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  1. psnet.ahrq.gov/issue/physician-attitudes-toward-family-activated-medical-emergency-teams-hospitalized-children
    April 06, 2012 - Study Physician attitudes toward family-activated medical emergency teams for hospitalized children. Citation Text: Paciotti B, Roberts KE, Tibbetts KM, et al. Physician attitudes toward family-activated medical emergency teams for hospitalized children. Jt Comm J Qual Patient Saf. 2014;…
  2. psnet.ahrq.gov/issue/it-not-fault-health-care-team-it-way-system-works-mixed-methods-quality-improvement-study
    March 24, 2019 - Study "It is not the fault of the health care team - it is the way the system works": a mixed-methods quality improvement study of patients with advanced cancer and family members reveals challenges navigating a fragmented healthcare system and the administrative and financial burdens of care. …
  3. psnet.ahrq.gov/issue/missed-nursing-care-surgical-care-hazard-patient-safety-quantitative-study-within-incharge
    July 12, 2023 - Study Missed nursing care in surgical care- a hazard to patient safety: a quantitative study within the inCHARGE programme. Citation Text: Edfeldt K, Nyholm L, Jangland E, et al. Missed nursing care in surgical care– a hazard to patient safety: a quantitative study within the inCHARGE pr…
  4. psnet.ahrq.gov/issue/using-four-phased-unit-based-patient-safety-walkrounds-uncover-correctable-system-flaws
    October 05, 2022 - Study Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. Citation Text: Taylor AM, Chuo J, Figueroa-Altmann A, et al. Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. Jt Comm J Qual Patient Saf. 2013;39…
  5. psnet.ahrq.gov/issue/effects-reducing-or-eliminating-resident-work-shifts-over-16-hours-systematic-review
    November 12, 2014 - Review Effects of reducing or eliminating resident work shifts over 16 hours: a systematic review. Citation Text: Levine AC, Adusumilli J, Landrigan CP. Effects of reducing or eliminating resident work shifts over 16 hours: a systematic review. Sleep. 2010;33(8):1043-53. doi:10.1093/sl…
  6. psnet.ahrq.gov/issue/individual-surgeon-mortality-rates-can-outliers-be-detected-national-utility-analysis
    October 27, 2021 - Study Individual surgeon mortality rates: can outliers be detected? A national utility analysis. Citation Text: Harrison EM, Drake TM, O'Neill S, et al. Individual surgeon mortality rates: can outliers be detected? A national utility analysis. BMJ Open. 2016;6(10):e012471. doi:10.1136/bm…
  7. psnet.ahrq.gov/issue/do-ahrq-patient-safety-indicators-flag-conditions-are-present-time-hospital-admission
    September 12, 2016 - Study Classic Do the AHRQ Patient Safety Indicators flag conditions that are present at the time of hospital admission? Citation Text: Bahl V, Thompson MA, Kau T-Y, et al. Do the AHRQ patient safety indicators flag conditions that are present at the time of ho…
  8. psnet.ahrq.gov/issue/effect-systematic-physician-cross-checking-reducing-adverse-events-emergency-department
    November 29, 2023 - Study Emerging Classic Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial. Citation Text: Freund Y, Goulet H, Leblanc J, et al. Effect of Systematic Physician Cross-checking …
  9. psnet.ahrq.gov/issue/thematic-analysis-nurses-experiences-joint-commissions-medication-management-titration
    November 03, 2021 - Study Thematic analysis of nurses' experiences with The Joint Commission's medication management titration standards. Citation Text: Davidson JE, Chechel L, Chavez J, et al. Thematic analysis of nurses' experiences with The Joint Commission's medication management titration standards. Am…
  10. www.ahrq.gov/policymakers/chipra/demoeval/demostates/sc.html
    March 01, 2019 - State at a Glance: South Carolina Learn more about the CHIPRA quality demonstration projects being implemented in South Carolina. South Carolina is featured in the following reports from the National Evaluation: Evaluation Highlight No. 2: How are States and evaluators measuring medical homeness in the C…
  11. psnet.ahrq.gov/issue/identifying-and-quantifying-medication-errors-evaluation-rapidly-discontinued-medication
    February 03, 2011 - Study Identifying and quantifying medication errors: evaluation of rapidly discontinued medication orders submitted to a computerized physician order entry system. Citation Text: Koppel R, Leonard CE, Localio R, et al. Identifying and quantifying medication errors: evaluation of rapidl…
  12. psnet.ahrq.gov/issue/improving-discharge-process-embedding-discharge-facilitator-resident-team
    January 23, 2019 - Study Improving the discharge process by embedding a discharge facilitator in a resident team. Citation Text: Finn KM, Heffner R, Chang Y, et al. Improving the discharge process by embedding a discharge facilitator in a resident team. J Hosp Med. 2011;6(9):494-500. doi:10.1002/jhm.924.…
  13. psnet.ahrq.gov/issue/physician-order-entry-or-nurse-order-entry-comparison-two-implementation-strategies
    February 23, 2009 - Study Physician order entry or nurse order entry? Comparison of two implementation strategies for a computerized order entry system aimed at reducing dosing medication errors. Citation Text: Kazemi A, Fors UGH, Tofighi S, et al. Physician order entry or nurse order entry? Comparison of…
  14. psnet.ahrq.gov/issue/reducing-serious-safety-events-and-priority-hospital-acquired-conditions-pediatric-hospital
    July 19, 2023 - Study Reducing serious safety events and priority hospital-acquired conditions in a pediatric hospital with the implementation of a patient safety program. Citation Text: Phipps AR, Paradis M, Peterson KA, et al. Reducing Serious Safety Events and Priority Hospital-Acquired Conditions in…
  15. psnet.ahrq.gov/issue/housestaff-and-medical-student-attitudes-toward-medical-errors-and-adverse-events
    March 06, 2013 - Study Housestaff and medical student attitudes toward medical errors and adverse events. Citation Text: Vohra PD, Johnson J, Daugherty CK, et al. Housestaff and medical student attitudes toward medical errors and adverse events. Jt Comm J Qual Patient Saf. 2007;33(8):493-501. Copy Cita…
  16. psnet.ahrq.gov/issue/coping-and-recovery-surgical-residents-after-adverse-events-second-victim-phenomenon
    July 11, 2012 - Study Coping and recovery in surgical residents after adverse events: the second victim phenomenon. Citation Text: Khansa I, Pearson GD. Coping and recovery in surgical residents after adverse events: the second victim phenomenon. Plast Reconstr Surg Glob Open. 2022;10(3):e4203. doi:10.1…
  17. psnet.ahrq.gov/issue/effects-leadership-curricula-and-without-implicit-bias-training-graduate-medical-education
    January 31, 2024 - Study The effects of leadership curricula with and without implicit bias training on graduate medical education: a multicenter randomized trial. Citation Text: Hansen M, Harrod T, Bahr N, et al. The effects of leadership curricula with and without implicit bias training on graduate medic…
  18. psnet.ahrq.gov/issue/evaluation-evidence-based-nurse-driven-checklist-prevent-hospital-acquired-catheter
    June 03, 2013 - Study Evaluation of an evidence-based, nurse-driven checklist to prevent hospital-acquired catheter-associated urinary tract infections in intensive care units. Citation Text: Fuchs MA, Sexton DJ, Thornlow D, et al. Evaluation of an evidence-based, nurse-driven checklist to prevent hos…
  19. digital.ahrq.gov/care-setting/hospital
    January 01, 2023 - Hospital Bedside Notes: A Multicenter Trial to Improve Family Clinical Note Access and Outcomes for Hospitalized Children Description This research will evaluate the effectiveness of Bedside Notes, a digital health solution designed to provide caregivers with real-time access …
  20. psnet.ahrq.gov/issue/prevalence-and-nature-medication-errors-and-medication-related-harm-following-discharge
    August 11, 2021 - Review Classic Prevalence and nature of medication errors and medication-related harm following discharge from hospital to community settings: a systematic review. Citation Text: Alqenae FA, Steinke DT, Keers RN. Prevalence and nature of medication errors and me…