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9381. How do we know when we have done enough? Ensuring sufficient patient notification efforts after a large-scale adverse event. | PSNet
      psnet.ahrq.gov/issue/how-do-we-know-when-we-have-done-enough-ensuring-sufficient-patient-notification-efforts
      August 18, 2021 - Commentary How do we know when we have done enough? Ensuring sufficient patient notification efforts after a large-scale adverse event. Citation Text: Alfandre D, Foglia MB, Holodniy M, et al. How do we know when we have done enough? Ensuring sufficient patient notification efforts after…

9382. Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing home. | PSNet
      psnet.ahrq.gov/issue/adopting-fall-tailoring-interventions-patient-safety-tips-program-engage-older-adults-fall
      December 08, 2021 - Commentary Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing home. Citation Text: Tzeng H-M, Jansen LS, Okpalauwaekwe U, et al. Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to …

9383. Key factors for effective implementation of healthcare workers support interventions after patient safety incidents in health organisations: a scoping review. | PSNet
      psnet.ahrq.gov/issue/key-factors-effective-implementation-healthcare-workers-support-interventions-after-patient
      September 27, 2023 - Review Key factors for effective implementation of healthcare workers support interventions after patient safety incidents in health organisations: a scoping review. Citation Text: Guerra-Paiva S, Lobão MJ, Simões DG, et al. Key factors for effective implementation of healthcare workers …

9384. Implementing patient safety interventions in your hospital: what to try and what to avoid. | PSNet
      psnet.ahrq.gov/issue/implementing-patient-safety-interventions-your-hospital-what-try-and-what-avoid
      June 03, 2010 - Review Implementing patient safety interventions in your hospital: what to try and what to avoid. Citation Text: Ranji SR, Shojania KG. Implementing patient safety interventions in your hospital: what to try and what to avoid. Med Clin North Am. 2008;92(2):275-93, vii-viii. doi:10.1016…

9385. A recent two-fold increase in medical adverse event deaths among US inpatients. | PSNet
      psnet.ahrq.gov/issue/recent-two-fold-increase-medical-adverse-event-deaths-among-us-inpatients
      April 06, 2022 - Study A recent two-fold increase in medical adverse event deaths among US inpatients. Citation Text: Oura P, Sajantila A. A recent two-fold increase in medical adverse event deaths among US inpatients. J Public Health Res. 2022;11(4):227990362211399. doi:10.1177/22799036221139935. Copy…

9386. The safety of inpatient health care. | PSNet
      psnet.ahrq.gov/issue/safety-inpatient-health-care
      May 15, 2024 - Study The safety of inpatient health care. Citation Text: Bates DW, Levine DM, Salmasian H, et al. The safety of inpatient health care. New Engl J Med. 2023;388(2):142-153. doi:10.1056/nejmsa2206117. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

9387. The care transitions intervention: results of a randomized controlled trial. | PSNet
      psnet.ahrq.gov/issue/care-transitions-intervention-results-randomized-controlled-trial
      July 10, 2008 - Study Classic The care transitions intervention: results of a randomized controlled trial. Citation Text: Coleman EA, Parry C, Chalmers S, et al. The care transitions intervention: results of a randomized controlled trial. Arch Intern Med. 2006;166(17):1822-8.…

9388. Alarm burden and the nursing care environment: a 213-hospital cross-sectional study. | PSNet
      psnet.ahrq.gov/issue/alarm-burden-and-nursing-care-environment-213-hospital-cross-sectional-study
      October 25, 2023 - Study Alarm burden and the nursing care environment: a 213-hospital cross-sectional study. Citation Text: Ruppel H, Dougherty M, Bonafide CP, et al. Alarm burden and the nursing care environment: a 213-hospital cross-sectional study. BMJ Open Qual. 2023;12(4):e002342. doi:10.1136/bmjoq-2…

9389. Barriers and facilitators to implementing interventions for reducing avoidable hospital readmission: systematic review of qualitative studies. | PSNet
      psnet.ahrq.gov/issue/barriers-and-facilitators-implementing-interventions-reducing-avoidable-hospital-readmission
      April 25, 2018 - Review Barriers and facilitators to implementing interventions for reducing avoidable hospital readmission: systematic review of qualitative studies. Citation Text: Fu BQ, Zhong CCW, Wong CHL, et al. Barriers and facilitators to implementing interventions for reducing avoidable hospital …

9390. Patient safety concerns arising from test results that return after hospital discharge. | PSNet
      psnet.ahrq.gov/issue/patient-safety-concerns-arising-test-results-return-after-hospital-discharge
      January 17, 2012 - Study Classic Patient safety concerns arising from test results that return after hospital discharge. Citation Text: Roy CL, Poon EG, Karson A, et al. Patient safety concerns arising from test results that return after hospital discharge. Ann Intern Med. 2005;…

9391. Implementation of medication reconciliation in outpatient cancer care. | PSNet
      psnet.ahrq.gov/issue/implementation-medication-reconciliation-outpatient-cancer-care
      December 20, 2023 - Study Implementation of medication reconciliation in outpatient cancer care. Citation Text: Powis M, Dara C, Macedo A, et al. Implementation of medication reconciliation in outpatient cancer care. BMJ Open Quality. 2023;12(2):e002211. doi:10.1136/bmjoq-2022-002211. Copy Citation Fo…

9392. Longer work experience and age associated with safety attitudes in operating room nurses: an online cross-sectional study. | PSNet
      psnet.ahrq.gov/issue/longer-work-experience-and-age-associated-safety-attitudes-operating-room-nurses-online-cross
      July 28, 2013 - Study Longer work experience and age associated with safety attitudes in operating room nurses: an online cross-sectional study. Citation Text: Nyberg A, Olofsson B, Fagerdahl A, et al. Longer work experience and age associated with safety attitudes in operating room nurses: an online cr…

9393. Adverse events present on arrival to the emergency department: the ED as a dual safety net. | PSNet
      psnet.ahrq.gov/issue/adverse-events-present-arrival-emergency-department-ed-dual-safety-net
      September 30, 2020 - Study Adverse events present on arrival to the emergency department: the ED as a dual safety net. Citation Text: Griffey RT, Schneider RM, Todorov AA. Adverse Events Present on Arrival to the Emergency Department: The ED as a Dual Safety Net. Jt Comm J Qual Patient Saf. 2020;46(4):192-19…

9394. Nurse staffing and inpatient hospital mortality. | PSNet
      psnet.ahrq.gov/issue/nurse-staffing-and-inpatient-hospital-mortality
      June 22, 2022 - Study Classic Nurse staffing and inpatient hospital mortality. Citation Text: Needleman J, Buerhaus P, Pankratz S, et al. Nurse staffing and inpatient hospital mortality. New Engl J Med. 2011;364(11):1037-1045. doi:10.1056/NEJMsa1001025. Copy Citation Fo…

9395. Omissions of care in nursing home settings: a narrative review. | PSNet
      psnet.ahrq.gov/issue/omissions-care-nursing-home-settings-narrative-review
      November 18, 2020 - Review Omissions of care in nursing home settings: a narrative review. Citation Text: Ogletree AM, Mangrum R, Harris Y, et al. Omissions of care in nursing home settings: a narrative review. J Am Med Dir Assoc. 2020;21(5):604-614.e6. doi:10.1016/j.jamda.2020.02.016. Copy Citation F…

9396. Causes of medication administration errors in hospitals: a systematic review of quantitative and qualitative evidence. | PSNet
      psnet.ahrq.gov/issue/causes-medication-administration-errors-hospitals-systematic-review-quantitative-and
      April 01, 2015 - Review Causes of medication administration errors in hospitals: a systematic review of quantitative and qualitative evidence. Citation Text: Keers RN, Williams SD, Cooke J, et al. Causes of medication administration errors in hospitals: a systematic review of quantitative and qualitativ…

9397. Building a learning organization. | PSNet
      psnet.ahrq.gov/issue/building-learning-organization
      June 16, 2011 - Study Classic Building a learning organization. Citation Text: Garvin DA. Building a learning organization. Harv Bus Rev. 1993;71(4):78-91. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

9398. Learning Health Systems | PSNet
      psnet.ahrq.gov/issue/learning-health-systems
      December 24, 2008 - Multi-use Website Learning Health Systems Citation Text: Learning Health Systems Agency for Health Research and Quality. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

9399. Shifting the learning curve. | PSNet
      psnet.ahrq.gov/issue/shifting-learning-curve
      March 09, 2009 - Commentary Shifting the learning curve. Citation Text: Reynolds T, Kong M-L. Shifting the learning curve. BMJ. 2010;341:c6260. doi:10.1136/bmj.c6260. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

9400. Learning from Investigations. | PSNet
      psnet.ahrq.gov/issue/learning-investigations
      July 28, 2013 - Book/Report Learning from Investigations. Citation Text: Learning from Investigations. Commission for Healthcare Audit and Inspection. London, England; Healthcare Commission: 2008. ISBN 9781845621636. Copy Citation Save Save to your library Print Downlo…