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  1. Risk management: extreme honesty may be the best policy. | PSNet

    psnet.ahrq.gov/issue/risk-management-extreme-honesty-may-be-best-policy
    January 04, 2017 - Study Classic Risk management: extreme honesty may be the best policy. Citation Text: Kraman SS, Hamm G. Risk management: extreme honesty may be the best policy. Ann Intern Med. 1999;131(12):963-967. Copy Citation Format: Google Scholar PubMed Bi…

  2. Rapid response systems: identification and management of the "prearrest state." | PSNet

    psnet.ahrq.gov/issue/rapid-response-systems-identification-and-management-prearrest-state
    May 18, 2022 - Review Rapid response systems: identification and management of the "prearrest state." Citation Text: McCurdy MT, Wood SL. Rapid response systems: identification and management of the "prearrest state". Emerg Med Clin North Am. 2012;30(1):141-52. doi:10.1016/j.emc.2011.09.012. Copy Ci…

  3. Observational study of drug formulation manipulation in pediatric versus adult inpatients. | PSNet

    psnet.ahrq.gov/issue/observational-study-drug-formulation-manipulation-pediatric-versus-adult-inpatients
    June 08, 2022 - Study Observational study of drug formulation manipulation in pediatric versus adult inpatients. Citation Text: Spishock S, Meyers R, Robinson CA, et al. Observational Study of Drug Formulation Manipulation in Pediatric Versus Adult Inpatients. J Patient Saf. 2021;17(1):e10-e14. doi:10.1…

  4. When should a multicampus hospital be considered a single entity for public reporting on patient safety issues? | PSNet

    psnet.ahrq.gov/issue/when-should-multicampus-hospital-be-considered-single-entity-public-reporting-patient-safety
    June 28, 2011 - Commentary When should a multicampus hospital be considered a single entity for public reporting on patient safety issues? Citation Text: Naessens JM, Culbertson R, Lefante JJ, et al. When should a multicampus hospital be considered a single entity for public reporting on patient safet…

  5. Table 19G: HCBS Population Age 65 | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19g.html
    March 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 19G: HCBS Population Age 65+ Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Population Availability and Use of State Medicaid HCBS Outcome Indicators for the HCB…

  6. Resident attitudes regarding the impact of the 80–duty-hours work standards. | PSNet

    psnet.ahrq.gov/issue/resident-attitudes-regarding-impact-80-duty-hours-work-standards
    August 24, 2015 - Study Resident attitudes regarding the impact of the 80–duty-hours work standards. Citation Text: Zonia SC, 2nd RJLB, Stommel M, et al. Resident attitudes regarding the impact of the 80-duty-hours work standards. J Am Osteopath Assoc. 2005;105(7):307-313. https://www.degruyter.com/docu…

  7. A review of best practices for intravenous push medication administration. | PSNet

    psnet.ahrq.gov/issue/review-best-practices-intravenous-push-medication-administration
    February 21, 2018 - Review A review of best practices for intravenous push medication administration. Citation Text: Lenz JR, Degnan DD, Hertig JB, et al. A Review of Best Practices for Intravenous Push Medication Administration. J Infus Nurs. 2017;40(6):354-358. doi:10.1097/NAN.0000000000000247. Copy Cit…

  8. Epidemiology, comparative methods of detection, and preventability of adverse drug events. | PSNet

    psnet.ahrq.gov/issue/epidemiology-comparative-methods-detection-and-preventability-adverse-drug-events
    March 09, 2016 - Study Epidemiology, comparative methods of detection, and preventability of adverse drug events. Citation Text: Al-Tajir GK, Kelly WN. Epidemiology, comparative methods of detection, and preventability of adverse drug events. Ann Pharmacother. 2005;39(7-8):1169-74. Copy Citation …

  9. Human factors–focused reporting system for improving care quality and safety in hospital wards. | PSNet

    psnet.ahrq.gov/issue/human-factors-focused-reporting-system-improving-care-quality-and-safety-hospital-wards
    February 17, 2010 - Study Human factors–focused reporting system for improving care quality and safety in hospital wards. Citation Text: Morag I, Gopher D, Spillinger A, et al. Human Factors–Focused Reporting System for Improving Care Quality and Safety in Hospital Wards. Hum Factors. 2012;54(2):195-213. …

  10. E-learning on risk management. An opportunity for sharing knowledge and experiences in patient safety. | PSNet

    psnet.ahrq.gov/issue/e-learning-risk-management-opportunity-sharing-knowledge-and-experiences-patient-safety
    November 18, 2020 - Commentary E-learning on risk management. An opportunity for sharing knowledge and experiences in patient safety. Citation Text: Agra Y, García-Álvarez V, Aibar-Remón C, et al. E-learning on risk management. An opportunity for sharing knowledge and experiences in patient safety. Int J He…

  11. The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Improvement Act of 2005. | PSNet

    psnet.ahrq.gov/issue/benefits-and-burdens-working-patient-safety-organizations-under-patient-safety-and-quality
    October 14, 2020 - Commentary The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Improvement Act of 2005. Citation Text: Dwyer PE, Watts CD. The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Imp…

  12. Proactive risk assessment of surgical site infections in ambulatory surgery centers. | PSNet

    psnet.ahrq.gov/issue/proactive-risk-assessment-surgical-site-infections-ambulatory-surgery-centers
    April 13, 2022 - Study Proactive risk assessment of surgical site infections in ambulatory surgery centers. Citation Text: Bish EK, Azadeh-Fard N, Steighner LA, et al. Proactive Risk Assessment of Surgical Site Infections in Ambulatory Surgery Centers. J Patient Saf. 2014;13(2). doi:10.1097/pts.000000000…

  13. An Age-Friendly Learning Healthcare System: A Transformative Digital Solution for Geriatrics Clinics | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/age-friendly-learning-healthcare-system-transformative-digital-solution
    April 01, 2024 - An Age-Friendly Learning Healthcare System: A Transformative Digital Solution for Geriatrics Clinics Project Description Integrated, interoperable, point-of-care digital tools hold promise for enhancing shared decision-making in Age-Friendly care, advancing clinical practice, a…

  14. Annual Conference on Health Information Technology & Analytics (CHITA) | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/annual-conference-health-information-technology-analytics-chita
    January 01, 2023 - Annual Conference on Health Information Technology & Analytics (CHITA) Project Final Report ( PDF , 549.57 KB) Disclaimer Disclaimer   The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent…

  15. Psychological safety, communication openness, nurse job outcomes, and patient safety in hospital nurses. | PSNet

    psnet.ahrq.gov/issue/psychological-safety-communication-openness-nurse-job-outcomes-and-patient-safety-hospital
    August 19, 2020 - Study Psychological safety, communication openness, nurse job outcomes, and patient safety in hospital nurses. Citation Text: Cho H, Steege LM, Arsenault Knudsen ÉN. Psychological safety, communication openness, nurse job outcomes, and patient safety in hospital nurses. Res Nurs Health. …

  16. Healthcare staff wellbeing, burnout, and patient safety: a systematic review. | PSNet

    psnet.ahrq.gov/issue/healthcare-staff-wellbeing-burnout-and-patient-safety-systematic-review
    November 13, 2024 - Review Healthcare staff wellbeing, burnout, and patient safety: a systematic review. Citation Text: Hall LH, Johnson J, Watt I, et al. Healthcare Staff Wellbeing, Burnout, and Patient Safety: A Systematic Review. PLoS One. 2016;11(7):e0159015. doi:10.1371/journal.pone.0159015. Copy Cit…

  17. Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand. | PSNet

    psnet.ahrq.gov/issue/case-34-2010-65-year-old-woman-incorrect-operation-left-hand
    March 13, 2013 - Commentary Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand. Citation Text: Ring DC, Herndon JH, Meyer GS. Case records of The Massachusetts General Hospital: Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand. N Engl J Med. 201…

  18. Strategies for learning from failure. | PSNet

    psnet.ahrq.gov/issue/strategies-learning-failure
    September 25, 2024 - Commentary Classic Strategies for learning from failure. Citation Text: Edmondson A. Strategies of learning from failure. Harv Bus Rev. 2011;89(4):48-55, 137. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnot…

  19. Summary of USPSTF Final Recommendation: Screening for Osteoporosis to Prevent Fractures (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/E24AtkYp7cR8bp864K4CGS
    January 01, 2025 - Summary of USPSTF Final Recommendation: Screening for Osteoporosis to Prevent Fractures Clinicians Summary of USPSTF Final Recommendation Screening for Osteoporosis to Prevent Fractures January 2025 What does the USPSTF recommend? B Grade Women 65 years or older: Screen…

  20. The need for closed-loop systems for management of abnormal test results. | PSNet

    psnet.ahrq.gov/issue/need-closed-loop-systems-management-abnormal-test-results
    May 20, 2019 - Study The need for closed-loop systems for management of abnormal test results. Citation Text: Zuccotti G, Samal L, Maloney FL, et al. The Need for Closed-Loop Systems for Management of Abnormal Test Results. Ann Intern Med. 2018;168(11):820-821. doi:10.7326/M17-2425. Copy Citation …
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