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  1. Decreasing surgical site infections by developing a high reliability culture. | PSNet

    psnet.ahrq.gov/issue/decreasing-surgical-site-infections-developing-high-reliability-culture
    July 05, 2017 - Commentary Decreasing surgical site infections by developing a high reliability culture. Citation Text: Pettis AM. Decreasing Surgical Site Infections by Developing a High Reliability Culture. AORN J. 2018;108(6):644-650. doi:10.1002/aorn.12416. Copy Citation Format: DOI Go…

  2. From identifying patient safety risks to reporting patient complaints: a grounded theory study on patients' hospital experiences. | PSNet

    psnet.ahrq.gov/issue/identifying-patient-safety-risks-reporting-patient-complaints-grounded-theory-study-patients
    December 20, 2017 - Study From identifying patient safety risks to reporting patient complaints: a grounded theory study on patients' hospital experiences. Citation Text: Gyberg A, Brezicka T, Wijk H, et al. From identifying patient safety risks to reporting patient complaints: a grounded theory study on pa…

  3. Patient involvement for improved patient safety: a qualitative study of nurses' perceptions and experiences. | PSNet

    psnet.ahrq.gov/issue/patient-involvement-improved-patient-safety-qualitative-study-nurses-perceptions-and
    July 19, 2019 - Study Patient involvement for improved patient safety: a qualitative study of nurses' perceptions and experiences. Citation Text: Skagerström J, Ericsson C, Nilsen P, et al. Patient involvement for improved patient safety: A qualitative study of nurses' perceptions and experiences. Nurs …

  4. "Do no harm": promoting anti-racist policing in pediatric emergency departments through 20 practice change considerations. | PSNet

    psnet.ahrq.gov/issue/do-no-harm-promoting-anti-racist-policing-pediatric-emergency-departments-through-20-practice
    August 12, 2020 - Commentary "Do no harm": promoting anti-racist policing in pediatric emergency departments through 20 practice change considerations. Citation Text: Wells JM, Walker VP. "Do no harm": promoting anti-racist policing in pediatric emergency departments through 20 practice change considerati…

  5. On the ball: leadership for patient safety and learning in critical care. | PSNet

    psnet.ahrq.gov/issue/ball-leadership-patient-safety-and-learning-critical-care
    October 16, 2013 - Study On the ball: leadership for patient safety and learning in critical care. Citation Text: Tregunno D, Jeffs L, Hall LMG, et al. On the ball: leadership for patient safety and learning in critical care. J Nurs Adm. 2009;39(7-8):334-9. doi:10.1097/NNA.0b013e3181ae9653. Copy Citatio…

  6. Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the Danish Patient Insurance Association. | PSNet

    psnet.ahrq.gov/issue/analysis-deaths-related-anesthesia-period-1996-2004-closed-claims-registered-danish-patient
    November 13, 2024 - Study Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the Danish Patient Insurance Association. Citation Text: Hove LD, Steinmetz J, Christoffersen JK, et al. Analysis of deaths related to anesthesia in the period 1996-2004 from closed …

  7. SAFER Care: improving caregiver comprehension of discharge instructions. | PSNet

    psnet.ahrq.gov/issue/safer-care-improving-caregiver-comprehension-discharge-instructions
    October 26, 2022 - Study SAFER Care: improving caregiver comprehension of discharge instructions. Citation Text: Uong A, Philips K, Hametz P, et al. SAFER care: improving caregiver comprehension of discharge instructions. Pediatrics. 2021;147(4):e20200031. doi:10.1542/peds.2020-0031. Copy Citation Fo…

  8. Clinician responses to disruptive intraoperative behaviour: patterns and norms identified from a multinational survey. | PSNet

    psnet.ahrq.gov/issue/clinician-responses-disruptive-intraoperative-behaviour-patterns-and-norms-identified
    February 01, 2017 - Study Clinician responses to disruptive intraoperative behaviour: patterns and norms identified from a multinational survey. Citation Text: Villafranca A, Fast I, Turick M, et al. Clinician responses to disruptive intraoperative behaviour: patterns and norms identified from a multination…

  9. Current State of Diagnostic Safety: Implications for Research, Practice, and Policy. | PSNet

    psnet.ahrq.gov/issue/current-state-diagnostic-safety-implications-research-practice-and-policy
    August 07, 2024 - Book/Report Current State of Diagnostic Safety: Implications for Research, Practice, and Policy. Citation Text: Current State of Diagnostic Safety: Implications for Research, Practice, and Policy. Khan S, Cholankeril R, Sloane J, et al. Rockville, MD: Agency for Healthcare Research and Q…

  10. Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions? | PSNet

    psnet.ahrq.gov/issue/does-checklist-reduce-number-errors-made-nurse-assembled-discharge-prescriptions
    March 24, 2019 - Study Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions? Citation Text: Byrne C, Sierra H, Tolhurst R. Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions? Br J Nurs. 2017;26(8):464-467. doi:10.12968/bjon…

  11. Health care worker fatigue. | PSNet

    psnet.ahrq.gov/issue/health-care-worker-fatigue
    July 08, 2020 - Commentary Health care worker fatigue. Citation Text: Gardner LA, Dubeck D. Health Care Worker Fatigue. Am J Nurs. 2016;116(8):58-62. doi:10.1097/01.NAJ.0000490182.21432.85. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

  12. Medication errors in community pharmacies: the need for commitment, transparency, and research. | PSNet

    psnet.ahrq.gov/issue/medication-errors-community-pharmacies-need-commitment-transparency-and-research
    June 17, 2020 - Commentary Medication errors in community pharmacies: the need for commitment, transparency, and research. Citation Text: Hong K, Hong YD, Cooke CE. Medication errors in community pharmacies: the need for commitment, transparency, and research. Res Social Adm Pharm. 2019;15(7):823-826. d…

  13. Intraoperative patient information handover between anesthesia providers. | PSNet

    psnet.ahrq.gov/issue/intraoperative-patient-information-handover-between-anesthesia-providers
    November 24, 2021 - Study Intraoperative patient information handover between anesthesia providers. Citation Text: Choromanski D, Frederick J, McKelvey GM, et al. Intraoperative patient information handover between anesthesia providers. J Biomed Res. 2014;28(5):383-387. doi:10.7555/JBR.28.20140001. Copy C…

  14. Enhanced free-text search for aggregated medication error report analysis and risk detection. | PSNet

    psnet.ahrq.gov/issue/enhanced-free-text-search-aggregated-medication-error-report-analysis-and-risk-detection
    April 12, 2019 - Study Enhanced free-text search for aggregated medication error report analysis and risk detection. Citation Text: Valkonen V, Saano S, Haatainen K, et al. Enhanced free-text search for aggregated medication error report analysis and risk detection. J Patient Saf. 2024;20(4):259-266. doi…

  15. Process Diagram for Linking Data

    hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or20.jsp
    July 01, 2014 - Process Diagram for Linking Data An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …

  16. Performance of large language models on medical oncology examination questions. | PSNet

    psnet.ahrq.gov/issue/performance-large-language-models-medical-oncology-examination-questions
    January 12, 2022 - Study Performance of large language models on medical oncology examination questions. Citation Text: Longwell JB, Hirsch I, Binder F, et al. Performance of large language models on medical oncology examination questions. JAMA Netw Open. 2024;7(6):e2417641. doi:10.1001/jamanetworkopen.202…

  17. Unit of measurement used and parent medication dosing errors. | PSNet

    psnet.ahrq.gov/issue/unit-measurement-used-and-parent-medication-dosing-errors
    June 04, 2014 - Study Unit of measurement used and parent medication dosing errors. Citation Text: Yin S, Dreyer BP, Ugboaja DC, et al. Unit of measurement used and parent medication dosing errors. Pediatrics. 2014;134(2):e354-61. doi:10.1542/peds.2014-0395. Copy Citation Format: DOI Googl…

  18. Patient safety and staff competence in managing challenging behavior based on feedback from former psychiatric patients. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-staff-competence-managing-challenging-behavior-based-feedback-former
    October 15, 2016 - Study Patient safety and staff competence in managing challenging behavior based on feedback from former psychiatric patients. Citation Text: Tölli S, Kontio R, Partanen P, et al. Patient safety and staff competence in managing challenging behavior based on feedback from former psychiatr…

  19. Interventions to improve communication at hospital discharge and rates of readmission: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/interventions-improve-communication-hospital-discharge-and-rates-readmission-systematic
    January 12, 2022 - Review Interventions to improve communication at hospital discharge and rates of readmission: a systematic review and meta-analysis. Citation Text: Becker C, Zumbrunn S, Beck K, et al. Interventions to improve communication at hospital discharge and rates of readmission. JAMA Netw Open. …

  20. Advances in Patient Safety and Medical Liability. | PSNet

    psnet.ahrq.gov/issue/advances-patient-safety-and-medical-liability
    May 01, 2017 - Book/Report Classic Advances in Patient Safety and Medical Liability. Citation Text: Advances in Patient Safety and Medical Liability. Battles J, Azam I, Grady M, Reback K, eds. Rockville, MD: Agency for Healthcare Research and Quality; 2017. AHRQ Publication No…
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