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  1. 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…
  2. 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…
  3. 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…
  4. 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. Copy Citation …
  5. digital.ahrq.gov/health-care-theme/transitions-care
    January 01, 2023 - Transitions in Care Scalable Digital Communication Intervention to Support Older Adults and Care Partners Transitioning Home After Major Surgery Description This research will develop and evaluate the Perioperative Optimization of Senior Health (myPOSH) mobile application that…
  6. 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 …
  7. 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…
  8. 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…
  9. 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. Copy …
  10. 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-…
  11. digital.ahrq.gov/ahrq-funded-projects/effect-electronic-health-record-use-preventive-screening-comorbid-medicaid-adults
    January 01, 2023 - Effect of Electronic Health Record Use on Preventive Screening for Comorbid Medicaid Adults Project Final Report ( PDF , 344.26 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not ne…
  12. 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…
  13. 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…
  14. 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…
  15. 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…
  16. 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…
  17. psnet.ahrq.gov/issue/acgme-summary-report-pursuing-excellence-pathway-leaders-patient-safety-collaborative
    October 18, 2017 - Book/Report ACGME Summary Report: The Pursuing Excellence Pathway Leaders Patient Safety Collaborative. Citation Text: ACGME Summary Report: The Pursuing Excellence Pathway Leaders Patient Safety Collaborative. Passiment M, Wagner R, Weiss KB for the Pursuing Excellence in Clinical Learn…
  18. psnet.ahrq.gov/issue/80-hour-work-guidelines-and-resident-survey-perceptions-quality
    June 18, 2008 - Study The 80-hour work guidelines and resident survey perceptions of quality. Citation Text: Biller K, Antonacci AC, Pelletier S, et al. The 80-hour work guidelines and resident survey perceptions of quality. J Surg Res. 2006;135(2):275-81. Copy Citation Format: Google Sc…
  19. psnet.ahrq.gov/issue/infection-control-deficiencies-were-widespread-and-persistent-nursing-homes-prior-covid-19
    April 29, 2020 - Book/Report Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic. Citation Text: Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic. Washington, DC: United States Government Accoun…
  20. psnet.ahrq.gov/issue/intentional-rounding-integrative-literature-review
    October 08, 2016 - Review Intentional rounding—an integrative literature review. Citation Text: Ryan L, Jackson D, Woods C, et al. Intentional rounding - An integrative literature review. J Adv Nurs. 2019;75(6):1151-1161. doi:10.1111/jan.13897. Copy Citation Format: DOI Google Scholar PubMed …