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AHRQ: Agency for Healthcare Research and Quality

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  1. Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety. | PSNet

    psnet.ahrq.gov/issue/opportunities-and-recommendations-state-federal-coordination-improve-health-system
    November 29, 2009 - Book/Report Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety. Citation Text: Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety.…

  2. Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile field. | PSNet

    psnet.ahrq.gov/issue/adherence-medication-safety-protocol-current-practice-labeling-medications-and-solutions
    July 19, 2023 - Study Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile field. Citation Text: Brown-Brumfield D, DeLeon A. Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile f…

  3. Understanding the root cause analysis process to increase safety event reporting. | PSNet

    psnet.ahrq.gov/issue/understanding-root-cause-analysis-process-increase-safety-event-reporting
    August 08, 2018 - Commentary Understanding the root cause analysis process to increase safety event reporting. Citation Text: Dudley KA. Understanding the root cause analysis process to increase safety event reporting. AORN J. 2023;117(6):399-402. doi:10.1002/aorn.13935. Copy Citation Format: …

  4. Two effective initiatives for C-suite leaders to improve medication safety and the reliability of outcomes. | PSNet

    psnet.ahrq.gov/issue/two-effective-initiatives-c-suite-leaders-improve-medication-safety-and-reliability-outcomes
    March 14, 2023 - Newspaper/Magazine Article Two effective initiatives for C-suite leaders to improve medication safety and the reliability of outcomes. Citation Text: Two effective initiatives for C-suite leaders to improve medication safety and the reliability of outcomes. ISMP Medication Safety Alert! …

  5. Drug shortages: national survey reveals high level of frustration, low level of safety. | PSNet

    psnet.ahrq.gov/issue/drug-shortages-national-survey-reveals-high-level-frustration-low-level-safety
    April 05, 2023 - Newspaper/Magazine Article Drug shortages: national survey reveals high level of frustration, low level of safety. Citation Text: Drug shortages: national survey reveals high level of frustration, low level of safety. ISMP Medication Safety Alert! Acute Care Edition. September 23, 2010:1…

  6. From the school of nursing quality and safety officer: nursing students' use of safety reporting tools and their perception of safety issues in clinical settings. | PSNet

    psnet.ahrq.gov/issue/school-nursing-quality-and-safety-officer-nursing-students-use-safety-reporting-tools-and
    October 19, 2022 - Study From the school of nursing quality and safety officer: nursing students' use of safety reporting tools and their perception of safety issues in clinical settings. Citation Text: Cooper E. From the school of nursing quality and safety officer: nursing students' use of safety report…

  7. Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted to a Canadian teaching hospital. | PSNet

    psnet.ahrq.gov/issue/ottawa-hospital-patient-safety-study-incidence-and-timing-adverse-events-patients-admitted
    July 13, 2010 - Study Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted to a Canadian teaching hospital. Citation Text: Forster AJ, Asmis TR, Clark HD, et al. Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted…

  8. Influencing leadership perceptions of patient safety through just culture training. | PSNet

    psnet.ahrq.gov/issue/influencing-leadership-perceptions-patient-safety-through-just-culture-training
    September 24, 2010 - Commentary Influencing leadership perceptions of patient safety through just culture training. Citation Text: Vogelsmeier A, Scott-Cawiezell J, Miller B, et al. Influencing leadership perceptions of patient safety through just culture training. J Nurs Care Qual. 2010;25(4):288-94. doi:…

  9. The (slowly) vanishing prescription pad. | PSNet

    psnet.ahrq.gov/issue/slowly-vanishing-prescription-pad
    April 08, 2019 - Commentary The (slowly) vanishing prescription pad. Citation Text: Steinbrook R. The (slowly) vanishing prescription pad. N Engl J Med. 2008;359(2):115-7. doi:10.1056/NEJMp0802864. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote…

  10. The COVID-19 pandemic and dentistry: parts 1 and 2. | PSNet

    psnet.ahrq.gov/issue/covid-19-pandemic-and-dentistry-parts-1-and-2
    December 16, 2015 - Commentary The COVID-19 pandemic and dentistry: parts 1 and 2. Citation Text: The COVID-19 pandemic and dentistry: parts 1 and 2. Coulthard P, Thomson P, Dave M, et al. Br Dent J. 2020;229:743-747; 801-805.   Copy Citation Save Save to your library …

  11. Under the Skin. The Hidden Toll of Racism on American Lives and on the Health of our Nation. | PSNet

    psnet.ahrq.gov/issue/under-skin-hidden-toll-racism-american-lives-and-health-our-nation
    January 04, 2017 - Book/Report Under the Skin. The Hidden Toll of Racism on American Lives and on the Health of our Nation. Citation Text: Under the Skin. The Hidden Toll of Racism on American Lives and on the Health of our Nation. Villarosa L. New York, NT: Doubleday: 2022. ISBN 9780385544887.  C…

  12. Work-arounds in health care settings: literature review and research agenda. | PSNet

    psnet.ahrq.gov/issue/work-arounds-health-care-settings-literature-review-and-research-agenda
    October 02, 2013 - Review Work-arounds in health care settings: literature review and research agenda. Citation Text: Halbesleben JRB, Wakefield DS, Wakefield BJ. Work-arounds in health care settings: literature review and research agenda. Health Care Manage Rev. 2008;33(1):2-12. doi:10.1097/01.hmr.0000304…

  13. Department of Defense (DoD) Patient Safety Program. | PSNet

    psnet.ahrq.gov/issue/department-defense-dod-patient-safety-program
    December 27, 2018 - July 7, 2021 Teamwork is associated with reduced hospital staff burnout at military treatment

  14. Manage staff fatigue to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/manage-staff-fatigue-improve-patient-safety
    March 01, 2007 - December 6, 2011 Cost implications of reduced work hours and workloads for resident physicians

  15. Malnourishment 'epidemic' plagues hospitals? Really? | PSNet

    psnet.ahrq.gov/issue/malnourishment-epidemic-plagues-hospitals-really
    June 04, 2014 - , 2014 Do variations in hospital mortality patterns after weekend admission reflect reduced

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42063/psn-pdf
    January 06, 2018 - These practices, if implemented, should result in reduced harm from a wide range of safety threats,

  17. Pregnancy-related deaths: saving women’s lives before, during and after delivery. | PSNet

    psnet.ahrq.gov/issue/pregnancy-related-deaths-saving-womens-lives-during-and-after-delivery
    September 07, 2016 - November 16, 2022 CDC guideline for opioid prescribing associated with reduced dispensing

  18. The Safety and Quality of Long Term Care | PSNet

    psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
    January 01, 2016 - Perhaps better communication across settings during points of transition could have reduced the resident's … Patient Safety Goals for Long Term Care include accurate resident identification, safe medication use, reduced … health care-associated infections, reconciled medications, reduced harm from falls, and reduced health

  19. Advancement toward High Reliability in Healthcare Awards. | PSNet

    psnet.ahrq.gov/issue/advancement-toward-high-reliability-healthcare-awards
    June 08, 2011 - January 21, 2009 Teamwork is associated with reduced hospital staff burnout at military

  20. Fatal drug mix-up exposes hospital flaws. | PSNet

    psnet.ahrq.gov/issue/fatal-drug-mix-exposes-hospital-flaws
    March 02, 2016 - July 10, 2018 Teamwork is associated with reduced hospital staff burnout at military
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