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  1. Pain as the neglected patient safety concern: five years on. | PSNet

    psnet.ahrq.gov/issue/pain-neglected-patient-safety-concern-five-years
    July 31, 2019 - Commentary Pain as the neglected patient safety concern: five years on. Citation Text: Twycross A, Forgeron P, Chorne J, et al. Pain as the neglected patient safety concern: Five years on. J Child Health Care. 2016;20(4):537-541. doi:10.1177/1367493516643422. Copy Citation Format: …

  2. 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…

  3. Five strategies for how patients and families can improve patient safety: World Patient Safety Day 2023. | PSNet

    psnet.ahrq.gov/issue/five-strategies-how-patients-and-families-can-improve-patient-safety-world-patient-safety-day
    July 07, 2021 - Commentary Five strategies for how patients and families can improve patient safety: World Patient Safety Day 2023. Citation Text: Wu AW, Papieva I, Sheridan S, et al. Five strategies for how patients and families can improve patient safety: World Patient Safety Day 2023. J Patient Saf R…

  4. Health care worker fatigue and patient safety. | PSNet

    psnet.ahrq.gov/issue/health-care-worker-fatigue-and-patient-safety
    December 23, 2016 - Sentinel Event Alerts Health care worker fatigue and patient safety. Citation Text: Health care worker fatigue and patient safety. Sentinel Event Alert. December 14, 2011;(48):1-4. (addendum May 14, 2018). Copy Citation Save Save to your library Print Do…

  5. Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience. | PSNet

    psnet.ahrq.gov/issue/errors-administration-intravenous-medications-hospital-and-role-correct-procedures-and-nurse
    September 26, 2016 - Study Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience. Citation Text: Westbrook JI, Rob MI, Woods A, et al. Errors in the administration of intravenous medications in hospital and the role of correct procedures a…

  6. Medication administration in aged care facilities: a mixed-methods systematic review. | PSNet

    psnet.ahrq.gov/issue/medication-administration-aged-care-facilities-mixed-methods-systematic-review-0
    July 31, 2024 - Review Medication administration in aged care facilities: a mixed-methods systematic review. Citation Text: Garratt S, Dowling A, Manias E. Medication administration in aged care facilities: a mixed‐methods systematic review. J Adv Nurs. 2025;81(2):621-640. doi:10.1111/jan.16318. Copy …

  7. Medication administration in aged care facilities: a mixed-methods systematic review. | PSNet

    psnet.ahrq.gov/issue/medication-administration-aged-care-facilities-mixed-methods-systematic-review
    March 05, 2025 - Review Medication administration in aged care facilities: a mixed-methods systematic review. Citation Text: Garratt S, Dowling A, Manias E. Medication administration in aged care facilities: a mixed‐methods systematic review. J Adv Nurs. 2025;81(2):621-640. doi:10.1111/jan.16318. Copy …

  8. Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic review. | PSNet

    psnet.ahrq.gov/issue/evaluation-clinical-practice-guidelines-fall-prevention-and-management-older-adults
    March 09, 2022 - Review Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic review. Citation Text: Montero-Odasso MM, Kamkar N, Pieruccini-Faria F, et al. Evaluation of clinical practice guidelines on fall prevention and management for older adults:…

  9. Undermining and bullying in surgical training: a review and recommendations by the Association of Surgeons in Training. | PSNet

    psnet.ahrq.gov/issue/undermining-and-bullying-surgical-training-review-and-recommendations-association-surgeons
    July 25, 2018 - Review Undermining and bullying in surgical training: a review and recommendations by the Association of Surgeons in Training. Citation Text: Wild JRL, Ferguson HJM, McDermott FD, et al. Undermining and bullying in surgical training: a review and recommendations by the Association of Sur…

  10. Patient Intestinal Failure-ECHO Project (PIF-ECHO) | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/patient-intestinal-failure-echo-project-pif-echo
    September 30, 2024 - Patient Intestinal Failure-ECHO Project (PIF-ECHO) Project Description A live, virtual learning and support system connecting patients and family caregivers with a team of experts and peers will enhance patient knowledge of best practices and confidence in self-care for chronic…

  11. USA, MN, Minneapolis | Digital Healthcare Research

    digital.ahrq.gov/location/usa-mn-minneapolis
    January 01, 2023 - USA, MN, Minneapolis Use of Electronic Health Record Metadata to Assess Hospital Discharge Planning for Post-Acute Transitions Description This research will develop and test novel approaches for using electronic health record metadata to characterize and evaluate hospital dis…

  12. Perioperative patient safety recommendations: systematic review of clinical practice guidelines. | PSNet

    psnet.ahrq.gov/issue/perioperative-patient-safety-recommendations-systematic-review-clinical-practice-guidelines
    January 08, 2025 - Study Perioperative patient safety recommendations: systematic review of clinical practice guidelines. Citation Text: Martínez-Nicolas I, Arnal-Velasco D, Romero-García E, et al. Perioperative patient safety recommendations: systematic review of clinical practice guidelines. BJS Open. 20…

  13. Tool 5.2c: Sample Task Table (eRx Renewal) | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/implementation-toolsets-e-prescribing/toolset-e-prescribing/tool-52c-sample-task-table-erx-renewal
    January 01, 2023 - Tool 5.2c: Sample Task Table (eRx Renewal) Scenario: Refill request received by phone or by fax before e-prescribing Step No. Step Performer Step Type Deprescription Documents Key Information E-prescribing enabled renewal request pathway (a) 1a. Receive renewal reques…

  14. Developing a framework for nursing handover in the emergency department: an individualised and systematic approach. | PSNet

    psnet.ahrq.gov/issue/developing-framework-nursing-handover-emergency-department-individualised-and-systematic
    October 06, 2016 - Study Developing a framework for nursing handover in the emergency department: an individualised and systematic approach. Citation Text: Klim S, Kelly A-M, Kerr D, et al. Developing a framework for nursing handover in the emergency department: an individualised and systematic approach. …

  15. An international review of patient safety measures in radiotherapy practice. | PSNet

    psnet.ahrq.gov/issue/international-review-patient-safety-measures-radiotherapy-practice
    May 22, 2019 - Review An international review of patient safety measures in radiotherapy practice. Citation Text: Shafiq J, Barton M, Noble DJ, et al. An international review of patient safety measures in radiotherapy practice. Radiother Oncol. 2009;92(1):15-21. doi:10.1016/j.radonc.2009.03.007. Co…

  16. Appendix C. Methodological References Cited by Grantees | Agency for Healthcare Research and Quality

    www.ahrq.gov/ncepcr/reports/cost-guide/methodology-references.html
    February 01, 2017 - Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report Appendix C. Methodological References Cited by Grantees Previous Page   Table of Contents Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report Background A Practical…

  17. Association of simulation training with rates of medical malpractice claims among obstetrician-gynecologists. | PSNet

    psnet.ahrq.gov/issue/association-simulation-training-rates-medical-malpractice-claims-among-obstetrician
    December 02, 2020 - Study Association of simulation training with rates of medical malpractice claims among obstetrician-gynecologists. Citation Text: Schaffer AC, Babayan A, Einbinder JS, et al. Association of simulation training with rates of medical malpractice claims among obstetrician-gynecologists. Ob…

  18. Evaluation of a computerized clinical decision support system and EHR-linked registry to improve management of hypertension in community-based health centers - 2010 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/evaluation-computerized-clinical-decision-support-system-and-electronic-health/annual-summary/2010
    January 01, 2010 - Evaluation of a computerized clinical decision support system and EHR-linked registry to improve management of hypertension in community-based health centers - 2010 Project Name Evaluation of a Computerized Clinical Decision Support System and Electronic Health Record (EHR)-linked Registry to Improv…

  19. Quality and safety: learning from the past and (re)imagining the future. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-learning-past-and-reimagining-future
    June 15, 2022 - Commentary Quality and safety: learning from the past and (re)imagining the future. Citation Text: Bates DW, Williams EA. Quality and safety: learning from the past and (re)imagining the future. J Allergy Clin Immunol Pract. 2022;10(12):3141-3144. doi:10.1016/j.jaip.2022.10.008. Copy C…

  20. Resilience and regulation, an odd couple? Consequences of Safety-II on governmental regulation of healthcare quality. | PSNet

    psnet.ahrq.gov/issue/resilience-and-regulation-odd-couple-consequences-safety-ii-governmental-regulation
    October 06, 2021 - Commentary Resilience and regulation, an odd couple? Consequences of Safety-II on governmental regulation of healthcare quality. Citation Text: Leistikow I, Bal RA. Resilience and regulation, an odd couple? Consequences of Safety-II on governmental regulation of healthcare quality. BMJ Q…
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