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  1. psnet.ahrq.gov/issue/patient-safety-factors-and-perceived-consequences-nursing-errors-nursing-staff-home-care
    May 18, 2022 - Study Patient safety. Factors for and perceived consequences of nursing errors by nursing staff in home care services. Citation Text: Jachan DE, Müller‐Werdan U, Lahmann NA. Patient safety. Factors for and perceived consequences of nursing errors by nursing staff in home care services. N…
  2. psnet.ahrq.gov/issue/relationship-between-patient-safety-climate-and-occupational-safety-climate-healthcare-multi
    January 21, 2015 - Study The relationship between patient safety climate and occupational safety climate in healthcare—a multi-level investigation. Citation Text: Pousette A, Larsman P, Eklöf M, et al. The relationship between patient safety climate and occupational safety climate in healthcare – A multi-l…
  3. psnet.ahrq.gov/issue/impact-sample-size-variation-adverse-events-and-preventable-adverse-events-systematic-review
    May 15, 2024 - Review Impact of sample size on variation of adverse events and preventable adverse events: systematic review on epidemiology and contributing factors. Citation Text: Lessing C, Schmitz A, Albers B, et al. Impact of sample size on variation of adverse events and preventable adverse eve…
  4. 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…
  5. psnet.ahrq.gov/issue/cognitive-biases-encountered-physicians-emergency-room
    June 19, 2024 - Study Cognitive biases encountered by physicians in the emergency room. Citation Text: Kunitomo K, Harada T, Watari T. Cognitive biases encountered by physicians in the emergency room. BMC Emerg Med. 2022;22(1):148. doi:10.1186/s12873-022-00708-3. Copy Citation Format: DOI …
  6. psnet.ahrq.gov/issue/promoting-patient-safety-using-early-warning-scoring-system
    October 16, 2012 - Study Promoting patient safety using an early warning scoring system. Citation Text: Higgins Y, Maries-Tillott C, Quinton S, et al. Promoting patient safety using an early warning scoring system. Nurs Stand. 2008;22(44):35-40. Copy Citation Format: Google Scholar PubMed B…
  7. psnet.ahrq.gov/issue/cracking-code-quality-interrelationships-culture-nurse-demographics-advocacy-and-patient
    December 01, 2011 - Study Cracking the code for quality: the interrelationships of culture, nurse demographics, advocacy, and patient outcomes. Citation Text: DiCuccio MH, Colbert AM, Triolo PK, et al. Cracking the Code for Quality. J Nurs Admin. 2020;50(3):152-158. doi:10.1097/nna.0000000000000859. Copy …
  8. 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. …
  9. psnet.ahrq.gov/issue/organization-specific-and-modifiable-inpatient-safety-composite-measure
    June 14, 2023 - Commentary An organization-specific and modifiable inpatient safety composite measure. Citation Text: Smith PK, Amster A. An Organization-Specific and Modifiable Inpatient Safety Composite Measure. Jt Comm J Qual Patient Saf. 2019;45(4):304-314. doi:10.1016/j.jcjq.2018.11.005. Copy Cit…
  10. psnet.ahrq.gov/issue/perceptual-gaps-between-clinicians-and-technologists-health-information-technology-related
    March 11, 2020 - Study Perceptual gaps between clinicians and technologists on health information technology-related errors in hospitals: observational study. Citation Text: Ndabu T, Mulgund P, Sharman R, et al. Perceptual gaps between clinicians and technologists on health information technology-related…
  11. www.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist4.html
    August 01, 2022 - CANDOR Event Checklist AHRQ Communication and Optimal Resolution Toolkit Purpose: To provide a checklist for the required actions that need to be taken following an event. Who should use this tool?   The Communication and Optimal Resolution (CANDOR) Response Team or designee, unless otherwise indicated. …
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-event-checklist.pdf
    April 01, 2016 - Purpose: To provide a checklist for the required actions that need to be taken following an event. Who should use this tool? The Communication and Optimal Resolution Toolkit (CANDOR) Response Team or designee, unless otherwise indicated. How to use this tool: Use the checklist to ensure that appropriate action is t…
  13. psnet.ahrq.gov/issue/electronic-error-reporting-systems-case-study-impact-nurse-reporting-medical-errors
    June 07, 2023 - Study Electronic error-reporting systems: a case study into the impact on nurse reporting of medical errors. Citation Text: Lederman R, Dreyfus S, Matchan J, et al. Electronic error-reporting systems: a case study into the impact on nurse reporting of medical errors. Nurs Outlook. 2013…
  14. psnet.ahrq.gov/issue/patient-participation-surgical-site-marking-can-be-additional-tool-help-avoid-wrong-site
    March 14, 2022 - Study Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery? Citation Text: Bergal LM, Schwarzkopf R, Walsh M, et al. Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surger…
  15. 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…
  16. psnet.ahrq.gov/issue/exploring-organizational-context-and-structure-predictors-medication-errors-and-patient-falls
    January 22, 2020 - Study Exploring organizational context and structure as predictors of medication errors and patient falls. Citation Text: Mark BA, Hughes LC, Belyea M, et al. Exploring Organizational Context and Structure as Predictors of Medication Errors and Patient Falls. J Patient Saf. 2008;4(2). …
  17. psnet.ahrq.gov/issue/extent-diagnostic-agreement-among-medical-referrals
    October 31, 2011 - Study Extent of diagnostic agreement among medical referrals. Citation Text: Van Such M, Lohr R, Beckman T, et al. Extent of diagnostic agreement among medical referrals. J Eval Clin Pract. 2017;23(4):870-874. doi:10.1111/jep.12747. Copy Citation Format: DOI Google Scholar …
  18. psnet.ahrq.gov/issue/working-influenza-illness-presenteeism-among-us-health-care-personnel-during-2014-2015
    July 19, 2023 - Study Working with influenza-like illness: presenteeism among US health care personnel during the 2014–2015 influenza season. Citation Text: Chiu S, Black CL, Yue X, et al. Working with influenza-like illness: Presenteeism among US health care personnel during the 2014-2015 influenza sea…
  19. psnet.ahrq.gov/issue/unplanned-return-theater-quality-care-and-risk-management-index
    August 20, 2018 - Study Unplanned return to theater: a quality of care and risk management index? Citation Text: Pujol N, Merrer J, Lemaire B, et al. Unplanned return to theater: A quality of care and risk management index? Orthop Traumatol Surg Res. 2015;101(4):399-403. doi:10.1016/j.otsr.2015.03.013. …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73874/psn-pdf
    September 29, 2021 - The generalizability of a medication administration discrepancy detection system: quantitative comparative analysis September 29, 2021 Kirkendall E, Huth H, Rauenbuehler B, et al. The generalizability of a medication administration discrepancy detection system: quantitative comparative analysis. JMIR Med Inform. 2…