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  1. psnet.ahrq.gov/issue/delayed-recognition-deterioration-patients-general-wards-mostly-caused-human-related
    December 21, 2017 - Study Delayed recognition of deterioration of patients in general wards is mostly caused by human related monitoring failures: a root cause analysis of unplanned ICU admissions. Citation Text: van Galen LS, Struik PW, Driesen BEJM, et al. Delayed Recognition of Deterioration of Patients …
  2. psnet.ahrq.gov/issue/medical-engagement-organisation-wide-safety-and-quality-improvement-programmes-experience-uk
    February 01, 2011 - Study Medical engagement in organisation-wide safety and quality-improvement programmes: experience in the UK Safer Patients Initiative. Citation Text: Parand A, Burnett S, Benn J, et al. Medical engagement in organisation-wide safety and quality-improvement programmes: experience in t…
  3. www.ahrq.gov/patient-safety/reports/engage/interventions/handoff-slides.html
    May 01, 2017 - Warm Handoff Patient and Family Engagement in Primary Care Slide 1: Warm Handoff AHRQ Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Slide 2: Speaker Kelly Smith, PhD Scientific Director, Quality & Safety Co-PI, AHRQ Guide to Improve Patient Safety in …
  4. psnet.ahrq.gov/issue/outbreak-investigation-covid-19-among-residents-and-staff-independent-and-assisted-living
    October 19, 2022 - Study Outbreak investigation of COVID-19 among residents and staff of an independent and assisted living community for older adults in Seattle, Washington. Citation Text: Roxby AC, Greninger AL, Hatfield KM, et al. Outbreak investigation of COVID-19 among residents and staff of an indepe…
  5. psnet.ahrq.gov/issue/primary-care-closed-claims-experience-massachusetts-malpractice-insurers
    August 14, 2017 - Study Classic Primary care closed claims experience of Massachusetts malpractice insurers. Citation Text: Schiff G, Puopolo AL, Huben-Kearney A, et al. Primary care closed claims experience of Massachusetts malpractice insurers. JAMA Intern Med. 2013;173(22):206…
  6. psnet.ahrq.gov/issue/sepsis-early-recognition-and-response-initiative-serri
    November 11, 2015 - Commentary The Sepsis Early Recognition and Response Initiative (SERRI). Citation Text: Jones SL, Ashton CM, Kiehne L, et al. The Sepsis Early Recognition and Response Initiative (SERRI). Jt Comm J Qual Patient Saf. 2016;42(3):122-138. Copy Citation Format: Google Scholar P…
  7. www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3concl.html
    October 01, 2014 - Module 3: Falls Prevention and Management Conclusion Previous Page Next Page Table of Contents Module 3: Falls Prevention and Management Learning and Performance Objectives Session 1 Session 2 Conclusion Appendix. Additional Tools and Resources In Summary Falls prevention…
  8. psnet.ahrq.gov/issue/detach-yourself-positive-effect-psychological-detachment-patient-safety-long-term-care
    March 02, 2022 - Study Detach yourself: the positive effect of psychological detachment on patient safety in long-term care. Citation Text: Buljac-Samardzic M, Dekker-van Doorn C, van Wijngaarden JDH. Detach yourself: the positive effect of psychological detachment on patient safety in long-term care. J …
  9. psnet.ahrq.gov/issue/multiprofessional-team-simulation-training-based-obstetric-model-can-improve-teamwork-other
    January 12, 2022 - Study Multiprofessional team simulation training, based on an obstetric model, can improve teamwork in other areas of health care. Citation Text: van der Nelson HA, Siassakos D, Bennett J, et al. Multiprofessional team simulation training, based on an obstetric model, can improve teamwor…
  10. psnet.ahrq.gov/issue/effects-nursing-rounds-patients-call-light-use-satisfaction-and-safety
    September 01, 2021 - Study Effects of nursing rounds on patients' call light use, satisfaction, and safety. Citation Text: Meade CM, Bursell AL, Ketelsen L. Effects of nursing rounds: on patients' call light use, satisfaction, and safety. Am J Nurs. 2006;106(9):58-71. Copy Citation Format: Go…
  11. psnet.ahrq.gov/issue/medication-management-covid-19-patients-during-transition-virtual-models-care-qualitative
    October 30, 2024 - Study Medication management of COVID-19 patients during transition to virtual models of care: a qualitative study. Citation Text: Hattingh HL, Edmunds C, Gillespie BM. Medication management of COVID-19 patients during transition to virtual models of care: a qualitative study. J Pharm Pol…
  12. psnet.ahrq.gov/issue/preventable-proportion-healthcare-associated-infections-2005-2016-systematic-review-and-meta
    April 26, 2017 - Review The preventable proportion of healthcare-associated infections 2005-2016: systematic review and meta-analysis. Citation Text: Schreiber PW, Sax H, Wolfensberger A, et al. The preventable proportion of healthcare-associated infections 2005-2016: Systematic review and meta-analysis.…
  13. psnet.ahrq.gov/issue/interventions-address-potentially-inappropriate-prescribing-community-dwelling-older-adults
    August 14, 2024 - Review Interventions to address potentially inappropriate prescribing in community-dwelling older adults: a systematic review of randomized controlled trials. Citation Text: Clyne B, Fitzgerald C, Quinlan A, et al. Interventions to Address Potentially Inappropriate Prescribing in Communi…
  14. psnet.ahrq.gov/issue/using-statistical-text-classification-identify-health-information-technology-incidents
    February 14, 2024 - Study Using statistical text classification to identify health information technology incidents. Citation Text: Chai KEK, Anthony S, Coiera E, et al. Using statistical text classification to identify health information technology incidents. J Am Med Inform Assoc. 2013;20(5):980-5. doi:10…
  15. psnet.ahrq.gov/issue/trends-primary-care-clinician-perceptions-new-electronic-health-record
    March 13, 2019 - Study Trends in primary care clinician perceptions of a new electronic health record. Citation Text: El-Kareh R, Gandhi TK, Poon EG, et al. Trends in primary care clinician perceptions of a new electronic health record. J Gen Intern Med. 2009;24(4):464-8. doi:10.1007/s11606-009-0906-z.…
  16. psnet.ahrq.gov/issue/perioperative-safety-determinants-ethnic-patient-groups
    February 09, 2022 - Study Perioperative safety determinants in ethnic patient groups. Citation Text: Bloo G, Calsbeek H, Westert GP, et al. Perioperative safety determinants in ethnic patient groups. J Patient Saf Risk Manag. 2023;28(1):31-46. doi:10.1177/25160435231151545. Copy Citation Format: …
  17. psnet.ahrq.gov/issue/social-cost-adverse-medical-events-and-what-we-can-do-about-it
    February 10, 2015 - Commentary The social cost of adverse medical events, and what we can do about it. Citation Text: Goodman JC, Villarreal P, Jones B. The social cost of adverse medical events, and what we can do about it. Health Aff (Millwood). 2011;30(4):590-595. doi:10.1377/hlthaff.2010.1256. Copy Ci…
  18. psnet.ahrq.gov/issue/improving-safety-recommendations-implementation-simulation-based-event-analysis-optimize
    July 24, 2019 - Study Improving safety recommendations before implementation: a simulation-based event analysis to optimize interventions designed to prevent recurrence of adverse events. Citation Text: Langevin M, Ward N, Fitzgibbons C, et al. Improving safety recommendations before implementation: a s…
  19. psnet.ahrq.gov/issue/trauma-resuscitation-using-situ-simulation-team-training-trust-study-latent-safety-threat
    October 27, 2021 - Study Trauma Resuscitation Using in situ Simulation Team Training (TRUST) study: latent safety threat evaluation using framework analysis and video review. Citation Text: Petrosoniak A, Fan M, Hicks CM, et al. Trauma Resuscitation Using in situ Simulation Team Training (TRUST) study: lat…
  20. hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn5.pdf
    June 21, 2014 - Microsoft PowerPoint - pharmacy-data.ppt [Compatibility Mode] “Using Clinically Enhanced“Using Clinically-Enhanced Claims Data to Guide Treatment of Acute Heart Failure” An AHRQ Grant to MHA Data Acquisition & Transmission Pharmacy Data Overview of Data Acquisition Strategyq gy • Establish data specification…