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  1. Disclosing adverse events to patients: international norms and trends. | PSNet

    psnet.ahrq.gov/issue/disclosing-adverse-events-patients-international-norms-and-trends
    July 29, 2020 - Study Disclosing adverse events to patients: international norms and trends. Citation Text: Wu AW, McCay L, Levinson W, et al. Disclosing Adverse Events to Patients: International Norms and Trends. J Patient Saf. 2017;13(1):43-49. doi:10.1097/PTS.0000000000000107. Copy Citation For…

  2. Human-simulation-based learning to prevent medication error: a systematic review. | PSNet

    psnet.ahrq.gov/issue/human-simulation-based-learning-prevent-medication-error-systematic-review
    February 01, 2012 - Review Human-simulation-based learning to prevent medication error: a systematic review. Citation Text: Sarfati L, Ranchon F, Vantard N, et al. Human-simulation-based learning to prevent medication error: A systematic review. J Eval Clin Pract. 2019;25(1):11-20. doi:10.1111/jep.12883. …

  3. Room of horrors simulation in healthcare education: a systematic review. | PSNet

    psnet.ahrq.gov/issue/room-horrors-simulation-healthcare-education-systematic-review
    September 09, 2020 - Review Room of horrors simulation in healthcare education: a systematic review. Citation Text: Lee SE, Repsha C, Seo WJ, et al. Room of horrors simulation in healthcare education: a systematic review. Nurse Educ Today. 2023;126:105824. doi:10.1016/j.nedt.2023.105824. Copy Citation …

  4. VA Health Care: Improvements Needed in Processes Used to Address Providers' Actions That Contribute to Adverse Events. | PSNet

    psnet.ahrq.gov/issue/va-health-care-improvements-needed-processes-used-address-providers-actions-contribute
    October 12, 2022 - Book/Report VA Health Care: Improvements Needed in Processes Used to Address Providers' Actions That Contribute to Adverse Events. Citation Text: VA Health Care: Improvements Needed in Processes Used to Address Providers' Actions That Contribute to Adverse Events. Draper D. Washington,…

  5. The effect of clinician feedback interventions on opioid prescribing. | PSNet

    psnet.ahrq.gov/issue/effect-clinician-feedback-interventions-opioid-prescribing
    November 17, 2021 - Study The effect of clinician feedback interventions on opioid prescribing. Citation Text: Navathe AS, Liao JM, Yan XS, et al. The effect of clinician feedback interventions on opioid prescribing. Health Aff (Millwood). 2022;41(3):424-433. doi:10.1377/hlthaff.2021.01407. Copy Citation …

  6. Patient safety in home health care: a grounded theory study. | PSNet

    psnet.ahrq.gov/issue/patient-safety-home-health-care-grounded-theory-study
    September 25, 2019 - Study Patient safety in home health care: a grounded theory study. Citation Text: Shahrestanaki SK, Rafii F, Najafi Ghezeljeh T, et al. Patient safety in home health care: a grounded theory study. BMC Health Serv Res. 2023;23(1):467. doi:10.1186/s12913-023-09458-9. Copy Citation Fo…

  7. Surgical patient safety officers in the United States: negotiating contradictions between compliance and workplace transformation. | PSNet

    psnet.ahrq.gov/issue/surgical-patient-safety-officers-united-states-negotiating-contradictions-between-compliance
    December 31, 2018 - Commentary Surgical patient safety officers in the United States: negotiating contradictions between compliance and workplace transformation. Citation Text: van de Ruit C, Bosk CL. Surgical patient safety officers in the United States: negotiating contradictions between compliance and wo…

  8. Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples. | PSNet

    psnet.ahrq.gov/issue/letter-health-care-providers-safe-use-surgical-staplers-and-staples
    October 20, 2021 - Press Release/Announcement Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples. Citation Text: Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples. US Food and Drug Administration. October 7, 2021. Copy Citation Save S…

  9. Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporting. | PSNet

    psnet.ahrq.gov/issue/nurses-responses-medication-errors-suggestions-development-organizational-strategies-improve
    December 16, 2020 - Study Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporting. Citation Text: Covell CL, Ritchie JA. Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporti…

  10. What’s past is prologue: organizational learning from a serious patient injury. | PSNet

    psnet.ahrq.gov/issue/whats-past-prologue-organizational-learning-serious-patient-injury
    October 26, 2011 - Study What’s past is prologue: organizational learning from a serious patient injury. Citation Text: Tamuz M, Franchois KE, Thomas EJ. What’s past is prologue: Organizational learning from a serious patient injury. Saf Sci. 2010;49(1). doi:10.1016/j.ssci.2010.06.005. Copy Citation …

  11. Patient safety culture in primary care: developing a theoretical framework for practical use. | PSNet

    psnet.ahrq.gov/issue/patient-safety-culture-primary-care-developing-theoretical-framework-practical-use
    September 06, 2017 - Study Patient safety culture in primary care: developing a theoretical framework for practical use. Citation Text: Kirk S, Parker D, Claridge T, et al. Patient safety culture in primary care: developing a theoretical framework for practical use. Qual Saf Health Care. 2007;16(4):313-20.…

  12. Crisis preparedness: a systems-based framework for avoiding harm in surgery. | PSNet

    psnet.ahrq.gov/issue/crisis-preparedness-systems-based-framework-avoiding-harm-surgery
    September 14, 2022 - Study Crisis preparedness: a systems-based framework for avoiding harm in surgery. Citation Text: Gogalniceanu P, Karydis N, Costan V-V, et al. Crisis preparedness: a systems-based framework for avoiding harm in surgery. J Am Coll Surg. 2022;235(4):612-623. doi:10.1097/xcs.00000000000003…

  13. Integrating systemic accident analysis into patient safety incident investigation practices. | PSNet

    psnet.ahrq.gov/issue/integrating-systemic-accident-analysis-patient-safety-incident-investigation-practices
    October 27, 2021 - Study Integrating systemic accident analysis into patient safety incident investigation practices. Citation Text: Canham A, Jun GT, Waterson P, et al. Integrating systemic accident analysis into patient safety incident investigation practices. Appl Ergon. 2018;72:1-9. doi:10.1016/j.aperg…

  14. Can surveillance systems identify and avert adverse drug events? A prospective evaluation of a commercial application. | PSNet

    psnet.ahrq.gov/issue/can-surveillance-systems-identify-and-avert-adverse-drug-events-prospective-evaluation
    February 10, 2015 - Study Can surveillance systems identify and avert adverse drug events? A prospective evaluation of a commercial application. Citation Text: Jha AK, Laguette J, Seger AC, et al. Can surveillance systems identify and avert adverse drug events? A prospective evaluation of a commercial app…

  15. Interventions to increase clinical incident reporting in health care. | PSNet

    psnet.ahrq.gov/issue/interventions-increase-clinical-incident-reporting-health-care
    September 02, 2009 - Review Interventions to increase clinical incident reporting in health care. Citation Text: Parmelli E, Flodgren G, Fraser SG, et al. Interventions to increase clinical incident reporting in health care. Cochrane Database Syst Rev. 2012;8(8):CD005609. doi:10.1002/14651858.cd005609.pub2…

  16. "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…

  17. final Fibromyalgia CER protocol_3-31-14 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/fibromyalgia_research-protocol.pdf
    April 03, 2014 - Typical treatments may be less effective31 or not feasible in this group of individuals and treatments … • Women and men • Individuals with coexisting mental health conditions • Individuals with high fibromyalgia … ) • Individuals with longer duration of fibromyalgia symptoms Question 2: What are the harms of … • Women and men • Individuals with coexisting mental health conditions • Individuals with high fibromyalgia … ) • Individuals with longer duration of fibromyalgia symptoms The subgroups in key questions

  18. AHRQ-Funded Research Improves Care of Patients and Their Engagement in Care | Digital Healthcare Research

    digital.ahrq.gov/2018-year-review/research-summary/improves-care-patients
    January 01, 2018 - Since usability is key to ensuring that health technology meets the needs of the individuals who use … s research concluded that patient-facing technology must be redesigned or enhanced to better allow individuals … with disabilities to fully engage with technology and demonstrated the importance of partnering with individuals

  19. Disparities-Quality-Improvement Executive (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/disparities-quality-improvement_executive.pdf
    August 01, 2012 - Inclusion and exclusion criteria Category Criteria Population Individuals receiving health care in … A minimum sample size of 50 individuals per study and intervention group or subgroup. … • The intervention was more effective in White and Black individuals relative to those of other or … speaking English as their primary language and individuals speaking a language other than English. … with limited health literacy (55.7 percent vs. 30 percent) but not among individuals with adequate

  20. Health IT Hazard Manager. | PSNet

    psnet.ahrq.gov/issue/health-it-hazard-manager
    August 01, 2012 - October 6, 2016 Findings and Lessons From the Improving Management of Individuals With … August 13, 2014 Findings and Lessons From the Improving Management of Individuals With
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