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  1. www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/instructor.html
    October 01, 2014 - Improving Patient Safety in Long-Term Care Facilities Next Page Table of Contents Improving Patient Safety in Long-Term Care Facilities Introduction Module 1. Detecting Change in a Resident's Condition Module 2. Communicating Change in a Resident's Condition Module 3. Falls Prevention Append…
  2. psnet.ahrq.gov/issue/defining-patient-safety-events-inpatient-psychiatry
    January 30, 2019 - Study Defining patient safety events in inpatient psychiatry. Citation Text: Marcus SC, Hermann R, Cullen SW. Defining Patient Safety Events in Inpatient Psychiatry. J Patient Saf. 2018;17(8):e1452-e1457. doi:10.1097/PTS.0000000000000520. Copy Citation Format: DOI Google Sc…
  3. psnet.ahrq.gov/issue/perception-feeling-safe-perioperatively-concept-analysis
    December 21, 2022 - Review Perception of feeling safe perioperatively: a concept analysis. Citation Text: Larsson F, Strömbäck U, Rysst Gustafsson S, et al. Perception of feeling safe perioperatively: a concept analysis. Int J Qual Stud Health Well-being. 2023;18(1):2216018. doi:10.1080/17482631.2023.221601…
  4. psnet.ahrq.gov/issue/possible-solutions-barriers-incident-reporting-residents
    April 14, 2011 - Study Possible solutions for barriers in incident reporting by residents. Citation Text: Martowirono K, Jansma JD, van Luijk SJ, et al. Possible solutions for barriers in incident reporting by residents. J Eval Clin Pract. 2012;18(1):76-81. doi:10.1111/j.1365-2753.2010.01544.x. Copy …
  5. psnet.ahrq.gov/issue/why-july-matters
    October 13, 2018 - Commentary Why July matters. Citation Text: Petrilli CM, Del Valle J, Chopra V. Why July Matters. Acad Med. 2016;91(7):910-912. doi:10.1097/ACM.0000000000001196. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  6. psnet.ahrq.gov/issue/evidence-summary-and-recommendations-improved-communication-during-care-transitions
    October 19, 2022 - Review Evidence summary and recommendations for improved communication during care transitions. Citation Text: Jackson PD, Biggins MS, Cowan L, et al. Evidence Summary and Recommendations for Improved Communication during Care Transitions. Rehabil Nurs. 2016;41(3):135-48. doi:10.1002/rnj…
  7. psnet.ahrq.gov/issue/potential-benefits-and-problems-computerized-prescriber-order-entry-analysis-voluntary
    January 06, 2017 - Study Potential benefits and problems with computerized prescriber order entry: analysis of a voluntary medication error-reporting database. Citation Text: Zhan C, Hicks RW, Blanchette CM, et al. Potential benefits and problems with computerized prescriber order entry: analysis of a vo…
  8. psnet.ahrq.gov/issue/implementation-checklists-health-care-learning-high-reliability-organisations
    May 04, 2010 - Study Implementation of checklists in health care; learning from high-reliability organisations. Citation Text: Thomassen Ø, Espeland A, Søfteland E, et al. Implementation of checklists in health care; learning from high-reliability organisations. Scand J Trauma Resusc Emerg Med. 2011;…
  9. psnet.ahrq.gov/issue/how-do-physicians-conduct-medication-reviews
    September 02, 2010 - Study How do physicians conduct medication reviews? Citation Text: Tarn DM, Paterniti DA, Kravitz RL, et al. How do physicians conduct medication reviews? J Gen Intern Med. 2009;24(12):1296-302. doi:10.1007/s11606-009-1132-4. Copy Citation Format: DOI Google Scholar PubMe…
  10. psnet.ahrq.gov/issue/fundamental-use-surgical-energy-fuse-essential-educational-program-operating-room-safety
    June 07, 2018 - Commentary Fundamental Use of Surgical Energy (FUSE): an essential educational program for operating room safety. Citation Text: Jones SB, Munro MG, Feldman LS, et al. Fundamental Use of Surgical Energy (FUSE): An Essential Educational Program for Operating Room Safety. Perm J. 2017;21:1…
  11. psnet.ahrq.gov/issue/beyond-prescription-medication-monitoring-and-adverse-drug-events-older-adults
    August 04, 2021 - Commentary Beyond the prescription: medication monitoring and adverse drug events in older adults. Citation Text: Steinman MA, Handler S, Gurwitz JH, et al. Beyond the prescription: medication monitoring and adverse drug events in older adults. J Am Geriatr Soc. 2011;59(8):1513-1520. d…
  12. psnet.ahrq.gov/issue/safety-and-efficiency-considerations-introduction-electronic-ordering-blood-bank
    March 25, 2015 - Study Safety and efficiency considerations for the introduction of electronic ordering in a blood bank. Citation Text: Georgiou A, Greenfield T, Callen J, et al. Safety and efficiency considerations for the introduction of electronic ordering in a blood bank. Arch Pathol Lab Med. 2009;1…
  13. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship7.html
    August 01, 2024 - Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Evaluation of Diagnostic Stewardship Implementation Previous Page Next Page Table of Contents Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Introduction Background Diagnostic E…
  14. psnet.ahrq.gov/issue/managed-care-penetration-and-other-factors-affecting-computerized-physician-order-entry
    October 06, 2011 - Study Managed care penetration and other factors affecting computerized physician order entry in the ambulatory setting. Citation Text: Menachemi N, Ford E, Chukmaitov A, et al. Managed care penetration and other factors affecting computerized physician order entry in the ambulatory se…
  15. psnet.ahrq.gov/issue/improving-patient-safety-avoiding-unread-imaging-exams-national-va-enterprise-electronic
    March 12, 2025 - Study Improving patient safety: avoiding unread imaging exams in the National VA enterprise electronic health record. Citation Text: Bastawrous S, Carney B. Improving Patient Safety: Avoiding Unread Imaging Exams in the National VA Enterprise Electronic Health Record. J Digit Imaging. 20…
  16. psnet.ahrq.gov/issue/patient-hand-initiation-and-evaluation-phone-study-randomized-trial-patient-handoff-methods
    December 20, 2023 - Study Patient Hand-Off iNitiation and Evaluation (PHONE) study: a randomized trial of patient handoff methods. Citation Text: Clanton J, Gardner A, Subichin M, et al. Patient Hand-Off iNitiation and Evaluation (PHONE) study: A randomized trial of patient handoff methods. Am J Surg. 2017;…
  17. www.ahrq.gov/talkingquality/plan/your-audience/index.html
    December 01, 2022 - Identify the Audience for Your Healthcare Quality Report Before doing anything else, you need to consider your audience: For whom are you creating this report? What do they want to know? What will they do with the information? First Priority: The Primary Audience The group you are trying to reach …
  18. psnet.ahrq.gov/issue/communicating-patients-about-medical-errors-review-literature
    December 23, 2008 - Review Classic Communicating with patients about medical errors: a review of the literature. Citation Text: Mazor KM, Simon SR, Gurwitz JH. Communicating with patients about medical errors: a review of the literature. Arch Intern Med. 2004;164(15):1690-7. Co…
  19. psnet.ahrq.gov/issue/organizational-costs-preventable-medical-errors
    April 01, 2010 - Study Organizational costs of preventable medical errors. Citation Text: Weeks WB, Waldron J, Foster T, et al. The organizational costs of preventable medical errors. Jt Comm J Qual Improv. 2001;27(10):533-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…
  20. psnet.ahrq.gov/issue/automated-detection-harm-healthcare-information-technology-systematic-review
    April 11, 2011 - Review Automated detection of harm in healthcare with information technology: a systematic review. Citation Text: Govindan M, Van Citters AD, Nelson EC, et al. Automated detection of harm in healthcare with information technology: a systematic review. Qual Saf Health Care. 2010;19(5):e…