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AHRQ: Agency for Healthcare Research and Quality

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  1. Veterans Health Administration response to the COVID-19 crisis: surveillance to action. | PSNet

    psnet.ahrq.gov/issue/veterans-health-administration-response-covid-19-crisis-surveillance-action
    November 17, 2021 - Commentary Veterans Health Administration response to the COVID-19 crisis: surveillance to action. Citation Text: Charles MA, Yackel EE, Mills PD, et al. Veterans Health Administration response to the COVID-19 crisis: surveillance to action. J Patient Saf. 2022;18(7):686-691. doi:10.1097…

  2. Barriers to incident-reporting behavior among nursing staff: a study based on the theory of planned behavior. | PSNet

    psnet.ahrq.gov/issue/barriers-incident-reporting-behavior-among-nursing-staff-study-based-theory-planned-behavior
    February 27, 2019 - Study Barriers to incident-reporting behavior among nursing staff: a study based on the theory of planned behavior. Citation Text: Lee Y-H, Yang C-C, Chen T-T. Barriers to incident-reporting behavior among nursing staff: A study based on the theory of planned behavior. J Manag Organ. 201…

  3. Adverse event reporting priorities: an integrative review. | PSNet

    psnet.ahrq.gov/issue/adverse-event-reporting-priorities-integrative-review
    March 10, 2021 - Review Adverse event reporting priorities: an integrative review. Citation Text: Falcone ML, Van Stee SK, Tokac U, et al. Adverse event reporting priorities: an integrative review. J Patient Saf. 2022;18(4):e727-e740. doi:10.1097/pts.0000000000000945. Copy Citation Format: …

  4. What can safety cases offer for patient safety? A multisite case study. | PSNet

    psnet.ahrq.gov/issue/what-can-safety-cases-offer-patient-safety-multisite-case-study
    February 07, 2024 - Study What can safety cases offer for patient safety? A multisite case study. Citation Text: Liberati EG, Martin GP, Lamé G, et al. What can Safety Cases offer for patient safety? A multisite case study. BMJ Qual Saf. 2024;33(3):156-165. doi:10.1136/bmjqs-2023-016042. Copy Citation …

  5. Improving self-reported empathy and communication skills through harm in healthcare response training. | PSNet

    psnet.ahrq.gov/issue/improving-self-reported-empathy-and-communication-skills-through-harm-healthcare-response
    March 09, 2022 - Study Improving self-reported empathy and communication skills through harm in healthcare response training. Citation Text: Samuels A, Broome ME, McDonald TB, et al. Improving self-reported empathy and communication skills through harm in healthcare response training. J Patient Saf Risk …

  6. The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot study. | PSNet

    psnet.ahrq.gov/issue/impact-electronic-communication-medication-discontinuation-cancelrx-medication-safety-pilot
    December 07, 2022 - Study The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot study. Citation Text: Pitts S, Yang Y, Woodroof T, et al. The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot stud…

  7. Encouraging patients to speak up about problems in cancer care. | PSNet

    psnet.ahrq.gov/issue/encouraging-patients-speak-about-problems-cancer-care
    March 11, 2013 - Study Encouraging patients to speak up about problems in cancer care. Citation Text: Mazor KM, Kamineni A, Roblin DW, et al. Encouraging patients to speak up about problems in cancer care. J Patient Saf. 2021;17(8):e1278-e1284. doi:10.1097/pts.0000000000000510. Copy Citation Format…

  8. Effects of a clinical pharmacist service on health-related quality of life and prescribing of drugs: a randomised controlled trial. | PSNet

    psnet.ahrq.gov/issue/effects-clinical-pharmacist-service-health-related-quality-life-and-prescribing-drugs
    December 14, 2022 - Study Effects of a clinical pharmacist service on health-related quality of life and prescribing of drugs: a randomised controlled trial. Citation Text: Bladh L, Ottosson E, Karlsson J, et al. Effects of a clinical pharmacist service on health-related quality of life and prescribing of…

  9. Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture diagnostic safety events. | PSNet

    psnet.ahrq.gov/issue/development-and-usability-testing-agency-healthcare-research-and-quality-common-formats
    October 12, 2022 - Study Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture diagnostic safety events. Citation Text: Bradford A, Shahid U, Schiff GD, et al. Development and usability testing of the Agency for Healthcare Research and Quality Common …

  10. Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice? | PSNet

    psnet.ahrq.gov/issue/quality-improvement-primary-approach-change-healthcare-precarious-self-limiting-choice
    June 08, 2022 - Commentary Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice? Citation Text: Mandel KE, Cady SH. Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice? BMJ Qual Saf. 2022;31(12):860-866. d…

  11. Trust and medical AI: the challenges we face and the expertise needed to overcome them. | PSNet

    psnet.ahrq.gov/issue/trust-and-medical-ai-challenges-we-face-and-expertise-needed-overcome-them
    July 22, 2020 - Commentary Emerging Classic Trust and medical AI: the challenges we face and the expertise needed to overcome them. Citation Text: Quinn TP, Senadeera M, Jacobs S, et al. Trust and medical AI: the challenges we face and the expertise needed to overcome them. J A…

  12. Evolving quality improvement support strategies to improve Plan–Do–Study–Act cycle fidelity: a retrospective mixed-methods study. | PSNet

    psnet.ahrq.gov/issue/evolving-quality-improvement-support-strategies-improve-plan-do-study-act-cycle-fidelity
    March 17, 2014 - Study Emerging Classic Evolving quality improvement support strategies to improve Plan–Do–Study–Act cycle fidelity: a retrospective mixed-methods study. Citation Text: McNicholas C, Lennox L, Woodcock T, et al. Evolving quality improvement support strategies to …

  13. COVID-19 and patient safety: time to tap into our investment in high reliability. | PSNet

    psnet.ahrq.gov/issue/covid-19-and-patient-safety-time-tap-our-investment-high-reliability
    July 21, 2021 - Commentary COVID-19 and patient safety: time to tap into our investment in high reliability. Citation Text: Adelman JS, Gandhi TK. COVID-19 and patient safety: time to tap into our investment in high reliability. J Patient Saf. 2021;17(4):331-333. doi:10.1097/pts.0000000000000843. Copy…

  14. Patient safety issues from information overload in electronic medical records. | PSNet

    psnet.ahrq.gov/issue/patient-safety-issues-information-overload-electronic-medical-records
    May 04, 2022 - Review Patient safety issues from information overload in electronic medical records. Citation Text: Nijor S, Rallis G, Lad N, et al. Patient safety issues from information overload in electronic medical records. J Patient Saf. 2022;18(6):e999-e1003. doi:10.1097/pts.0000000000001002. C…

  15. "I wish I had seen this test result earlier!": dissatisfaction with test result management systems in primary care. | PSNet

    psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary
    February 15, 2011 - Study "I wish I had seen this test result earlier!": dissatisfaction with test result management systems in primary care. Citation Text: Poon EG, Gandhi TK, Sequist TD, et al. "I wish I had seen this test result earlier!": Dissatisfaction with test result management systems in primary ca…

  16. Efficacy and unintended consequences of hard-stop alerts in electronic health record systems: a systematic review. | PSNet

    psnet.ahrq.gov/issue/efficacy-and-unintended-consequences-hard-stop-alerts-electronic-health-record-systems
    March 14, 2022 - Review Emerging Classic Efficacy and unintended consequences of hard-stop alerts in electronic health record systems: a systematic review. Citation Text: Powers EM, Shiffman RN, Melnick ER, et al. Efficacy and unintended consequences of hard-stop alerts in elect…

  17. Patterns of communication breakdowns resulting in injury to surgical patients. | PSNet

    psnet.ahrq.gov/issue/patterns-communication-breakdowns-resulting-injury-surgical-patients
    March 03, 2011 - Study Classic Patterns of communication breakdowns resulting in injury to surgical patients. Citation Text: Greenberg CC, Regenbogen SE, Studdert DM, et al. Patterns of communication breakdowns resulting in injury to surgical patients. J Am Coll Surg. 2007;204…

  18. Identifying electronic health record contributions to diagnostic error in ambulatory settings through legal claims analysis. | PSNet

    psnet.ahrq.gov/issue/identifying-electronic-health-record-contributions-diagnostic-error-ambulatory-settings
    January 25, 2023 - Study Identifying electronic health record contributions to diagnostic error in ambulatory settings through legal claims analysis. Citation Text: Krevat S, Samuel S, Boxley C, et al. Identifying electronic health record contributions to diagnostic error in ambulatory settings through leg…

  19. Effect of an Electronic Medication Reconciliation Intervention on Adverse Drug Events: A Cluster Randomized Trial | PSNet

    psnet.ahrq.gov/issue/effect-electronic-medication-reconciliation-intervention-adverse-drug-events-cluster
    April 29, 2018 - Study Effect of an Electronic Medication Reconciliation Intervention on Adverse Drug Events: A Cluster Randomized Trial Citation Text: Tamblyn R, Abrahamowicz M, Buckeridge DL, et al. Effect of an Electronic Medication Reconciliation Intervention on Adverse Drug Events: A Cluster Randomi…

  20. Association of nurse engagement and nurse staffing on patient safety. | PSNet

    psnet.ahrq.gov/issue/association-nurse-engagement-and-nurse-staffing-patient-safety
    January 22, 2016 - Study Emerging Classic Association of nurse engagement and nurse staffing on patient safety. Citation Text: Carthon MB, Hatfield L, Plover C, et al. Association of nurse engagement and nurse staffing on patient safety. J Nurs Care Qual. 2019;34(1):40-46. doi:10.…
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