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psnet.ahrq.gov/issue/implementation-discharge-education-program-improve-transitions-care-patients-high-risk
January 12, 2022 - Study
Implementation of a discharge education program to improve transitions of care for patients at high risk of medication errors.
Citation Text:
Crannage AJ, Hennessey EK, Challen LM, et al. . Implementation of a discharge education program to improve transitions of care for patients …
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psnet.ahrq.gov/issue/developing-standard-handoff-process-operating-room-icu-transitions-multidisciplinary
February 06, 2019 - Study
Developing a standard handoff process for operating room–to-ICU transitions: multidisciplinary clinician perspectives from the Handoffs and Transitions in Critical Care (HATRICC) study.
Citation Text:
Lane-Fall MB, Pascual JL, Massa S, et al. Developing a Standard Handoff Process f…
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psnet.ahrq.gov/issue/improving-patient-safety-icu-prospective-identification-missing-safety-barriers-using-bow-tie
February 14, 2024 - Study
Improving patient safety in the ICU by prospective identification of missing safety barriers using the Bow-Tie prospective risk analysis model.
Citation Text:
Kerckhoffs MC, van der Sluijs AF, Binnekade JM, et al. Improving Patient Safety in the ICU by Prospective Identification o…
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psnet.ahrq.gov/issue/risk-factors-associated-medication-ordering-errors
December 02, 2020 - Study
Risk factors associated with medication ordering errors.
Citation Text:
Abraham J, Galanter WL, Touchette DR, et al. Risk factors associated with medication ordering errors. J Am Med Inform Assoc. 2021;18(1):86-94. doi:10.1093/jamia/ocaa264.
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psnet.ahrq.gov/issue/emotional-responses-and-support-needs-healthcare-professionals-after-adverse-or-traumatic
April 03, 2019 - Study
Emotional responses and support needs of healthcare professionals after adverse or traumatic experiences in healthcare-evidence from seminars on peer support.
Citation Text:
Schrøder K, Assing Hvidt E. Emotional responses and support needs of healthcare professionals after adverse …
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psnet.ahrq.gov/issue/incorporation-quality-and-safety-principles-maintenance-certification-qualitative-analysis
July 18, 2018 - Study
Incorporation of quality and safety principles in maintenance of certification: a qualitative analysis of American Board of Medical Specialties member boards.
Citation Text:
Davis JJ, Price DW, Kraft W, et al. Incorporation of Quality and Safety Principles in Maintenance of Certifi…
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psnet.ahrq.gov/issue/icu-attending-handoff-practices-results-national-survey-academic-intensivists
February 06, 2019 - Study
ICU attending handoff practices: results from a national survey of academic intensivists.
Citation Text:
Lane-Fall MB, Collard ML, Turnbull AE, et al. ICU Attending Handoff Practices: Results From a National Survey of Academic Intensivists. Crit Care Med. 2016;44(4):690-8. doi:10.1…
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psnet.ahrq.gov/issue/patient-safety-culture-effects-errors-incident-reporting-and-patient-safety-grade
August 26, 2020 - Study
Patient safety culture: effects on errors, incident reporting, and patient safety grade.
Citation Text:
Kaya S, Banaz Goncuoglu M, Mete B, et al. Patient safety culture: effects on errors, incident reporting, and patient safety grade. J Patient Saf. 2023;19(7):439-446. doi:10.1097/…
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psnet.ahrq.gov/issue/high-delayed-and-missed-injury-rate-after-inter-hospital-transfer-severely-injured-trauma
December 02, 2020 - Study
High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients.
Citation Text:
Hensgens RL, El Moumni M, IJpma FFA, et al. High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients. Eur J Trauma Emer…
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psnet.ahrq.gov/issue/outside-case-review-surgical-pathology-referred-patients-impact-patient-care
July 13, 2016 - Study
Outside case review of surgical pathology for referred patients: the impact on patient care.
Citation Text:
Swapp RE, Aubry MC, Salomão DR, et al. Outside case review of surgical pathology for referred patients: the impact on patient care. Arch Pathol Lab Med. 2013;137(2):233-40. …
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P4O-Comprehensive_Antibiogram_Toolkit_Phase4_Monitoring.doc
January 01, 2005 - Comprehensive Antibiogram Toolkit
Phase 4 Monitoring
It will be important to monitor the antibiogram program by (1) soliciting feedback from prescribing clinicians (physicians, nurse practitioners, physician assistants) and nursing home staff on ways to improve the usability of the antibiogram and (2) tracking the pres…
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psnet.ahrq.gov/issue/national-study-links-nurses-physical-and-mental-health-medical-errors-and-perceived-worksite
July 14, 2021 - Study
A national study links nurses' physical and mental health to medical errors and perceived worksite wellness.
Citation Text:
Melnyk BM, Orsolini L, Tan A, et al. A National Study Links Nurses' Physical and Mental Health to Medical Errors and Perceived Worksite Wellness. J Occup Envi…
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/emergency-preparedness-plans.pdf
May 01, 2022 - Incorporating Infection Prevention and Control into an Emergency Preparedness Plan
Incorporating Infection Prevention and Control
into an Emergency Preparedness Plan
Emergency preparedness plans capture a nursing home’s approach to meeting the health, safety, and
security needs of staff and residents during an…
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psnet.ahrq.gov/issue/improving-transfusion-safety-operating-room-barcode-scanning-system-designed-specifically
February 01, 2023 - Study
Improving transfusion safety in the operating room with a barcode scanning system designed specifically for the surgical environment and existing electronic medical record systems: an interrupted time series analysis.
Citation Text:
Vanneman MW, Balakrishna A, Lang AL, et al. Impro…
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psnet.ahrq.gov/issue/getting-whole-story-integrating-patient-complaints-and-staff-reports-unsafe-care
January 12, 2022 - Study
Getting the whole story: integrating patient complaints and staff reports of unsafe care.
Citation Text:
van Dael J, Gillespie A, Reader TW, et al. Getting the whole story: Integrating patient complaints and staff reports of unsafe care. J Health Serv Res Policy. 2022;27(1):41-49. …
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psnet.ahrq.gov/issue/reasons-why-physicians-and-advanced-practice-clinicians-work-while-sick-mixed-methods
November 14, 2018 - Study
Classic
Reasons why physicians and advanced practice clinicians work while sick: a mixed-methods analysis.
Citation Text:
Szymczak JE, Smathers S, Hoegg C, et al. Reasons Why Physicians and Advanced Practice Clinicians Work While Sick: A Mixed-Methods Anal…
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psnet.ahrq.gov/issue/effects-second-victim-phenomenon-work-related-outcomes-connecting-self-reported-caregiver
September 19, 2016 - Study
The effects of the second victim phenomenon on work-related outcomes: connecting self-reported caregiver distress to turnover intentions and absenteeism.
Citation Text:
Burlison JD, Quillivan RR, Scott SD, et al. The Effects of the Second Victim Phenomenon on Work-Related Outcomes:…
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psnet.ahrq.gov/issue/comparison-hospital-adverse-events-identified-three-widely-used-detection-methods
January 04, 2012 - Study
A comparison of hospital adverse events identified by three widely used detection methods.
Citation Text:
Naessens JM, Campbell CR, Huddleston JM, et al. A comparison of hospital adverse events identified by three widely used detection methods. Int J Qual Health Care. 2009;21(4):…
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psnet.ahrq.gov/issue/computerized-order-entry-limited-decision-support-prevent-prescription-errors-picu
January 31, 2018 - Study
Computerized order entry with limited decision support to prevent prescription errors in a PICU.
Citation Text:
Kadmon G, Bron-Harlev E, Nahum E, et al. Computerized order entry with limited decision support to prevent prescription errors in a PICU. Pediatrics. 2009;124(3):935-94…
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psnet.ahrq.gov/issue/diagnostic-concordance-among-pathologists-interpreting-breast-biopsy-specimens
July 13, 2016 - Study
Classic
Diagnostic concordance among pathologists interpreting breast biopsy specimens.
Citation Text:
Elmore JG, Longton GM, Carney PA, et al. Diagnostic concordance among pathologists interpreting breast biopsy specimens. JAMA. 2015;313(11):1122-1132. do…