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  1. Nursing home patient safety culture perceptions among US and immigrant nurses. | PSNet

    psnet.ahrq.gov/issue/nursing-home-patient-safety-culture-perceptions-among-us-and-immigrant-nurses
    January 14, 2011 - Study Nursing home patient safety culture perceptions among US and immigrant nurses. Citation Text: Wagner LM, Brush BL, Castle NG, et al. Nursing Home Patient Safety Culture Perceptions Among US and Immigrant Nurses. J Patient Saf. 2020;16(3):238-244. doi:10.1097/pts.0000000000000271. …

  2. A randomized trial of nighttime physician staffing in an intensive care unit. | PSNet

    psnet.ahrq.gov/issue/randomized-trial-nighttime-physician-staffing-intensive-care-unit
    September 23, 2020 - Study A randomized trial of nighttime physician staffing in an intensive care unit. Citation Text: Kerlin MP, Small DS, Cooney E, et al. A randomized trial of nighttime physician staffing in an intensive care unit. N Engl J Med. 2013;368(23):2201-9. doi:10.1056/NEJMoa1302854. Copy Ci…

  3. To forgive, divine. | PSNet

    psnet.ahrq.gov/issue/forgive-divine
    November 11, 2020 - Commentary To forgive, divine. Citation Text: Johnson V. To forgive, divine. N Engl J Med. 2024;391(1):6-7. doi:10.1056/nejmp2402006. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  4. Association between implementing comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety culture. | PSNet

    psnet.ahrq.gov/issue/association-between-implementing-comprehensive-learning-collaborative-strategies-statewide
    September 02, 2020 - Study Association between implementing comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety culture. Citation Text: Yuce TK, Yang AD, Johnson JK, et al. Association between implementing comprehensive learning collaborative strategies…

  5. Implementation of a telepharmacy service to provide round-the-clock medication order review by pharmacists. | PSNet

    psnet.ahrq.gov/issue/implementation-telepharmacy-service-provide-round-clock-medication-order-review-pharmacists
    September 22, 2010 - Commentary Implementation of a telepharmacy service to provide round-the-clock medication order review by pharmacists. Citation Text: Wakefield DS, Ward MM, Loes JL, et al. Implementation of a telepharmacy service to provide round-the-clock medication order review by pharmacists. Ameri…

  6. Application of an engineering problem-solving methodology to address persistent problems in patient safety: a case study on retained surgical sponges after surgery. | PSNet

    psnet.ahrq.gov/issue/application-engineering-problem-solving-methodology-address-persistent-problems-patient
    March 18, 2020 - Study Application of an engineering problem-solving methodology to address persistent problems in patient safety: a case study on retained surgical sponges after surgery. Citation Text: Anderson DE, Watts B. Application of an engineering problem-solving methodology to address persistent…

  7. The association between night or weekend admission and hospitalization-relevant patient outcomes. | PSNet

    psnet.ahrq.gov/issue/association-between-night-or-weekend-admission-and-hospitalization-relevant-patient-outcomes
    November 26, 2014 - Study The association between night or weekend admission and hospitalization-relevant patient outcomes. Citation Text: Khanna R, Wachsberg K, Marouni A, et al. The association between night or weekend admission and hospitalization-relevant patient outcomes. J Hosp Med. 2011;6(1):10-4.…

  8. Project BOOST implementation: lessons learned. | PSNet

    psnet.ahrq.gov/issue/project-boost-implementation-lessons-learned
    August 21, 2013 - Study Project BOOST implementation: lessons learned. Citation Text: Williams M, Li J, Hansen LO, et al. Project BOOST implementation: lessons learned. South Med J. 2014;107(7):455-65. doi:10.14423/SMJ.0000000000000140. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  9. Evidence-based guidelines for fatigue risk management in EMS: formulating research questions and selecting outcomes. | PSNet

    psnet.ahrq.gov/issue/evidence-based-guidelines-fatigue-risk-management-ems-formulating-research-questions-and
    March 14, 2018 - Study Evidence-based guidelines for fatigue risk management in EMS: formulating research questions and selecting outcomes. Citation Text: Patterson D, Higgins S, Lang ES, et al. Evidence-Based Guidelines for Fatigue Risk Management in EMS: Formulating Research Questions and Selecting Out…

  10. Teamwork, communication and safety climate: a systematic review of interventions to improve surgical culture. | PSNet

    psnet.ahrq.gov/issue/teamwork-communication-and-safety-climate-systematic-review-interventions-improve-surgical
    May 26, 2016 - Review Teamwork, communication and safety climate: a systematic review of interventions to improve surgical culture. Citation Text: Sacks GD, Shannon EM, Dawes AJ, et al. Teamwork, communication and safety climate: a systematic review of interventions to improve surgical culture. BMJ Qua…

  11. Timely follow-up of abnormal outpatient test results: perceived barriers and impact on patient safety. | PSNet

    psnet.ahrq.gov/issue/timely-follow-abnormal-outpatient-test-results-perceived-barriers-and-impact-patient-safety
    August 02, 2010 - Study Timely follow-up of abnormal outpatient test results: perceived barriers and impact on patient safety. Citation Text: Moore C, Saigh O, Trikha A, et al. Timely Follow-Up of Abnormal Outpatient Test Results. J Patient Saf. 2008;4(4):241-244. doi:10.1097/pts.0b013e31818d1ca4. Cop…

  12. 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…

  13. Changes in prognosis after the first postoperative complication. | PSNet

    psnet.ahrq.gov/issue/changes-prognosis-after-first-postoperative-complication
    June 29, 2022 - Study Changes in prognosis after the first postoperative complication. Citation Text: Silber JH, Rosenbaum PR, Trudeau ME, et al. Changes in prognosis after the first postoperative complication. Med Care. 2005;43(2):122-31. Copy Citation Format: Google Scholar PubMed BibT…

  14. Introducing the safety score audit for staff member and patient safety. | PSNet

    psnet.ahrq.gov/issue/introducing-safety-score-audit-staff-member-and-patient-safety
    April 16, 2014 - Commentary Introducing the safety score audit for staff member and patient safety. Citation Text: Sinnott M, Eley R, Winch S. Introducing the safety score audit for staff member and patient safety. AORN J. 2014;100(1):91-5. doi:10.1016/j.aorn.2014.05.006. Copy Citation Format: …

  15. Examining the nature of interprofessional interventions designed to promote patient safety: a narrative review. | PSNet

    psnet.ahrq.gov/issue/examining-nature-interprofessional-interventions-designed-promote-patient-safety-narrative
    August 17, 2018 - Review Examining the nature of interprofessional interventions designed to promote patient safety: a narrative review. Citation Text: Reeves ST, Clark E, Lawton S, et al. Examining the nature of interprofessional interventions designed to promote patient safety: a narrative review. Inter…

  16. Healthcare resilience: a meta-narrative systematic review and synthesis of reviews. | PSNet

    psnet.ahrq.gov/issue/healthcare-resilience-meta-narrative-systematic-review-and-synthesis-reviews
    June 10, 2020 - Review Healthcare resilience: a meta-narrative systematic review and synthesis of reviews. Citation Text: Tan MZY, Prager G, McClelland A, et al. Healthcare resilience: a meta-narrative systematic review and synthesis of reviews. BMJ Open. 2023;13(9):e072136. doi:10.1136/bmjopen-2023-072…

  17. Hospital progress in reducing error: the impact of external interventions. | PSNet

    psnet.ahrq.gov/issue/hospital-progress-reducing-error-impact-external-interventions
    December 04, 2016 - Study Hospital progress in reducing error: the impact of external interventions. Citation Text: Hosford SB. Hospital progress in reducing error: the impact of external interventions. Hosp Top. 2008;86(1):9-19. doi:10.3200/HTPS.86.1.9-20. Copy Citation Format: DOI Google S…

  18. ASHP–PPAG Guidelines for Providing Pediatric Pharmacy Services in Hospitals and Health Systems. | PSNet

    psnet.ahrq.gov/issue/ashp-ppag-guidelines-providing-pediatric-pharmacy-services-hospitals-and-health-systems
    April 24, 2018 - Commentary ASHP–PPAG Guidelines for Providing Pediatric Pharmacy Services in Hospitals and Health Systems. Citation Text: Eiland LS, Benner K, Gumpper KF, et al. ASHP-PPAG Guidelines for Providing Pediatric Pharmacy Services in Hospitals and Health Systems. J Pediatr Pharmacol Ther. 2018…

  19. Comparative safety of endovascular aortic aneurysm repair over open repair using Patient Safety Indicators during adoption. | PSNet

    psnet.ahrq.gov/issue/comparative-safety-endovascular-aortic-aneurysm-repair-over-open-repair-using-patient-safety
    November 16, 2022 - Study Comparative safety of endovascular aortic aneurysm repair over open repair using Patient Safety Indicators during adoption. Citation Text: Rose J, Evans C, Barleben A, et al. Comparative safety of endovascular aortic aneurysm repair over open repair using patient safety indicators …

  20. Section 6-A, CPQSC Participating Hospitals (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-section-6-a-cpqsc-hospitals.pdf
    June 02, 2025 - Section 6-A, CPQSC Participating Hospitals …
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