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  1. psnet.ahrq.gov/issue/national-partnership-maternal-safety-consensus-bundle-venous-thromboembolism
    November 16, 2022 - Commentary National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. Citation Text: D'Alton ME, Friedman AM, Smiley RM, et al. National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. J Obstet Gynecol Neonatal Nurs. 2016;45(5):706-…
  2. psnet.ahrq.gov/issue/systematic-integrative-review-specialized-nurses-role-establish-culture-patient-safety
    July 10, 2024 - Review A systematic integrative review of specialized nurses' role to establish a culture of patient safety: a modelling perspective. Citation Text: Glarcher M, Vaismoradi M. A systematic integrative review of specialized nurses' role to establish a culture of patient safety: a modelling…
  3. psnet.ahrq.gov/issue/sailing-too-close-wind-how-harnessing-patient-voice-can-identify-drift-towards-boundaries
    February 28, 2024 - Commentary Sailing too close to the wind? How harnessing patient voice can identify drift towards boundaries of acceptable performance. Citation Text: Wiig S, Calderwood CJ, O’Hara J. Sailing too close to the wind? How harnessing patient voice can identify drift towards boundaries of acc…
  4. psnet.ahrq.gov/issue/family-alert-implementing-direct-family-activation-pediatric-rapid-response-team
    December 16, 2009 - Study Family alert: implementing direct family activation of a pediatric rapid response team. Citation Text: Ray EM, Smith R, Massie S, et al. Family alert: implementing direct family activation of a pediatric rapid response team. Jt Comm J Qual Patient Saf. 2009;35(11):575-580. Copy C…
  5. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/5-red-light-green-light.docx
    June 01, 2023 - AHRQ Safety Program for Improving Surgical Care and Recovery Red Light, Green Light: An Overview of Common Implementation Barriers and Facilitators Purpose of this tool: To help team leaders identify barriers to and facilitators of implementing Improving Surgical Care and Recovery (ISCR), an enhanced recovery program…
  6. psnet.ahrq.gov/issue/teaching-students-administer-medications-safely
    December 04, 2019 - Commentary Teaching students to administer medications safely. Citation Text: Koharchik L, Flavin PM. Teaching Students to Administer Medications Safely. Am J Nurs. 2017;117(1):62-66. doi:10.1097/01.NAJ.0000511573.73435.72. Copy Citation Format: DOI Google Scholar PubMed Bi…
  7. psnet.ahrq.gov/issue/developing-reporting-and-tracking-tool-nursing-student-errors-and-near-misses
    September 21, 2009 - Commentary Developing a reporting and tracking tool for nursing student errors and near misses. Citation Text: Disch J, Barnsteiner J. Developing a Reporting and Tracking Tool for Nursing Student Errors and Near Misses. J Nurs Reg. 2015;5(1):4-10. doi:10.1016/s2155-8256(15)30093-4. Cop…
  8. psnet.ahrq.gov/issue/identifying-contributing-factors-associated-dental-adverse-events-through-pragmatic
    May 23, 2018 - Study Identifying contributing factors associated with dental adverse events through a pragmatic electronic health record-based root cause analysis. Citation Text: Kalenderian E, Bangar S, Yansane A, et al. Identifying contributing factors associated with dental adverse events through a …
  9. psnet.ahrq.gov/issue/systems-approach-suicide-prevention-strengthening-culture-practice-and-education
    July 10, 2024 - Commentary Systems approach to suicide prevention: strengthening culture, practice, and education. Citation Text: Pisani AR, Boudreaux ED. Systems approach to suicide prevention: strengthening culture, practice, and education. Focus (Am Psychiatr Publ). 2023;21(2):152-159. doi:10.1176/ap…
  10. psnet.ahrq.gov/issue/chasing-zero-harm-radiation-oncology-using-pre-treatment-peer-review
    January 12, 2022 - Commentary Chasing zero harm in radiation oncology: using pre-treatment peer review. Citation Text: Vijayakumar S, Duggar WN, Packianathan S, et al. Chasing Zero Harm in Radiation Oncology: Using Pre-treatment Peer Review. Front Oncol. 2019;9:302. doi:10.3389/fonc.2019.00302. Copy Cita…
  11. psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-ambulatory-surgery-center-survey-user-database-report
    February 28, 2024 - Book/Report Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: User Database Report. Citation Text: Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: User Database Report. Hare R, Tyler ER, Tapia A, et al. Rockville, MD: Agency for Healthc…
  12. digital.ahrq.gov/ahrq-funded-projects/choice-coalition-hospices-organized-investigate-comparative-effectiveness/annual-summary/2012
    January 01, 2012 - CHOICE: Coalition of Hospices Organized to Investigate Comparative Effectiveness - 2012 Project Name CHOICE: Coalition of Hospices Organized to Investigate Comparative Effectiveness Principal Investigator Casarett, David J. Organization University of Pennsylvania Fund…
  13. psnet.ahrq.gov/issue/use-electronic-health-records-us-hospitals
    February 17, 2011 - Meeting/Conference Proceedings Use of electronic health records in US hospitals. Citation Text: Jha AK, DesRoches CM, Campbell EG, et al. Use of electronic health records in U.S. hospitals. doi:10.1056/NEJMsa0900592. Copy Citation Format: DOI Google Scholar PubMed BibTeX …
  14. digital.ahrq.gov/ahrq-funded-projects/promoting-patient-safety-web-based-patient-profiles
    January 01, 2023 - Promoting Patient Safety with Web-based Patient Profiles Project Description Publications Project Details - Completed Grant Number P20 HS014885 Funding Mechanism(s) Transforming Healthcare Quality Through Information Technology (T…
  15. psnet.ahrq.gov/issue/efficiency-and-interpretability-text-paging-communication-medical-inpatients-mixed-methods
    August 09, 2023 - Study Efficiency and interpretability of text paging communication for medical inpatients: a mixed-methods analysis. Citation Text: Mandl KD, Khoong EC. Pagers and Beyond in an Era of Microcommunications—What Is Old Is New Again. JAMA Intern Med. 2017;177(8). doi:10.1001/jamainternmed.20…
  16. psnet.ahrq.gov/issue/medicare-and-medicaid-programs-reform-requirements-long-term-care-facilities-proposed-rule
    October 21, 2015 - Government Resource Medicare and Medicaid programs; reform of requirements for long-term care facilities; proposed rule. Citation Text: Medicare and Medicaid programs; reform of requirements for long-term care facilities; proposed rule. Washington, DC: US Department of Health and Human S…
  17. psnet.ahrq.gov/issue/racial-ethnic-and-socioeconomic-disparities-estimates-ahrq-patient-safety-indicators
    April 03, 2005 - Study Racial, ethnic, and socioeconomic disparities in estimates of AHRQ patient safety indicators. Citation Text: Coffey RM, Andrews RM, Moy E. Racial, ethnic, and socioeconomic disparities in estimates of AHRQ patient safety indicators. Med Care. 2005;43(3 Suppl):I48-I57. Copy Cita…
  18. psnet.ahrq.gov/issue/effects-work-hour-limitations-resident-well-being-patient-care-and-education-internal
    January 13, 2021 - Study The effects of work-hour limitations on resident well-being, patient care, and education in an internal medicine residency program. Citation Text: Goitein L, Shanafelt TD, Wipf JE, et al. The effects of work-hour limitations on resident well-being, patient care, and education in …
  19. digital.ahrq.gov/ahrq-funded-projects/2011-2013-workshop-health-it-and-economics/annual-summary/2012
    January 01, 2013 - 2011-2013 Workshop on Health Information Technology and Economics - 2012 Project Name 2011-2013 Workshop on Health Information Technology and Economics Principal Investigator Agarwal, Ritu Organization University of Maryland Funding Mechanism PAR: HS09-257: AHRQ Gra…
  20. psnet.ahrq.gov/issue/incorrect-surgical-counts-qualitative-analysis
    September 12, 2012 - Study Incorrect surgical counts: a qualitative analysis. Citation Text: Rowlands A, Steeves R. Incorrect surgical counts: a qualitative analysis. AORN J. 2010;92(4):410-9. doi:10.1016/j.aorn.2010.01.019. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…