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psnet.ahrq.gov/issue/changing-and-sustaining-medical-students-knowledge-skills-and-attitudes-about-patient-safety
December 19, 2012 - Study
Changing and sustaining medical students' knowledge, skills, and attitudes about patient safety and medical fallibility.
Citation Text:
Madigosky WS, Headrick LA, Nelson K, et al. Changing and sustaining medical students' knowledge, skills, and attitudes about patient safety and …
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psnet.ahrq.gov/issue/adverse-events-women-giving-birth-labor-ward-retrospective-record-review-study
April 14, 2021 - Study
Adverse events in women giving birth in a labor ward: a retrospective record review study.
Citation Text:
Skoogh A, Hall-Lord ML, Bååth C, et al. Adverse events in women giving birth in a labor ward: a retrospective record review study. BMC Health Serv Res. 2021;21(1):1093. doi:10.…
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psnet.ahrq.gov/issue/human-factors-intervention-hospital-evaluating-outcome-teamstepps-program-surgical-ward
November 03, 2021 - Study
A human factors intervention in a hospital--evaluating the outcome of a TeamSTEPPS program in a surgical ward.
Citation Text:
Aaberg OR, Hall-Lord ML, Husebø SIE, et al. A human factors intervention in a hospital - evaluating the outcome of a TeamSTEPPS program in a surgical ward. …
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psnet.ahrq.gov/issue/patient-involvement-evaluation-safety-oral-antineoplastic-treatment-failure-mode-and-effects
June 18, 2013 - Study
Patient involvement in evaluation of safety in oral antineoplastic treatment: a failure mode and effects analysis in patients and health care professionals.
Citation Text:
Mattsson TO, Lipczak H, Pottegård A. Patient Involvement in Evaluation of Safety in Oral Antineoplastic Treatm…
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psnet.ahrq.gov/issue/sepsis-alert-systems-mortality-and-adherence-emergency-departments-systematic-review-and-meta
September 06, 2017 - Review
Sepsis alert systems, mortality, and adherence in emergency departments: a systematic review and meta-analysis.
Citation Text:
Kim H-J, Ko R-E, Lim SY, et al. Sepsis alert systems, mortality, and adherence in emergency departments: a systematic review and meta-analysis. JAMA Netw …
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psnet.ahrq.gov/issue/human-right-based-approach-dealing-adverse-events-residential-care-facilities
May 27, 2011 - Study
A human right-based approach to dealing with adverse events in residential care facilities.
Citation Text:
McGrane N, Behan L, Keyes LM. A human right-based approach to dealing with adverse events in residential care facilities. Health Hum Rights. 2024;26(1):115-128.
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digital.ahrq.gov/principal-investigator/walker-james
January 01, 2023 - Walker, James
Health Information Technology Hazard Manager - 2012
Principal Investigator
Walker, James
Project Name
Health Information Technology Hazard Manager
Health IT hazard manager beta-test: appendix F – “other (specify)” entries
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psnet.ahrq.gov/issue/interventions-prevent-falls-older-adults-updated-evidence-report-and-systematic-review-us
November 14, 2018 - Review
Interventions to prevent falls in older adults: updated evidence report and systematic review for the US Preventive Services Task Force.
Citation Text:
Guirguis-Blake JM, Perdue LA, Coppola EL, et al. Interventions to prevent falls in older adults: updated evidence report and syst…
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psnet.ahrq.gov/issue/impact-pharmacist-led-interventions-medication-related-problems-among-patients-treated-cancer
May 10, 2017 - Review
Impact of pharmacist-led interventions on medication-related problems among patients treated for cancer: a systematic review and meta-analysis of randomized control trials.
Citation Text:
Fentie AM, Huluka SA, Gebremariam GT, et al. Impact of pharmacist-led interventions on medica…
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psnet.ahrq.gov/issue/transfusion-related-errors-and-associated-adverse-reactions-and-blood-product-wastage
September 23, 2020 - Study
Transfusion-related errors and associated adverse reactions and blood product wastage as reported to the National Healthcare Safety Network Hemovigilance Module, 2014-2022.
Citation Text:
Chavez Ortiz JL, Griffin I, Kazakova SV, et al. Transfusion‐related errors and associated adve…
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psnet.ahrq.gov/issue/patient-led-training-patient-safety-pilot-study-test-feasibility-and-acceptability
April 24, 2017 - Study
Patient-led training on patient safety: a pilot study to test the feasibility and acceptability of an educational intervention.
Citation Text:
Jha V, Winterbottom A, Symons J, et al. Patient-led training on patient safety: a pilot study to test the feasibility and acceptability …
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www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-engagement-ed-slides.html
December 01, 2017 - Patient and Family Engagement in the Emergency Department
Slide Presentation
Slide 1
Patient and Family Engagement in the ED
Sue Collier, RN, MSN, FABC
Clinical Content Development Lead
Health Research & Education Trust
American Hospital Association
Image: Photo of Sue Collier, RN.
Slide 2
Le…
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psnet.ahrq.gov/issue/strategies-prevent-central-line-associated-bloodstream-infections-acute-care-hospitals-2022
February 07, 2022 - Organizational Policy/Guidelines
Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update.
Citation Text:
Buetti N, Marschall J, Drees M, et al. Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: …
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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…
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psnet.ahrq.gov/issue/effects-learning-climate-and-registered-nurse-staffing-medication-errors
February 15, 2011 - Study
Effects of learning climate and registered nurse staffing on medication errors.
Citation Text:
Chang YK, Mark BA. Effects of Learning Climate and Registered Nurse Staffing on Medication Errors. Nurs Res. 2010;60(1). doi:10.1097/nnr.0b013e3181ff73cc.
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Format:
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psnet.ahrq.gov/issue/preserving-organizational-resilience-patient-safety-and-staff-retention-during-covid-19
May 08, 2019 - Commentary
Classic
Preserving organizational resilience, patient safety, and staff retention during COVID-19 requires a holistic consideration of the psychological safety of healthcare workers
Citation Text:
Rangachari P, L. Woods J. Preserving organizational re…
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psnet.ahrq.gov/issue/crossing-academic-boundaries-diagnostic-safety-10-complex-challenges-and-potential-solutions
November 30, 2022 - Commentary
Crossing academic boundaries for diagnostic safety: 10 complex challenges and potential solutions from clinical perspectives and high-reliability organizing principles.
Citation Text:
Yousef EA, Sutcliffe KM, McDonald KM, et al. Crossing academic boundaries for diagnostic safe…
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www.ahrq.gov/news/newsroom/case-studies/cquips0703.html
October 01, 2014 - Military Hospitals Employ AHRQ Hospital Survey on Patient Safety Culture
Search All Impact Case Studies
May 2007
The Department of Defense Patient Safety Program chose AHRQ's Hospital Survey on Patient Safety Culture as an anonymous, Web-based initiative to assess staff attitudes and beliefs about patient…
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www.ahrq.gov/news/newsroom/case-studies/cquips0603.html
October 01, 2014 - AHRQ's Patient Safety Culture Survey Yields Meaningful Results at Palo Alto Medical Foundation
Search All Impact Case Studies
November 2005
The Palo Alto Medical Foundation, a multi-specialty medical group located near San Francisco, is now using AHRQ's Hospital Survey on Patient Safety Culture . The first…
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psnet.ahrq.gov/issue/text-mining-approach-categorize-patient-safety-event-reports-medication-error-type
December 07, 2022 - Study
A text mining approach to categorize patient safety event reports by medication error type.
Citation Text:
Boxley C, Fujimoto M, Ratwani RM, et al. A text mining approach to categorize patient safety event reports by medication error type. Sci Rep. 2023;13(1):18354. doi:10.1038/s41…