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  1. The Quality and Safety Educators Academy: fulfilling an unmet need for faculty development. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-educators-academy-fulfilling-unmet-need-faculty-development
    January 15, 2020 - Commentary The Quality and Safety Educators Academy: fulfilling an unmet need for faculty development. Citation Text: Myers JS, Tess A, Glasheen JJ, et al. The Quality and Safety Educators Academy: fulfilling an unmet need for faculty development. Am J Med Qual. 2014;29(1):5-12. doi:10…

  2. Reframing and addressing horizontal violence as a workplace quality improvement concern. | PSNet

    psnet.ahrq.gov/issue/reframing-and-addressing-horizontal-violence-workplace-quality-improvement-concern
    March 15, 2017 - Commentary Reframing and addressing horizontal violence as a workplace quality improvement concern. Citation Text: Taylor RA, Taylor SS. Reframing and addressing horizontal violence as a workplace quality improvement concern. Nurs Forum. 2018;53(4):459-465. doi:10.1111/nuf.12273. Copy …

  3. Barriers to reporting medication errors: a measurement equivalence perspective. | PSNet

    psnet.ahrq.gov/issue/barriers-reporting-medication-errors-measurement-equivalence-perspective
    March 28, 2012 - Study Barriers to reporting medication errors: a measurement equivalence perspective. Citation Text: Etchegaray J, Throckmorton T. Barriers to reporting medication errors: a measurement equivalence perspective. Qual Saf Health Care. 2010;19(6):e14. doi:10.1136/qshc.2008.031534. Copy …

  4. Interventions to improve oral chemotherapy safety and quality: a systematic review. | PSNet

    psnet.ahrq.gov/issue/interventions-improve-oral-chemotherapy-safety-and-quality-systematic-review
    December 13, 2023 - Review Interventions to improve oral chemotherapy safety and quality: a systematic review. Citation Text: Zerillo JA, Goldenberg BA, Kotecha RR, et al. Interventions to Improve Oral Chemotherapy Safety and Quality. JAMA Oncol. 2017;4(1):105-117. doi:10.1001/jamaoncol.2017.0625. Copy Ci…

  5. Implementing bedside handoff in the emergency department: a practice improvement project. | PSNet

    psnet.ahrq.gov/issue/implementing-bedside-handoff-emergency-department-practice-improvement-project
    November 14, 2018 - Commentary Implementing bedside handoff in the emergency department: a practice improvement project. Citation Text: Campbell D, Dontje K. Implementing Bedside Handoff in the Emergency Department: A Practice Improvement Project. J Emerg Nurs. 2019;45(2):149-154. doi:10.1016/j.jen.2018.09.…

  6. Using an advanced practice nursing model for a rapid response team. | PSNet

    psnet.ahrq.gov/issue/using-advanced-practice-nursing-model-rapid-response-team
    August 18, 2021 - Commentary Using an advanced practice nursing model for a rapid response team. Citation Text: Benson L, Mitchell C, Link M, et al. Using an advanced practice nursing model for a rapid response team. Jt Comm J Qual Patient Saf. 2008;34(12):743-7. Copy Citation Format: Google…

  7. How well do health professionals interpret diagnostic information? A systematic review. | PSNet

    psnet.ahrq.gov/issue/how-well-do-health-professionals-interpret-diagnostic-information-systematic-review
    August 03, 2022 - Review How well do health professionals interpret diagnostic information? A systematic review. Citation Text: Whiting PF, Davenport C, Jameson C, et al. How well do health professionals interpret diagnostic information? A systematic review. BMJ Open. 2015;5(7):e008155. doi:10.1136/bmjope…

  8. CPOE: strategies for success. | PSNet

    psnet.ahrq.gov/issue/cpoe-strategies-success
    October 09, 2019 - Commentary CPOE: strategies for success. Citation Text: Manor PJ. CPOE: Strategies for success. Nurs Manage. 2010;41(5):18-20. doi:10.1097/01.NUMA.0000372028.99240.7f. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMed…

  9. Building bridges: future directions for medical error disclosure research. | PSNet

    psnet.ahrq.gov/issue/building-bridges-future-directions-medical-error-disclosure-research
    October 10, 2018 - Study Building bridges: future directions for medical error disclosure research. Citation Text: Hannawa AF, Beckman H, Mazor KM, et al. Building bridges: future directions for medical error disclosure research. Patient Educ Couns. 2013;92(3):319-327. doi:10.1016/j.pec.2013.05.017. Copy…

  10. Post-discharge medication reviews for patients with heart failure: a pilot study. | PSNet

    psnet.ahrq.gov/issue/post-discharge-medication-reviews-patients-heart-failure-pilot-study
    May 21, 2009 - Study Post-discharge medication reviews for patients with heart failure: a pilot study. Citation Text: Ponniah A, Shakib S, Doecke CJ, et al. Post-discharge medication reviews for patients with heart failure: a pilot study. Pharm World Sci. 2008;30(6):810-5. doi:10.1007/s11096-008-92…

  11. John M. Eisenberg Patient Safety Awards. System innovation: Veterans Health Administration National Center for Patient Safety. | PSNet

    psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-system-innovation-veterans-health-administration
    September 03, 2015 - Commentary John M. Eisenberg Patient Safety Awards. System innovation: Veterans Health Administration National Center for Patient Safety. Citation Text: Heget JR, Bagian JP, Lee CZ, et al. John M. Eisenberg Patient Safety Awards. System innovation: Veterans Health Administration National…

  12. A practical approach to measure the quality of handwritten medication orders: a tool for improvement. | PSNet

    psnet.ahrq.gov/issue/practical-approach-measure-quality-handwritten-medication-orders-tool-improvement
    September 24, 2010 - Study A practical approach to measure the quality of handwritten medication orders: a tool for improvement. Citation Text: Garbutt J, Milligan P, McNaughton C, et al. A Practical Approach to Measure the Quality of Handwritten Medication Orders. J Patient Saf. 2008;1(4). doi:10.1097/01.…

  13. Relationship between systems-level factors and hand hygiene adherence. | PSNet

    psnet.ahrq.gov/issue/relationship-between-systems-level-factors-and-hand-hygiene-adherence
    September 28, 2011 - Study Relationship between systems-level factors and hand hygiene adherence. Citation Text: Dunn-Navarra A-M, Cohen B, Stone PW, et al. Relationship between systems-level factors and hand hygiene adherence. J Nurs Care Qual. 2011;26(1):30-38. doi:10.1097/NCQ.0b013e3181e15c71. Copy Ci…

  14. Just culture: it's more than policy. | PSNet

    psnet.ahrq.gov/issue/just-culture-its-more-policy
    July 05, 2017 - Study Just culture: it's more than policy. Citation Text: Paradiso L, Sweeney N. Just culture: It's more than policy. Nurs Manage. 2019;50(6):38-45. doi:10.1097/01.NUMA.0000558482.07815.ae. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML …

  15. AHRQ's Hospital Survey on Patient Safety Culture: psychometric analyses. | PSNet

    psnet.ahrq.gov/issue/ahrqs-hospital-survey-patient-safety-culture-psychometric-analyses
    February 18, 2011 - Study AHRQ's Hospital Survey on Patient Safety Culture: psychometric analyses. Citation Text: Blegen MA, Gearhart S, O'Brien R, et al. AHRQ's hospital survey on patient safety culture: psychometric analyses. J Patient Saf. 2009;5(3):139-44. doi:10.1097/PTS.0b013e3181b53f6e. Copy Cita…

  16. Leading clinical handover improvement: a change strategy to implement best practices in the acute care setting. | PSNet

    psnet.ahrq.gov/issue/leading-clinical-handover-improvement-change-strategy-implement-best-practices-acute-care
    May 18, 2022 - Commentary Leading clinical handover improvement: a change strategy to implement best practices in the acute care setting. Citation Text: Clarke CM, Persaud DD. Leading Clinical Handover Improvement. J Patient Saf. 2011;7(1):11-18. doi:10.1097/pts.0b013e31820c98a8. Copy Citation …

  17. A system analysis of a suboptimal surgical experience. | PSNet

    psnet.ahrq.gov/issue/system-analysis-suboptimal-surgical-experience
    March 23, 2011 - Study A system analysis of a suboptimal surgical experience. Citation Text: Lee R, Cooke DL, Richards MR. A system analysis of a suboptimal surgical experience. Patient Saf Surg. 2009;3(1):1. doi:10.1186/1754-9493-3-1. Copy Citation Format: DOI Google Scholar PubMed BibTe…

  18. Analyzing communication errors in an air medical transport service. | PSNet

    psnet.ahrq.gov/issue/analyzing-communication-errors-air-medical-transport-service
    August 04, 2021 - Study Analyzing communication errors in an air medical transport service. Citation Text: Dalto JD, Weir C, Thomas F. Analyzing communication errors in an air medical transport service. Air Med J. 2013;32(3):129-37. doi:10.1016/j.amj.2012.10.019. Copy Citation Format: DOI G…

  19. The dangers of ignoring the Beers criteria—the prescribing cascade. | PSNet

    psnet.ahrq.gov/issue/dangers-ignoring-beers-criteria-prescribing-cascade
    October 10, 2018 - Commentary The dangers of ignoring the Beers criteria—the prescribing cascade. Citation Text: DeRhodes KH. The Dangers of Ignoring the Beers Criteria-The Prescribing Cascade. JAMA Intern Med. 2019;179(7):863-864. doi:10.1001/jamainternmed.2019.1288. Copy Citation Format: DO…

  20. Reducing inappropriate polypharmacy: the process of deprescribing. | PSNet

    psnet.ahrq.gov/issue/reducing-inappropriate-polypharmacy-process-deprescribing
    September 23, 2020 - Commentary Reducing inappropriate polypharmacy: the process of deprescribing. Citation Text: Scott IA, Hilmer SN, Reeve E, et al. Reducing inappropriate polypharmacy: the process of deprescribing. JAMA Intern Med. 2015;175(5):827-34. doi:10.1001/jamainternmed.2015.0324. Copy Citation …
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