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8221. Project Overview: Designing Consumer Reporting Systems for Patient Safety Events | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/consumer-exp/systems/index.html
      October 01, 2014 - Project Overview: Designing Consumer Reporting Systems for Patient Safety Events Current patient safety event reporting systems are aimed at obtaining information from health care providers. However, patients and their family members are in a unique position to identify gaps in care that may have co…

8222. Medication Therapy Tools Help Pharmacists Educate Patients, Improve Adherence and Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201714.html
      September 01, 2019 - Medication Therapy Tools Help Pharmacists Educate Patients, Improve Adherence and Safety Search All Impact Case Studies November 2017 AHRQ’s Health Literacy Tools for Providers of Medication Therapy Management make it easier for pharmacists to help patients understand and correctly manage their medication…

8223. Do patient safety indicators explain increased weekend mortality? | PSNet
      psnet.ahrq.gov/issue/do-patient-safety-indicators-explain-increased-weekend-mortality
      June 01, 2011 - Study Do patient safety indicators explain increased weekend mortality? Citation Text: Ricciardi R, Nelson J, Francone TD, et al. Do patient safety indicators explain increased weekend mortality? J Surg Res. 2016;200(1):164-70. doi:10.1016/j.jss.2015.07.030. Copy Citation Format: …

8224. Analysis of the interprofessional clinical learning environment for quality improvement and patient safety from perspectives of interprofessional teams. | PSNet
      psnet.ahrq.gov/issue/analysis-interprofessional-clinical-learning-environment-quality-improvement-and-patient
      April 19, 2017 - Study Analysis of the interprofessional clinical learning environment for quality improvement and patient safety from perspectives of interprofessional teams. Citation Text: Cheng MKW, Collins S, Baron RB, et al. Analysis of the interprofessional clinical learning environment for quality…

8225. Design and evaluation of simulation scenarios for a program introducing patient safety, teamwork, safety leadership, and simulation to healthcare leaders and managers. | PSNet
      psnet.ahrq.gov/issue/design-and-evaluation-simulation-scenarios-program-introducing-patient-safety-teamwork-safety
      February 08, 2017 - Study Design and evaluation of simulation scenarios for a program introducing patient safety, teamwork, safety leadership, and simulation to healthcare leaders and managers. Citation Text: Cooper JB, Singer SJ, Hayes J, et al. Design and evaluation of simulation scenarios for a program…

8226. Sustaining the gains: a 7-year follow-through of a hospital-wide patient safety improvement project on hospital-wide adverse event outcomes and patient safety culture. | PSNet
      psnet.ahrq.gov/issue/sustaining-gains-7-year-follow-through-hospital-wide-patient-safety-improvement-project
      October 19, 2022 - Study Sustaining the gains: a 7-year follow-through of a hospital-wide patient safety improvement project on hospital-wide adverse event outcomes and patient safety culture. Citation Text: Sim MA, Ti LK, Mujumdar S, et al. Sustaining the gains: a 7-year follow-through of a hospital-wide …

8227. Association between treatment by locum tenens internal medicine physicians and 30-day mortality among hospitalized Medicare beneficiaries. | PSNet
      psnet.ahrq.gov/issue/association-between-treatment-locum-tenens-internal-medicine-physicians-and-30-day-mortality
      September 29, 2017 - Study Association between treatment by locum tenens internal medicine physicians and 30-day mortality among hospitalized Medicare beneficiaries. Citation Text: Blumenthal DM, Olenski AR, Tsugawa Y, et al. Association Between Treatment by Locum Tenens Internal Medicine Physicians and 30-D…

8228. Relationships between pediatric safety indicators across a national sample of pediatric hospitals: dispelling the myth of the "safest" hospital. | PSNet
      psnet.ahrq.gov/issue/relationships-between-pediatric-safety-indicators-across-national-sample-pediatric-hospitals
      April 06, 2022 - Study Relationships between pediatric safety indicators across a national sample of pediatric hospitals: dispelling the myth of the "safest" hospital. Citation Text: Milliren CE, Bailey G, Graham DA, et al. Relationships between pediatric safety indicators across a national sample of ped…

8229. Acting between guidelines and reality- an interview study exploring the strategies of first line managers in patient safety work. | PSNet
      psnet.ahrq.gov/issue/acting-between-guidelines-and-reality-interview-study-exploring-strategies-first-line
      May 19, 2021 - Study Acting between guidelines and reality- an interview study exploring the strategies of first line managers in patient safety work. Citation Text: Hedsköld M, Sachs MA, Rosander T, et al. Acting between guidelines and reality- an interview study exploring the strategies of first line…

8230. Sign-out snapshot: cross-sectional evaluation of written sign-outs among specialties. | PSNet
      psnet.ahrq.gov/issue/sign-out-snapshot-cross-sectional-evaluation-written-sign-outs-among-specialties
      November 20, 2013 - Study Sign-out snapshot: cross-sectional evaluation of written sign-outs among specialties. Citation Text: Schoenfeld AR, Al-Damluji MS, Horwitz LI. Sign-out snapshot: cross-sectional evaluation of written sign-outs among specialties. BMJ Qual Saf. 2014;23(1):66-72. doi:10.1136/bmjqs-20…

8231. Medication errors at hospital admission and discharge: risk factors and impact of medication reconciliation process to improve healthcare. | PSNet
      psnet.ahrq.gov/issue/medication-errors-hospital-admission-and-discharge-risk-factors-and-impact-medication
      November 10, 2021 - Study Medication errors at hospital admission and discharge: risk factors and impact of medication reconciliation process to improve healthcare. Citation Text: Breuker C, Macioce V, Mura T, et al. Medication errors at hospital admission and discharge: risk factors and impact of medicatio…

8232. Observing sources of system resilience using in situ alarm simulations. | PSNet
      psnet.ahrq.gov/issue/observing-sources-system-resilience-using-situ-alarm-simulations
      August 30, 2023 - Study Observing sources of system resilience using in situ alarm simulations. Citation Text: McLoone M, McNamara M, Jennings MA, et al. Observing sources of system resilience using in situ alarm simulations. J Hosp Med. 2023;18(11):994-998. doi:10.1002/jhm.13217. Copy Citation Form…

8233. Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism to detect pulse oximetry failures? A retrospective study of electronic health record data. | PSNet
      psnet.ahrq.gov/issue/does-nurse-use-standardized-flowsheet-document-communication-advanced-providers-provide
      June 22, 2022 - Study Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism to detect pulse oximetry failures? A retrospective study of electronic health record data. Citation Text: Gleason KT, Tran A, Fawzy A, et al. Does nurse use of a standar…

8234. Reducing three infections across cardiac surgery programs: a multisite cross-unit collaboration. | PSNet
      psnet.ahrq.gov/issue/reducing-three-infections-across-cardiac-surgery-programs-multisite-cross-unit-collaboration
      August 21, 2024 - Study Reducing three infections across cardiac surgery programs: a multisite cross-unit collaboration. Citation Text: Chang BH, Hsu Y-J, Rosen MA, et al. Reducing Three Infections Across Cardiac Surgery Programs: A Multisite Cross-Unit Collaboration. Am J Med Qual. 2020;35(1):37-45. doi:…

8235. Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept mapping study. | PSNet
      psnet.ahrq.gov/issue/are-world-health-organizations-patient-safety-learning-objectives-still-date-group-concept
      February 16, 2022 - Study Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept mapping study. Citation Text: Vogt L, Stoyanov S, Bergs J, et al. Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept mappin…

8236. A qualitative analysis of the impact of electronic health records (EHR) on healthcare quality and safety: clinicians' lived experiences. | PSNet
      psnet.ahrq.gov/issue/qualitative-analysis-impact-electronic-health-records-ehr-healthcare-quality-and-safety
      October 05, 2022 - Study A qualitative analysis of the impact of electronic health records (EHR) on healthcare quality and safety: clinicians' lived experiences. Citation Text: Upadhyay S, Hu H-fen. . A Qualitative analysis of the impact of electronic health records (EHR) on healthcare quality and safety: …

8237. Does one size fit all? Developing an evaluation strategy to assess large language models for patient safety event report analysis. | PSNet
      psnet.ahrq.gov/issue/does-one-size-fit-all-developing-evaluation-strategy-assess-large-language-models-patient
      December 07, 2022 - Study Does one size fit all? Developing an evaluation strategy to assess large language models for patient safety event report analysis. Citation Text: Fong A, Adams KT, Boxley C, et al. Does one size fit all? Developing an evaluation strategy to assess large language models for patient …

8238. Association of opioid consumption profiles after hospitalization with risk of adverse health care events. | PSNet
      psnet.ahrq.gov/issue/association-opioid-consumption-profiles-after-hospitalization-risk-adverse-health-care-events
      May 05, 2021 - Study Association of opioid consumption profiles after hospitalization with risk of adverse health care events. Citation Text: Kurteva S, Abrahamowicz M, Gomes T, et al. Association of opioid consumption profiles after hospitalization with risk of adverse health care events. JAMA Netw Op…

8239. How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioners in Norway. | PSNet
      psnet.ahrq.gov/issue/how-can-task-shifting-put-patient-safety-risk-qualitative-study-experiences-among-general
      December 14, 2022 - Study How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioners in Norway. Citation Text: Malterud K, Aamland A, Fosse A. How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioner…

8240. Peers without fears? Barriers to effective communication among primary care physicians and oncologists about diagnostic delays in cancer. | PSNet
      psnet.ahrq.gov/issue/peers-without-fears-barriers-effective-communication-among-primary-care-physicians-and
      October 27, 2021 - Study Peers without fears? Barriers to effective communication among primary care physicians and oncologists about diagnostic delays in cancer. Citation Text: Lipitz-Snyderman A, Kale M, Robbins L, et al. Peers without fears? Barriers to effective communication among primary care physici…