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  1. psnet.ahrq.gov/issue/educational-intervention-enhance-nurse-leaders-perceptions-patient-safety-culture
    February 14, 2015 - Study An educational intervention to enhance nurse leaders' perceptions of patient safety culture. Citation Text: Ginsburg LR, Norton PG, Casebeer A, et al. An educational intervention to enhance nurse leaders' perceptions of patient safety culture. Health Serv Res. 2005;40(4):997-1020…
  2. psnet.ahrq.gov/issue/do-hospitals-provide-lower-quality-care-weekends
    January 12, 2022 - Study Do hospitals provide lower quality care on weekends? Citation Text: Becker DJ. Do hospitals provide lower quality care on weekends? Health Serv Res. 2007;42(4):1589-612. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…
  3. psnet.ahrq.gov/issue/teams-tribes-and-patient-safety-overcoming-barriers-effective-teamwork-healthcare
    November 17, 2014 - Review Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. Citation Text: Weller J, Boyd M, Cumin D. Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. Postgrad Med J. 2014;90(1061):149-54. doi:10.1136/postgra…
  4. psnet.ahrq.gov/issue/impact-standardized-incident-reporting-system-perioperative-setting-single-center-experience
    February 09, 2022 - Study The impact of a standardized incident reporting system in the perioperative setting: a single center experience on 2,563 'near-misses' and adverse events. Citation Text: Heideveld-Chevalking AJ, Calsbeek H, Damen J, et al. The impact of a standardized incident reporting system in t…
  5. psnet.ahrq.gov/issue/measurement-harms-community-care-qualitative-study-use-nhs-safety-thermometer
    January 23, 2019 - Study Measurement of harms in community care: a qualitative study of use of the NHS Safety Thermometer. Citation Text: Brewster L, Tarrant C, Willars J, et al. Measurement of harms in community care: a qualitative study of use of the NHS Safety Thermometer. BMJ Qual Saf. 2018;27(8):625-6…
  6. psnet.ahrq.gov/issue/excess-length-stay-charges-and-mortality-attributable-medical-injuries-during-hospitalization
    February 27, 2009 - Study Classic Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. Citation Text: Zhan C, Miller MR. Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. JAMA. …
  7. psnet.ahrq.gov/issue/speaking-same-language-international-variations-safety-information-accompanying-top-selling
    September 25, 2008 - Study Speaking the same language? International variations in the safety information accompanying top-selling prescription drugs. Citation Text: Kesselheim AS, Franklin JM, Avorn J, et al. Speaking the same language? International variations in the safety information accompanying top-se…
  8. psnet.ahrq.gov/issue/frequency-and-risk-factors-medication-errors-pharmacists-during-order-verification-tertiary
    January 23, 2013 - Study Frequency of and risk factors for medication errors by pharmacists during order verification in a tertiary care medical center. Citation Text: Gorbach C, Blanton L, Lukawski BA, et al. Frequency of and risk factors for medication errors by pharmacists during order verification in a…
  9. psnet.ahrq.gov/issue/impact-electronic-medical-records-hospital-acquired-adverse-safety-events-differential
    October 24, 2012 - Study The impact of electronic medical records on hospital-acquired adverse safety events: differential effects between single-source and multiple-source systems. Citation Text: Bae J, Rask KJ, Becker ER. The Impact of Electronic Medical Records on Hospital-Acquired Adverse Safety Events…
  10. psnet.ahrq.gov/issue/using-data-matrix-coded-sponge-counting-system-across-surgical-practice-impact-after-18
    January 02, 2017 - Study Using a data-matrix–coded sponge counting system across a surgical practice: impact after 18 months. Citation Text: Cima RR, Kollengode A, Clark J, et al. Using a data-matrix-coded sponge counting system across a surgical practice: impact after 18 months. Jt Comm J Qual Patient S…
  11. psnet.ahrq.gov/issue/competition-and-health-plan-performance-evidence-health-maintenance-organization-insurance
    July 14, 2009 - Study Competition and health plan performance: evidence from health maintenance organization insurance markets. Citation Text: Scanlon D, Swaminathan S, Chernew M, et al. Competition and health plan performance: evidence from health maintenance organization insurance markets. Med Care.…
  12. psnet.ahrq.gov/issue/handoff-tool-improves-transitions-operating-room-neonatal-intensive-care-unit
    November 16, 2022 - Study Handoff tool improves transitions from the operating room to the neonatal intensive care unit. Citation Text: Gallois JB, Zagory JA, Barkemeyer B, et al. Handoff tool improves transitions from the operating room to the neonatal intensive care unit. Pediatr Qual Saf. 2023;8(5):e695.…
  13. psnet.ahrq.gov/issue/medication-errors-care-transition-trauma-patients
    September 02, 2020 - Study Medication errors in the care transition of trauma patients Citation Text: Martín Mª ÁP, García MM, Silveira ED, et al. Medication errors in the care transition of trauma patients. Eur J Clin Pharmacol. 2019;75(12):1739-1746. doi:10.1007/s00228-019-02757-3. Copy Citation Form…
  14. psnet.ahrq.gov/issue/busy-day-effect-perinatal-complications-delivery-weekends-retrospective-cohort-study
    January 16, 2019 - Study A 'busy day' effect on perinatal complications of delivery on weekends: a retrospective cohort study. Citation Text: Snowden JM, Kozhimannil KB, Muoto I, et al. A 'busy day' effect on perinatal complications of delivery on weekends: a retrospective cohort study. BMJ Qual Saf. 2017;…
  15. psnet.ahrq.gov/issue/digital-maturity-predictor-quality-and-safety-outcomes-us-hospitals-cross-sectional
    September 04, 2024 - Study Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational study. Citation Text: Snowdon A, Hussein A, Danforth M, et al. Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational…
  16. psnet.ahrq.gov/issue/perceptions-working-conditions-and-safety-concerns-community-pharmacy
    September 01, 2015 - Study Perceptions of working conditions and safety concerns in community pharmacy. Citation Text: Clabaugh M, Beal JL, Illingworth Plake KS. Perceptions of working conditions and safety concerns in community pharmacy. J Am Pharm Assoc (2003). 2021;61(6):761-771. doi:10.1016/j.japh.2021.0…
  17. www.ahrq.gov/news/newsroom/case-studies/coe1304.html
    April 01, 2013 - Maryland Guides Prescribers on Use of Atypical Antipsychotic Medications Search All Impact Case Studies April 2013 The Maryland Department of Health and Mental Hygiene used materials created by AHRQ's Effective Health Care Program to help set up a new program for appropriate use of antipsychotic medications…
  18. psnet.ahrq.gov/issue/balancing-patient-safety-clinical-efficacy-and-cybersecurity-clinician-partners
    May 04, 2022 - Commentary Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners. Citation Text: Schneider J, Wirth A. Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners. Biomed Instrum Technol. 2021;55(1):21-28. doi:10.2345/0899-8205-…
  19. psnet.ahrq.gov/issue/accidents-and-incidents-related-intravenous-drug-administration-pre-post-study-following
    September 24, 2016 - Study Accidents and incidents related to intravenous drug administration: a pre-post study following implementation of smart pumps in a teaching hospital. Citation Text: Guérin A, Tourel J, Delage E, et al. Accidents and Incidents Related to Intravenous Drug Administration: A Pre-Post St…
  20. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-101-webcast-databases.pdf
    January 01, 2022 - Understanding SOPS® Surveys: A Primer for New Users - Famolaro The SOPS Databases Theresa Famolaro, MPS, MS, MBA Senior Study Director User Network for the AHRQ Surveys on Patient Safety Culture (SOPS) Westat SOPS Databases 320 Hospitals Version 1.0 (2021) 172 Hospitals Version 2.0 (2021) 191 Nur…