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  1. 5-Red-Light-Green-Light (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/5-red-light-green-light.docx
    June 01, 2023 - AHRQ Safety Program for Improving Surgical Care and Recovery Red Light, Green Light: An Overview of Common Implementation Barriers and Facilitators Purpose of this tool: To help team leaders identify barriers to and facilitators of implementing Improving Surgical Care and Recovery (ISCR), an enhanced recovery program…

  2. The spectrum of harm associated with modern medicine. | PSNet

    psnet.ahrq.gov/issue/spectrum-harm-associated-modern-medicine
    July 26, 2023 - Commentary The spectrum of harm associated with modern medicine. Citation Text: Schattner A. The spectrum of harm associated with modern medicine. J Gen Intern Med. 2022;37(3):664-667. doi:10.1007/s11606-021-06997-x. Copy Citation Format: DOI Google Scholar BibTeX EndNote X…

  3. Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas VA. | PSNet

    psnet.ahrq.gov/issue/pathology-oversight-failures-veterans-health-care-system-ozarks-fayetteville-arkansas-va
    July 14, 2021 - Book/Report Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas VA. Citation Text: Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas VA. Office of Inspector General. June 2, 202…

  4. Developing an appreciation of patient safety: analysis of interprofessional student experiences with health mentors. | PSNet

    psnet.ahrq.gov/issue/developing-appreciation-patient-safety-analysis-interprofessional-student-experiences-health
    July 24, 2024 - Study Developing an appreciation of patient safety: analysis of interprofessional student experiences with health mentors. Citation Text: Langlois S. Developing an appreciation of patient safety: analysis of interprofessional student experiences with health mentors. Perspect Med Educ. 20…

  5. Key potentially inappropriate drugs in pediatrics: the KIDs list. | PSNet

    psnet.ahrq.gov/issue/key-potentially-inappropriate-drugs-pediatrics-kids-list
    September 23, 2020 - Study Emerging Classic Key potentially inappropriate drugs in pediatrics: the KIDs list. Citation Text: Meyers RS, Thackray J, Matson KL, et al. Key potentially inappropriate drugs in pediatrics: the KIDs list. J Pediatr Pharmacol Ther. 2020;25(3). doi:10.5863/1…

  6. Medical improv: a novel approach to teaching communication and professionalism skills. | PSNet

    psnet.ahrq.gov/issue/medical-improv-novel-approach-teaching-communication-and-professionalism-skills
    November 25, 2020 - Commentary Medical improv: a novel approach to teaching communication and professionalism skills. Citation Text: Watson K, Fu B. Medical Improv: A Novel Approach to Teaching Communication and Professionalism Skills. Ann Intern Med. 2016;165(8):591-592. doi:10.7326/M15-2239. Copy Citati…

  7. An integrative review of patient safety in studies on the care and safety of patients with communication disabilities in hospital. | PSNet

    psnet.ahrq.gov/issue/integrative-review-patient-safety-studies-care-and-safety-patients-communication-disabilities
    April 10, 2019 - Review An integrative review of patient safety in studies on the care and safety of patients with communication disabilities in hospital. Citation Text: Hemsley B, Georgiou A, Hill S, et al. An integrative review of patient safety in studies on the care and safety of patients with commun…

  8. Effect of a systems intervention on the quality and safety of patient handoffs in an internal medicine residency program. | PSNet

    psnet.ahrq.gov/issue/effect-systems-intervention-quality-and-safety-patient-handoffs-internal-medicine-residency
    May 08, 2017 - Study Effect of a systems intervention on the quality and safety of patient handoffs in an internal medicine residency program. Citation Text: Graham KL, Marcantonio ER, Huang GC, et al. Effect of a systems intervention on the quality and safety of patient handoffs in an internal medicin…

  9. Psychometric properties of the AHRQ Community Pharmacy Survey on Patient Safety Culture: a factor analysis. | PSNet

    psnet.ahrq.gov/issue/psychometric-properties-ahrq-community-pharmacy-survey-patient-safety-culture-factor-analysis
    February 07, 2018 - Study Psychometric properties of the AHRQ Community Pharmacy Survey on Patient Safety Culture: a factor analysis. Citation Text: Aboneh EA, Look KA, Stone JA, et al. Psychometric properties of the AHRQ Community Pharmacy Survey on Patient Safety Culture: a factor analysis. BMJ Qual Saf. …

  10. A theoretical framework and competency-based approach to improving handoffs. | PSNet

    psnet.ahrq.gov/issue/theoretical-framework-and-competency-based-approach-improving-handoffs
    March 28, 2011 - Commentary A theoretical framework and competency-based approach to improving handoffs. Citation Text: Arora VM, Johnson JK, Meltzer DO, et al. A theoretical framework and competency-based approach to improving handoffs. Qual Saf Health Care. 2008;17(1):11-4. doi:10.1136/qshc.2006.0189…

  11. Antiretroviral medication prescribing errors are common with hospitalization of HIV-infected patients. | PSNet

    psnet.ahrq.gov/issue/antiretroviral-medication-prescribing-errors-are-common-hospitalization-hiv-infected-patients
    September 08, 2016 - Study Antiretroviral medication prescribing errors are common with hospitalization of HIV-infected patients. Citation Text: Commers T, Swindells S, Sayles H, et al. Antiretroviral medication prescribing errors are common with hospitalization of HIV-infected patients. J Antimicrob Chemo…

  12. Making Patients Part of Conversations About Their Care: Integrating Patient-Generated Health Data into Electronic Health Records | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/blog/ahrqviews/making-patients-part-of-conversations.html
    February 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders Making Patients Part of Conversations About Their Care: Integrating Patient-Generated Health Data into Electronic Health Records FEB 15 2022 By Chun-Ju (Janey) Hsiao, Ph.D., and Chris Dymek, Ed.D. Janey Hsiao, Ph.D. The 63-yea…

  13. Impact of resident workload and handoff training on patient outcomes. | PSNet

    psnet.ahrq.gov/issue/impact-resident-workload-and-handoff-training-patient-outcomes
    April 12, 2023 - Study Impact of resident workload and handoff training on patient outcomes. Citation Text: Mueller SK, Call S, McDonald FS, et al. Impact of resident workload and handoff training on patient outcomes. Am J Med. 2012;125(1):104-10. doi:10.1016/j.amjmed.2011.09.005. Copy Citation F…

  14. An overview of the use and implementation of checklists in surgical specialities - a systematic review. | PSNet

    psnet.ahrq.gov/issue/overview-use-and-implementation-checklists-surgical-specialities-systematic-review
    July 31, 2013 - Review An overview of the use and implementation of checklists in surgical specialities - a systematic review. Citation Text: Patel J, Ahmed K, Guru KA, et al. An overview of the use and implementation of checklists in surgical specialities - a systematic review. Int J Surg. 2014;12(12):…

  15. Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions. | PSNet

    psnet.ahrq.gov/issue/utilizing-information-technology-mitigate-handoff-risks-caused-resident-work-hour
    March 17, 2010 - Commentary Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions. Citation Text: Bernstein J, MacCourt DC, Jacob DM, et al. Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions. Clin …

  16. Correlation between hospital rating agencies' data: an analysis and recommendation. | PSNet

    psnet.ahrq.gov/issue/correlation-between-hospital-rating-agencies-data-analysis-and-recommendation
    April 05, 2023 - Study Correlation between hospital rating agencies' data: an analysis and recommendation. Citation Text: Sondheim SE, Mattie A, Vigil J, et al. Correlation between hospital rating agencies’ data: An analysis and recommendation. J Healthc Risk Manag. 2020;40(3):18-24. doi:10.1002/jhrm.214…

  17. HHS seeks input on Medical Office Survey on Patient Safety Culture Database information collection. | PSNet

    psnet.ahrq.gov/issue/hhs-seeks-input-medical-office-survey-patient-safety-culture-database-information-collection
    March 13, 2024 - Press Release/Announcement HHS seeks input on Medical Office Survey on Patient Safety Culture Database information collection. Citation Text: HHS seeks input on Medical Office Survey on Patient Safety Culture Database information collection. Agency for Healthcare Quality and Research. Fe…

  18. Using simulation-based training to improve patient safety: what does it take? | PSNet

    psnet.ahrq.gov/issue/using-simulation-based-training-improve-patient-safety-what-does-it-take
    August 30, 2006 - Commentary Using simulation-based training to improve patient safety: what does it take? Citation Text: Salas E, Wilson K, Burke S, et al. Using simulation-based training to improve patient safety: what does it take? Jt Comm J Qual Patient Saf. 2005;31(7):363-71. Copy Citation Form…

  19. Catastrophic drug errors involving tranexamic acid administered during spinal anaesthesia. | PSNet

    psnet.ahrq.gov/issue/catastrophic-drug-errors-involving-tranexamic-acid-administered-during-spinal-anaesthesia
    September 23, 2020 - Review Emerging Classic Catastrophic drug errors involving tranexamic acid administered during spinal anaesthesia. Citation Text: Patel S, Robertson B, McConachie I. Catastrophic drug errors involving tranexamic acid administered during spinal anaesthesia. Anaes…

  20. Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a chemotherapy model. | PSNet

    psnet.ahrq.gov/issue/checking-it-twice-evaluation-checklists-detecting-medication-errors-bedside-using
    September 26, 2016 - Study Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a chemotherapy model. Citation Text: White RE, Trbovich PL, Easty AC, et al. Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a c…
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