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psnet.ahrq.gov/issue/nurses-transforming-care
November 26, 2014 - October 3, 2017
Preventing Healthcare-Associated Infections: Results and Lessons Learned
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psnet.ahrq.gov/node/44754/psn-pdf
March 23, 2016 - use-failure-mode-and-effects-analysis-improve-emergency-department-
handoff-processes
Poor communication during handoffs can hinder health … care safety. … handoffs-and-signouts
https://psnet.ahrq.gov/issue/high-rate-implementation-proposed-actions-improvement-healthcare-failure-mode-effect-analysis
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psnet.ahrq.gov/issue/understanding-enablers-and-barriers-implementing-patient-led-escalation-system-qualitative
January 18, 2023 - January 18, 2023
Seroprevalence of SARS-CoV-2 among frontline health care personnel in … July 15, 2020
Making Healthcare Safer III.
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psnet.ahrq.gov/node/33596/psn-pdf
January 29, 2025 - care systems should be able to rapidly identify and treat complications when they
occur. … As with many key concepts in patient safety, this one began with work outside of health care,
including … The authors identified six types of interventions that can improve FTR rates within healthcare
organizations … Measuring Failure-to-Rescue: Current Context
Measuring FTR as a quality indicator in health care was … Irina Tokareva, RN, BSN, MAS, CPHQ
Quality Measurement Clinician Researcher
Center for Healthcare Policy
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psnet.ahrq.gov/issue/does-checklist-reduce-number-errors-made-nurse-assembled-discharge-prescriptions
March 24, 2019 - February 24, 2016
Healthcare Safety for Nursing Personnel: An Organizational Guide to
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psnet.ahrq.gov/issue/raising-awareness-inpatient-nursing-staff-about-medication-errors
February 15, 2011 - March 20, 2024
The impact of pharmacists-led medicines reconciliation on healthcare outcomes
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psnet.ahrq.gov/issue/exploring-nursing-sensitive-events-home-healthcare-national-multicenter-cohort-study-using
August 05, 2020 - Study
Exploring nursing-sensitive events in home healthcare: a national multicenter … Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger … April 20, 2022
Adverse events in patients in home healthcare: a retrospective record … Self-reported gaps in care coordination and preventable adverse outcomes among older adults receiving home health … care.
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psnet.ahrq.gov/issue/nurses-responses-medication-errors-suggestions-development-organizational-strategies-improve
December 16, 2020 - August 16, 2017
The efficacy of mindful practice in improving diagnosis in healthcare
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psnet.ahrq.gov/issue/after-his-wife-died-he-joined-nurses-push-new-staffing-rules-hospitals
July 10, 2024 - 2020
An evidence and consensus-based definition of second victim: a strategic topic in healthcare … November 1, 2023
Healthcare-associated infections in adult intensive care units: a multisource
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psnet.ahrq.gov/issue/rate-causes-and-reporting-medication-errors-jordan-nurses-perspectives
April 15, 2020 - November 4, 2020
The impact of pharmacists-led medicines reconciliation on healthcare
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psnet.ahrq.gov/issue/impact-pharmacists-led-medicines-reconciliation-healthcare-outcomes-secondary-care-systematic
August 07, 2024 - Emerging Classic
The impact of pharmacists-led medicines reconciliation on healthcare … The impact of pharmacists-led medicines reconciliation on healthcare outcomes in secondary care: A systematic … interventions reduced medication discrepancies but did not significantly affect adverse medication events or health … care utilization. … The impact of pharmacists-led medicines reconciliation on healthcare outcomes in secondary care: A systematic
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psnet.ahrq.gov/issue/transdisciplinary-team-acting-evidence-through-analyses-moot-malpractice-cases
November 03, 2021 - January 12, 2022
Improving adverse drug event reporting by healthcare professionals.
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psnet.ahrq.gov/issue/we-had-such-trust-we-feel-such-fools-how-shocking-hospital-mistakes-led-our-daughters-death
October 26, 2022 - Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare … November 17, 2021
Comprehensive Healthcare Inspection Summary Report: Evaluation of Care
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psnet.ahrq.gov/issue/staffing-levels-and-nursing-sensitive-patient-outcomes-umbrella-review-and-qualitative-study
May 19, 2021 - May 18, 2022
The impact of health care strikes on patient mortality: a systematic review … of patient safety huddles on teamwork and safety culture: an evaluation of the Huddle Up for Safer Healthcare … October 19, 2022
The impact of "missed nursing care" or "care not done" on adults in health … care: a rapid review for the Consensus Development Project.
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psnet.ahrq.gov/issue/differences-outcomes-between-icu-attending-and-senior-resident-physician-led-medical
October 15, 2014 - June 9, 2021
Seroprevalence of SARS-CoV-2 among frontline health care personnel in a … wrong-patient orders among multiple vs singleton births in the neonatal intensive care units of 2 integrated health … care systems. … September 4, 2019
Enabling a learning healthcare system with automated computer protocols
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psnet.ahrq.gov/issue/nurses-and-nursing-assistants-perceptions-patient-safety-culture-nursing-homes
December 15, 2011 - Int J Qual Health Care. 2006;18(4):281-6. … Int J Qual Health Care . 2006; 18 (4) :281-6 . … This Agency for Healthcare Research and Quality (AHRQ)–supported study discovered a need to better address … Int J Qual Health Care. 2006;18(4):281-6.
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psnet.ahrq.gov/issue/impact-patient-safety-culture-missed-nursing-care-and-adverse-patient-events
March 16, 2022 - March 4, 2020
Pharmacist-led educational interventions provided to healthcare providers
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psnet.ahrq.gov/issue/implementation-cpoe-and-medication-errors
July 18, 2012 - hospital admission and discharge: risk factors and impact of medication reconciliation process to improve healthcare
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psnet.ahrq.gov/issue/expanding-frontiers-risk-management-care-safety-nursing-home-during-covid-19-pandemic
February 15, 2023 - Int J Qual Health Care. 2021;33(1):mzaa085. doi:10.1093/intqhc/mzaa085. … Int J Qual Health Care . 2021; 33 (1) :mzaa085 . … a COVID-19 infection prevention and control plan for nursing homes , emphasizing protections for healthcare … Int J Qual Health Care. 2021;33(1):mzaa085. doi:10.1093/intqhc/mzaa085. … October 12, 2022
Healthcare-related infections within nursing homes (NHS): a qualitative
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psnet.ahrq.gov/issue/use-personal-electronic-devices-nurse-anesthetists-and-effects-patient-safety
June 16, 2021 - May 31, 2023
Distractions in the operating room: a survey of the healthcare team. … 2010
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