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  1. How to prevent or reduce prescribing errors: an evidence brief for policy authors. | PSNet

    psnet.ahrq.gov/issue/how-prevent-or-reduce-prescribing-errors-evidence-brief-policy-authors
    July 27, 2022 - Review How to prevent or reduce prescribing errors: an evidence brief for policy authors. Citation Text: de Araújo BC, de Melo RC, de Bortoli MC, et al. How to prevent or reduce prescribing errors: an evidence brief for policy authors. Front Pharmacol. 2019;10:439. doi:10.3389/fphar.2019…

  2. Value_Proposition_Flyer_Midwest (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/value-proposition-flyer-mw.pdf
    June 02, 2025 - Value_Proposition_Flyer_Midwest Why Participate? Participation in H3 may help your practice: • Strengthen prevention for heart disease and stroke by focusing on the ABCS – Aspirin, Blood pressure control, Cholesterol management and Smoking cessation; • Build or enhance its infrastructure to report and use quality d…

  3. Assessing the impact of a new pediatric healthcare facility on medication administration: a human factors approach. | PSNet

    psnet.ahrq.gov/issue/assessing-impact-new-pediatric-healthcare-facility-medication-administration-human-factors
    February 07, 2024 - Study Assessing the impact of a new pediatric healthcare facility on medication administration: a human factors approach. Citation Text: Godin MR, Nasr AS. Assessing the impact of a new pediatric healthcare facility on medication administration: a human factors approach. J Nurs Adm. 2023…

  4. Analysis of patient safety risk management call data during the COVID‐19 pandemic. | PSNet

    psnet.ahrq.gov/issue/analysis-patient-safety-risk-management-call-data-during-covid-19-pandemic
    February 16, 2022 - Study Analysis of patient safety risk management call data during the COVID‐19 pandemic. Citation Text: Wessels R, McCorkle LM. Analysis of patient safety risk management call data during the COVID‐19 pandemic. J Healthc Risk Manag. 2021;40(4):30-37. doi:10.1002/jhrm.21457. Copy Citati…

  5. Clinical reasoning in dire times- analysis of cognitive biases in clinical cases during the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/clinical-reasoning-dire-times-analysis-cognitive-biases-clinical-cases-during-covid-19
    February 09, 2022 - Study Clinical reasoning in dire times- analysis of cognitive biases in clinical cases during the COVID-19 pandemic. Citation Text: Coen M, Sader J, Junod-Perron N, et al. Clinical reasoning in dire times- analysis of cognitive biases in clinical cases during the COVID-19 pandemic. Inter…

  6. Investigating the impact of cognitive bias in nursing documentation on decision-making and judgement. | PSNet

    psnet.ahrq.gov/issue/investigating-impact-cognitive-bias-nursing-documentation-decision-making-and-judgement
    July 13, 2022 - Study Investigating the impact of cognitive bias in nursing documentation on decision-making and judgement. Citation Text: Martin K, Bickle K, Lok J. Investigating the impact of cognitive bias in nursing documentation on decision‐making and judgement. Int J Mental Health Nurs. 2022;31(4)…

  7. Standardized orders for titrating vasopressors: do efforts to improve safety slow delivery of care? | PSNet

    psnet.ahrq.gov/issue/standardized-orders-titrating-vasopressors-do-efforts-improve-safety-slow-delivery-care
    March 20, 2019 - Commentary Standardized orders for titrating vasopressors: do efforts to improve safety slow delivery of care? Citation Text: Baker DW, Campbell R. Standardized Orders for Titrating Vasopressors: Do Efforts to Improve Safety Slow Delivery of Care? Jt Comm J Qual Patient Saf. 2019;45(9):5…

  8. Perceived discrimination in the community pharmacy: a cross-sectional, national survey of adults. | PSNet

    psnet.ahrq.gov/issue/perceived-discrimination-community-pharmacy-cross-sectional-national-survey-adults
    April 03, 2024 - Study Perceived discrimination in the community pharmacy: a cross-sectional, national survey of adults. Citation Text: Baffoe JO, Moczygemba LR, Brown CM. Perceived discrimination in the community pharmacy: a cross-sectional, national survey of adults. J Am Pharm Assoc (2003). 2023;63(2)…

  9. A comparative review of patient safety initiatives for national health information technology. | PSNet

    psnet.ahrq.gov/issue/comparative-review-patient-safety-initiatives-national-health-information-technology
    November 03, 2015 - Review A comparative review of patient safety initiatives for national health information technology. Citation Text: Magrabi F, Aarts J, Nohr C, et al. A comparative review of patient safety initiatives for national health information technology. Int J Med Inform. 2013;82(5):e139-48. d…

  10. Operationalizing occupational fatigue in pharmacists: an exploratory factor analysis. | PSNet

    psnet.ahrq.gov/issue/operationalizing-occupational-fatigue-pharmacists-exploratory-factor-analysis
    March 23, 2022 - Study Operationalizing occupational fatigue in pharmacists: an exploratory factor analysis. Citation Text: Watterson TL, Look KA, Steege LM, et al. Operationalizing occupational fatigue in pharmacists: an exploratory factor analysis. Res Social Adm Pharm. 2021;17(7):1282-1287. doi:10.101…

  11. Adverse mental health inpatient experiences: qualitative systematic review of international literature. | PSNet

    psnet.ahrq.gov/issue/adverse-mental-health-inpatient-experiences-qualitative-systematic-review-international
    January 13, 2021 - Review Adverse mental health inpatient experiences: qualitative systematic review of international literature. Citation Text: Hallett N, Dickinson R, Eneje E, et al. Adverse mental health inpatient experiences: qualitative systematic review of international literature. Int J Nurs Stud. 2…

  12. Medicine self-administration errors in the older adult population: a systematic review. | PSNet

    psnet.ahrq.gov/issue/medicine-self-administration-errors-older-adult-population-systematic-review
    August 18, 2021 - Review Medicine self-administration errors in the older adult population: a systematic review. Citation Text: Aldila F, Walpola RL. Medicine self-administration errors in the older adult population: a systematic review. Res Social Adm Pharm. 2021;17(11):1877-1886. doi:10.1016/j.sapharm.2…

  13. The dollar or disease burden: caps on healthcare spending may save money, but at what "cost" to patients? | PSNet

    psnet.ahrq.gov/issue/dollar-or-disease-burden-caps-healthcare-spending-may-save-money-what-cost-patients
    March 01, 2011 - Study The dollar or disease burden: caps on healthcare spending may save money, but at what "cost" to patients? Citation Text: Ciarametaro M, Houghton K, Wamble D, et al. The dollar or disease burden: caps on healthcare spending may save money, but at what "cost" to patients? Value Healt…

  14. Reasons for repeat rapid response team calls, and associations with in-hospital mortality. | PSNet

    psnet.ahrq.gov/issue/reasons-repeat-rapid-response-team-calls-and-associations-hospital-mortality
    March 03, 2020 - Study Reasons for repeat rapid response team calls, and associations with in-hospital mortality. Citation Text: Chalwin R, Giles L, Salter A, et al. Reasons for Repeat Rapid Response Team Calls, and Associations with In-Hospital Mortality. Jt Comm J Qual Patient Saf. 2019;45(4):268-275. …

  15. Wisconsin Critical Access Hospital Sees Big Results with AHRQ’s CUSP, RED and TeamSTEPPS® | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/case-studies/201520.html
    July 01, 2015 - Wisconsin Critical Access Hospital Sees Big Results with AHRQ’s CUSP, RED and TeamSTEPPS® Search All Impact Case Studies July 2015 Amery Hospital & Clinic, a 25-bed acute care critical access hospital in rural Wisconsin, used AHRQ’s Comprehensive Unit-based Safety Program (CUSP) to reduce surgical site in…

  16. PEARLS for systems integration: a modified PEARLS framework for debriefing systems-focused simulations. | PSNet

    psnet.ahrq.gov/issue/pearls-systems-integration-modified-pearls-framework-debriefing-systems-focused-simulations
    October 29, 2017 - Commentary PEARLS for systems integration: a modified PEARLS framework for debriefing systems-focused simulations. Citation Text: Dubé MM, Reid J, Kaba A, et al. PEARLS for Systems Integration: A Modified PEARLS Framework for Debriefing Systems-Focused Simulations. Simul Healthc. 2019;14…

  17. Perceptions of working conditions and safety concerns in community pharmacy. | PSNet

    psnet.ahrq.gov/issue/perceptions-working-conditions-and-safety-concerns-community-pharmacy
    September 01, 2015 - Study Perceptions of working conditions and safety concerns in community pharmacy. Citation Text: Clabaugh M, Beal JL, Illingworth Plake KS. Perceptions of working conditions and safety concerns in community pharmacy. J Am Pharm Assoc (2003). 2021;61(6):761-771. doi:10.1016/j.japh.2021.0…

  18. A survey of pharmacists' perception of the work environment and patient safety in community pharmacies during the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/survey-pharmacists-perception-work-environment-and-patient-safety-community-pharmacies-during
    June 23, 2009 - Study A survey of pharmacists' perception of the work environment and patient safety in community pharmacies during the COVID-19 pandemic. Citation Text: Ljungberg Persson C, Nordén Hägg A, Södergård B. A survey of pharmacists' perception of the work environment and patient safety in com…

  19. Peterson Regional Medical Center Uses AHRQ's CUSP and Hospital Survey to Advance Patient Safety | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/case-studies/201419.html
    November 01, 2014 - Peterson Regional Medical Center Uses AHRQ's CUSP and Hospital Survey to Advance Patient Safety Search All Impact Case Studies November 2014 Peterson Regional Medical Center, a 125-bed rural hospital in Kerrville, TX, is using AHRQ's Comprehensive Unit-based Safety Program (CUSP) to eliminate central-line…

  20. Use of design thinking and human factors approach to improve situation awareness in the pediatric intensive care unit. | PSNet

    psnet.ahrq.gov/issue/use-design-thinking-and-human-factors-approach-improve-situation-awareness-pediatric
    January 19, 2022 - Study Use of design thinking and human factors approach to improve situation awareness in the pediatric intensive care unit. Citation Text: Gifford A, Butcher B, Chima RS, et al. Use of design thinking and human factors approach to improve situation awareness in the pediatric intensive c…
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