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AHRQ: Agency for Healthcare Research and Quality

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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849334/psn-pdf
    May 24, 2023 - vignettes that described the same case in the Emergency Department but differed with respect to whether a nurse

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855089/psn-pdf
    January 01, 2024 - of a speaking up situation with randomization on speaker seniority, discipline (i.e., allied staff, nurse

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862992/psn-pdf
    February 21, 2024 - rates and patient harm were not different in the double checking and single checking periods, and nurse

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37655/psn-pdf
    September 24, 2010 - reduction-warfarin-adverse-events-requiring-patient-hospitalization-after-implementation https://psnet.ahrq.gov/issue/effect-executive-walk-rounds-nurse-safety-climate-attitudes-randomized-trial-clinical-units

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854995/psn-pdf
    November 01, 2023 - Most teams consisted of a pharmacist, physician, and nurse, although some included other providers such

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72742/psn-pdf
    February 17, 2021 - psnet.ahrq.gov/issue/detection-missed-injuries-pediatric-trauma-center-addition-acute-care-pediatric-nurse

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844764/psn-pdf
    September 11, 2019 - ismp-gap-analysis-tool-gat-safe-iv-push-medication-practices https://psnet.ahrq.gov/issue/one-needle-one-syringe-only-one-time-survey-physician-and-nurse-knowledge-attitudes-and

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861768/psn-pdf
    January 31, 2024 - structured-interdisciplinary-rounds-medical-teaching-unit-improving-patient-safety https://psnet.ahrq.gov/issue/physician-behaviors-associated-increased-physician-and-nurse-communication-during-bedside

  9. The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a scoping review. | PSNet

    psnet.ahrq.gov/issue/evolving-curriculum-quality-improvement-and-patient-safety-undergraduate-and-graduate-medical
    October 05, 2022 - Review The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a scoping review. Citation Text: Li CJ, Nash DB. The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a …

  10. Characteristics of healthcare organisations struggling to improve quality: results from a systematic review of qualitative studies. | PSNet

    psnet.ahrq.gov/issue/characteristics-healthcare-organisations-struggling-improve-quality-results-systematic-review
    August 14, 2019 - Review Classic Characteristics of healthcare organisations struggling to improve quality: results from a systematic review of qualitative studies. Citation Text: Vaughn VM, Saint S, Krein SL, et al. Characteristics of healthcare organisations struggling to impro…

  11. COVID-19 pandemic: a time for collaboration and a unified global health front. | PSNet

    psnet.ahrq.gov/issue/covid-19-pandemic-time-collaboration-and-unified-global-health-front
    December 09, 2020 - Commentary COVID-19 pandemic: a time for collaboration and a unified global health front. Citation Text: Vervoort D, Ma X, Luc JGY. COVID-19 pandemic: a time for collaboration and a unified global health front. Int J Qual Health Care. 2021;33(1):mzaa065. doi:10.1093/intqhc/mzaa065. Cop…

  12. Interpersonal and organizational dynamics are key drivers of failure to rescue. | PSNet

    psnet.ahrq.gov/issue/interpersonal-and-organizational-dynamics-are-key-drivers-failure-rescue
    June 18, 2019 - Study Interpersonal and organizational dynamics are key drivers of failure to rescue. Citation Text: Smith ME, Wells EE, Friese CR, et al. Interpersonal And Organizational Dynamics Are Key Drivers Of Failure To Rescue. Health Aff (Millwood). 2018;37(11):1870-1876. doi:10.1377/hlthaff.201…

  13. Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report. | PSNet

    psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2010-user-comparative-database-report
    November 30, 2016 - Book/Report Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report. Citation Text: Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report. Sorra J, Famolaro T, Dyer N, Nelson D, Khanna K. Rockville, MD: Agency for Healthcare Researc…

  14. Evaluating the relationship between health information technology and safer-prescribing in the long-term care setting: a systematic review. | PSNet

    psnet.ahrq.gov/issue/evaluating-relationship-between-health-information-technology-and-safer-prescribing-long-term
    March 16, 2022 - Review Evaluating the relationship between health information technology and safer-prescribing in the long-term care setting: a systematic review. Citation Text: Kruse CS, Mileski M, Syal R, et al. Evaluating the relationship between health information technology and safer-prescribing in…

  15. The effect of a residential care pharmacist on medication administration practices in aged care: a controlled trial. | PSNet

    psnet.ahrq.gov/issue/effect-residential-care-pharmacist-medication-administration-practices-aged-care-controlled
    August 31, 2016 - Study The effect of a residential care pharmacist on medication administration practices in aged care: a controlled trial. Citation Text: McDerby N, Kosari S, Bail K, et al. The effect of a residential care pharmacist on medication administration practices in aged care: A controlled tria…

  16. Economic evaluation of pharmacist-led medication reviews in residential aged care facilities. | PSNet

    psnet.ahrq.gov/issue/economic-evaluation-pharmacist-led-medication-reviews-residential-aged-care-facilities
    September 21, 2022 - Review Economic evaluation of pharmacist-led medication reviews in residential aged care facilities. Citation Text: Hasan SS, Thiruchelvam K, Kow CS, et al. Economic evaluation of pharmacist-led medication reviews in residential aged care facilities. Expert Rev Pharmacoecon Outcomes Res.…

  17. Interdisciplinary and interprofessional communication intervention: how psychological safety fosters communication and increases patient safety. | PSNet

    psnet.ahrq.gov/issue/interdisciplinary-and-interprofessional-communication-intervention-how-psychological-safety
    May 31, 2023 - Study Interdisciplinary and interprofessional communication intervention: how psychological safety fosters communication and increases patient safety. Citation Text: Dietl JE, Derksen C, Keller FM, et al. Interdisciplinary and interprofessional communication intervention: how psychologic…

  18. Hospital at Home: setting a regulatory course to ensure safe, high-quality care. | PSNet

    psnet.ahrq.gov/issue/hospital-home-setting-regulatory-course-ensure-safe-high-quality-care
    June 30, 2021 - Commentary Hospital at Home: setting a regulatory course to ensure safe, high-quality care. Citation Text: DeCherrie LV, Leff B, Levine DM, et al. Hospital at Home: setting a regulatory course to ensure safe, high-quality care. Jt Comm J Qual Patient Saf. 2022;48(3):180-184. doi:10.1016/…

  19. Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care innovation. | PSNet

    psnet.ahrq.gov/issue/evaluating-patient-safety-learning-laboratory-create-interdisciplinary-ecosystem-health-care
    December 21, 2022 - Study Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care innovation. Citation Text: Atkinson MK, Benneyan JC, Bambury EA, et al. Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care …

  20. Fast forward rounds: an effective method for teaching medical students to transition patients safely across care settings. | PSNet

    psnet.ahrq.gov/issue/fast-forward-rounds-effective-method-teaching-medical-students-transition-patients-safely
    March 14, 2018 - Study Fast forward rounds: an effective method for teaching medical students to transition patients safely across care settings. Citation Text: Ouchida K, LoFaso VM, Capello CF, et al. Fast forward rounds: an effective method for teaching medical students to transition patients safely …
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