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  1. The PROMISES Project. | PSNet

    psnet.ahrq.gov/issue/promises-project
    January 30, 2019 - Multi-use Website The PROMISES Project. Citation Text: The PROMISES Project. Brigham and Women's Hospital; Institute for Healthcare Improvement; Massachusetts Coalition for the Prevention of Medical Errors; Coverys; CRICO; Harvard School of Public Health; Harvard Medical School; Health…

  2. Health Information Technology Center for Education and Research on Therapeutics - 2011 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/health-information-technology-center-education-and-research-therapeutics/annual-summary/2011
    January 01, 2011 - Health Information Technology Center for Education and Research on Therapeutics - 2011 Project Name Health Information Technology Center for Education and Research on Therapeutics Principal Investigator Bates, David Organization Brigham and Women's Hospital Funding Me…

  3. Interventions for reducing wrong-site surgery and invasive procedures. | PSNet

    psnet.ahrq.gov/issue/interventions-reducing-wrong-site-surgery-and-invasive-procedures
    September 07, 2011 - Review Interventions for reducing wrong-site surgery and invasive procedures. Citation Text: Algie CM, Mahar RK, Wasiak J, et al. Interventions for reducing wrong-site surgery and invasive clinical procedures. Cochrane Database Syst Rev. 2015;3)(3):CD009404. doi:10.1002/14651858.CD009404…

  4. Evidence of respiratory infection transmission within physician offices could inform outpatient infection control. | PSNet

    psnet.ahrq.gov/issue/evidence-respiratory-infection-transmission-within-physician-offices-could-inform-outpatient
    June 30, 2021 - Study Evidence of respiratory infection transmission within physician offices could inform outpatient infection control. Citation Text: Neprash HT, Sheridan B, Jena AB, et al. Evidence of respiratory infection transmission within physician offices could inform outpatient infection contro…

  5. Remote patient monitoring during COVID-19: an unexpected patient safety benefit. | PSNet

    psnet.ahrq.gov/issue/remote-patient-monitoring-during-covid-19-unexpected-patient-safety-benefit
    July 20, 2022 - Commentary Remote patient monitoring during COVID-19: an unexpected patient safety benefit. Citation Text: Pronovost PJ, Cole MD, Hughes RM. Remote patient monitoring during COVID-19: an unexpected patient safety benefit. JAMA. 2022;327(12):1125-1126. doi:10.1001/jama.2022.2040. Copy C…

  6. From reporting to improving: how root cause analysis in teams shape patient safety culture. | PSNet

    psnet.ahrq.gov/issue/reporting-improving-how-root-cause-analysis-teams-shape-patient-safety-culture
    July 31, 2024 - Study From reporting to improving: how root cause analysis in teams shape patient safety culture. Citation Text: Tsamasiotis C, Fiard G, Bouzat P, et al. From reporting to improving: how root cause analysis in teams shape patient safety culture. Risk Manag Healthc Policy. 2024;17:1847-18…

  7. The delivery of safe and effective test result communication, management and follow-up. | PSNet

    psnet.ahrq.gov/issue/delivery-safe-and-effective-test-result-communication-management-and-follow
    August 19, 2020 - Study The delivery of safe and effective test result communication, management and follow-up. Citation Text: Georgiou A, Li J, Thomas J, et al. The delivery of safe and effective test result communication, management and follow-up. Public Health Res Pract. 2023;33(3):e3332324. doi:10.170…

  8. Quality of care transition, patient safety incidents, and patients' health status: a structural equation model on the complexity of the discharge process. | PSNet

    psnet.ahrq.gov/issue/quality-care-transition-patient-safety-incidents-and-patients-health-status-structural
    October 02, 2024 - Study Quality of care transition, patient safety incidents, and patients' health status: a structural equation model on the complexity of the discharge process. Citation Text: Marsall M, Hornung T, Bäuerle A, et al. Quality of care transition, patient safety incidents, and patients’ heal…

  9. Fall prevention with the Smart Socks System reduces hospital fall rates. | PSNet

    psnet.ahrq.gov/issue/fall-prevention-smart-socks-system-reduces-hospital-fall-rates
    September 09, 2020 - Study Fall prevention with the Smart Socks System reduces hospital fall rates. Citation Text: Moore T, Kline D, Palettas M, et al. Fall prevention with the Smart Socks System reduces hospital fall rates. J Nurs Care Qual. 2023;38(1):55-60. doi:10.1097/ncq.0000000000000653. Copy Citatio…

  10. The value from investments in health information technology at the U.S. Department of Veterans Affairs. | PSNet

    psnet.ahrq.gov/issue/value-investments-health-information-technology-us-department-veterans-affairs
    February 10, 2015 - Study The value from investments in health information technology at the U.S. Department of Veterans Affairs. Citation Text: Byrne CM, Mercincavage LM, Pan EC, et al. The value from investments in health information technology at the U.S. Department of Veterans Affairs. Health Aff (Millw…

  11. Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature and enablers of incident reports. | PSNet

    psnet.ahrq.gov/issue/medication-dose-calculation-errors-and-other-numeracy-mishaps-hospitals-analysis-nature-and
    May 11, 2022 - Study Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature and enablers of incident reports. Citation Text: Mulac A, Hagesaether E, Granas AG. Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature …

  12. Five-year audit of adherence to an anaesthesia pre-induction checklist. | PSNet

    psnet.ahrq.gov/issue/five-year-audit-adherence-anaesthesia-pre-induction-checklist
    May 19, 2021 - Study Five-year audit of adherence to an anaesthesia pre-induction checklist. Citation Text: Fuchs A, Frick S, Huber M, et al. Five‐year audit of adherence to an anaesthesia pre‐induction checklist. Anaesthesia. 2022;77(7):751-762. doi:10.1111/anae.15704. Copy Citation Format: …

  13. Patient safety in chiropractic teaching programs: a mixed methods study. | PSNet

    psnet.ahrq.gov/issue/patient-safety-chiropractic-teaching-programs-mixed-methods-study
    November 04, 2020 - Study Patient safety in chiropractic teaching programs: a mixed methods study. Citation Text: Pohlman KA, Salsbury SA, Funabashi M, et al. Patient safety in chiropractic teaching programs: a mixed methods study. Chiropr Man Therap. 2020;28(1):50. doi:10.1186/s12998-020-00339-0. Copy Ci…

  14. The accuracy of preliminary diagnoses made by paramedics - a cross-sectional comparative study. | PSNet

    psnet.ahrq.gov/issue/accuracy-preliminary-diagnoses-made-paramedics-cross-sectional-comparative-study
    September 16, 2020 - Study The accuracy of preliminary diagnoses made by paramedics - a cross-sectional comparative study. Citation Text: Koivulahti O, Tommila M, Haavisto E. The accuracy of preliminary diagnoses made by paramedics – a cross-sectional comparative study. Scand J Trauma Resusc Emerg Med. 2020;…

  15. How to make medication error reporting systems work—factors associated with their successful development and implementation. | PSNet

    psnet.ahrq.gov/issue/how-make-medication-error-reporting-systems-work-factors-associated-their-successful
    December 05, 2012 - Study How to make medication error reporting systems work—factors associated with their successful development and implementation. Citation Text: Holmström A-R, Laaksonen R, Airaksinen M. How to make medication error reporting systems work--Factors associated with their successful develo…

  16. Systems engineering analysis of diagnostic referral closed-loop processes. | PSNet

    psnet.ahrq.gov/issue/systems-engineering-analysis-diagnostic-referral-closed-loop-processes
    December 07, 2022 - Study Systems engineering analysis of diagnostic referral closed-loop processes. Citation Text: Nehls N, Yap TS, Salant T, et al. Systems engineering analysis of diagnostic referral closed-loop processes. BMJ Open Qual. 2021;10(4):e001603. doi:10.1136/bmjoq-2021-001603. Copy Citation …

  17. Standardizing medication reconciliation in a pediatric emergency department. | PSNet

    psnet.ahrq.gov/issue/standardizing-medication-reconciliation-pediatric-emergency-department
    March 10, 2019 - Study Standardizing medication reconciliation in a pediatric emergency department. Citation Text: Sheth S, Bialostozky M, Hollenbach K, et al. Standardizing medication reconciliation in a pediatric emergency department. Pediatrics. 2024;153(2):e2023061964. doi:10.1542/peds.2023-061964. …

  18. Safety on the ground: using critical incident technique to explore the factors influencing medical registrars' provision of safe care. | PSNet

    psnet.ahrq.gov/issue/safety-ground-using-critical-incident-technique-explore-factors-influencing-medical
    April 19, 2023 - Study Safety on the ground: using critical incident technique to explore the factors influencing medical registrars' provision of safe care. Citation Text: Ralston K, Smith SE, Kerins J, et al. Safety on the ground: using critical incident technique to explore the factors influencing med…

  19. Failure mode and effects analysis to reduce risk of heparin use. | PSNet

    psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-reduce-risk-heparin-use
    July 19, 2023 - Study Failure mode and effects analysis to reduce risk of heparin use. Citation Text: Pino FA, Weidemann DK, Schroeder LL, et al. Failure mode and effects analysis to reduce risk of heparin use. Am J Health Syst Pharm. 2019;76(23):1972-1979. doi:10.1093/ajhp/zxz229. Copy Citation F…

  20. Patient Safety Leadership WalkRounds™ at Partners HealthCare: learning from implementation. | PSNet

    psnet.ahrq.gov/issue/patient-safety-leadership-walkroundstm-partners-healthcare-learning-implementation
    January 04, 2017 - Study Patient Safety Leadership WalkRounds™ at Partners HealthCare: learning from implementation. Citation Text: Frankel A, Grillo SP, Baker EG, et al. Patient Safety Leadership WalkRounds at Partners Healthcare: learning from implementation. Jt Comm J Qual Patient Saf. 2005;31(8):423-37…
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