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  1. psnet.ahrq.gov/issue/quality-measures-clinical-pharmacy-services-during-transitions-care
    December 05, 2012 - Commentary Quality measures of clinical pharmacy services during transitions of care. Citation Text: King PK, Burkhardt CDO, Rafferty A, et al. Quality measures of clinical pharmacy services during transitions of care. J Am Coll Clin Pharm. 2021;4(7):883-907. doi:10.1002/jac5.1479. Cop…
  2. www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/carecoordination.html
    June 01, 2018 - Chartbook on Care Coordination Care Coordination Previous Page Next Page Table of Contents Chartbook on Care Coordination Acknowledgments Care Coordination Trends in Care Coordination Measures Transitions of Care Preventable Emergency Department Visits Potentially Avoidable Hospitalizati…
  3. psnet.ahrq.gov/issue/its-difference-between-life-and-death-views-professional-medical-interpreters-their-role
    August 10, 2010 - Study "It's the difference between life and death": the views of professional medical interpreters on their role in the delivery of safe care to patients with limited English proficiency. Citation Text: Wu MS, Rawal S. "It's the difference between life and death": The views of profession…
  4. www.ahrq.gov/news/newsroom/case-studies/cquips0901.html
    October 01, 2014 - New York City Uses AHRQ Patient Safety Culture Survey to Reduce Patient Harm Search All Impact Case Studies November 2008 The New York City Health and Hospitals Corporation (HHC) has integrated the use of AHRQ's Hospital Survey on Patient Safety Culture as a core component of its corporate-wide patient sa…
  5. psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-elderly-patients-2-outpatient-settings
    November 18, 2009 - Study Potentially inappropriate prescribing for elderly patients in 2 outpatient settings. Citation Text: Maio V, Hartmann CW, Poston S, et al. Potentially inappropriate prescribing for elderly patients in 2 outpatient settings. Am J Med Qual. 2006;21(3):162-8. Copy Citation Form…
  6. psnet.ahrq.gov/issue/hospital-readmissions-physician-awareness-and-communication-practices
    December 19, 2009 - Study Classic Hospital readmissions: physician awareness and communication practices. Citation Text: Roy CL, Kachalia A, Woolf S, et al. Hospital readmissions: physician awareness and communication practices. J Gen Intern Med. 2009;24(3):374-80. doi:10.1007/s1…
  7. psnet.ahrq.gov/issue/triangulating-case-finding-tools-patient-safety-surveillance-cross-sectional-case-study
    February 08, 2012 - Study Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture/laceration. Citation Text: Taylor JA, Gerwin D, Morlock L, et al. Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture/…
  8. psnet.ahrq.gov/issue/traditions-research-interruptions-healthcare-conceptual-review
    April 19, 2017 - Review Traditions of research into interruptions in healthcare: a conceptual review. Citation Text: McCurdie T, Sanderson P, Aitken LM. Traditions of research into interruptions in healthcare: A conceptual review. Int J Nurs Stud. 2017;66:23-36. doi:10.1016/j.ijnurstu.2016.11.005. Copy…
  9. psnet.ahrq.gov/issue/application-human-factors-classification-framework-patient-safety-identify-precursor-and
    October 21, 2015 - Study Application of a human factors classification framework for patient safety to identify precursor and contributing factors to adverse clinical incidents in hospital. Citation Text: Mitchell RJ, Williamson A, Molesworth B. Application of a human factors classification framework for p…
  10. psnet.ahrq.gov/issue/role-registered-nurses-error-prevention-discovery-and-correction
    August 04, 2021 - Study Role of registered nurses in error prevention, discovery and correction. Citation Text: Rogers AE, Dean GE, Hwang W-T, et al. Role of registered nurses in error prevention, discovery and correction. Qual Saf Health Care. 2008;17(2):117-21. doi:10.1136/qshc.2007.022699. Copy Cit…
  11. psnet.ahrq.gov/issue/posthospital-medication-discrepancies-prevalence-and-contributing-factors
    July 10, 2008 - Study Classic Posthospital medication discrepancies: prevalence and contributing factors. Citation Text: Coleman EA, Smith JD, Raha D, et al. Posthospital medication discrepancies: prevalence and contributing factors. Arch Intern Med. 2005;165(16):1842-1847. …
  12. psnet.ahrq.gov/issue/evaluation-design-and-structure-electronic-medication-labels-improve-patient-health-knowledge
    October 16, 2024 - Review Evaluation of the design and structure of electronic medication labels to improve patient health knowledge and safety: a systematic review. Citation Text: Saif S, Bui TTT, Srivastava G, et al. Evaluation of the design and structure of electronic medication labels to improve patien…
  13. psnet.ahrq.gov/issue/comprehensive-obstetrics-patient-safety-program-improves-safety-climate-and-culture
    October 20, 2014 - Study A comprehensive obstetrics patient safety program improves safety climate and culture. Citation Text: Pettker CM, Thung SF, Raab CA, et al. A comprehensive obstetrics patient safety program improves safety climate and culture. Am J Obstet Gynecol. 2011;204(3):216.e1-6. doi:10.1016/…
  14. psnet.ahrq.gov/issue/safe-implementation-standard-concentration-infusions-paediatric-intensive-care
    June 17, 2014 - Study Safe implementation of standard concentration infusions in paediatric intensive care. Citation Text: Arenas-López S, Stanley IM, Tunstell P, et al. Safe implementation of standard concentration infusions in paediatric intensive care. Journal of Pharmacy and Pharmacology. 2016;69(5)…
  15. psnet.ahrq.gov/issue/tool-concise-analysis-patient-safety-incidents
    August 09, 2018 - Study A tool for the concise analysis of patient safety incidents. Citation Text: Pham JC, Hoffman C, Popescu I, et al. A Tool for the Concise Analysis of Patient Safety Incidents. Jt Comm J Qual Patient Saf. 2016;42(1):26-33. Copy Citation Format: Google Scholar PubMed Bib…
  16. psnet.ahrq.gov/issue/identifying-resilience-system-safety-review-trauma-and-orthopaedic-theatres
    October 19, 2011 - Commentary Identifying resilience: a system safety review of trauma and orthopaedic theatres. Citation Text: Wills VE. Identifying resilience: a system safety review of trauma and orthopaedic theatres. Ergonomics. 2024;Epub Aug 9. doi:10.1080/00140139.2024.2343930. Copy Citation Fo…
  17. psnet.ahrq.gov/issue/prevalence-wrong-level-surgery-among-spine-surgeons
    March 09, 2022 - Study The prevalence of wrong level surgery among spine surgeons. Citation Text: Mody MG, Nourbakhsh A, Stahl DL, et al. The prevalence of wrong level surgery among spine surgeons. Spine (Phila Pa 1976). 2008;33(2):194-198. doi:10.1097/BRS.0b013e31816043d1. Copy Citation Format: …
  18. psnet.ahrq.gov/issue/promoting-effective-transitions-care-hospital-discharge-review-key-issues-hospitalists
    November 16, 2022 - Review Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists. Citation Text: Kripalani S, Jackson AT, Schnipper JL, et al. Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists. J Hosp Med. …
  19. psnet.ahrq.gov/issue/making-healthcare-safer-iii
    March 27, 2019 - Book/Report Making Healthcare Safer III. Citation Text: Making Healthcare Safer III. Holmes A, Long A, Wyant B, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2020. AHRQ Publication No. 20-0029-EF. Copy Citation Save Save to your library…
  20. psnet.ahrq.gov/issue/alliance-innovation-maternal-health-consensus-bundle-sepsis-obstetric-care
    August 21, 2024 - Organizational Policy/Guidelines Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care. Citation Text: Bauer ME, Albright C, Prabhu M, et al. Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care. Obstet Gynecol. 2023;…