    February 24, 2021 - Study Longitudinal analyses of nurse staffing and patient outcomes: more about failure to rescue. Citation Text: Seago JA, Williamson A, Atwood C. Longitudinal Analyses of Nurse Staffing and Patient Outcomes. J Nurs Admin. 2006;36(1):13-21. doi:10.1097/00005110-200601000-00005. Copy Ci…
  16. psnet.ahrq.gov/issue/will-human-factors-restore-faith-gmc
    January 12, 2022 - Commentary Will human factors restore faith in the GMC? Citation Text: Morgan L, Benson D, McCulloch P. Will human factors restore faith in the GMC? BMJ. 2019;364:l1037. doi:10.1136/bmj.l1037. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…
  17. psnet.ahrq.gov/issue/cost-pneumonia-after-acute-stroke
    August 04, 2021 - Study The cost of pneumonia after acute stroke. Citation Text: Katzan IL, Dawson NV, Thomas CL, et al. The cost of pneumonia after acute stroke. Neurology. 2007;68(22). doi:10.1212/01.wnl.0000263187.08969.45. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML …
  18. psnet.ahrq.gov/issue/piece-my-mind-patient-you-least-want-see
    August 14, 2024 - Commentary A piece of my mind. The patient you least want to see. Citation Text: Chen JH. A PIECE OF MY MIND. The Patient You Least Want to See. JAMA. 2016;315(16):1701-2. doi:10.1001/jama.2016.0221. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndN…
  19. psnet.ahrq.gov/issue/piece-my-mind-after-medical-error
    November 06, 2024 - Commentary A piece of my mind. After the medical error. Citation Text: Worthen M. After the Medical Error. JAMA. 2017;317(17):1763-1764. doi:10.1001/jama.2017.0004. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…
  20. psnet.ahrq.gov/issue/when-medical-care-leads-harm-difficulty-finding-words-teachable-moment
    September 23, 2017 - Commentary When medical care leads to harm—difficulty finding words: a teachable moment. Citation Text: Chamberlain E, DiVeronica M, Segura R. When medical care leads to harm- difficulty finding words: a teachable moment. JAMA Intern Med. 2015;175(8):1271-1272. doi:10.1001/jamainternmed.…