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psnet.ahrq.gov/issue/organisational-readiness-exploring-preconditions-success-organisation-wide-patient-safety
February 01, 2011 - Study
Organisational readiness: exploring the preconditions for success in organisation-wide patient safety improvement programmes.
Citation Text:
Burnett S, Benn J, Pinto A, et al. Organisational readiness: exploring the preconditions for success in organisation-wide patient safety im…
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digital.ahrq.gov/ahrq-funded-projects/patient-intestinal-failure-echo-project-pif-echo
September 30, 2024 - Patient Intestinal Failure-ECHO Project (PIF-ECHO)
Project Description
A live, virtual learning and support system connecting patients and family caregivers with a team of experts and peers will enhance patient knowledge of best practices and confidence in self-care for chronic…
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digital.ahrq.gov/ahrq-funded-projects/machine-learning-prediction-model-personalized-urinary-tract-infection-care
July 01, 2024 - Machine-Learning Prediction Model for Personalized Urinary Tract Infection Care in Children
Project Description
Implementing a practical, validated clinical decision support algorithm to identify unsafe anatomy before injury occurs has the potential to significantly reduce rena…
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psnet.ahrq.gov/issue/reconceptualizing-patient-safety-beyond-harm-insights-mixed-methods-qualitative-inquiry
April 19, 2023 - Study
Reconceptualizing patient safety beyond harm: insights from a mixed-methods qualitative inquiry.
Citation Text:
Jeffs L, Kuluski K, Flintoft V, et al. Reconceptualizing patient safety beyond harm: insights from a mixed-methods qualitative inquiry. J Nurs Care Qual. 2024;39(3):226-2…
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psnet.ahrq.gov/issue/ai-promise-or-peril-patient-safety
July 20, 2022 - Commentary
AI: promise or peril for patient safety.
Citation Text:
Ullem BD, Hatlie MJ, Lounsbury O. AI: promise or peril for patient safety. J Patient Saf. 2025;21(1):34-37. doi:10.1097/pts.0000000000001301.
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digital.ahrq.gov/ahrq-funded-projects/roadmap-research-international-summit-innovation-and-technology-care-older
March 31, 2025 - A Roadmap for Research: The International Summit on Innovation and Technology in Care of Older People (IS-ITCOP)
Project Description
By harnessing the knowledge and skills of a diverse assembly of global experts in Long-Term Post-Acute Care (LTPAC) at a single conference, it is…
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psnet.ahrq.gov/issue/diagnostic-safety-needs-assessment-and-informed-curriculum-academic-childrens-hospital
June 28, 2023 - Study
Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital.
Citation Text:
Congdon M, Rasooly IR, Toto RL, et al. Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. Pediatr Qual Saf. 2024;9(6):e773. do…
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psnet.ahrq.gov/issue/instruments-patient-safety-assessment-scoping-review
October 12, 2022 - Review
Instruments for patient safety assessment: a scoping review.
Citation Text:
Nunes E, Sirtoli F, Lima E, et al. Instruments for patient safety assessment: a scoping review. Healthcare. 2024;12(20):2075. doi:10.3390/healthcare12202075.
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psnet.ahrq.gov/issue/psychological-safety-communication-openness-nurse-job-outcomes-and-patient-safety-hospital
August 19, 2020 - Study
Psychological safety, communication openness, nurse job outcomes, and patient safety in hospital nurses.
Citation Text:
Cho H, Steege LM, Arsenault Knudsen ÉN. Psychological safety, communication openness, nurse job outcomes, and patient safety in hospital nurses. Res Nurs Health. …
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digital.ahrq.gov/ahrq-funded-projects/disseminating-and-implementing-medsmart-families-emergency-departments
September 30, 2024 - Disseminating and Implementing MedSMA℞T Families in Emergency Departments: A Randomized Control Trial to Assess Effectiveness of an Evidence-Based Gaming Intervention to Reduce Opioid Misuse
Project Description
Implementing a mobile game-based tool in emergency departments (EDs…
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psnet.ahrq.gov/issue/radiologist-age-and-diagnostic-errors
March 02, 2022 - Study
Radiologist age and diagnostic errors.
Citation Text:
Lamoureux C, Hanna TN, Callaway E, et al. Radiologist age and diagnostic errors. Emerg Radiol. 2023;30(5):577-587. doi:10.1007/s10140-023-02158-1.
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psnet.ahrq.gov/issue/medication-errors-emergency-departments-systematic-review-and-meta-analysis-prevalence-and
April 02, 2014 - Review
Medication errors in emergency departments: a systematic review and meta-analysis of prevalence and severity
Citation Text:
Nguyen PTL, Phan TAT, Vo VBN, et al. Medication errors in emergency departments: a systematic review and meta-analysis of prevalence and severity. Int J Clin…
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psnet.ahrq.gov/issue/crossing-global-quality-chasm-improving-health-care-worldwide
June 15, 2011 - Book/Report
Classic
Crossing the Global Quality Chasm: Improving Health Care Worldwide.
Citation Text:
Crossing the Global Quality Chasm: Improving Health Care Worldwide. Committee on Improving the Quality of Health Care Globally. National Academies of Sciences,…
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psnet.ahrq.gov/issue/incoming-interns-recognize-inadequate-physical-examination-cause-patient-harm
July 20, 2022 - Study
Incoming interns recognize inadequate physical examination as a cause of patient harm.
Citation Text:
Russo S, Berg K, Davis JJ, et al. Incoming interns recognize inadequate physical examination as a cause of patient harm. J Med Educ Curric Dev. 2020;7:238212052092899. doi:10.1177/…
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www.ahrq.gov/sops/about/index.html
July 01, 2024 - About the SOPS Program
Since 2001, the AHRQ Surveys on Patient Safety Culture® (SOPS®) Program has supported AHRQ's mission by advancing the scientific understanding of patient safety culture in healthcare settings. What Is Patient Safety Culture? Patient safety culture is an aspect of an organization's cultu…
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psnet.ahrq.gov/issue/elephant-patient-safety-what-you-see-depends-how-you-look
June 22, 2022 - Commentary
Classic
The elephant of patient safety: what you see depends on how you look.
Citation Text:
Shojania KG. The elephant of patient safety: what you see depends on how you look. Jt Comm J Qual Patient Saf. 2010;36(9):399-401.
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psnet.ahrq.gov/issue/self-reported-violations-during-medication-administration-two-paediatric-hospitals
December 01, 2010 - Study
Self-reported violations during medication administration in two paediatric hospitals.
Citation Text:
Alper SJ, Holden RJ, Scanlon MC, et al. Self-reported violations during medication administration in two paediatric hospitals. BMJ Qual Saf. 2012;21(5):408-15. doi:10.1136/bmjqs-…
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psnet.ahrq.gov/issue/learning-latent-safety-threats-identified-during-simulation-improve-patient-safety
June 10, 2020 - Study
Learning from latent safety threats identified during simulation to improve patient safety.
Citation Text:
Congenie K, Bartjen L, Gutierrez D, et al. Learning from latent safety threats identified during simulation to improve patient safety. Jt Comm J Qual Patient Saf. 2023;49(12):…
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psnet.ahrq.gov/issue/seips-30-human-centered-design-patient-journey-patient-safety
September 11, 2019 - Review
Classic
SEIPS 3.0: human-centered design of the patient journey for patient safety.
Citation Text:
Carayon P, Wooldridge AR, Hoonakker P, et al. SEIPS 3.0: human-centered design of the patient journey for patient safety. App Ergon. 2020;84:103033. doi:10…
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psnet.ahrq.gov/issue/integrating-systemic-accident-analysis-patient-safety-incident-investigation-practices
October 27, 2021 - Study
Integrating systemic accident analysis into patient safety incident investigation practices.
Citation Text:
Canham A, Jun GT, Waterson P, et al. Integrating systemic accident analysis into patient safety incident investigation practices. Appl Ergon. 2018;72:1-9. doi:10.1016/j.aperg…