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  1. Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care. | PSNet

    psnet.ahrq.gov/issue/alliance-innovation-maternal-health-consensus-bundle-sepsis-obstetric-care
    August 21, 2024 - Organizational Policy/Guidelines Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care. Citation Text: Bauer ME, Albright C, Prabhu M, et al. Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care. Obstet Gynecol. 2023;…

  2. The ability of intensive care units to maintain zero central line–associated bloodstream infections. | PSNet

    psnet.ahrq.gov/issue/ability-intensive-care-units-maintain-zero-central-line-associated-bloodstream-infections
    January 29, 2020 - Study The ability of intensive care units to maintain zero central line–associated bloodstream infections. Citation Text: Lipitz-Snyderman A. The Ability of Intensive Care Units to Maintain Zero Central Line–Associated Bloodstream Infections. Arch Intern Med. 2011;171(9). doi:10.1001/a…

  3. Clinicians' expectations of the benefits and harms of treatments, screening, and tests: a systematic review. | PSNet

    psnet.ahrq.gov/issue/clinicians-expectations-benefits-and-harms-treatments-screening-and-tests-systematic-review
    May 05, 2021 - Review Clinicians' expectations of the benefits and harms of treatments, screening, and tests: a systematic review. Citation Text: Hoffmann TC, Del Mar C. Clinicians' Expectations of the Benefits and Harms of Treatments, Screening, and Tests: A Systematic Review. JAMA Intern Med. 2017;17…

  4. Feeling unsafe in the healthcare setting: patients' perspectives. | PSNet

    psnet.ahrq.gov/issue/feeling-unsafe-healthcare-setting-patients-perspectives
    June 11, 2014 - Review Feeling unsafe in the healthcare setting: patients' perspectives. Citation Text: Kenward L, Whiffin C, Spalek B. Feeling unsafe in the healthcare setting: patients' perspectives. Br J Nurs. 2017;26(3):143-149. doi:10.12968/bjon.2017.26.3.143. Copy Citation Format: DO…

  5. Recommendations from a national panel on quality improvement in obstetrics. | PSNet

    psnet.ahrq.gov/issue/recommendations-national-panel-quality-improvement-obstetrics
    July 12, 2023 - Commentary Recommendations from a national panel on quality improvement in obstetrics. Citation Text: Lefebvre G, Calder LA, De Gorter R, et al. Recommendations From a National Panel on Quality Improvement in Obstetrics. J Obstet Gynaecol Can. 2019;41(5):653-659. doi:10.1016/j.jogc.2019.…

  6. Sustaining quality improvement and patient safety training in graduate medical education: lessons from social theory. | PSNet

    psnet.ahrq.gov/issue/sustaining-quality-improvement-and-patient-safety-training-graduate-medical-education-lessons
    July 02, 2014 - Study Sustaining quality improvement and patient safety training in graduate medical education: lessons from social theory. Citation Text: Wong BM, Kuper A, Hollenberg E, et al. Sustaining quality improvement and patient safety training in graduate medical education: lessons from social …

  7. Eleven basic procedures/practices for dental patient safety. | PSNet

    psnet.ahrq.gov/issue/eleven-basic-procedurespractices-dental-patient-safety
    March 27, 2013 - Commentary Eleven basic procedures/practices for dental patient safety. Citation Text: Perea-Pérez B, Labajo-González E, Acosta-Gío AE, et al. Eleven basic procedures/practices for dental patient safety. J Patient Saf. 2020;16(1). doi:10.1097/pts.0000000000000234. Copy Citation For…

  8. Targeting the fear of safety reporting on a unit level. | PSNet

    psnet.ahrq.gov/issue/targeting-fear-safety-reporting-unit-level
    December 13, 2023 - Commentary Targeting the fear of safety reporting on a unit level. Citation Text: Copeland D. Targeting the Fear of Safety Reporting on a Unit Level. J Nurs Adm. 2019;49(3):121-124. doi:10.1097/NNA.0000000000000724. Copy Citation Format: DOI Google Scholar PubMed BibTeX End…

  9. Debriefing to improve interprofessional teamwork in the operating room: a systematic review. | PSNet

    psnet.ahrq.gov/issue/debriefing-improve-interprofessional-teamwork-operating-room-systematic-review
    January 31, 2024 - Review Debriefing to improve interprofessional teamwork in the operating room: a systematic review. Citation Text: Skegg E, McElroy C, Mudgway M, et al. Debriefing to improve interprofessional teamwork in the operating room: a systematic review. J Nurs Scholarsh. 2023;55(6):1179-1188. do…

  10. Variation in the reporting of elective surgeries and its influence on patient safety indicators. | PSNet

    psnet.ahrq.gov/issue/variation-reporting-elective-surgeries-and-its-influence-patient-safety-indicators
    June 30, 2021 - Study Variation in the reporting of elective surgeries and its influence on patient safety indicators. Citation Text: Locey KJ, Webb TA, Stein BD, et al. Variation in the reporting of elective surgeries and its influence on patient safety indicators. Jt Comm J Qual Patient Saf. 2022;48(…

  11. American Geriatrics Society 2019 Updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. | PSNet

    psnet.ahrq.gov/issue/american-geriatrics-society-2019-updated-ags-beers-criteria-potentially-inappropriate
    August 16, 2023 - Organizational Policy/Guidelines Classic American Geriatrics Society 2019 Updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. Citation Text: American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappro…

  12. Patient safety: what about the patient? | PSNet

    psnet.ahrq.gov/issue/patient-safety-what-about-patient
    January 22, 2025 - Commentary Classic Patient safety: what about the patient? Citation Text: Vincent C, Coulter A. Patient safety: what about the patient? Qual Saf Health Care. 2002;11(1):76-80. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndN…

  13. Understanding factors that impact on health care professionals' risk perceptions and responses toward Clostridium difficile and methicillin-resistant Staphylococcus aureus: a structured literature review. | PSNet

    psnet.ahrq.gov/issue/understanding-factors-impact-health-care-professionals-risk-perceptions-and-responses-toward
    June 22, 2022 - Review Understanding factors that impact on health care professionals' risk perceptions and responses toward Clostridium difficile and methicillin-resistant Staphylococcus aureus: a structured literature review. Citation Text: Burnett E, Kearney N, Johnston B, et al. Understanding fact…

  14. Engaging frontline staff in performance improvement: the American Organization of Nurse Executives implementation of Transforming Care at the Bedside collaborative. | PSNet

    psnet.ahrq.gov/issue/engaging-frontline-staff-performance-improvement-american-organization-nurse-executives
    February 13, 2008 - Study Engaging frontline staff in performance improvement: the American Organization of Nurse Executives implementation of Transforming Care at the Bedside collaborative. Citation Text: Needleman J, Pearson ML, Upenieks V, et al. Engaging Frontline Staff in Performance Improvement: The A…

  15. Economic evaluation in patient safety: a literature review of methods. | PSNet

    psnet.ahrq.gov/issue/economic-evaluation-patient-safety-literature-review-methods
    March 05, 2025 - Review Economic evaluation in patient safety: a literature review of methods. Citation Text: de Rezende BA, Or Z, Com-Ruelle L, et al. Economic evaluation in patient safety: a literature review of methods. BMJ Qual Saf. 2012;21(6):457-65. doi:10.1136/bmjqs-2011-000191. Copy Citation …

  16. The costs of adverse drug events in community hospitals. | PSNet

    psnet.ahrq.gov/issue/costs-adverse-drug-events-community-hospitals
    February 18, 2011 - Study The costs of adverse drug events in community hospitals. Citation Text: Hug BL, Keohane C, Seger DL, et al. The costs of adverse drug events in community hospitals. Jt Comm J Qual Patient Saf. 2012;38(3):120-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNot…

  17. Developing a programme for medication reconciliation at the time of admission into hospital. | PSNet

    psnet.ahrq.gov/issue/developing-programme-medication-reconciliation-time-admission-hospital
    March 09, 2022 - Study Developing a programme for medication reconciliation at the time of admission into hospital. Citation Text: Manzorro ÁG, Zoni AC, Rieiro CR, et al. Developing a programme for medication reconciliation at the time of admission into hospital. Int J Clin Pharm. 2011;33(4):603-9. doi…

  18. Supplement to Evaluation Highlight No. 13 | Agency for Healthcare Research and Quality

    www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supplhighlight13.html
    June 01, 2015 - Supplement to Evaluation Highlight No. 13 How did CHIPRA quality demonstration States employ learning collaboratives to improve children’s health care quality? June 2015 Evaluation Highlight No. 13 is the 13th in a series that presents descriptive and analytic findings from the national evaluation of the C…

  19. Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review. | PSNet

    psnet.ahrq.gov/issue/comparison-military-and-civilian-methods-determining-potentially-preventable-deaths
    October 19, 2022 - Review Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review. Citation Text: Janak JC, Sosnov JA, Bares JM, et al. Comparison of Military and Civilian Methods for Determining Potentially Preventable Deaths: A Systematic Review. JA…

  20. Patient safety in palliative care at the end of life from the perspective of complex thinking. | PSNet

    psnet.ahrq.gov/issue/patient-safety-palliative-care-end-life-perspective-complex-thinking
    October 05, 2022 - Commentary Patient safety in palliative care at the end of life from the perspective of complex thinking. Citation Text: Bittencourt NCC de M, Duarte S da CM, Marcon SS, et al. Patient safety in palliative care at the end of life from the perspective of complex thinking. Healthcare (Base…
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