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  1. psnet.ahrq.gov/issue/improving-critical-incident-reporting-primary-care-through-education-and-involvement
    September 07, 2022 - Study Improving critical incident reporting in primary care through education and involvement. Citation Text: Müller BS, Beyer M, Blazejewski T, et al. Improving critical incident reporting in primary care through education and involvement. BMJ Open Qual. 2019;8(3):e000556. doi:10.1136/b…
  2. psnet.ahrq.gov/issue/alcoholism-and-american-healthcare-case-patient-safety-approach
    March 30, 2022 - Review Alcoholism and American healthcare: the case for a patient safety approach. Citation Text: Zipperer L, Ryan R, Jones B. Alcoholism and American healthcare: the case for a patient safety approach. J Patient Saf Risk Manag. 2022;27(5):201-208. doi:10.1177/25160435221117952. Copy C…
  3. psnet.ahrq.gov/issue/transition-new-electronic-health-record-and-pediatric-medication-safety-lessons-learned
    April 12, 2011 - Study Transition to a new electronic health record and pediatric medication safety: lessons learned in pediatrics within a large academic health system. Citation Text: Whalen K, Lynch E, Moawad I, et al. Transition to a new electronic health record and pediatric medication safety: lesson…
  4. psnet.ahrq.gov/issue/identifying-safe-care-processes-when-gps-work-or-alongside-emergency-departments-realist
    January 12, 2022 - Study Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation. Citation Text: Cooper A, Carson-Stevens A, Edwards M, et al. Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation. Br J Ge…
  5. psnet.ahrq.gov/issue/translating-concerns-action-detailed-qualitative-evaluation-interdisciplinary-intervention
    November 01, 2017 - Study Translating concerns into action: a detailed qualitative evaluation of an interdisciplinary intervention on medical wards. Citation Text: Pannick S, Archer S, Johnston MJ, et al. Translating concerns into action: a detailed qualitative evaluation of an interdisciplinary interventio…
  6. digital.ahrq.gov/ahrq-funded-projects/functional-assessment-screening-patient-reported-information-fast-pri
    January 01, 2023 - Functional Assessment Screening Patient Reported Information: FAST-PRI Project Final Report ( PDF , 366.31 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent t…
  7. psnet.ahrq.gov/issue/risk-delayed-or-missed-care-and-non-covid-19-outcomes-older-patients-chronic-conditions
    December 16, 2020 - Study Risk from delayed or missed care and non-COVID-19 outcomes for older patients with chronic conditions during the pandemic. Citation Text: Smith M, Vaughan Sarrazin M, Wang X, et al. Risk from delayed or missed care and non-COVID-19 outcomes for older patients with chronic condition…
  8. psnet.ahrq.gov/issue/institutional-covid-19-protocols-focused-preparation-safety-and-care-consolidation
    September 30, 2020 - Commentary Institutional COVID-19 protocols: focused on preparation, safety, and care consolidation. Citation Text: DiSilvio B, Virani A, Patel S, et al. Institutional COVID-19 protocols: focused on preparation, safety, and care consolidation. Crit Care Nurs Q. 2020;43(4):413-427. doi:10…
  9. psnet.ahrq.gov/issue/cost-inpatient-falls-and-cost-benefit-analysis-implementation-evidence-based-fall-prevention
    December 02, 2020 - Study Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program. Citation Text: Dykes PC, Curtin-Bowen M, Lipsitz S, et al. Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention prog…
  10. psnet.ahrq.gov/issue/reliability-and-usability-7-minute-chart-review-tool-identify-pediatric-prehospital-adverse
    March 30, 2022 - Study Reliability and usability of a 7-minute chart review tool to identify pediatric prehospital adverse safety events. Citation Text: Eriksson CO, Ovregaard N, Hansen M, et al. Reliability and usability of a 7-minute chart review tool to identify pediatric prehospital adverse safety ev…
  11. psnet.ahrq.gov/issue/interdisciplinary-quality-improvement-conference-using-revised-morbidity-and-mortality-format
    July 22, 2020 - Study Interdisciplinary Quality Improvement Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues in a VA hospital: design and outcomes. Citation Text: Gerstein WH, Ledford J, Cooper J, et al. Interdisciplinary Quality Improvement Conf…
  12. psnet.ahrq.gov/issue/electronic-health-record-nudges-and-health-care-quality-and-outcomes-primary-care-systematic
    March 09, 2022 - Review Electronic health record nudges and health care quality and outcomes in primary care: a systematic review. Citation Text: Nguyen OT, Kunta AR, Katoju SV, et al. Electronic health record nudges and health care quality and outcomes in primary care: a systematic review. JAMA Netw Ope…
  13. psnet.ahrq.gov/issue/proactive-risk-avoidance-system-using-failure-mode-and-effects-analysis-same-name-physician
    February 23, 2022 - Commentary A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. Citation Text: Tarpey K, Schaaf E, Lakhani U, et al. A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. Jt Comm …
  14. psnet.ahrq.gov/issue/integration-prospective-and-retrospective-methods-risk-analysis-hospitals
    June 23, 2010 - Study Integration of prospective and retrospective methods for risk analysis in hospitals. Citation Text: Kessels-Habraken M, van der Schaaf TW, De Jonge J, et al. Integration of prospective and retrospective methods for risk analysis in hospitals. Int J Qual Health Care. 2009;21(6):42…
  15. psnet.ahrq.gov/issue/patients-and-providers-perceptions-preventability-hospital-readmission-prospective
    September 07, 2016 - Study Patients' and providers' perceptions of the preventability of hospital readmission: a prospective, observational study in four European countries. Citation Text: van Galen LS, Brabrand M, Cooksley T, et al. Patients' and providers' perceptions of the preventability of hospital read…
  16. psnet.ahrq.gov/issue/walkrounds-practice-corrupting-or-enhancing-quality-improvement-intervention-qualitative
    December 30, 2014 - Study Walkrounds in practice: corrupting or enhancing a quality improvement intervention? A qualitative study. Citation Text: Martin G, Ozieranski P, Willars J, et al. Walkrounds in practice: corrupting or enhancing a quality improvement intervention? A qualitative study. Jt Comm J Qual …
  17. psnet.ahrq.gov/issue/effects-computerized-clinical-decision-support-systems-practitioner-performance-and-patient
    October 19, 2022 - Review Classic Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review. Citation Text: Garg AX, Adhikari NKJ, McDonald H, et al. Effects of Computerized Clinical Decision Support Systems o…
  18. psnet.ahrq.gov/issue/effect-contextual-factors-prevalence-diagnostic-errors-among-patients-managed-physicians-same
    February 02, 2022 - Study Effect of contextual factors on the prevalence of diagnostic errors among patients managed by physicians of the same specialty: a single-centre retrospective observational study. Citation Text: Harada Y, Otaka Y, Katsukura S, et al. Effect of contextual factors on the prevalence of…
  19. psnet.ahrq.gov/issue/barriers-and-facilitators-hospital-pharmacists-engagement-medication-safety-activities
    April 15, 2016 - Study Barriers and facilitators to hospital pharmacists' engagement in medication safety activities: a qualitative study using the theoretical domains framework. Citation Text: Mekonnen AB, McLachlan AJ, Brien J-AE, et al. Barriers and facilitators to hospital pharmacists' engagement in …
  20. psnet.ahrq.gov/issue/differences-safety-climate-among-hospital-anesthesia-departments-and-effect-realistic
    October 19, 2022 - Study Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based training program. Citation Text: Cooper JB, Blum RH, Carroll JS, et al. Differences in safety climate among hospital anesthesia departments and the effect of a reali…