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  1. Beyond the prescription: medication monitoring and adverse drug events in older adults. | PSNet

    psnet.ahrq.gov/issue/beyond-prescription-medication-monitoring-and-adverse-drug-events-older-adults
    August 04, 2021 - Commentary Beyond the prescription: medication monitoring and adverse drug events in older adults. Citation Text: Steinman MA, Handler S, Gurwitz JH, et al. Beyond the prescription: medication monitoring and adverse drug events in older adults. J Am Geriatr Soc. 2011;59(8):1513-1520. d…

  2. Errors as allies: error management training in health professions education. | PSNet

    psnet.ahrq.gov/issue/errors-allies-error-management-training-health-professions-education
    January 22, 2016 - Commentary Errors as allies: error management training in health professions education. Citation Text: King A, Holder MG, Ahmed RA. Errors as allies: error management training in health professions education. BMJ Qual Saf. 2013;22(6):516-9. doi:10.1136/bmjqs-2012-000945. Copy Citatio…

  3. A quality improvement approach to standardization and sustainability of the hand-off process. | PSNet

    psnet.ahrq.gov/issue/quality-improvement-approach-standardization-and-sustainability-hand-process
    May 15, 2019 - Commentary A quality improvement approach to standardization and sustainability of the hand-off process. Citation Text: Fryman C, Hamo C, Raghavan S, et al. A Quality Improvement Approach to Standardization and Sustainability of the Hand-off Process. BMJ Qual Improv Rep. 2017;6(1). doi:1…

  4. Communicating with patients about medical errors: a review of the literature. | PSNet

    psnet.ahrq.gov/issue/communicating-patients-about-medical-errors-review-literature
    December 23, 2008 - Review Classic Communicating with patients about medical errors: a review of the literature. Citation Text: Mazor KM, Simon SR, Gurwitz JH. Communicating with patients about medical errors: a review of the literature. Arch Intern Med. 2004;164(15):1690-7. Co…

  5. Adverse event reporting: harnessing residents to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/adverse-event-reporting-harnessing-residents-improve-patient-safety
    July 02, 2019 - Study Adverse event reporting: harnessing residents to improve patient safety. Citation Text: Tevis SE, Schmocker RK, Wetterneck TB. Adverse Event Reporting. J Patient Saf. 2020;16(4):294-298. doi:10.1097/pts.0000000000000333. Copy Citation Format: DOI Google Scholar BibTeX…

  6. Person- and Family-Centered Care | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/nhqrdr/chartbooks/personcentered/pfcc.html
    June 01, 2018 - Chartbook on Person- and Family-Centered Care Person- and Family-Centered Care Previous Page Next Page Table of Contents Chartbook on Person- and Family-Centered Care Acknowledgments Person- and Family-Centered Care Summary of Trends Measures of Person- and Family- Centered Care Communicat…

  7. Patient access to electronic health records during hospitalization. | PSNet

    psnet.ahrq.gov/issue/patient-access-electronic-health-records-during-hospitalization
    October 19, 2022 - Study Patient access to electronic health records during hospitalization. Citation Text: Pell JM, Mancuso M, Limon S, et al. Patient access to electronic health records during hospitalization. JAMA Intern Med. 2015;175(5):856-858. doi:10.1001/jamainternmed.2015.121. Copy Citation F…

  8. Elopement: evidence-based mitigation and management. | PSNet

    psnet.ahrq.gov/issue/elopement-evidence-based-mitigation-and-management
    October 19, 2022 - Study Elopement: evidence-based mitigation and management. Citation Text: Marlett JE, Vacovsky BA, Krug EA, et al. Elopement: evidence‐based mitigation and management. Worldviews Evid Based Nurs. 2024;20(6):634-641. doi:10.1111/wvn.12683. Copy Citation Format: DOI Google Sc…

  9. Improving surgical complications and patient safety at the nation's largest military hospital: an analysis of National Surgical Quality Improvement Program data. | PSNet

    psnet.ahrq.gov/issue/improving-surgical-complications-and-patient-safety-nations-largest-military-hospital
    November 09, 2022 - Study Improving surgical complications and patient safety at the nation's largest military hospital: an analysis of National Surgical Quality Improvement Program data. Citation Text: Maturo S, Hughes C, Kallingal G, et al. Improving Surgical Complications and Patient Safety at the Nation…

  10. The frequency of diagnostic errors in radiologic reports depends on the patient's age. | PSNet

    psnet.ahrq.gov/issue/frequency-diagnostic-errors-radiologic-reports-depends-patients-age
    March 09, 2022 - Study The frequency of diagnostic errors in radiologic reports depends on the patient's age. Citation Text: Diaz S, Ekberg O. The frequency of diagnostic errors in radiologic reports depends on the patient's age. Acta Radiol. 2010;51(8):934-8. doi:10.3109/02841851.2010.503192. Copy C…

  11. Impact and implications of disruptive behavior in the perioperative arena. | PSNet

    psnet.ahrq.gov/issue/impact-and-implications-disruptive-behavior-perioperative-arena
    February 03, 2010 - Study Impact and implications of disruptive behavior in the perioperative arena. Citation Text: Rosenstein AH, O'Daniel M. Impact and implications of disruptive behavior in the perioperative arena. J Am Coll Surg. 2006;203(1):96-105. Copy Citation Format: Google Scholar P…

  12. The incorporation of patient safety into board certification examinations. | PSNet

    psnet.ahrq.gov/issue/incorporation-patient-safety-board-certification-examinations
    October 26, 2010 - Commentary The incorporation of patient safety into board certification examinations. Citation Text: Kachalia A, Johnson J, Miller ST, et al. The incorporation of patient safety into board certification examinations. Acad Med. 2006;81(4):317-25. Copy Citation Format: Goog…

  13. Patient safety and dentistry: what do we need to know? Fundamentals of patient safety, the safety culture and implementation of patient safety measures in dental practice. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-dentistry-what-do-we-need-know-fundamentals-patient-safety-safety-culture
    April 01, 2020 - Review Patient safety and dentistry: what do we need to know? Fundamentals of patient safety, the safety culture and implementation of patient safety measures in dental practice. Citation Text: Yamalik N, Pérez BP. Patient safety and dentistry: what do we need to know? Fundamentals of …

  14. Successful remediation of patient safety incidents: a tale of two medication errors. | PSNet

    psnet.ahrq.gov/issue/successful-remediation-patient-safety-incidents-tale-two-medication-errors
    January 26, 2022 - Commentary Successful remediation of patient safety incidents: a tale of two medication errors. Citation Text: Helmchen LA, Richards MR, McDonald TB. Successful remediation of patient safety incidents: a tale of two medication errors. Health Care Manage Rev. 2011;36(2):114-123. doi:10.10…

  15. Culture-Check-Uptool (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/Culture-Check-UpTool.docx
    June 02, 2025 - Culture Check-Up Tool Problem statement: Improving safety culture in a patient care area takes time. What is culture? Attitudes reflect the norms, values, and beliefs in the unit and, in turn, create the culture. No matter what instrument you use to assess patient safety culture, your results provide a snapshot of th…

  16. Culture Check-Up Tool | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/toolkit/culture-checkup.html
    December 01, 2012 - Culture Check-Up Tool CUSP Toolkit Health care provider roles Problem statement: Improving safety culture in a patient care area takes time. What is culture? Attitudes reflect the norms, values, and beliefs in the unit and, in turn, create the culture. No matter what instrument you use to assess patient…

  17. The effect of evidence in crisis learning: based on a perspective integration framework. | PSNet

    psnet.ahrq.gov/issue/effect-evidence-crisis-learning-based-perspective-integration-framework
    March 24, 2019 - Commentary The effect of evidence in crisis learning: based on a perspective integration framework. Citation Text: Wang B, Li D, Wang Y. The effect of evidence in crisis learning: based on a perspective integration framework. J Contingencies Crisis Manag. 2024;32(1):e12506. doi:10.1111/1…

  18. A multicomponent fall prevention strategy reduces falls at an academic medical center. | PSNet

    psnet.ahrq.gov/issue/multicomponent-fall-prevention-strategy-reduces-falls-academic-medical-center
    June 27, 2018 - Study A multicomponent fall prevention strategy reduces falls at an academic medical center. Citation Text: France D, Slayton J, Moore S, et al. A Multicomponent Fall Prevention Strategy Reduces Falls at an Academic Medical Center. The Joint Commission Journal on Quality and Patient Safe…

  19. S-TEAMS: a truly multiprofessional course focusing on nontechnical skills to improve patient safety in the operating theater. | PSNet

    psnet.ahrq.gov/issue/s-teams-truly-multiprofessional-course-focusing-nontechnical-skills-improve-patient-safety
    November 30, 2022 - Commentary S-TEAMS: a truly multiprofessional course focusing on nontechnical skills to improve patient safety in the operating theater. Citation Text: Stewart-Parker E, Galloway R, Vig S. S-TEAMS: A Truly Multiprofessional Course Focusing on Nontechnical Skills to Improve Patient Safety…

  20. A case of adverse drug reaction induced by dispensing error. | PSNet

    psnet.ahrq.gov/issue/case-adverse-drug-reaction-induced-dispensing-error
    August 17, 2022 - Commentary A case of adverse drug reaction induced by dispensing error. Citation Text: Gallelli L, Staltari O, Palleria C, et al. A case of adverse drug reaction induced by dispensing error. J Forensic Leg Med. 2012;19(8):497-8. doi:10.1016/j.jflm.2012.04.026. Copy Citation Format…
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