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  1. Medicines related problems (MRPs) originating in primary care settings in older adults - a systematic review. | PSNet

    psnet.ahrq.gov/issue/medicines-related-problems-mrps-originating-primary-care-settings-older-adults-systematic
    March 04, 2015 - Review Medicines related problems (MRPs) originating in primary care settings in older adults - a systematic review. Citation Text: Ude-Okeleke RC, Aslanpour Z, Dhillon S, et al. Medicines related problems (MRPs) originating in primary care settings in older adults - a systematic review.…

  2. Root cause analysis for hospital-acquired pressure injury. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury
    July 07, 2021 - Review Root cause analysis for hospital-acquired pressure injury. Citation Text: Black JM. Root cause analysis for hospital-acquired pressure injury. J Wound Ostomy Continence Nurs. 2019;46(4):298-304. doi:10.1097/WON.0000000000000546. Copy Citation Format: DOI Google Schol…

  3. Flying lessons for clinicians: developing system 2 practice. | PSNet

    psnet.ahrq.gov/issue/flying-lessons-clinicians-developing-system-2-practice
    April 24, 2018 - Commentary Flying lessons for clinicians: developing system 2 practice. Citation Text: Gregoire JN, Alfes CM, Reimer AP, et al. Flying Lessons for Clinicians: Developing System 2 Practice. Air Med J. 2017;36(3):135-137. doi:10.1016/j.amj.2017.02.003. Copy Citation Format: D…

  4. How well is quality improvement described in the perioperative care literature? A systematic review. | PSNet

    psnet.ahrq.gov/issue/how-well-quality-improvement-described-perioperative-care-literature-systematic-review
    January 19, 2022 - Review How well is quality improvement described in the perioperative care literature? A systematic review. Citation Text: Jones EL, Lees N, Martin G, et al. How Well Is Quality Improvement Described in the Perioperative Care Literature? A Systematic Review. Jt Comm J Qual Patient Saf. 2…

  5. Determining current insulin pen use practices and errors in the inpatient setting. | PSNet

    psnet.ahrq.gov/issue/determining-current-insulin-pen-use-practices-and-errors-inpatient-setting
    June 29, 2016 - Study Determining current insulin pen use practices and errors in the inpatient setting. Citation Text: Brown KE, Hertig JB. Determining Current Insulin Pen Use Practices and Errors in the Inpatient Setting. Jt Comm J Qual Patient Saf. 2016;42(12):568-AP7. doi:10.1016/S1553-7250(16)30109…

  6. Increasing patient safety with neonates via handoff communication during delivery: a call for interprofessional health care team training across GME and CME. | PSNet

    psnet.ahrq.gov/issue/increasing-patient-safety-neonates-handoff-communication-during-delivery-call
    March 19, 2019 - Commentary Increasing patient safety with neonates via handoff communication during delivery: a call for interprofessional health care team training across GME and CME. Citation Text: Vanderbilt AA, Pappada SM, Stein H, et al. Increasing patient safety with neonates via handoff communica…

  7. Integrating teamwork, clinician occupational well-being and patient safety—development of a conceptual framework based on a systematic review. | PSNet

    psnet.ahrq.gov/issue/integrating-teamwork-clinician-occupational-well-being-and-patient-safety-development
    February 14, 2017 - Review Integrating teamwork, clinician occupational well-being and patient safety—development of a conceptual framework based on a systematic review. Citation Text: Welp A, Manser T. Integrating teamwork, clinician occupational well-being and patient safety - development of a conceptual …

  8. Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas. | PSNet

    psnet.ahrq.gov/issue/statewide-perinatal-quality-improvement-teamwork-and-communication-activities-oklahoma-and
    October 19, 2022 - Study Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas. Citation Text: Stierman EK, O'Brien BT, Stagg J, et al. Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas. Qual Manag Health Ca…

  9. Allocation of Scarce Resources During MCEs | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/evidence-based-reports/er207-abstract.html
    October 01, 2014 - Allocation of Scarce Resources During MCEs Full Title: Allocation of Scarce Resources During Mass Casualty Events Topic page summarizing evidence report on allocation of scarce resources during mass casualty events (MCEs). June 2012 This report reviews the evidence regarding allocation of scarce medical r…

  10. Simulation-based education enhances patient safety behaviors during central venous catheter placement. | PSNet

    psnet.ahrq.gov/issue/simulation-based-education-enhances-patient-safety-behaviors-during-central-venous-catheter
    May 04, 2022 - Study Simulation-based education enhances patient safety behaviors during central venous catheter placement. Citation Text: Jagneaux T, Caffery TS, Musso MW, et al. Simulation-based education enhances patient safety behaviors during central venous catheter placement. J Patient Saf. 2021;…

  11. Patient falls in the operating room setting: an analysis of reported safety events. | PSNet

    psnet.ahrq.gov/issue/patient-falls-operating-room-setting-analysis-reported-safety-events
    November 17, 2021 - Study Patient falls in the operating room setting: an analysis of reported safety events. Citation Text: Tan J, Krishnan S, Vacanti JC, et al. Patient falls in the operating room setting: an analysis of reported safety events. J Healthc Risk Manag. 2022;42(1):9-14. doi:10.1002/jhrm.21503…

  12. Am I my brother's keeper? A survey of 10 healthcare professions in the Netherlands about experiences with impaired and incompetent colleagues. | PSNet

    psnet.ahrq.gov/issue/am-i-my-brothers-keeper-survey-10-healthcare-professions-netherlands-about-experiences
    June 25, 2014 - Study Am I my brother's keeper? A survey of 10 healthcare professions in the Netherlands about experiences with impaired and incompetent colleagues. Citation Text: Weenink JW, Westert GP, Schoonhoven L, et al. Am I my brother's keeper? A survey of 10 healthcare professions in the Netherl…

  13. Handoffs, safety culture, and practices: evidence from the hospital survey on patient safety culture. | PSNet

    psnet.ahrq.gov/issue/handoffs-safety-culture-and-practices-evidence-hospital-survey-patient-safety-culture
    June 21, 2015 - Study Handoffs, safety culture, and practices: evidence from the hospital survey on patient safety culture. Citation Text: Lee S-H, Phan PH, Dorman T, et al. Handoffs, safety culture, and practices: evidence from the hospital survey on patient safety culture. BMC Health Serv Res. 2016;16…

  14. Who pays for medical errors? An analysis of adverse event costs, the medical liability system, and incentives for patient safety improvement. | PSNet

    psnet.ahrq.gov/issue/who-pays-medical-errors-analysis-adverse-event-costs-medical-liability-system-and-incentives
    April 13, 2011 - Study Classic Who pays for medical errors? An analysis of adverse event costs, the medical liability system, and incentives for patient safety improvement. Citation Text: Mello MM, Studdert DM, Thomas EJ, et al. Who Pays for Medical Errors? An Analysis of Advers…

  15. Cause and effect analysis of closed claims in obstetrics and gynecology. | PSNet

    psnet.ahrq.gov/issue/cause-and-effect-analysis-closed-claims-obstetrics-and-gynecology
    April 05, 2017 - Study Cause and effect analysis of closed claims in obstetrics and gynecology. Citation Text: White AA, Pichert JW, Bledsoe SH, et al. Cause and effect analysis of closed claims in obstetrics and gynecology. Obstet Gynecol. 2005;105(5 Pt 1):1031-1038. Copy Citation Format: …

  16. The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units. | PSNet

    psnet.ahrq.gov/issue/effect-executive-walk-rounds-nurse-safety-climate-attitudes-randomized-trial-clinical-units
    June 16, 2011 - Study Classic The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units. Citation Text: Thomas EJ, Sexton B, Neilands TB, et al. The effect of executive walk rounds on nurse safety climate attitudes: a randomiz…

  17. The medical liability climate and prospects for reform. | PSNet

    psnet.ahrq.gov/issue/medical-liability-climate-and-prospects-reform
    September 29, 2017 - Commentary The medical liability climate and prospects for reform. Citation Text: Mello MM, Studdert DM, Kachalia A. The medical liability climate and prospects for reform. JAMA. 2014;312(20):2146-55. doi:10.1001/jama.2014.10705. Copy Citation Format: DOI Google Scholar Pub…

  18. High-fidelity simulation’s impact on clinical reasoning and patient safety: a scoping review. | PSNet

    psnet.ahrq.gov/issue/high-fidelity-simulations-impact-clinical-reasoning-and-patient-safety-scoping-review
    January 26, 2022 - Review High-fidelity simulation’s impact on clinical reasoning and patient safety: a scoping review. Citation Text: El Hussein MT, Hirst SP. High-fidelity simulation’s impact on clinical reasoning and patient safety: a scoping review. J Nurs Reg. 2023;13(4):54-65. doi:10.1016/s2155-8256(…

  19. Association of opioid prescribing with opioid consumption after surgery in Michigan. | PSNet

    psnet.ahrq.gov/issue/association-opioid-prescribing-opioid-consumption-after-surgery-michigan
    December 02, 2020 - Study Classic Association of opioid prescribing with opioid consumption after surgery in Michigan. Citation Text: Howard R, Fry B, Gunaseelan V, et al. Association of Opioid Prescribing With Opioid Consumption After Surgery in Michigan. JAMA Surg. 2019;154(1):e1…

  20. Value_Proposition_Flyer_Midwest (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/value-proposition-flyer-mw.pdf
    June 02, 2025 - Value_Proposition_Flyer_Midwest Why Participate? Participation in H3 may help your practice: • Strengthen prevention for heart disease and stroke by focusing on the ABCS – Aspirin, Blood pressure control, Cholesterol management and Smoking cessation; • Build or enhance its infrastructure to report and use quality d…
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