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effectivehealthcare.ahrq.gov/sites/default/files/related_files/app-e-opioid-chronic-pain-surveillance-report-3.xlsx
January 01, 2021 - Table E-1. RCT QA
Table E-1. RCT quality assessment
Author, Year Randomization Adequate? Allocation Concealment Adequate? Groups Similar at Baseline? Outcome Assessors Masked? Care Provider Masked? Patient Masked? Intention-To-Treat (ITT) Analysis Acceptable Levels of Overall Attrition and Between-Group Differences…
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-43
September 26, 2017 - Commentary
ISMP medication error report analysis.
Citation Text:
Cohen MR, Smetzer JL. Safer Connectors in the United Kingdom; Value of the Independent Double-Check; Medication Errors Column in 35th Year. Hosp Pharm. 2010;45(3). doi:10.1310/hpj4503-191.
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psnet.ahrq.gov/issue/tragic-error-neuromuscular-blocker-should-prompt-risk-assessment-all-hospitals
November 16, 2015 - Newspaper/Magazine Article
Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals.
Citation Text:
Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals. ISMP Medication Safety Alert! Acute Care Edition. December 18, 2014;19…
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psnet.ahrq.gov/issue/oral-chemotherapy-not-just-ordinary-pill
May 05, 2018 - Newspaper/Magazine Article
Oral chemotherapy: not just an ordinary pill.
Citation Text:
Oral chemotherapy: not just an ordinary pill. ISMP Canada. SafeMedicineUse. August 19, 2015;6:1-2.
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psnet.ahrq.gov/issue/focusing-health-care-safety
January 16, 2008 - Special or Theme Issue
Focusing on Health Care Safety.
Citation Text:
Focusing on Health Care Safety. IEEE Transactions on Systems, Man, and Cybernetics, Part A: Systems and Humans. 2004;34(601):689-778.
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psnet.ahrq.gov/issue/ask-or-not-ask-results-formative-assessment-video-empowering-patients-ask-their-health-care
June 28, 2013 - Image/Poster
To ask or not to ask?: the results of a formative assessment of a video empowering patients to ask their health care providers to perform hand hygiene.
Citation Text:
To ask or not to ask?: the results of a formative assessment of a video empowering patients to ask their h…
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psnet.ahrq.gov/issue/understanding-and-addressing-pre-hospital-diagnostic-delays
May 15, 2024 - Special or Theme Issue
Understanding And Addressing Pre-Hospital Diagnostic Delays.
Citation Text:
Understanding And Addressing Pre-Hospital Diagnostic Delays. Health Affairs Forefront; May-September 2023.
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psnet.ahrq.gov/issue/unlabeled-containers-lead-patients-death
September 26, 2017 - Commentary
Unlabeled containers lead to patient's death.
Citation Text:
Cohen MR, Smetzer JL. Unlabeled containers lead to patient's death. Jt Comm J Qual Patient Saf. 2005;31(7):414-7.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-44
September 26, 2017 - Commentary
ISMP medication error report analysis.
Citation Text:
Cohen MR, Smetzer JL. Neuromuscular Blocker Mix-up in the Pharmacy; ISMP and Doctor's Digest Launch New iPhone Application; “UD” for “Ut Dictum”—an Ambiguous and Dangerous Abbreviation; Order by Metric Weight, Not Volume.…
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psnet.ahrq.gov/issue/iowans-views-medical-errors-iowa-patient-safety-study
October 23, 2019 - Book/Report
Iowans' Views on Medical Errors: Iowa Patient Safety Study.
Citation Text:
Iowans' Views on Medical Errors: Iowa Patient Safety Study. Clive, IA: Heartland Health Research Institute; January 7, 2018.
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effectivehealthcare.ahrq.gov/sites/default/files/ch_5-user-guide-to-ocer_130129.pdf
January 01, 2012 - It is recommended that both adherence and device
failure rates are assessed and reported.
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digital.ahrq.gov/location/usa-ok-tahlequah
January 01, 2023 - USA, OK, Tahlequah
Oklahoma Patient Survey
Description
This is a questionnaire designed to be completed by patients in an ambulatory setting. The tool includes questions to assess the current state of electronic health records.
Year of Survey
Created prior to 2010
…
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psnet.ahrq.gov/node/45245/psn-pdf
June 27, 2018 - Medication Without Harm: WHO's Third Global Patient
Safety Challenge.
June 27, 2018
Geneva, Switzerland: World Health Association; 2017.
https://psnet.ahrq.gov/issue/medication-without-harm-whos-third-global-patient-safety-challenge
Adverse drug events are likely the most common source of preventable harm in both …
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psnet.ahrq.gov/node/838237/psn-pdf
October 05, 2022 - Deprescribing medicines in older people living with
multimorbidity and polypharmacy: the TAILOR evidence
synthesis.
October 5, 2022
Reeve J, Maden M, Hill R, et al. Deprescribing medicines in older people living with multimorbidity and
polypharmacy: the TAILOR evidence synthesis. Health Technol Assess. 2022;26(32)…
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psnet.ahrq.gov/node/47335/psn-pdf
August 22, 2018 - Seeking answers, hearing silence.
August 22, 2018
Hemmelgarn C. Seeking Answers, Hearing Silence. Health Aff (Millwood). 2018;37(8):1332-1334.
doi:10.1377/hlthaff.2017.1535.
https://psnet.ahrq.gov/issue/seeking-answers-hearing-silence
Lack of transparency regarding errors in patient care contributes to harm, mistr…
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psnet.ahrq.gov/node/40263/psn-pdf
March 02, 2011 - Trauma resuscitation errors and computer-assisted
decision support.
March 2, 2011
FitzGerald M, Cameron P, Mackenzie CF, et al. Trauma resuscitation errors and computer-assisted
decision support. Arch Surg. 2011;146(2):218-25. doi:10.1001/archsurg.2010.333.
https://psnet.ahrq.gov/issue/trauma-resuscitation-errors-…
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psnet.ahrq.gov/node/837415/psn-pdf
June 15, 2022 - Instruments for measuring patient safety competencies in
nursing: a scoping review.
June 15, 2022
Mortensen M, Naustdal KI, Uibu E, et al. Instruments for measuring patient safety competencies in nursing:
a scoping review. BMJ Open Qual. 2022;11(2):e001751. doi:10.1136/bmjoq-2021-001751.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/854635/psn-pdf
January 01, 2024 - CheckPOINT: a simple tool to measure Surgical Safety
Checklist implementation fidelity.
October 18, 2023
Moyal-Smith R, Etheridge JC, Turley N, et al. CheckPOINT: a simple tool to measure Surgical Safety
Checklist implementation fidelity. BMJ Qual Saf. 2024;33(4):223-231. doi:10.1136/bmjqs-2023-016030.
https://psn…
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psnet.ahrq.gov/node/43681/psn-pdf
June 03, 2016 - Learning from failure: the need for independent safety
investigation in healthcare.
June 3, 2016
Macrae C, Vincent CA. Learning from failure: the need for independent safety investigation in healthcare. J
R Soc Med. 2014;107(11):439-443. doi:10.1177/0141076814555939.
https://psnet.ahrq.gov/issue/learning-failure-n…
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psnet.ahrq.gov/node/837846/psn-pdf
August 17, 2022 - Quality measures for patients at risk of adverse outcomes
in the Veterans Health Administration: expert panel
recommendations.
August 17, 2022
Chang ET, Newberry S, Rubenstein LV, et al. Quality Measures for Patients at Risk of Adverse Outcomes
in the Veterans Health Administration. JAMA Network Open. 2022;5(8):e2…