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psnet.ahrq.gov/curated-library/national-pharmacist-day-2025
September 07, 2019 - In recognition of National Pharmacist Day 2025, PSNet has created this Curated Library to provide healthcare
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psnet.ahrq.gov/issue/patient-safety-home-care-multicenter-cross-sectional-study-about-medication-errors-and
March 03, 2021 - February 22, 2023
Exploring nursing-sensitive events in home healthcare: a national multicenter … March 3, 2021
Identifying no-harm incidents in home healthcare: a cohort study using
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psnet.ahrq.gov/issue/emotional-fallout-culture-blame-and-shame
October 28, 2020 - analysis
May 18, 2022
Building a program of expanded peer support for the entire health … care team: no one left behind. … JD
April 1, 2019
Psychological responses, coping and supporting needs of healthcare … September 19, 2016
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Hospitals
Health … Care Providers
Medicine
Psychological and Social Complications
Second victims
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psnet.ahrq.gov/issue/individualized-medication-review-older-people-multimorbidity-comparative-analysis-between
May 04, 2022 - 2021
An evidence and consensus-based definition of second victim: a strategic topic in healthcare … virtual breakthrough series collaborative to support deprescribing interventions across Veterans Affairs healthcare … polypharmacy--a qualitative study using focus group interviews with older patients, their relatives, and healthcare
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psnet.ahrq.gov/issue/reporting-improving-how-root-cause-analysis-teams-shape-patient-safety-culture
July 31, 2024 - conducted at one French hospital, examined whether MMCs and EFCs improve patient safety culture among healthcare … clinical errors: associations with socio-demographic, professional, burnout, and mental health factors in healthcare … June 22, 2022
Support for healthcare professionals after surgical patient safety incidents … August 5, 2020
Measuring safety of healthcare: an exercise in futility?
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psnet.ahrq.gov/issue/factfinders
February 17, 2021 - Promoting patient and nurse safety: testing a behavioural health intervention in a learning healthcare … system: results of the DEMEANOR pragmatic, cluster, cross-over trial. … January 26, 2022
Healthcare system-wide implementation of opioid-safety guideline recommendations … transitions intervention to ensure patient safety and satisfaction when transferred from hospital to home health … care-a systematic review.
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psnet.ahrq.gov/issue/organizational-readiness-change-leverage-point-improving-safety-national-nursing-home-survey
August 26, 2020 - of patient safety huddles on teamwork and safety culture: an evaluation of the Huddle Up for Safer Healthcare … November 16, 2022
Healthcare-associated adverse events in alternate level of care patients
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psnet.ahrq.gov/issue/risk-propensity-and-safe-medication-administration
December 08, 2010 - January 4, 2006
Seroprevalence of SARS-CoV-2 among frontline health care personnel in … June 9, 2021
Interventions promoting employee "speaking-up" within healthcare workplaces … November 4, 2020
Health care-associated infections among critically ill children in the … Care. … care.
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psnet.ahrq.gov/issue/operationalizing-occupational-fatigue-pharmacists-exploratory-factor-analysis
March 23, 2022 - Fatigue has been linked to safety-related outcomes among many types of healthcare providers and settings … Record Modernization Caused Pharmacy-Related Patient Safety Issues Nationally and at the VA Central Ohio Healthcare … System in Columbus.
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psnet.ahrq.gov/issue/systems-approach-patient-centered-care
November 21, 2021 - The authors suggest system-level changes to help health care professionals ensure that they deliver patient-centered … November 21, 2021
Enabling a learning healthcare system with automated computer protocols … care disparities. … September 19, 2016
Toward a safer health care system: the critical need to improve measurement … May 11, 2016
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Health Care Executives
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psnet.ahrq.gov/issue/generative-artificial-intelligence-patient-safety-and-healthcare-quality-review
November 16, 2022 - Generative artificial intelligence, patient safety and healthcare quality: a review. … Generative artificial intelligence, patient safety and healthcare quality: a review. … November 16, 2022
Seroprevalence of SARS-CoV-2 among frontline health care personnel … July 10, 2024
Attention among health care professionals : a scoping review. … April 10, 2024
To do no harm - and the most good - with AI in health care.
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psnet.ahrq.gov/issue/when-illegitimate-tasks-threaten-patient-safety-culture-cross-sectional-survey-tertiary
February 19, 2020 - In this study with hospital nurses, physicians, and other direct and indirect healthcare staff, 20% reported … February 19, 2020
Hacking teamwork in health care: addressing adverse effects of ad hoc … Healing Emotional Lives of Peers program during COVID-19: a second victim peer support program for healthcare … August 31, 2022
Factors associated with workplace violence among healthcare workers in
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psnet.ahrq.gov/issue/racism-pain-medicine-we-can-and-should-do-more
December 15, 2008 - Systemic racism in healthcare can threaten patient safety and contribute to heath disparities . … December 15, 2008
Disparate perspectives: exploring healthcare professionals' misaligned … September 8, 2021
Systems thinking for managing COVID-19 in health care systems: seven
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psnet.ahrq.gov/issue/are-online-patient-reviews-associated-health-care-outcomes-systematic-review-literature
September 16, 2020 - Review
Are online patient reviews associated with health care outcomes? … Are online patient reviews associated with health care outcomes? … Are online patient reviews associated with health care outcomes? … care-associated infections: a systematic review. … January 27, 2021
Hospital- and system-wide interventions for health care-associated infections
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psnet.ahrq.gov/issue/vital-signs-epidemiology-sepsis-prevalence-health-care-factors-and-opportunities-prevention
September 23, 2020 - Study
Vital signs: epidemiology of sepsis: prevalence of health care factors and … Vital Signs: Epidemiology of Sepsis: Prevalence of Health Care Factors and Opportunities for Prevention … Investigators found that 72% of patients had exposure to at least one health care factor during the 30 … November 16, 2016
Making health care safer. Think sepsis. Time matters. … July 30, 2014
Health care-associated invasive MRSA infections, 2005-2008.
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psnet.ahrq.gov/node/49664/psn-pdf
January 01, 2013 - Qual Saf Health Care. 2010;19:493-497. [go to PubMed]
7. Manser T. … Qual Saf Health Care. 2010;19:e44. [go to PubMed]
9. Catchpole KR, de Leval MR, McEwan A, et al. … Handoff strategies in settings with high
consequences for failure: lessons for health care operations … Int J Qual Health Care. 2004;16:125-132. [go
to PubMed]
12. Patterson ES. … Qual Saf Health Care. 2008;17:4-5. [go to PubMed]
13.
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psnet.ahrq.gov/issue/do-quality-and-safe-care-champions-community-nursing-teams-positively-impact-patients
October 19, 2022 - April 12, 2023
AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety … February 15, 2023
Advancing Patient Safety: Reviews From the Agency for Healthcare Research … and Quality's Making Healthcare Safer III Report. … April 29, 2020
Zero harm in health care.
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psnet.ahrq.gov/issue/using-healthcare-failure-mode-and-effect-analysis-reduce-medication-errors-process-drug
August 23, 2017 - Study
Using Healthcare Failure Mode and Effect Analysis to reduce medication errors … Using Healthcare Failure Mode and Effect Analysis to reduce medication errors in the process of drug … May 11, 2014
Augmenting health care failure modes and effects analysis with simulation … January 27, 2012
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See More About The Topic
Hospitals
Health … Care Providers
Health Care Executives and Administrators
General Internal Medicine
Hospital
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psnet.ahrq.gov/issue/association-between-opioid-tapering-and-subsequent-health-care-use-medication-adherence-and
August 25, 2021 - Study
Association between opioid tapering and subsequent health care use, medication … Association between opioid tapering and subsequent health care use, medication adherence, and chronic … Association between opioid tapering and subsequent health care use, medication adherence, and chronic … June 8, 2022
Emotional exhaustion among US health care workers before and during the … August 17, 2022
Outsourcing health-care services to the private sector and treatable
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psnet.ahrq.gov/issue/clinical-pharmacists-and-inpatient-medical-care-systematic-review
September 09, 2013 - None of the studies demonstrated a worse overall outcome, and only one suggested increased health care … May 8, 2017
Effect of pharmacist counseling intervention on health care utilization following … February 12, 2020
The impact of pharmacists-led medicines reconciliation on healthcare