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STUDY
Nurse–physician communication in the long-term care setting: perceived barriers and impact on patient safety.
Tjia J, Mazor KM, Field T, Meterko V, Spenard A, Gurwitz JH. J Patient Saf. 2009;5:145-152.
STUDY
Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units.
Mayer CM, Cluff L, Lin WT, et al. Jt Comm J Qual Patient Saf. 2011;37:365-374.
COMMENTARY
40 of K.
Lesar TS. AHRQ WebM&M [serial online]. November 2003.
COMMENTARY
Fumbled Handoff.
Vidyarthi A. AHRQ WebM&M [serial online]. March 2004.
STUDY
Racial, ethnic, and socioeconomic disparities in estimates of AHRQ patient safety indicators.
Coffey RM, Andrews RM, Moy E. Med Care. 2005;43(suppl 3):I48-I57.
TOOLKIT
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation.
Gleason KM, Brake H, Agramonte V, Perfetti C. Rockville, MD: Agency for Healthcare Research and Quality; Revised August 2012. AHRQ Publication No. 11(12)-0059.
COMMENTARY
The role of theory in research to develop and evaluate the implementation of patient safety practices.
Foy R, Ovretveit J, Shekelle PG, et al. BMJ Qual Saf. 2011;20:453-459.
COMMENTARY
Flying Object Hits MRI.
Gosbee J, Gosbee LL. AHRQ WebM&M [serial online]. February 2003.
REVIEW
Promoting a culture of safety as a patient safety strategy: a systematic review.
Weaver SJ, Lubomski LH, Wilson RF, Pfoh ER, Martinez KA, Dy SM. Ann Intern Med. 2013;158(5 Pt 2):369-374.
FACT SHEET/FAQSclassic
10 Patient Safety Tips for Hospitals.
Rockville, MD: Agency for Healthcare Research and Quality; Revised December 2009. AHRQ Publication No. 10-M008.
AUDIOVISUAL
Healthcare 411: Making hospital discharges safer for seniors.
Rockville, MD: Agency for Healthcare Research and Quality. June 3, 2009.
BOOK/REPORTclassic
Keeping Patients Safe: Transforming the Work Environment of Nurses.
Committee on the Work Environment for Nurses and Patient Safety, Board on Health Care Services, Page A, ed. Washington, DC: National Academies Press; 2004.
MEASUREMENT TOOL/INDICATOR
Medical Office Survey on Patient Safety Culture.
Rockville, MD: Agency for Healthcare Research and Quality; November 2010.
STUDY
A comparison of two distribution methods on response rates to a patient safety questionnaire in nursing homes.
Lapane KL, Quilliam BJ, Hughes CM. J Am Med Dir Assoc. 2007;8:446-452.
TOOLKIT
TeamSTEPPS Long-Term Care Version.
Rockville, MD: Agency for Healthcare Research and Quality; November 2012.
BOOK/REPORTclassic
Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes. Updated edition.
Wachter R, Shojania K. New York, NY: Rugged Land; 2005. ISBN: 1590710738.
COMMENTARY
Delay in Initiating Antibiotics Leads to Fatal Error.
Bellini LM. AHRQ WebM&M [serial online]. February 2004.
TOOLKIT
Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit.
Touchette DR, Stubbings J, Schumock G. Effective Healthcare Research Report No. 38. Rockville, MD: Agency for Healthcare Research and Quality; July 2012. AHRQ Publication No. 12-EHC027-EF.
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