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A mixed methods study examining teamwork shared mental models of interprofessional teams during hospital discharge. | PSNet

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January 08, 2020 - Study A mixed methods study examining teamwork shared mental models of interprofessional teams during hospital discharge. Citation Text: Manges K, Groves PS, Farag A, et al. A mixed methods study examining teamwork shared mental models of interprofessional teams during hospital discharge…

Clinical and economic impact of medication reconciliation in cancer patients: a systematic review. | PSNet

psnet.ahrq.gov/issue/clinical-and-economic-impact-medication-reconciliation-cancer-patients-systematic-review

January 27, 2019 - Review Clinical and economic impact of medication reconciliation in cancer patients: a systematic review. Citation Text: Herledan C, Baudouin A, Larbre V, et al. Clinical and economic impact of medication reconciliation in cancer patients: a systematic review. Support Care Cancer. 2020;2…

Reducing hospital harm: establishing a command centre to foster situational awareness. | PSNet

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June 29, 2022 - EMERGING INNOVATIONS Reducing hospital harm: establishing a command centre to foster situational awareness. Citation Text: Collins B. Reducing hospital harm: establishing a command centre to foster situational awareness. Healthc Q. 2022;25(2):75-81. doi:10.12927/hcq.2022.26885. Copy Citation …

Transfusion-related errors and associated adverse reactions and blood product wastage as reported to the National Healthcare Safety Network Hemovigilance Module, 2014-2022. | PSNet

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September 23, 2020 - Study Transfusion-related errors and associated adverse reactions and blood product wastage as reported to the National Healthcare Safety Network Hemovigilance Module, 2014-2022. Citation Text: Chavez Ortiz JL, Griffin I, Kazakova SV, et al. Transfusion‐related errors and associated adve…

A Loss of Trust and a Missed Diagnosis | PSNet

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October 31, 2023 - SPOTLIGHT CASE A Loss of Trust and a Missed Diagnosis Citation Text: Landefeld J, Teasdale S, Jain S. A Loss of Trust and a Missed Diagnosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format:…

Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. | PSNet

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February 15, 2017 - Book/Report Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. Citation Text: Levinson DR. Adverse Events In Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. Washington, DC: US Department of Health and Human Services, Of…

Evaluating the prevalence of four recommended practices for suicide prevention following hospital discharge. | PSNet

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June 07, 2023 - Study Evaluating the prevalence of four recommended practices for suicide prevention following hospital discharge. Citation Text: Chitavi SO, Patrianakos J, Williams SC, et al. Evaluating the prevalence of four recommended practices for suicide prevention following hospital discharge. Jt…

Patient safety of perioperative medication through the lens of digital health and artificial intelligence. | PSNet

psnet.ahrq.gov/issue/patient-safety-perioperative-medication-through-lens-digital-health-and-artificial

September 02, 2020 - Association of implementation and social network factors with patient safety culture in medical … homes: a coincidence analysis.

Older adult misuse of over-the-counter medications: effectiveness of a novel pharmacy-based intervention to improve patient safety. | PSNet

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March 23, 2022 - Study Older adult misuse of over-the-counter medications: effectiveness of a novel pharmacy-based intervention to improve patient safety. Citation Text: Gilson AM, Chladek JS, Stone JA, et al. Older adult misuse of over-the-counter medications: effectiveness of a novel pharmacy-based int…

Workplace Safety Supplemental Item Set for Hospital SOPS. | PSNet

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December 24, 2008 - Measurement Tool/Indicator Workplace Safety Supplemental Item Set for Hospital SOPS. Citation Text: Workplace Safety Supplemental Item Set for Hospital SOPS. Rockville, MD: Agency for Healthcare Research and Quality; 2021. Copy Citation Save Save to your library…

Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. | PSNet

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August 25, 2021 - 2020 Implementation of patient safety structures and processes in the patient-centered medical … home.

AHRQ Quality Indicators. | PSNet

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December 24, 2008 - Measurement Tool/Indicator AHRQ Quality Indicators. Citation Text: AHRQ Quality Indicators. Agency for Healthcare Research and Quality Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …

The impact of the built environment on patient falls in hospital rooms: an integrative review. | PSNet

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July 27, 2022 - Review The impact of the built environment on patient falls in hospital rooms: an integrative review. Citation Text: Pati D, Valipoor S, Lorusso L, et al. The impact of the built environment on patient falls in hospital rooms: an integrative review. J Patient Saf. 2021;17(4):273-281. doi…

Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems. | PSNet

psnet.ahrq.gov/issue/reduction-chemotherapy-order-errors-computerised-physician-order-entry-and-clinical-decision

October 22, 2014 - Study Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems. Citation Text: Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems. HIM J. 2015;44. Copy Citation…

Awareness of racial and ethnic bias and potential solutions to address bias with use of health care algorithms. | PSNet

psnet.ahrq.gov/issue/awareness-racial-and-ethnic-bias-and-potential-solutions-address-bias-use-health-care

November 16, 2022 - Study Awareness of racial and ethnic bias and potential solutions to address bias with use of health care algorithms. Citation Text: Jain A, Brooks JR, Alford CC, et al. Awareness of racial and ethnic bias and potential solutions to address bias with use of health care algorithms. JAMA H…

Engagement of leadership in quality improvement initiatives: executive quality improvement survey results. | PSNet

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October 04, 2006 - Study Engagement of leadership in quality improvement initiatives: executive quality improvement survey results. Citation Text: Engagement of leadership in quality improvement initiatives: executive quality improvement survey results. Vaughn T, Koepke M, Kroch E, et al. J Patient Saf…

I-PASS mentored implementation handoff curriculum: champion training materials. | PSNet

psnet.ahrq.gov/issue/i-pass-mentored-implementation-handoff-curriculum-champion-training-materials

November 16, 2022 - Commentary I-PASS mentored implementation handoff curriculum: champion training materials. Citation Text: O'Toole JK, Starmer AJ, Calaman S, et al. I-PASS Mentored Implementation Handoff Curriculum: Champion Training Materials. MedEdPORTAL. 2019;15:10794. doi:10.15766/mep_2374-8265.10794…

Missed Appendicitis | PSNet

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March 13, 2013 - SPOTLIGHT CASE Missed Appendicitis Citation Text: Adams JG. Missed Appendicitis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML E…

The Hidden Danger of Unseen Intravenous Catheters | PSNet

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October 04, 2023 - The Hidden Danger of Unseen Intravenous Catheters Citation Text: Vadi MG, Malkin MR. The Hidden Danger of Unseen Intravenous Catheters. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation Format: Google S…

Disaster ergonomics: human factors in COVID-19 pandemic emergency management. | PSNet

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September 30, 2020 - Commentary Disaster ergonomics: human factors in COVID-19 pandemic emergency management. Citation Text: Sasangohar F, Moats J, Mehta R, et al. Disaster ergonomics: human factors in COVID-19 pandemic emergency management. Hum Factors. 2020;62(7):1061-1068. doi:10.1177/0018720820939428. …

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