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  1. Strategies for sustaining a quality improvement collaborative and its patient safety gains. | PSNet

    psnet.ahrq.gov/issue/strategies-sustaining-quality-improvement-collaborative-and-its-patient-safety-gains
    February 01, 2011 - Study Strategies for sustaining a quality improvement collaborative and its patient safety gains. Citation Text: Parand A, Benn J, Burnett S, et al. Strategies for sustaining a quality improvement collaborative and its patient safety gains. Int J Qual Health Care. 2012;24(4):380-90. doi:…

  2. The effect of medication reconciliation in elderly patients at hospital discharge. | PSNet

    psnet.ahrq.gov/issue/effect-medication-reconciliation-elderly-patients-hospital-discharge
    February 04, 2009 - Study The effect of medication reconciliation in elderly patients at hospital discharge. Citation Text: Midlöv P, Bahrani L, Seyfali M, et al. The effect of medication reconciliation in elderly patients at hospital discharge. Int J Clin Pharm. 2012;34(1):113-9. doi:10.1007/s11096-011-9…

  3. Leadership style and patient safety: implications for nurse managers. | PSNet

    psnet.ahrq.gov/issue/leadership-style-and-patient-safety-implications-nurse-managers
    September 21, 2022 - Study Leadership style and patient safety: implications for nurse managers. Citation Text: Merrill KC. Leadership style and patient safety: implications for nurse managers. J Nurs Adm. 2015;45(6):319-324. doi:10.1097/NNA.0000000000000207. Copy Citation Format: DOI Google Sc…

  4. The influence of bullying on nursing practice errors: a systematic review. | PSNet

    psnet.ahrq.gov/issue/influence-bullying-nursing-practice-errors-systematic-review
    January 30, 2019 - Review The influence of bullying on nursing practice errors: a systematic review. Citation Text: Johnson AH, Benham‐Hutchins M. The Influence of Bullying on Nursing Practice Errors: A Systematic Review. AORN J. 2020;111(2). doi:10.1002/aorn.12923. Copy Citation Format: DOI …

  5. 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…

  6. Transforming communication and safety culture in intrapartum care: a multi-organization blueprint. | PSNet

    psnet.ahrq.gov/issue/transforming-communication-and-safety-culture-intrapartum-care-multi-organization-blueprint
    May 21, 2019 - Commentary Transforming communication and safety culture in intrapartum care: a multi-organization blueprint. Citation Text: Lyndon A, Johnson C, Bingham D, et al. Transforming communication and safety culture in intrapartum care: a multi-organization blueprint. Obstet Gynecol. 2015;125(…

  7. Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident reports. | PSNet

    psnet.ahrq.gov/issue/seeking-systems-based-facilitators-safety-and-healthcare-resilience-thematic-review-incident
    December 06, 2023 - Study Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident reports. Citation Text: Leon C, Hogan H, Jani YH. Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident reports. Int J Qual Health C…

  8. Bedside shift reports: what does the evidence say? | PSNet

    psnet.ahrq.gov/issue/bedside-shift-reports-what-does-evidence-say
    October 19, 2022 - Review Bedside shift reports: what does the evidence say? Citation Text: Gregory S, Tan D, Tilrico M, et al. Bedside shift reports: what does the evidence say? J Nurs Adm. 2014;44(10):541-5. doi:10.1097/NNA.0000000000000115. Copy Citation Format: DOI Google Scholar PubMed B…

  9. Formative evaluation of the video reflexive ethnography method, as applied to the physician–nurse dyad. | PSNet

    psnet.ahrq.gov/issue/formative-evaluation-video-reflexive-ethnography-method-applied-physician-nurse-dyad
    December 02, 2020 - Study Formative evaluation of the video reflexive ethnography method, as applied to the physician–nurse dyad. Citation Text: Manojlovich M, Frankel RM, Harrod M, et al. Formative evaluation of the video reflexive ethnography method, as applied to the physician-nurse dyad. BMJ Qual Saf. 2…

  10. Hydrocodone bitartrate and acetaminophen tablets, phenobarbital tablets by Qualitest: recall—incorrect package labeling. | PSNet

    psnet.ahrq.gov/issue/hydrocodone-bitartrate-and-acetaminophen-tablets-phenobarbital-tablets-qualitest-recall
    December 16, 2020 - Press Release/Announcement Hydrocodone bitartrate and acetaminophen tablets, phenobarbital tablets by Qualitest: recall—incorrect package labeling. Citation Text: Hydrocodone bitartrate and acetaminophen tablets, phenobarbital tablets by Qualitest: recall—incorrect package labeling. Me…

  11. Community Health Systems’ ongoing journey to zero preventable harm. | PSNet

    psnet.ahrq.gov/issue/community-health-systems-ongoing-journey-zero-preventable-harm
    July 29, 2020 - Commentary Community Health Systems’ ongoing journey to zero preventable harm. Citation Text: Simon LT, Van Buren T. Community Health Systems’ ongoing journey to zero preventable harm. NEJM Catal Innov Care Deliv. 2023;4(12). doi:10.1056/cat.23.0250. Copy Citation Format: D…

  12. Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic. | PSNet

    psnet.ahrq.gov/issue/infection-control-deficiencies-were-widespread-and-persistent-nursing-homes-prior-covid-19
    April 29, 2020 - Book/Report Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic. Citation Text: Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic. Washington, DC: United States Government Accoun…

  13. Nurses' perceived skills and attitudes about updated safety concepts: impact on medication administration errors and practices. | PSNet

    psnet.ahrq.gov/issue/nurses-perceived-skills-and-attitudes-about-updated-safety-concepts-impact-medication
    January 03, 2017 - Study Nurses' perceived skills and attitudes about updated safety concepts: impact on medication administration errors and practices. Citation Text: Armstrong GE, Dietrich M, Norman L, et al. Nursesʼ Perceived Skills and Attitudes About Updated Safety Concepts. J Nurs Care Qual. 2016;32(…

  14. Medication errors involving nursing students: a systematic review. | PSNet

    psnet.ahrq.gov/issue/medication-errors-involving-nursing-students-systematic-review
    March 09, 2022 - Review Medication errors involving nursing students: a systematic review. Citation Text: Asensi-Vicente J, Jiménez-Ruiz I, Vizcaya-Moreno F. Medication Errors Involving Nursing Students: A Systematic Review. Nurse Educ. 2018;43(5):E1-E5. doi:10.1097/NNE.0000000000000481. Copy Citation …

  15. The Patient Safety Adoption Framework: a practical framework to bridge the know-do gap. | PSNet

    psnet.ahrq.gov/issue/patient-safety-adoption-framework-practical-framework-bridge-know-do-gap
    May 26, 2021 - Commentary The Patient Safety Adoption Framework: a practical framework to bridge the know-do gap. Citation Text: The Patient Safety Adoption Framework: a practical framework to bridge the know-do gap. Moyal-Smith R, Margo J, Maloney FL, et al. J Patient Saf. 2023;19(4):243-248. Copy…

  16. Saving Lives and Saving Money: Hospital-Acquired Conditions Update. | PSNet

    psnet.ahrq.gov/issue/saving-lives-and-saving-money-hospital-acquired-conditions-update
    May 01, 2017 - Government Resource Saving Lives and Saving Money: Hospital-Acquired Conditions Update. Citation Text: Saving Lives and Saving Money: Hospital-Acquired Conditions Update. Rockville, MD: Agency for Healthcare Research and Quality; December 2015. AHRQ Publication No. 16-0009-EF. Copy Cit…

  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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