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  1. psnet.ahrq.gov/issue/patient-safety-incidents-describing-patient-falls-critical-care-north-west-england-between
    August 04, 2021 - Study Patient safety incidents describing patient falls in critical care in North West England between 2009 and 2017. Citation Text: Thomas AN, Balmforth JE. Patient safety incidents describing patient falls in critical care in North West England between 2009 and 2017. J Patient Saf. 202…
  2. psnet.ahrq.gov/issue/qualitative-content-analysis-retained-surgical-items-learning-root-cause-analysis
    December 06, 2023 - Study A qualitative content analysis of retained surgical items: learning from root cause analysis investigations. Citation Text: Hibbert PD, Thomas MJW, Deakin A, et al. A qualitative content analysis of retained surgical items: learning from root cause analysis investigations. Int J Qu…
  3. psnet.ahrq.gov/issue/evaluation-electronic-health-record-structured-discharge-summary-provide-real-time-adverse
    December 29, 2014 - Study Evaluation of an electronic health record structured discharge summary to provide real time adverse event reporting in thoracic surgery. Citation Text: Graham AJ, Ocampo W, Southern DA, et al. Evaluation of an electronic health record structured discharge summary to provide real ti…
  4. psnet.ahrq.gov/issue/risk-analysis-method-evaluate-impact-computerized-provider-order-entry-system-patient-safety
    September 15, 2021 - Study A risk analysis method to evaluate the impact of a Computerized Provider Order Entry system on patient safety. Citation Text: Bonnabry P, Despont-Gros C, Grauser D, et al. A risk analysis method to evaluate the impact of a computerized provider order entry system on patient safet…
  5. psnet.ahrq.gov/issue/evaluation-effectiveness-surgical-checklist-medicare-patients
    January 13, 2016 - Study Evaluation of the effectiveness of a surgical checklist in Medicare patients. Citation Text: Reames BN, Scally CP, Thumma JR, et al. Evaluation of the Effectiveness of a Surgical Checklist in Medicare Patients. Med Care. 2015;53(1):87-94. doi:10.1097/MLR.0000000000000277. Copy Ci…
  6. psnet.ahrq.gov/issue/strategies-safe-interhospital-transfer-intubated-patient-or-where-readiness-intubation-needed
    July 31, 2013 - Study Strategies for a safe interhospital transfer with an intubated patient or where readiness for intubation is needed: a critical incidents study. Citation Text: Almqvist D, Norberg D, Larsson F, et al. Strategies for a safe interhospital transfer with an intubated patient or where re…
  7. psnet.ahrq.gov/issue/early-death-after-discharge-emergency-departments-analysis-national-us-insurance-claims-data
    June 25, 2018 - Study Classic Early death after discharge from emergency departments: analysis of national US insurance claims data. Citation Text: Obermeyer Z, Cohn B, Wilson M, et al. Early death after discharge from emergency departments: analysis of national US insurance cl…
  8. psnet.ahrq.gov/issue/factors-influencing-reporting-adverse-medical-device-events-qualitative-interviews-physicians
    May 17, 2017 - Study Factors influencing the reporting of adverse medical device events: qualitative interviews with physicians about higher risk implantable devices. Citation Text: Gagliardi AR, Ducey A, Lehoux P, et al. Factors influencing the reporting of adverse medical device events: qualitative i…
  9. psnet.ahrq.gov/issue/out-sight-out-mind-prospective-observational-study-estimate-duration-hawthorne-effect-hand
    September 09, 2020 - Study Out of sight, out of mind: a prospective observational study to estimate the duration of the Hawthorne effect on hand hygiene events. Citation Text: Vaisman A, Bannerman G, Matelski J, et al. Out of sight, out of mind: a prospective observational study to estimate the duration of t…
  10. psnet.ahrq.gov/issue/management-test-results-primary-care-does-electronic-medical-record-make-difference
    April 12, 2011 - Study The management of test results in primary care: does an electronic medical record make a difference? Citation Text: Elder NC, McEwen TR, Flach J, et al. The management of test results in primary care: does an electronic medical record make a difference? Fam Med. 2010;42(5):327-33…
  11. psnet.ahrq.gov/issue/learning-different-lenses-reports-medical-errors-primary-care-clinicians-staff-and-patients
    June 11, 2008 - Study Learning from different lenses: reports of medical errors in primary care by clinicians, staff, and patients: a project of the American Academy of Family Physicians National Research Network. Citation Text: Phillips RL, Dovey SM, Graham D, et al. Learning From Different Lenses: R…
  12. psnet.ahrq.gov/issue/burnout-and-sources-stress-among-health-care-risk-managers-and-patient-safety-personnel
    May 26, 2021 - Study Burnout and sources of stress among health care risk managers and patient safety personnel during the COVID-19 pandemic: a pilot study. Citation Text: Card AJ. Burnout and sources of stress among health care risk managers and patient safety personnel during the COVID-19 pandemic: a…
  13. psnet.ahrq.gov/issue/opportunities-improvement-nursing-homes-variance-six-patient-safety-climate-factor-scores
    September 29, 2017 - Study Opportunities for improvement in nursing homes: variance of six patient safety climate factor scores across nursing homes and wards—assessed by the Safety Attitudes Questionnaire. Citation Text: Deilkås ECT, Hofoss D, Husebo BS, et al. Opportunities for improvement in nursing homes…
  14. psnet.ahrq.gov/issue/associations-between-work-life-balance-behaviours-teamwork-climate-and-safety-climate-cross
    January 21, 2019 - Study The associations between work–life balance behaviours, teamwork climate and safety climate: cross-sectional survey introducing the work–life climate scale, psychometric properties, benchmarking data and future directions. Citation Text: Sexton B, Schwartz SP, Chadwick WA, et al. Th…
  15. psnet.ahrq.gov/issue/multidisciplinary-team-training-simulation-setting-acute-obstetric-emergencies-systematic
    February 17, 2021 - Review Multidisciplinary team training in a simulation setting for acute obstetric emergencies: a systematic review. Citation Text: Merién AER, van de Ven J, Mol BW, et al. Multidisciplinary Team Training in a Simulation Setting for Acute Obstetric Emergencies. Obstetrics & Gynecology.…
  16. psnet.ahrq.gov/issue/primary-care-closed-claims-experience-massachusetts-malpractice-insurers
    August 14, 2017 - Study Classic Primary care closed claims experience of Massachusetts malpractice insurers. Citation Text: Schiff G, Puopolo AL, Huben-Kearney A, et al. Primary care closed claims experience of Massachusetts malpractice insurers. JAMA Intern Med. 2013;173(22):206…
  17. psnet.ahrq.gov/issue/patients-experience-patient-safety-information-and-participation-care-during-hospital-stay
    April 05, 2023 - Study Patients' experience of patient safety information and participation in care during a hospital stay. Citation Text: Tubic B, Finizia C, Zainal Kamil A, et al. Patients' experience of patient safety information and participation in care during a hospital stay. Nurs Open. 2023;10(3):…
  18. psnet.ahrq.gov/issue/nursing-guidelines-comprehensive-harm-prevention-strategies-adult-patients-acute-hospitals
    August 10, 2022 - Review Nursing guidelines for comprehensive harm prevention strategies for adult patients in acute hospitals: an integrative review and synthesis. Citation Text: Redley B, Douglas T, Hoon L, et al. Nursing guidelines for comprehensive harm prevention strategies for adult patients in acut…
  19. psnet.ahrq.gov/issue/stress-ward-evidence-safety-tipping-points-hospitals
    November 13, 2024 - Study Stress on the ward: evidence of safety tipping points in hospitals. Citation Text: Kuntz L, Mennicken R, Scholtes S. Stress on the Ward: Evidence of Safety Tipping Points in Hospitals. Manage Sci. 2014;61(4). doi:10.1287/mnsc.2014.1917. Copy Citation Format: DOI Googl…
  20. www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3concl.html
    October 01, 2014 - Module 3: Falls Prevention and Management Conclusion Previous Page Next Page Table of Contents Module 3: Falls Prevention and Management Learning and Performance Objectives Session 1 Session 2 Conclusion Appendix. Additional Tools and Resources In Summary Falls prevention…