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psnet.ahrq.gov/issue/using-risk-assessment-approach-determine-which-factors-influence-whether-partially-bilingual
March 22, 2023 - Study
Using a risk assessment approach to determine which factors influence whether partially bilingual physicians rely on their non-English language skills or call an interpreter.
Citation Text:
Maul L, Regenstein M, Andres E, et al. Using a risk assessment approach to determine which f…
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psnet.ahrq.gov/issue/stakeholder-safety-communication-patient-and-family-reports-safety-risks-hospitals
July 28, 2021 - Study
Stakeholder safety communication: patient and family reports on safety risks in hospitals.
Citation Text:
Reader TW. Stakeholder safety communication: patient and family reports on safety risks in hospitals. J Risk Res. 2022;25(7):807-824. doi:10.1080/13669877.2022.2061036.
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digital.ahrq.gov/ahrq-funded-projects/examining-feasibility-and-effectiveness-mhealth-solution-designed-enhance
August 01, 2024 - Examining the Feasibility and Effectiveness of an mHealth Solution Designed to Enhance Clinical Outcomes Among Patients Attending Physical Therapy for Musculoskeletal Pain
Project Description
Improving patient engagement in physical therapy (PT) through remote therapeutic monit…
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psnet.ahrq.gov/issue/natural-language-processing-and-its-implications-future-medication-safety-narrative-review
December 21, 2014 - Review
Emerging Classic
Natural language processing and its implications for the future of medication safety: a narrative review of recent advances and challenges.
Citation Text:
Wong A, Plasek JM, Montecalvo SP, et al. Natural Language Processing and Its Implic…
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psnet.ahrq.gov/issue/longitudinal-analysis-culture-patient-safety-survey-results-surgical-departments
October 12, 2022 - Study
Longitudinal analysis of culture of patient safety survey results in surgical departments.
Citation Text:
Butler LR, Lashani S, Mitchell C, et al. Longitudinal analysis of culture of patient safety survey results in surgical departments. Front Health Serv. 2024;4:1419248. doi:10.33…
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psnet.ahrq.gov/issue/high-risk-medication-errors-insight-uk-national-reporting-and-learning-system
January 12, 2022 - Study
High-risk medication errors: insight from the UK National Reporting and Learning System.
Citation Text:
Alrowily A, Alfaraidy K, Almutairi S, et al. High-risk medication errors: Insight from the UK National Reporting and learning system. Explor Res Clin Soc Pharm. 2025;17:100531. d…
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psnet.ahrq.gov/issue/nature-adverse-events-hospitalized-patients-results-harvard-medical-practice-study-ii
February 18, 2011 - Study
Classic
The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II.
Citation Text:
Leape L, Brennan TA, Laird N, et al. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Pra…
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psnet.ahrq.gov/issue/nurses-perspectives-impact-management-approaches-blame-culture-health-care-organizations
September 02, 2020 - Study
Nurses’ perspectives on the impact of management approaches on the blame culture in health-care organizations.
Citation Text:
Okpala P. Nurses’ perspectives on the impact of management approaches on the blame culture in health-care organizations. Int J Healthc Manage. 2020;13(sup1)…
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psnet.ahrq.gov/issue/racial-and-ethnic-differences-emergency-department-diagnostic-imaging-us-childrens-hospitals
April 22, 2020 - Study
Racial and ethnic differences in emergency department diagnostic imaging at US Children's Hospitals, 2016-2019.
Citation Text:
Marin JR, Rodean J, Hall M, et al. Racial and ethnic differences in emergency department diagnostic imaging at US Children's Hospitals, 2016-2019. JAMA Net…
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/privacy-and-security-project/connecticut
January 01, 2023 - Connecticut
The Connecticut Health Information Security and Privacy Initiative is a one-year project to assess how privacy and security business practices and policies affect the exchange of electronic health information and it is part of a nationwide effort. The funding for the project is …
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psnet.ahrq.gov/issue/learning-mistakes-easier-said-done-group-and-organizational-influences-detection-and
September 25, 2024 - Study
Classic
Learning from mistakes is easier said than done: group and organizational influences on the detection and correction of human error.
Citation Text:
Edmondson AC. Learning from Mistakes is Easier Said Than Done: Group and Organizational Influences o…
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psnet.ahrq.gov/issue/analysis-critical-incident-reports-using-natural-language-processing
June 14, 2023 - Study
Analysis of critical incident reports using natural language processing.
Citation Text:
Denecke K, Paula H. Analysis of critical incident reports using natural language processing. Stud Health Technol Inform. 2024;313:1-6. doi:10.3233/shti240002.
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psnet.ahrq.gov/issue/communication-through-electronic-health-record-frequency-and-implications-free-text-orders
May 12, 2021 - Study
Communication through the electronic health record: frequency and implications of free text orders.
Citation Text:
Kandaswamy S, Hettinger AZ, Hoffman DJ, et al. Communication through the electronic health record: frequency and implications of free text orders. JAMIA Open. 2020;3(2…
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psnet.ahrq.gov/issue/improving-medication-error-reporting-hospice-care
June 22, 2022 - Study
Improving medication error reporting in hospice care.
Citation Text:
Boyer R, McPherson ML, Deshpande G, et al. Improving medication error reporting in hospice care. Am J Hosp Palliat Care. 2009;26(5):361-7. doi:10.1177/1049909109335145.
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psnet.ahrq.gov/issue/root-cause-analysis-icu-adverse-events-veterans-health-administration
June 23, 2021 - Study
Root cause analysis of ICU adverse events in the Veterans Health Administration.
Citation Text:
Corwin GS, Mills PD, Shanawani H, et al. Root Cause Analysis of ICU Adverse Events in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2017;43(11):580-590. doi:10.1016/j.j…
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psnet.ahrq.gov/issue/inpatient-suicide-and-suicide-attempts-veterans-affairs-hospitals
January 02, 2017 - Study
Inpatient suicide and suicide attempts in Veterans Affairs hospitals.
Citation Text:
Mills PD, DeRosier JM, Ballot BA, et al. Inpatient suicide and suicide attempts in Veterans Affairs hospitals. Jt Comm J Qual Patient Saf. 2008;34(8):482-488.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/mollon-b-et-al-2009
January 01, 2009 - Mollon B et al. 2009 "Features predicting the success of computerized decision support for prescribing: a systematic review of randomized controlled trials."
Reference
Mollon B, Chong JJR, Holbrook AM, et al. Features predicting the success of computerized decision support for prescribing: a systemati…
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psnet.ahrq.gov/issue/patient-safety-strategies-targeted-diagnostic-errors-systematic-review
March 20, 2013 - Review
Patient safety strategies targeted at diagnostic errors: a systematic review.
Citation Text:
McDonald KM, Matesic B, Contopoulos-Ioannidis DG, et al. Patient safety strategies targeted at diagnostic errors: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):381-389. doi:10.7…
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psnet.ahrq.gov/issue/evidence-nurses-need-participate-diagnosis-lessons-malpractice-claims
September 12, 2018 - Study
Evidence that nurses need to participate in diagnosis: lessons from malpractice claims.
Citation Text:
Gleason KT, Jones RM, Rhodes C, et al. Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. J Patient Saf. 2021;17(8):e959-e963. doi:10.1097/pts…
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psnet.ahrq.gov/issue/ambulatory-prescribing-errors-among-community-based-providers-two-states
July 10, 2008 - Study
Ambulatory prescribing errors among community-based providers in two states.
Citation Text:
Abramson EL, Bates DW, Jenter CA, et al. Ambulatory prescribing errors among community-based providers in two states. J Am Med Inform Assoc. 2012;19(4):644-8. doi:10.1136/amiajnl-2011-000345…