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  1. Patient harm resulting from medication reconciliation process failures: a study of serious events reported by Pennsylvania hospitals. | PSNet

    psnet.ahrq.gov/issue/patient-harm-resulting-medication-reconciliation-process-failures-study-serious-events
    October 07, 2020 - Study Patient harm resulting from medication reconciliation process failures: a study of serious events reported by Pennsylvania hospitals. Citation Text: Harper A, Kukielka E, Jones RM. Patient harm resulting from medication reconciliation process failures: a study of serious events rep…

  2. Standardized assessment of medication reconciliation in post-acute care. | PSNet

    psnet.ahrq.gov/issue/standardized-assessment-medication-reconciliation-post-acute-care
    December 16, 2020 - Study Standardized assessment of medication reconciliation in post-acute care. Citation Text: Fischer SH, Shih RA, McMullen TL, et al. Standardized assessment of medication reconciliation in post‐acute care. J Am Geriatr Soc. 2022;70(4):1047-1056. doi:10.1111/jgs.17655. Copy Citation …

  3. Barriers to Meaningful Use in Medicaid - 2012 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/barriers-meaningful-use-medicaid/annual-summary/2012
    January 01, 2012 - Barriers to Meaningful Use in Medicaid - 2012 Project Name Barriers to Meaningful Use in Medicaid Principal Investigator Thompson, Chuck Organization RTI International Funding Mechanism Medicaid/CHIP Technical Assistance Contract Contract Number 290-07-10079…

  4. Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. | PSNet

    psnet.ahrq.gov/issue/assessment-implementation-national-patient-safety-alert-reduce-wrong-site-surgery
    March 28, 2011 - Study Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. Citation Text: Rhodes P, Giles SJ, Cook GA, et al. Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. Qual Saf Health Care. 2008;17(6):…

  5. Nurse staffing, burnout, and health care-associated infection. | PSNet

    psnet.ahrq.gov/issue/nurse-staffing-burnout-and-health-care-associated-infection
    June 02, 2021 - Study Nurse staffing, burnout, and health care-associated infection. Citation Text: Cimiotti JP, Aiken LH, Sloane DM, et al. Nurse staffing, burnout, and health care-associated infection. Am J Infect Control. 2012;40(6):486-490. doi:10.1016/j.ajic.2012.02.029. Copy Citation Forma…

  6. Factors influencing second victim experiences and support needs of OB/GYN and pediatric healthcare professionals after adverse patient events. | PSNet

    psnet.ahrq.gov/issue/factors-influencing-second-victim-experiences-and-support-needs-obgyn-and-pediatric
    January 31, 2024 - Study Factors influencing second victim experiences and support needs of OB/GYN and pediatric healthcare professionals after adverse patient events. Citation Text: Rivera-Chiauzzi EY, Riggan KA, Huang L, et al. Factors influencing second victim experiences and support needs of OB/GYN and…

  7. Patients' and doctors' views and experiences of the patient safety trajectory of breast cancer care. | PSNet

    psnet.ahrq.gov/issue/patients-and-doctors-views-and-experiences-patient-safety-trajectory-breast-cancer-care
    December 08, 2021 - Study Patients' and doctors' views and experiences of the patient safety trajectory of breast cancer care. Citation Text: Forrest C, O'Sullivan MJ, Ryan M, et al. Patients' and doctors’ views and experiences of the patient safety trajectory of breast cancer care. Breast. 2024;75:103699. …

  8. 065-Ssi-Prevention-Periop-Roadmap-Checklist (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/065-ssi-prevention-periop-roadmap-checklist.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Date: ______________________________________ Patient Label (or name, MRN and surgeon) Perioperative Roadmap Tool Surgical ServicesSSI Prevention Phases For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Adapt the checklist below to your ho…

  9. The impact of COVID-19 workflow changes on radiation oncology incident reporting. | PSNet

    psnet.ahrq.gov/issue/impact-covid-19-workflow-changes-radiation-oncology-incident-reporting
    June 30, 2021 - Study The impact of COVID-19 workflow changes on radiation oncology incident reporting. Citation Text: Volpini ME, Lekx‐Toniolo K, Mahon R, et al. The impact of COVID‐19 workflow changes on radiation oncology incident reporting. J Appl Clin Med Phys. 2022;23(11):e13742. doi:10.1002/acm2.…

  10. Using text mining techniques to identify health care providers with patient safety problems: exploratory study. | PSNet

    psnet.ahrq.gov/issue/using-text-mining-techniques-identify-health-care-providers-patient-safety-problems
    July 27, 2022 - Study Using text mining techniques to identify health care providers with patient safety problems: exploratory study. Citation Text: Hendrickx I, Voets T, van Dyk P, et al. Using text mining techniques to identify health care providers with patient safety problems: exploratory study. J M…

  11. Decreased incidence of cesarean surgical site infection rate with hospital-wide perioperative bundle. | PSNet

    psnet.ahrq.gov/issue/decreased-incidence-cesarean-surgical-site-infection-rate-hospital-wide-perioperative-bundle
    September 08, 2021 - Study Decreased incidence of cesarean surgical site infection rate with hospital-wide perioperative bundle. Citation Text: Sood N, Lee RE, To JK, et al. Decreased incidence of cesarean surgical site infection rate with hospital‐wide perioperative bundle. Birth. 2022;49(1):141-146. doi:10…

  12. Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an underestimated need for patient safety. | PSNet

    psnet.ahrq.gov/issue/indicators-implementation-outcome-monitoring-reporting-and-learning-systems-hospitals
    March 02, 2022 - Study Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an underestimated need for patient safety. Citation Text: Kuske S, Willmeroth T, Schneider J, et al. Indicators for implementation outcome monitoring of reporting and learning systems i…

  13. Communication with health care workers regarding health care-associated exposure to coronavirus 2019: a checklist to facilitate disclosure. | PSNet

    psnet.ahrq.gov/issue/communication-health-care-workers-regarding-health-care-associated-exposure-coronavirus-2019
    August 12, 2020 - Commentary Communication with health care workers regarding health care-associated exposure to coronavirus 2019: a checklist to facilitate disclosure. Citation Text: Wickner PG, Hartley T, Salmasian H, et al. Communication with health care workers regarding health care-associated exposur…

  14. Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. | PSNet

    psnet.ahrq.gov/issue/learning-during-crisis-impact-covid-19-hospital-acquired-pressure-injury-incidence
    August 25, 2021 - Study Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. Citation Text: Polancich S, Hall AG, Miltner RS, et al. Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. J Healthc Qual. 2021;43(3):137-144. …

  15. Influencing a culture of quality and safety through huddles. | PSNet

    psnet.ahrq.gov/issue/influencing-culture-quality-and-safety-through-huddles
    April 05, 2023 - Study Influencing a culture of quality and safety through huddles. Citation Text: McCain N, Ferguson T, Barry Hultquist T, et al. Influencing a culture of quality and safety through huddles. J Nurs Care Qual. 2023;38(1):26-32. doi:10.1097/ncq.0000000000000642. Copy Citation Format:…

  16. Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review. | PSNet

    psnet.ahrq.gov/issue/shift-shift-nursing-handover-interventions-associated-improved-inpatient-outcomes-falls
    July 07, 2021 - Review Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review. Citation Text: Hada A, Coyer F. Shift‐to‐shift nursing handover interventions associated with improved …

  17. Knowledge Engineering for Decision Support in Osteoporosis - 2012 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/knowledge-engineering-decision-support-osteoporosis/annual-summary/2012
    January 01, 2012 - Knowledge Engineering for Decision Support in Osteoporosis - 2012 Project Name Knowledge Engineering for Decision Support in Osteoporosis Principal Investigator Lafleur, Joanne Organization University of Utah Funding Mechanism PAR: HS09-085: Mentored Clinical Scient…

  18. Knowledge Engineering for Decision Support in Osteoporosis - 2010 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/knowledge-engineering-decision-support-osteoporosis/annual-summary/2010
    January 01, 2010 - Knowledge Engineering for Decision Support in Osteoporosis - 2010 Project Name Knowledge Engineering for Decision Support in Osteoporosis Principal Investigator Lafleur, Joanne Organization University of Utah Funding Mechanism PAR: HS09-085: Mentored Clinical Scient…

  19. Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to implementation. | PSNet

    psnet.ahrq.gov/issue/developing-process-measure-actual-harm-medication-errors-paediatric-inpatients-design
    January 18, 2023 - Study Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to implementation. Citation Text: Mumford V, Raban MZ, Li L, et al. Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to i…

  20. A systematic review exploring the content and outcomes of interventions to improve psychological safety, speaking up and voice behaviour. | PSNet

    psnet.ahrq.gov/issue/systematic-review-exploring-content-and-outcomes-interventions-improve-psychological-safety
    October 28, 2020 - Review Classic A systematic review exploring the content and outcomes of interventions to improve psychological safety, speaking up and voice behaviour. Citation Text: O’Donovan R, McAuliffe E. A systematic review exploring the content and outcomes of interventi…
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