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  1. What do patients and relatives know about problems and failures in care? | PSNet

    psnet.ahrq.gov/issue/what-do-patients-and-relatives-know-about-problems-and-failures-care
    November 28, 2016 - Study What do patients and relatives know about problems and failures in care? Citation Text: Iedema R, Allen S, Britton K, et al. What do patients and relatives know about problems and failures in care? BMJ Qual Saf. 2012;21(3):198-205. doi:10.1136/bmjqs-2011-000100. Copy Citation …

  2. "They say they listen. But do they really listen?": A qualitative study of hospital doctors' experiences of organisational deafness, disconnect and denial. | PSNet

    psnet.ahrq.gov/issue/they-say-they-listen-do-they-really-listen-qualitative-study-hospital-doctors-experiences
    November 29, 2017 - Study "They say they listen. But do they really listen?": A qualitative study of hospital doctors' experiences of organisational deafness, disconnect and denial. Citation Text: Creese J, Byrne JP, Conway E, et al. “They say they listen. But do they really listen?”: A qualitative study of…

  3. Team safety and innovation by learning from errors in long-term care settings. | PSNet

    psnet.ahrq.gov/issue/team-safety-and-innovation-learning-errors-long-term-care-settings
    March 05, 2010 - Study Team safety and innovation by learning from errors in long-term care settings. Citation Text: Buljac-Samardzic M, van Woerkom M, Paauwe J. Team safety and innovation by learning from errors in long-term care settings. Health Care Manage Rev. 2012;37(3):280-91. doi:10.1097/HMR.0b0…

  4. High nursing staff turnover in nursing homes offers important quality information. | PSNet

    psnet.ahrq.gov/issue/high-nursing-staff-turnover-nursing-homes-offers-important-quality-information
    September 16, 2020 - Study Classic High nursing staff turnover in nursing homes offers important quality information. Citation Text: Gandhi A, Yu H, Grabowski DC. High nursing staff turnover in nursing homes offers important quality information. Health Aff (Millwood). 2021;40(3):384…

  5. AHRQ's Patient Safety Culture Survey Yields Meaningful Results at Palo Alto Medical Foundation | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/case-studies/cquips0603.html
    October 01, 2014 - AHRQ's Patient Safety Culture Survey Yields Meaningful Results at Palo Alto Medical Foundation Search All Impact Case Studies November 2005 The Palo Alto Medical Foundation, a multi-specialty medical group located near San Francisco, is now using AHRQ's Hospital Survey on Patient Safety Culture . The first…

  6. Revealing and resolving patient safety defects: the impact of leadership WalkRounds on frontline caregiver assessments of patient safety. | PSNet

    psnet.ahrq.gov/issue/revealing-and-resolving-patient-safety-defects-impact-leadership-walkrounds-frontline
    June 16, 2011 - Study Revealing and resolving patient safety defects: the impact of leadership WalkRounds on frontline caregiver assessments of patient safety. Citation Text: Frankel A, Grillo SP, Pittman M, et al. Revealing and resolving patient safety defects: the impact of leadership WalkRounds on …

  7. What does safety commitment mean to leaders? A multi-method investigation. | PSNet

    psnet.ahrq.gov/issue/what-does-safety-commitment-mean-leaders-multi-method-investigation
    September 11, 2024 - Study What does safety commitment mean to leaders? A multi-method investigation. Citation Text: Fruhen LS, Griffin MA, Andrei DM. What does safety commitment mean to leaders? A multi-method investigation. J Safety Res. 2019;68:203-214. doi:10.1016/j.jsr.2018.12.011. Copy Citation F…

  8. Effect of electronic health records in ambulatory care: retrospective, serial, cross sectional study. | PSNet

    psnet.ahrq.gov/issue/effect-electronic-health-records-ambulatory-care-retrospective-serial-cross-sectional-study
    March 24, 2019 - Study Effect of electronic health records in ambulatory care: retrospective, serial, cross sectional study. Citation Text: Garrido T, Jamieson L, Zhou Y, et al. Effect of electronic health records in ambulatory care: retrospective, serial, cross sectional study. BMJ. 2005;330(7491):581…

  9. Enhancing patient safety during pediatric sedation: the impact of simulation-based training of nonanesthesiologists. | PSNet

    psnet.ahrq.gov/issue/enhancing-patient-safety-during-pediatric-sedation-impact-simulation-based-training
    January 17, 2012 - Study Enhancing patient safety during pediatric sedation: the impact of simulation-based training of nonanesthesiologists. Citation Text: Shavit I, Keidan I, Hoffmann Y, et al. Enhancing patient safety during pediatric sedation: the impact of simulation-based training of nonanesthesiol…

  10. The design of the SAFE or SORRY? study: a cluster randomised trial on the development and testing of an evidence based inpatient safety program for the prevention of adverse events. | PSNet

    psnet.ahrq.gov/issue/design-safe-or-sorry-study-cluster-randomised-trial-development-and-testing-evidence-based
    May 22, 2013 - Study The design of the SAFE or SORRY? study: a cluster randomised trial on the development and testing of an evidence based inpatient safety program for the prevention of adverse events. Citation Text: van Gaal BGI, Schoonhoven L, Hulscher M, et al. The design of the SAFE or SORRY? st…

  11. Integrating Health Information Technology with Clinical Practice: Documenting Tobacco Cessation Interventions (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/2006Lamer_052411comp.pdf
    January 01, 2006 - Integrating Health Information Technology with Clinical Practice: Documenting Tobacco Cessation Interventions Integrating Health Information Technology with Clinical Practice: Documenting Tobacco Cessation Interventions Christopher Lamer, PharmD, BCPS, NCPS, CDE LCDR, U.S. Public Health Service Patient Safet…

  12. Information-gathering patterns associated with higher rates of diagnostic error. | PSNet

    psnet.ahrq.gov/issue/information-gathering-patterns-associated-higher-rates-diagnostic-error
    June 27, 2018 - Study Information-gathering patterns associated with higher rates of diagnostic error. Citation Text: Delzell JE, Chumley H, Webb R, et al. Information-gathering patterns associated with higher rates of diagnostic error. Adv Health Sci Educ Theory Pract. 2009;14(5):697-711. doi:10.1007…

  13. The relationship between hospital patient safety culture and performance on Centers for Medicare & Medicaid Services value-based purchasing metrics. | PSNet

    psnet.ahrq.gov/issue/relationship-between-hospital-patient-safety-culture-and-performance-centers-medicare
    December 11, 2024 - Study The relationship between hospital patient safety culture and performance on Centers for Medicare & Medicaid Services value-based purchasing metrics. Citation Text: Noghrehchi P, Hefner JL, Walker DM. The relationship between hospital patient safety culture and performance on Center…

  14. Specimen labeling errors: a Q-probes analysis of 147 clinical laboratories. | PSNet

    psnet.ahrq.gov/issue/specimen-labeling-errors-q-probes-analysis-147-clinical-laboratories
    February 15, 2010 - Study Specimen labeling errors: a Q-probes analysis of 147 clinical laboratories. Citation Text: Wagar EA, Stankovic AK, Raab SS, et al. Specimen labeling errors: a Q-probes analysis of 147 clinical laboratories. Arch Pathol Lab Med. 2008;132(10):1617-22. doi:10.1043/1543-2165(2008)…

  15. Facility Action Plan Template | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/implement/action-plan.html
    March 01, 2017 - Facility Action Plan Template AHRQ Safety Program for Long-Term Care: HAIs/CAUTI The purpose of this tool is to support quality improvement efforts by identifying opportunities for improvement, strategies, and steps to accomplish the work. In order to implement activities identified, goals and obj…

  16. Impact of crisis resource management simulation-based training for interprofessional and interdisciplinary teams: a systematic review. | PSNet

    psnet.ahrq.gov/issue/impact-crisis-resource-management-simulation-based-training-interprofessional-and
    November 13, 2019 - Review Impact of crisis resource management simulation-based training for interprofessional and interdisciplinary teams: a systematic review. Citation Text: Fung L, Boet S, Bould D, et al. Impact of crisis resource management simulation-based training for interprofessional and interdisci…

  17. Appendix N. Part 1: A Clear View of Flexible Endoscope Processing: Transport, Leak Testing, Cleaning - Implementation Guide | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-n.html
    May 01, 2017 - Appendix N. Part 1: A Clear View of Flexible Endoscope Processing: Transport, Leak Testing, Cleaning - Implementation Guide Slide 1: Appendix N. Part 1: A Clear View of Flexible Endoscope Processing: Transport, Leak Testing, Cleaning Susan Klacik B.S., CRCST, CIS, FCS Slide 2: Objectives After this v…

  18. Clinical and financial effects of smart pump-electronic medical record interoperability at a hospital in a regional health system. | PSNet

    psnet.ahrq.gov/issue/clinical-and-financial-effects-smart-pump-electronic-medical-record-interoperability-hospital
    November 16, 2022 - Study Clinical and financial effects of smart pump-electronic medical record interoperability at a hospital in a regional health system. Citation Text: Biltoft J, Finneman L. Clinical and financial effects of smart pump-electronic medical record interoperability at a hospital in a region…

  19. What is driving hospitals' patient-safety efforts? | PSNet

    psnet.ahrq.gov/issue/what-driving-hospitals-patient-safety-efforts
    February 10, 2015 - Commentary What is driving hospitals' patient-safety efforts? Citation Text: Devers KJ, Pham HH, Liu G. What is driving hospitals' patient-safety efforts? Health Aff (Millwood). 2004;23(2):103-15. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

  20. Caregivers' perspectives on ethical challenges and patient safety in tele-palliative care: an integrative review. | PSNet

    psnet.ahrq.gov/issue/caregivers-perspectives-ethical-challenges-and-patient-safety-tele-palliative-care
    July 10, 2024 - Review Caregivers' perspectives on ethical challenges and patient safety in tele-palliative care: an integrative review. Citation Text: Schuessler N, Glarcher M. Caregivers' perspectives on ethical challenges and patient safety in tele-palliative care: an integrative review. J Hosp Palli…
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