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psnet.ahrq.gov/issue/role-continuous-quality-improvement-and-psychological-safety-predicting-work-arounds
July 31, 2008 - Study
The role of continuous quality improvement and psychological safety in predicting work-arounds.
Citation Text:
Halbesleben JRB, Rathert C. The role of continuous quality improvement and psychological safety in predicting work-arounds. Health Care Manage Rev. 2008;33(2):134-44. do…
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psnet.ahrq.gov/issue/diagnostic-errors-and-abnormal-diagnostic-tests-lost-follow-source-needless-waste-and-delay
December 22, 2008 - Commentary
Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment.
Citation Text:
Wahls TL. Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment. J Ambul Care M…
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psnet.ahrq.gov/issue/methods-increase-reliability-quality-improvement-projects
October 20, 2021 - Commentary
Methods to increase reliability in quality improvement projects.
Citation Text:
Lenk MA, LaMantia S, Oehler J, et al. Methods to increase reliability in quality improvement projects. Hosp Pediatr. 2024;14(8):e372-e377. doi:10.1542/hpeds.2023-007340.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-section-6-a-cpqsc-hospitals.pdf
June 02, 2025 - Section 6-A, CPQSC Participating Hospitals
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psnet.ahrq.gov/issue/trends-influencing-cost-care-and-patient-safety
September 25, 2024 - Newspaper/Magazine Article
Trends influencing the cost of care and patient safety.
Citation Text:
Clark R. Trends influencing the cost of care and patient safety. Decision-making in five key areas can improve clinical and economic performance. Health management technology. 2006;27(7):1…
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psnet.ahrq.gov/issue/simulation-and-diagnostic-process-pilot-study-trauma-and-rapid-response-teams
July 16, 2015 - Study
Simulation and the diagnostic process: a pilot study of trauma and rapid response teams.
Citation Text:
Juriga LL, Murray DJ, Boulet JR, et al. Simulation and the diagnostic process: a pilot study of trauma and rapid response teams. Diagnosis (Berl). 2017;4(4):241-249. doi:10.1515/…
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psnet.ahrq.gov/issue/pharmacy-prevalence-second-victim-syndrome-comprehensive-cancer-center
June 03, 2020 - Study
Pharmacy prevalence of second victim syndrome in a comprehensive cancer center.
Citation Text:
Johnson TN, Tucker AM. Pharmacy prevalence of second victim syndrome in a comprehensive cancer center. Am J Health-Syst Pharm. 2024;Epub Sep 13. doi:10.1093/ajhp/zxae267.
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psnet.ahrq.gov/issue/blame-culture-just-culture-health-care
January 23, 2017 - Commentary
From a blame culture to a just culture in health care.
Citation Text:
Khatri N, Brown GD, Hicks LL. From a blame culture to a just culture in health care. Health Care Manag Rev. 2009;34(4):312-322. doi:10.1097/HMR.0b013e3181a3b709.
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psnet.ahrq.gov/issue/developing-framework-nursing-handover-emergency-department-individualised-and-systematic
October 06, 2016 - Study
Developing a framework for nursing handover in the emergency department: an individualised and systematic approach.
Citation Text:
Klim S, Kelly A-M, Kerr D, et al. Developing a framework for nursing handover in the emergency department: an individualised and systematic approach. …
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psnet.ahrq.gov/issue/errors-administration-intravenous-medications-hospital-and-role-correct-procedures-and-nurse
September 26, 2016 - Study
Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience.
Citation Text:
Westbrook JI, Rob MI, Woods A, et al. Errors in the administration of intravenous medications in hospital and the role of correct procedures a…
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psnet.ahrq.gov/issue/evaluation-clinical-practice-guidelines-fall-prevention-and-management-older-adults
March 09, 2022 - Review
Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic review.
Citation Text:
Montero-Odasso MM, Kamkar N, Pieruccini-Faria F, et al. Evaluation of clinical practice guidelines on fall prevention and management for older adults:…
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psnet.ahrq.gov/issue/infection-prevention-long-term-care-re-evaluating-system-using-human-factors-engineering
August 21, 2024 - Commentary
Infection prevention in long-term care: re-evaluating the system using a human factors engineering approach.
Citation Text:
Katz MJ, Gurses AP. Infection prevention in long-term care: re-evaluating the system using a human factors engineering approach. Infect Control Hosp Epid…
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digital.ahrq.gov/location/usa-mn-minneapolis
January 01, 2023 - USA, MN, Minneapolis
Use of Electronic Health Record Metadata to Assess Hospital Discharge Planning for Post-Acute Transitions
Description
This research will develop and test novel approaches for using electronic health record metadata to characterize and evaluate hospital dis…
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psnet.ahrq.gov/issue/medication-administration-aged-care-facilities-mixed-methods-systematic-review-0
July 31, 2024 - Review
Medication administration in aged care facilities: a mixed-methods systematic review.
Citation Text:
Garratt S, Dowling A, Manias E. Medication administration in aged care facilities: a mixed‐methods systematic review. J Adv Nurs. 2025;81(2):621-640. doi:10.1111/jan.16318.
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psnet.ahrq.gov/issue/medication-administration-aged-care-facilities-mixed-methods-systematic-review
March 05, 2025 - Review
Medication administration in aged care facilities: a mixed-methods systematic review.
Citation Text:
Garratt S, Dowling A, Manias E. Medication administration in aged care facilities: a mixed‐methods systematic review. J Adv Nurs. 2025;81(2):621-640. doi:10.1111/jan.16318.
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psnet.ahrq.gov/issue/sleep-and-circadian-misalignment-hospitalist-review
July 15, 2020 - Review
Sleep and circadian misalignment for the hospitalist: a review.
Citation Text:
Schaefer EW, Williams M, Zee PC. Sleep and circadian misalignment for the hospitalist: a review. J Hosp Med. 2012;7(6):489-96. doi:10.1002/jhm.1903.
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www.ahrq.gov/policymakers/chipra/overview/background/appendix-a1.html
December 01, 2009 - Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs
Background Report on request for public comment on initial, recommended core set of Children's Healthcare Quality Measures for voluntary…
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psnet.ahrq.gov/issue/mortality-and-morbidity-rounds-mmr-pathology-relative-contribution-cognitive-bias-vs-systems
May 18, 2022 - Study
Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias vs. systems failures to diagnostic error.
Citation Text:
Eichbaum Q, Adkins B, Craig-Owens L, et al. Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias…
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psnet.ahrq.gov/issue/beyond-service-quality-mediating-role-patient-safety-perceptions-patient-experience
January 14, 2011 - Study
Beyond service quality: the mediating role of patient safety perceptions in the patient experience–satisfaction relationship.
Citation Text:
Rathert C, May DR, Williams E. Beyond service quality: the mediating role of patient safety perceptions in the patient experience-satisfac…
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psnet.ahrq.gov/issue/benefits-and-opportunities-engaging-patients-identifying-and-reporting-patient-safety
April 26, 2023 - Commentary
The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents.
Citation Text:
Pozzobon LD, Rotter T, Sears K. The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents. Healthc Manage Forum…