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psnet.ahrq.gov/node/866645/psn-pdf
September 04, 2024 - Technology-related safety event analysis in community
clinical informatics: a case study.
September 4, 2024
Recsky C, Stowe M, Rush KL, et al. Technology-related safety event analysis in community clinical
informatics: a case study. Stud Health Technol Inform. 2024;315:452-457. doi:10.3233/shti240189.
https://psne…
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psnet.ahrq.gov/node/844768/psn-pdf
September 11, 2019 - Standardized orders for titrating vasopressors: do efforts
to improve safety slow delivery of care?
September 11, 2019
Baker DW, Campbell R. Standardized Orders for Titrating Vasopressors: Do Efforts to Improve Safety Slow
Delivery of Care? Jt Comm J Qual Patient Saf. 2019;45(9):589-590. doi:10.1016/j.jcjq.2019.07.…
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psnet.ahrq.gov/node/43480/psn-pdf
January 01, 2015 - Speaking up: factors and issues in nurses advocating for
patients when patients are in jeopardy.
December 15, 2014
Rainer J. Speaking up: factors and issues in nurses advocating for patients when patients are in jeopardy.
J Nurs Care Qual. 2015;30(1):53-62. doi:10.1097/NCQ.0000000000000081.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/45848/psn-pdf
November 19, 2018 - New Horizons in Patient Safety: Understanding
Communication: Case Studies for Physicians.
November 19, 2018
Hannawa AF, Wu AW, Juhasz RS, eds. Berlin, Germany: DeGruyter; 2017. ISBN: 9783110455014.
https://psnet.ahrq.gov/issue/new-horizons-patient-safety-understanding-communication-case-studies-
physicians
Poor c…
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psnet.ahrq.gov/node/46669/psn-pdf
January 17, 2018 - Effect of therapeutic interchange on medication
reconciliation during hospitalization and upon discharge
in a geriatric population.
January 17, 2018
Wang JS, Fogerty RL, Horwitz LI. Effect of therapeutic interchange on medication reconciliation during
hospitalization and upon discharge in a geriatric population. P…
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psnet.ahrq.gov/node/846147/psn-pdf
March 15, 2023 - Automated capture of intraoperative adverse events using
artificial intelligence: a systematic review and meta-
analysis.
March 15, 2023
Eppler MB, Sayegh AS, Maas M, et al. Automated capture of intraoperative adverse events using artificial
intelligence: a systematic review and meta-analysis. J Clin Med. 2023;12(…
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psnet.ahrq.gov/node/37277/psn-pdf
July 28, 2010 - Drug selection errors in relation to medication labels: a
simulation study.
July 28, 2010
Garnerin P, Perneger T, Chopard P, et al. Drug selection errors in relation to medication labels: a
simulation study. Anaesthesia. 2007;62(11):1090-4.
https://psnet.ahrq.gov/issue/drug-selection-errors-relation-medication-lab…
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psnet.ahrq.gov/node/46496/psn-pdf
October 11, 2017 - Lessons learned for reducing the negative impact of
adverse events on patients, health professionals and
healthcare organizations.
October 11, 2017
Mira JJ, Lorenzo S, Carrillo I, et al. Lessons learned for reducing the negative impact of adverse events on
patients, health professionals and healthcare organization…
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psnet.ahrq.gov/node/44790/psn-pdf
March 15, 2016 - The role of emotion in patient safety: are we brave
enough to scratch beneath the surface?
March 15, 2016
Heyhoe J, Birks Y, Harrison R, et al. The role of emotion in patient safety: Are we brave enough to scratch
beneath the surface? J R Soc Med. 2016;109(2):52-8. doi:10.1177/0141076815620614.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/37295/psn-pdf
February 24, 2011 - Limited health literacy is a barrier to medication
reconciliation in ambulatory care.
February 24, 2011
Persell SD, Osborn CY, Richard R, et al. Limited health literacy is a barrier to medication reconciliation in
ambulatory care. J Gen Intern Med. 2007;22(11):1523-6.
https://psnet.ahrq.gov/issue/limited-health-li…
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psnet.ahrq.gov/node/45347/psn-pdf
September 07, 2016 - Drug Shortages: Certain Factors Are Strongly Associated
With This Persistent Public Health Challenge.
September 7, 2016
Washington, DC: United States Government Accountability Office; July 7, 2016. Publication GAO-16-595.
https://psnet.ahrq.gov/issue/drug-shortages-certain-factors-are-strongly-associated-persistent…
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www.ahrq.gov/policy/electronic/links/index.html
July 01, 2025 - Linking to the AHRQ Website
Information about establishing links to the AHRQ website.
Our Home Page address: https://www.ahrq.gov We prefer linkages to the Home Page. If you link to specific items within the website, rather than the Home Page, please Submit a Message to notify us and provide the relevant U…
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www.ahrq.gov/topics/ruralinner-city-residents.html
Topic: Rural/Inner-City Residents
Rural and inner-city populations each face unique healthcare challenges. Geographic isolation, persistent shortages of healthcare providers, lower socioeconomic status and levels of educational attainment, cultural and social differences, and lack of health insurance all contribute t…
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www.ahrq.gov/ncepcr/about/pcr-webinar-series/person-centered-care.html
July 01, 2024 - NCEPCR Webinar: Research on Person-Centered Care
This webinar features research on person-centered techniques, models, tools, and programs and their impact on patient health outcomes. Three presenters discuss their research on the associations between shared decision making and chronic care; how primary care cl…
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digital.ahrq.gov/organization/rhode-island-department-health
January 01, 2023 - Rhode Island Department of Health
Rhode Island Statewide Health Information Exchange (HIE) State and Regional Demonstration Project (currently known as currentcare) - 2011
Principal Investigator
Zimmerman, Amy
Project Name
State and Regional Demonstration in Heal…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/naa-commitment-statement.pdf
June 02, 2025 - National Action Alliance for Patient and Workforce Safety Commitment
National Action Alliance for
Patient and Workforce Safety
Commitment
Vision
Safe care everywhere, zero preventable harm for all.
Mission
A total systems approach to safety that is focused on culture, leadership, and governance; pa�ent a…
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psnet.ahrq.gov/node/837330/psn-pdf
June 08, 2022 - A call to action: next steps to advance diagnosis
education in the health professions.
June 8, 2022
Graber ML, Holmboe ES, Stanley J, et al. A call to action: next steps to advance diagnosis education in the
health professions. Diagnosis (Berl). 2022;9(2):166-175. doi:10.1515/dx-2021-0103.
https://psnet.ahrq.gov/i…
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www.ahrq.gov/ncepcr/communities/pbrn/registry/free-clinic-research-educational-engagement-network.html
July 15, 2013 - Free Clinic Research & Educational Engagement Network
Status:
Inactive
Registered Date:
July 15, 2013
PBRN Acronym:
FREENet
PBRN Type:
Mixed Network (a combination of family medicine, internal medicine, pediatrics, nursing and/or other specialties)
Network Category:
Establi…
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digital.ahrq.gov/ahrq-funded-projects/privacy-and-security-solutions-interoperable-hie-ca2
January 01, 2023 - Privacy and Security Solutions for Interoperable Health Information Exchange / California
Project Description
Project Details -
Completed
Contract Number
290-05-0015-RTI-045
Funding Mechanism(s)
Health Information Security and Privacy C…
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www.ahrq.gov/sites/default/files/2024-01/landrigan-report.pdf
January 01, 2024 - The nine-institution, multisite, pediatric I-PASS Study represented a first step toward addressing
these