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  1. An assessment of the impact of just culture on quality and safety in US hospitals. | PSNet

    psnet.ahrq.gov/issue/assessment-impact-just-culture-quality-and-safety-us-hospitals
    April 13, 2017 - Study Emerging Classic An assessment of the impact of just culture on quality and safety in US hospitals. Citation Text: Edwards MT. An Assessment of the Impact of Just Culture on Quality and Safety in US Hospitals. Am J Med Qual. 2018;33(5):502-508. doi:10.1177…

  2. Creating a framework to integrate residency program and medical center approaches to quality improvement and patient safety training | PSNet

    psnet.ahrq.gov/issue/creating-framework-integrate-residency-program-and-medical-center-approaches-quality
    November 11, 2020 - Commentary Creating a framework to integrate residency program and medical center approaches to quality improvement and patient safety training Citation Text: Chen A, Wolpaw BJ, Vande Vusse LK, et al. Creating a framework to integrate residency program and medical center approaches to qu…

  3. Patient reported receipt of medication instructions for warfarin is associated with reduced risk of serious bleeding events. | PSNet

    psnet.ahrq.gov/issue/patient-reported-receipt-medication-instructions-warfarin-associated-reduced-risk-serious
    February 03, 2011 - Study Patient reported receipt of medication instructions for warfarin is associated with reduced risk of serious bleeding events. Citation Text: Metlay JP, Hennessy S, Localio R, et al. Patient reported receipt of medication instructions for warfarin is associated with reduced risk of…

  4. System-related interventions to reduce diagnostic errors: a narrative review. | PSNet

    psnet.ahrq.gov/issue/system-related-interventions-reduce-diagnostic-errors-narrative-review
    May 29, 2015 - Review Classic System-related interventions to reduce diagnostic errors: a narrative review. Citation Text: Singh H, Graber ML, Kissam SM, et al. System-related interventions to reduce diagnostic errors: a narrative review. BMJ Qual Saf. 2012;21(2):160-170. do…

  5. Improving safety by evaluating the impact of the supply chain and drug shortages on health-systems. | PSNet

    psnet.ahrq.gov/issue/improving-safety-evaluating-impact-supply-chain-and-drug-shortages-health-systems
    November 04, 2020 - Commentary Improving safety by evaluating the impact of the supply chain and drug shortages on health-systems. Citation Text: Patel V, Cieslak K, Hertig JB. Improving safety by evaluating the impact of the supply chain and drug shortages on health-systems. Hosp Pharm. 2023;58(2):120-124.…

  6. Logan A et al. 2007 "Mobile phone-based remote patient monitoring system for management of hypertension in diabetic patients." | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/logan-et-al-2007-mobile
    January 01, 2007 - Logan A et al. 2007 "Mobile phone-based remote patient monitoring system for management of hypertension in diabetic patients." Reference Logan AG, McIsaac WJ, Tisler A, et al. Mobile phone-based remote patient monitoring system for management of hypertension in diabetic patients. Am J Hypertens 2007;2…

  7. A national profile of patient safety in U.S. hospitals. | PSNet

    psnet.ahrq.gov/issue/national-profile-patient-safety-us-hospitals
    April 11, 2011 - Study Classic A national profile of patient safety in U.S. hospitals. Citation Text: Romano PS, Geppert JJ, Davies SM, et al. A national profile of patient safety in U.S. hospitals. Health Aff (Millwood). 2003;22(2):154-66. Copy Citation Format: …

  8. Examining the Feasibility and Effectiveness of an mHealth Solution Designed to Enhance Clinical Outcomes Among Patients Attending Physical Therapy for Musculoskeletal Pain | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/examining-feasibility-and-effectiveness-mhealth-solution-designed-enhance
    August 01, 2024 - Examining the Feasibility and Effectiveness of an mHealth Solution Designed to Enhance Clinical Outcomes Among Patients Attending Physical Therapy for Musculoskeletal Pain Project Description Improving patient engagement in physical therapy (PT) through remote therapeutic monit…

  9. Hospital surveys by the Centers for Medicare and Medicaid Services: an analysis of more than 34,000 deficiencies. | PSNet

    psnet.ahrq.gov/issue/hospital-surveys-centers-medicare-and-medicaid-services-analysis-more-34000-deficiencies
    May 26, 2021 - Study Hospital surveys by the Centers for Medicare and Medicaid Services: an analysis of more than 34,000 deficiencies. Citation Text: Antognini JF. Hospital surveys by the Centers for Medicare and Medicaid Services: an analysis of more than 34,000 deficiencies. J Patient Saf. 2021;17(4)…

  10. Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality. | PSNet

    psnet.ahrq.gov/issue/effect-multispecialty-faculty-handoff-initiative-safety-culture-and-handoff-quality
    March 10, 2019 - Study Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality. Citation Text: Fitzgerald KM, Banerjee TR, Starmer AJ, et al. Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality. Pediatr Qual Saf. 2022;7(2):e539. …

  11. Implementation of ED I-PASS as a standardized handoff tool in the pediatric emergency department. | PSNet

    psnet.ahrq.gov/issue/implementation-ed-i-pass-standardized-handoff-tool-pediatric-emergency-department
    November 16, 2022 - Study Implementation of ED I-PASS as a standardized handoff tool in the pediatric emergency department. Citation Text: Yanni E, Calaman S, Wiener E, et al. Implementation of ED I-PASS as a standardized handoff tool in the pediatric emergency department. J Healthc Qual. 2023;45(3):140-147…

  12. Safety leadership: a meta-analytic review of transformational and transactional leadership styles as antecedents of safety behaviours. | PSNet

    psnet.ahrq.gov/issue/safety-leadership-meta-analytic-review-transformational-and-transactional-leadership-styles
    June 10, 2020 - Study Safety leadership: a meta-analytic review of transformational and transactional leadership styles as antecedents of safety behaviours. Citation Text: Clarke S. Safety leadership: A meta-analytic review of transformational and transactional leadership styles as antecedents of safet…

  13. Workplace engagement and workers' compensation claims as predictors for patient safety culture. | PSNet

    psnet.ahrq.gov/issue/workplace-engagement-and-workers-compensation-claims-predictors-patient-safety-culture
    March 08, 2023 - Study Workplace engagement and workers' compensation claims as predictors for patient safety culture. Citation Text: Thorp J, Baqai W, Witters D, et al. Workplace engagement and workers' compensation claims as predictors for patient safety culture. J Patient Saf. 2012;8(4):194-201. doi…

  14. The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. | PSNet

    psnet.ahrq.gov/issue/new-electronic-health-records-unknown-queue-caused-multiple-events-patient-harm
    October 12, 2022 - Book/Report The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. Citation Text: The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. Washington, DC: VA Office of the Inspector General; July 14 2022. Report No. 22-011…

  15. Family participation during intensive care unit rounds: goals and expectations of parents and health care providers in a tertiary pediatric intensive care unit. | PSNet

    psnet.ahrq.gov/issue/family-participation-during-intensive-care-unit-rounds-goals-and-expectations-parents-and
    June 12, 2019 - Study Family participation during intensive care unit rounds: goals and expectations of parents and health care providers in a tertiary pediatric intensive care unit. Citation Text: Stickney CA, Ziniel SI, Brett MS, et al. Family participation during intensive care unit rounds: goals and…

  16. The Ask Me to Explain campaign: a 90-day intervention to promote patient and family involvement in care in a pediatric emergency department. | PSNet

    psnet.ahrq.gov/issue/ask-me-explain-campaign-90-day-intervention-promote-patient-and-family-involvement-care
    November 16, 2022 - Study The Ask Me to Explain campaign: a 90-day intervention to promote patient and family involvement in care in a pediatric emergency department. Citation Text: Tothy AS, Limper HM, Driscoll J, et al. The Ask Me to Explain Campaign: A 90-Day Intervention to Promote Patient and Family In…

  17. Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality. | PSNet

    psnet.ahrq.gov/issue/patient-handover-surgery-intensive-care-using-formula-1-pit-stop-and-aviation-models-improve
    October 03, 2011 - Study Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality. Citation Text: Catchpole K, de Leval MR, McEwan A, et al. Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to …

  18. FDA Safety Communication: update--robotically-assisted surgical devices in mastectomy. | PSNet

    psnet.ahrq.gov/issue/fda-safety-communication-caution-when-using-robotically-assisted-surgical-devices-womens
    September 01, 2021 - Press Release/Announcement FDA Safety Communication: update--robotically-assisted surgical devices in mastectomy. Citation Text: FDA Safety Communication: update--robotically-assisted surgical devices in mastectomy. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administratio…

  19. Adverse events in emergency department boarding: a systematic review. | PSNet

    psnet.ahrq.gov/issue/adverse-events-emergency-department-boarding-systematic-review
    March 02, 2022 - Review Adverse events in emergency department boarding: a systematic review. Citation Text: Rocha HM, Farre AGM, Santana Filho VJ. Adverse events in emergency department boarding: a systematic review. J Nurs Scholarsh. 2021;53(4):458-467. doi:10.1111/jnu.12653. Copy Citation Format…

  20. Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approach. | PSNet

    psnet.ahrq.gov/issue/randomized-trial-warfarin-communication-protocol-nursing-homes-sbar-based-approach
    November 21, 2012 - Study Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approach. Citation Text: Field T, Tjia J, Mazor KM, et al. Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approach. Am J Med. 2011;124(2):179.e1-7. doi:1…
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