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  1. Patient safety in complementary medicine through the application of clinical risk management in the public health system. | PSNet

    psnet.ahrq.gov/issue/patient-safety-complementary-medicine-through-application-clinical-risk-management-public
    February 15, 2023 - Study Patient safety in complementary medicine through the application of clinical risk management in the public health system. Citation Text: Rossi EG, Bellandi T, Picchi M, et al. Patient Safety in Complementary Medicine through the Application of Clinical Risk Management in the Public…

  2. Disparities in adverse event reporting for hospitalized children. | PSNet

    psnet.ahrq.gov/issue/disparities-adverse-event-reporting-hospitalized-children
    July 27, 2022 - Study Disparities in adverse event reporting for hospitalized children. Citation Text: Halvorson EE, Thurtle DP, Easter A, et al. Disparities in adverse event reporting for hospitalized children. J Patient Saf. 2022;18(6):e928-e933. doi:10.1097/pts.0000000000001049. Copy Citation F…

  3. Balancing safety, comfort, and fall risk: an intervention to limit opioid and benzodiazepine prescriptions for geriatric patients. | PSNet

    psnet.ahrq.gov/issue/balancing-safety-comfort-and-fall-risk-intervention-limit-opioid-and-benzodiazepine
    November 09, 2022 - Study Balancing safety, comfort, and fall risk: an intervention to limit opioid and benzodiazepine prescriptions for geriatric patients. Citation Text: Bloomer A, Wally M, Bailey G, et al. Balancing safety, comfort, and fall risk: an intervention to limit opioid and benzodiazepine prescr…

  4. Interpersonal and organizational dynamics are key drivers of failure to rescue. | PSNet

    psnet.ahrq.gov/issue/interpersonal-and-organizational-dynamics-are-key-drivers-failure-rescue
    June 18, 2019 - Study Interpersonal and organizational dynamics are key drivers of failure to rescue. Citation Text: Smith ME, Wells EE, Friese CR, et al. Interpersonal And Organizational Dynamics Are Key Drivers Of Failure To Rescue. Health Aff (Millwood). 2018;37(11):1870-1876. doi:10.1377/hlthaff.201…

  5. Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case studies. | PSNet

    psnet.ahrq.gov/issue/socio-technical-issues-and-challenges-implementing-safe-patient-handovers-insights
    July 19, 2023 - Study Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case studies. Citation Text: Balka E, Tolar M, Coates S, et al. Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case st…

  6. Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice. A prospective cohort study. | PSNet

    psnet.ahrq.gov/issue/lessons-learnt-incidents-reported-postgraduate-trainees-dutch-general-practice-prospective
    February 23, 2011 - Study Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice. A prospective cohort study. Citation Text: Zwart DLM, Heddema WS, Vermeulen MI, et al. Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice. A prospecti…

  7. Educator toolkits on second victim syndrome, mindfulness and meditation, and positive psychology: the 2017 Resident Wellness Consensus Summit. | PSNet

    psnet.ahrq.gov/issue/educator-toolkits-second-victim-syndrome-mindfulness-and-meditation-and-positive-psychology
    June 28, 2023 - Commentary Educator toolkits on second victim syndrome, mindfulness and meditation, and positive psychology: the 2017 Resident Wellness Consensus Summit. Citation Text: Chung AS, Smart J, Zdradzinski M, et al. Educator Toolkits on Second Victim Syndrome, Mindfulness and Meditation, and P…

  8. Introducing the CAHPS Child Hospital Survey (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150122/3_barbara_burke.pdf
    June 09, 2012 - Introducing the CAHPS Child Hospital Survey Child HCAHPS Barbara Burke, Administrator, Patient Family Experience Center of Excellence Ann & Robert H. Lurie Children’s Hospital of Chicago 37 Outline • An introduction to Lurie Children’s • Impetus for change • Child HCAHPS • Moving forward …

  9. Examples of Technical and Adaptive Solutions for Change | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/tools.html
    March 01, 2017 - Examples of Technical and Adaptive Solutions for Change AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Purpose: To provide senior leaders with a deeper explanation of technical and adaptive solutions for change Who should use this tool? Senior leaders (long-term care facility administrator…

  10. Towards the reduction of medication errors in orthopedics and spinal surgery: outcomes using a pharmacist-led approach. | PSNet

    psnet.ahrq.gov/issue/towards-reduction-medication-errors-orthopedics-and-spinal-surgery-outcomes-using-pharmacist
    January 30, 2008 - Study Towards the reduction of medication errors in orthopedics and spinal surgery: outcomes using a pharmacist-led approach. Citation Text: Weiner BK, Venarske J, Yu M, et al. Towards the reduction of medication errors in orthopedics and spinal surgery: outcomes using a pharmacist-led…

  11. Awareness of racial and ethnic bias and potential solutions to address bias with use of health care algorithms. | PSNet

    psnet.ahrq.gov/issue/awareness-racial-and-ethnic-bias-and-potential-solutions-address-bias-use-health-care
    November 16, 2022 - Study Awareness of racial and ethnic bias and potential solutions to address bias with use of health care algorithms. Citation Text: Jain A, Brooks JR, Alford CC, et al. Awareness of racial and ethnic bias and potential solutions to address bias with use of health care algorithms. JAMA H…

  12. Improving patient safety in handover from intensive care unit to general ward: a systematic review. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-handover-intensive-care-unit-general-ward-systematic-review
    June 12, 2008 - Review Improving patient safety in handover from intensive care unit to general ward: a systematic review. Citation Text: Wibrandt I, Lippert A. Improving Patient Safety in Handover From Intensive Care Unit to General Ward: A Systematic Review. J Patient Saf. 2020;16(3):199-210. doi:10.1…

  13. Development of an Electronic Health Record Format for Children | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/development-electronic-health-record-format-children
    January 01, 2023 - Development of an Electronic Health Record Format for Children Project Description Annual Summaries Publications Project Details - Completed Contract Number 290-09-00023I-3 Funding Mechanism(s) National Resource Center for H…

  14. Anesthesia-related closed claims in free-standing ambulatory surgery centers. | PSNet

    psnet.ahrq.gov/issue/anesthesia-related-closed-claims-free-standing-ambulatory-surgery-centers
    March 29, 2023 - Study Anesthesia-related closed claims in free-standing ambulatory surgery centers. Citation Text: Pimentel MPT, Chung S, Ross JM, et al. Anesthesia-related closed claims in free-standing ambulatory surgery centers. Anesth Analg. 2024;139(3):521-531. doi:10.1213/ane.0000000000006700. C…

  15. Managing interruptions to improve diagnostic decision-making: strategies and recommended research agenda. | PSNet

    psnet.ahrq.gov/issue/managing-interruptions-improve-diagnostic-decision-making-strategies-and-recommended-research
    February 24, 2021 - Commentary Managing interruptions to improve diagnostic decision-making: strategies and recommended research agenda. Citation Text: Sloane JF, Donkin C, Newell BR, et al. Managing interruptions to improve diagnostic decision-making: strategies and recommended research agenda. J Gen Inter…

  16. Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy. | PSNet

    psnet.ahrq.gov/issue/adopting-real-time-surveillance-dashboards-component-enterprisewide-medication-safety
    June 27, 2018 - Study Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy. Citation Text: Waitman LR, Phillips IE, McCoy AB, et al. Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy. Jt Comm J Q…

  17. Use of therapeutic outcomes monitoring method for performing of pharmaceutical care in oncology patients. | PSNet

    psnet.ahrq.gov/issue/use-therapeutic-outcomes-monitoring-method-performing-pharmaceutical-care-oncology-patients
    April 21, 2021 - Study Use of therapeutic outcomes monitoring method for performing of pharmaceutical care in oncology patients. Citation Text: Cataldo RRV, Manaças LAR, Figueira PHM, et al. Use of therapeutic outcomes monitoring method for performing of pharmaceutical care in oncology patients. J Oncol …

  18. Moving on after critical incidents in health care: a qualitative study of the perspectives and experiences of second victims | PSNet

    psnet.ahrq.gov/issue/moving-after-critical-incidents-health-care-qualitative-study-perspectives-and-experiences
    February 10, 2021 - Study Moving on after critical incidents in health care: a qualitative study of the perspectives and experiences of second victims Citation Text: Buhlmann M, Ewens B, Rashidi A. Moving on after critical incidents in health care: a qualitative study of the perspectives and experiences of …

  19. Healthcare Cost and Utilization Project (HCUP) NIS Notes

    hcup-us.ahrq.gov/db/vars/discwt10/nisnote.jsp
    September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) NIS Notes An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs…

  20. Healthcare Cost and Utilization Project (HCUP) NIS Notes

    hcup-us.ahrq.gov/db/vars/discwtcharge10/nisnote.jsp
    September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) NIS Notes An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs…
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