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  1. A systematic review of the effect of telepharmacy services in the community pharmacy setting on care quality and patient safety. | PSNet

    psnet.ahrq.gov/issue/systematic-review-effect-telepharmacy-services-community-pharmacy-setting-care-quality-and
    October 27, 2021 - Review A systematic review of the effect of telepharmacy services in the community pharmacy setting on care quality and patient safety. Citation Text: Pathak S, Blanchard CM, Moreton E, et al. A systematic review of the effect of telepharmacy services in the community pharmacy setting on…

  2. The complexities of communication at hospital discharge of older patients: a qualitative study of healthcare professionals' views. | PSNet

    psnet.ahrq.gov/issue/complexities-communication-hospital-discharge-older-patients-qualitative-study-healthcare
    December 08, 2021 - Study The complexities of communication at hospital discharge of older patients: a qualitative study of healthcare professionals' views. Citation Text: Cam H, Wennlöf B, Gillespie U, et al. The complexities of communication at hospital discharge of older patients: a qualitative study of …

  3. Application of emergency preparedness principles to a pharmacy department’s approach to a “black swan” event: the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/application-emergency-preparedness-principles-pharmacy-departments-approach-black-swan-event
    July 22, 2020 - Commentary Application of emergency preparedness principles to a pharmacy department’s approach to a “black swan” event: the COVID-19 pandemic. Citation Text: Waldron KM, Schenkat DH, Rao KV, et al. Application of emergency preparedness principles to a pharmacy department’s approach to a…

  4. In-situ simulations to detect patient safety threats during in-hospital cardiac arrest. | PSNet

    psnet.ahrq.gov/issue/situ-simulations-detect-patient-safety-threats-during-hospital-cardiac-arrest
    September 13, 2023 - Study In-situ simulations to detect patient safety threats during in-hospital cardiac arrest. Citation Text: Stærk M, Lauridsen KG, Johnsen J, et al. In-situ simulations to detect patient safety threats during in-hospital cardiac arrest. Resusc Plus. 2023;14:100410. doi:10.1016/j.resplu.…

  5. Diagnostic errors in the pediatric and neonatal ICU: a systematic review. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-pediatric-and-neonatal-icu-systematic-review
    October 29, 2012 - Review Diagnostic errors in the pediatric and neonatal ICU: a systematic review. Citation Text: Custer JW, Winters BD, Goode V, et al. Diagnostic errors in the pediatric and neonatal ICU: a systematic review. Pediatr Crit Care Med. 2015;16(1):29-36. doi:10.1097/PCC.0000000000000274. Co…

  6. Effects of nursing rounds on patients' call light use, satisfaction, and safety. | PSNet

    psnet.ahrq.gov/issue/effects-nursing-rounds-patients-call-light-use-satisfaction-and-safety
    September 01, 2021 - Study Effects of nursing rounds on patients' call light use, satisfaction, and safety. Citation Text: Meade CM, Bursell AL, Ketelsen L. Effects of nursing rounds: on patients' call light use, satisfaction, and safety. Am J Nurs. 2006;106(9):58-71. Copy Citation Format: Go…

  7. Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at three academic hospitals. | PSNet

    psnet.ahrq.gov/issue/putting-out-fires-qualitative-study-exploring-use-patient-complaints-drive-improvement-three
    October 27, 2021 - Study Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at three academic hospitals. Citation Text: Liu JJ, Rotteau L, Bell CM, et al. Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at …

  8. How does workplace violence-reporting culture affect workplace violence, nurse burnout, and patient safety? | PSNet

    psnet.ahrq.gov/issue/how-does-workplace-violence-reporting-culture-affect-workplace-violence-nurse-burnout-and
    February 08, 2023 - Study How does workplace violence-reporting culture affect workplace violence, nurse burnout, and patient safety? Citation Text: Kim S, Lynn MR, Baernholdt MB, et al. How does workplace violence-reporting culture affect Workplace violence, nurse burnout, and patient safety? J Nurs Care Q…

  9. Kick-off Visit Check List (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/skills-qi-kickoff.pdf
    June 02, 2025 - Kick-off Visit Check List KICK-OFF VISIT CHECK LIST PRACTICE ENHANCEMENT ASSISTANT ACADEMIC DETAILER Four weeks before visit Contact AD and introduce yourself Determine ABCS assignment Print Baseline Reports & send to AD Four weeks before visit   Negotiate with Nicole Travis date/time   Record ABCS …

  10. Undergraduate baccalaureate nursing students' self-reported confidence in learning about patient safety in the classroom and clinical settings: an annual cross-sectional study (2010–2013). | PSNet

    psnet.ahrq.gov/issue/undergraduate-baccalaureate-nursing-students-self-reported-confidence-learning-about-patient
    February 04, 2015 - Study Undergraduate baccalaureate nursing students' self-reported confidence in learning about patient safety in the classroom and clinical settings: an annual cross-sectional study (2010–2013). Citation Text: Lukewich J, Edge DS, Tranmer J, et al. Undergraduate baccalaureate nursing stu…

  11. Early prescribing outcomes after exporting the EQUIPPED medication safety improvement programme. | PSNet

    psnet.ahrq.gov/issue/early-prescribing-outcomes-after-exporting-equipped-medication-safety-improvement-programme
    September 09, 2020 - Study Early prescribing outcomes after exporting the EQUIPPED medication safety improvement programme. Citation Text: Vaughan CP, Hwang U, Vandenberg AE, et al. Early prescribing outcomes after exporting the EQUIPPED medication safety improvement programme. BMJ Open Qual. 2021;10(4):e001…

  12. Suffering in silence: a qualitative study of second victims of adverse events. | PSNet

    psnet.ahrq.gov/issue/suffering-silence-qualitative-study-second-victims-adverse-events
    February 03, 2021 - Study Suffering in silence: a qualitative study of second victims of adverse events. Citation Text: Ullström S, Sachs MA, Hansson J, et al. Suffering in silence: a qualitative study of second victims of adverse events. BMJ Qual Saf. 2014;23(4):325-331. doi:10.1136/bmjqs-2013-002035. Co…

  13. On higher ground: ethical reasoning and its relationship with error disclosure. | PSNet

    psnet.ahrq.gov/issue/higher-ground-ethical-reasoning-and-its-relationship-error-disclosure
    July 08, 2020 - Study On higher ground: ethical reasoning and its relationship with error disclosure. Citation Text: Cole AP, Block L, Wu AW. On higher ground: ethical reasoning and its relationship with error disclosure. BMJ Qual Saf. 2013;22(7):580-585. doi:10.1136/bmjqs-2012-001496. Copy Citation…

  14. Bridging leadership roles in quality and patient safety: experience of 6 US academic medical centers. | PSNet

    psnet.ahrq.gov/issue/bridging-leadership-roles-quality-and-patient-safety-experience-6-us-academic-medical-centers
    September 04, 2016 - Study Bridging leadership roles in quality and patient safety: experience of 6 US academic medical centers. Citation Text: Myers JS, Tess A, McKinney K, et al. Bridging Leadership Roles in Quality and Patient Safety: Experience of 6 US Academic Medical Centers. J Grad Med Educ. 2017;9(1)…

  15. Trauma Resuscitation Using in situ Simulation Team Training (TRUST) study: latent safety threat evaluation using framework analysis and video review. | PSNet

    psnet.ahrq.gov/issue/trauma-resuscitation-using-situ-simulation-team-training-trust-study-latent-safety-threat
    October 27, 2021 - Study Trauma Resuscitation Using in situ Simulation Team Training (TRUST) study: latent safety threat evaluation using framework analysis and video review. Citation Text: Petrosoniak A, Fan M, Hicks CM, et al. Trauma Resuscitation Using in situ Simulation Team Training (TRUST) study: lat…

  16. Simulation-based event analysis improves error discovery and generates improved strategies for error prevention. | PSNet

    psnet.ahrq.gov/issue/simulation-based-event-analysis-improves-error-discovery-and-generates-improved-strategies
    July 07, 2021 - Study Simulation-based event analysis improves error discovery and generates improved strategies for error prevention. Citation Text: Lobos A-T, Ward N, Farion KJ, et al. Simulation-based event analysis improves error discovery and generates improved strategies for error prevention. Simu…

  17. A review of medication errors and the second victim in pediatric pharmacy. | PSNet

    psnet.ahrq.gov/issue/review-medication-errors-and-second-victim-pediatric-pharmacy
    January 27, 2019 - Review A review of medication errors and the second victim in pediatric pharmacy. Citation Text: Bredenkamp K, Raschka MJ, Holmes A. A review of medication errors and the second victim in pediatric pharmacy. J Pediatr Pharmacol Ther. 2024;29(2):100-106. doi:10.5863/1551-6776-29.2.100. …

  18. Opioid prescribing to US children and young adults in 2019. | PSNet

    psnet.ahrq.gov/issue/opioid-prescribing-us-children-and-young-adults-2019
    September 30, 2020 - Study Opioid prescribing to US children and young adults in 2019. Citation Text: Chua K-P, Brummett CM, Conti RM, et al. Opioid prescribing to US children and young adults in 2019. Pediatrics. 2021;148(3):e2021051539. doi:10.1542/peds.2021-051539. Copy Citation Format: DOI …

  19. Habit and automaticity in medical alert override: cohort study. | PSNet

    psnet.ahrq.gov/issue/habit-and-automaticity-medical-alert-override-cohort-study
    October 05, 2022 - Study Habit and automaticity in medical alert override: cohort study. Citation Text: Wang L, Goh KH, Yeow A, et al. Habit and automaticity in medical alert override: cohort study. J Med Internet Res. 2022;24(2):e23355. doi:10.2196/23355. Copy Citation Format: DOI Google Sch…

  20. Systems-level factors affecting registered nurses during care of women in labor experiencing clinical deterioration. | PSNet

    psnet.ahrq.gov/issue/systems-level-factors-affecting-registered-nurses-during-care-women-labor-experiencing
    November 10, 2021 - Study Systems-level factors affecting registered nurses during care of women in labor experiencing clinical deterioration. Citation Text: Bernstein SL, Catchpole K, Kelechi TJ, et al. Systems-level factors affecting registered nurses during care of women in labor experiencing clinical de…
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