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digital.ahrq.gov/ahrq-funded-projects/randomized-controlled-trial-embedded-electronic-health-record/annual-summary/2010
January 01, 2010 - Randomized Control Trial Embedded in an Electronic Health Record - 2010
Project Name
Randomized Controlled Trial Embedded in an Electronic Health Record
Principal Investigator
Kahn, James
Organization
University of California, San Francisco
Funding Mechanism
RFA: HS…
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psnet.ahrq.gov/issue/progress-made-towards-improving-opioid-safety-further-efforts-assess-progress-and-reduce-risk
May 16, 2018 - Book/Report
Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed.
Citation Text:
Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed. Washington, DC: United States Gov…
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psnet.ahrq.gov/issue/multitasking-during-patient-handover-recovery-room
October 05, 2011 - Study
Multitasking during patient handover in the recovery room.
Citation Text:
van Rensen ELJ, Groen EST, Numan SC, et al. Multitasking during patient handover in the recovery room. Anesth Analg. 2012;115(5):1183-7. doi:10.1213/ANE.0b013e31826996a2.
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psnet.ahrq.gov/issue/addressing-prehospital-patient-safety-using-science-injury-prevention-and-control
April 12, 2019 - Commentary
Addressing prehospital patient safety using the science of injury prevention and control.
Citation Text:
Meisel ZF, Hargarten S, Vernick J. Addressing prehospital patient safety using the science of injury prevention and control. Prehosp Emerg Care. 2008;12(4):411-6. doi:10.1…
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psnet.ahrq.gov/issue/teamwork-operating-theatre-cohesion-or-confusion
July 26, 2011 - Study
Teamwork in the operating theatre: cohesion or confusion?
Citation Text:
Undre S, Sevdalis N, Healey A, et al. Teamwork in the operating theatre: cohesion or confusion? J Eval Clin Pract. 2006;12(2):182-9.
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psnet.ahrq.gov/issue/safety-mind-mental-health-services-and-patient-safety
August 07, 2018 - Book/Report
With Safety in Mind: Mental Health Services and Patient Safety.
Citation Text:
With Safety in Mind: Mental Health Services and Patient Safety. Scobie S, Minghella E, Dale C, et al. London, UK: National Patient Safety Agency; 2006.
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psnet.ahrq.gov/issue/whole-patient-measure-safety-using-administrative-data-assess-probability-highly-undesirable
March 19, 2014 - Study
Whole-patient measure of safety: using administrative data to assess the probability of highly undesirable events during hospitalization.
Citation Text:
Perla RJ, Hohmann S, Annis K. Whole-patient measure of safety: using administrative data to assess the probability of highly und…
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psnet.ahrq.gov/issue/framework-classifying-patient-safety-practices-results-expert-consensus-process
September 20, 2011 - Study
A framework for classifying patient safety practices: results from an expert consensus process.
Citation Text:
Dy SM, Taylor SL, Carr LH, et al. A framework for classifying patient safety practices: results from an expert consensus process. BMJ Qual Saf. 2011;20(7):618-24. doi:10…
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psnet.ahrq.gov/issue/enhancing-safety-reporting-adult-ambulatory-oncology-clinician-champion-practice-innovation
January 05, 2017 - Study
Enhancing safety reporting in adult ambulatory oncology with a clinician champion: a practice innovation.
Citation Text:
Weingart SN, Price J, Duncombe D, et al. Enhancing safety reporting in adult ambulatory oncology with a clinician champion: a practice innovation. J Nurs Care …
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psnet.ahrq.gov/issue/big-dog-effect-variability-assessing-causes-error-diagnoses-patients-lung-cancer
March 28, 2012 - Study
The "Big Dog" effect: variability assessing the causes of error in diagnoses of patients with lung cancer.
Citation Text:
Raab SS, Meier FA, Zarbo RJ, et al. The "Big Dog" effect: variability assessing the causes of error in diagnoses of patients with lung cancer. J Clin Oncol. 2…
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psnet.ahrq.gov/issue/variation-caregiver-perceptions-teamwork-climate-labor-and-delivery-units
August 04, 2021 - Study
Variation in caregiver perceptions of teamwork climate in labor and delivery units.
Citation Text:
Sexton JB, Holzmueller CG, Pronovost PJ, et al. Variation in caregiver perceptions of teamwork climate in labor and delivery units. J Perinatol. 2006;26(8):463-70.
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psnet.ahrq.gov/issue/relational-leadership-perspective-unit-level-safety-climate
April 24, 2018 - Study
A relational leadership perspective on unit-level safety climate.
Citation Text:
Thompson DN, Hoffman LA, Sereika SM, et al. A relational leadership perspective on unit-level safety climate. J Nurs Adm. 2011;41(11):479-87. doi:10.1097/NNA.0b013e3182346e31.
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psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-proactive-identification-communication-and-handoff
August 04, 2021 - Study
Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation.
Citation Text:
Steinberger DM, Douglas S, Kirschbaum MS. Use of failure mode and effects analysis for proactive identification of…
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psnet.ahrq.gov/issue/recommendations-ensure-safety-ai-real-world-clinical-care
December 06, 2023 - Commentary
Recommendations to ensure safety of AI in real-world clinical care.
Citation Text:
Sittig DF, Singh H. Recommendations to ensure safety of AI in real-world clinical care. JAMA. 2025;333(6):457-458. doi:10.1001/jama.2024.24598.
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psnet.ahrq.gov/issue/incident-reporting-one-uk-accident-and-emergency-department
December 12, 2012 - Study
Incident reporting in one UK accident and emergency department.
Citation Text:
Tighe CM, Woloshynowych M, Brown R, et al. Incident reporting in one UK accident and emergency department. Accid Emerg Nurs. 2006;14(1):27-37.
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psnet.ahrq.gov/issue/content-analysis-patient-complaints
January 18, 2023 - Study
Content analysis of patient complaints.
Citation Text:
Montini T, Noble AA, Stelfox HT. Content analysis of patient complaints. Int J Qual Health Care. 2008;20(6):412-20. doi:10.1093/intqhc/mzn041.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0519_02-27-2012.pdf
January 01, 2012 - Effective Health Care
Topic Number: 0437
Document Completion Date: 05-10-12
1
Results of Topic Selection Process & Next Steps
Heart failure hospital readmission prevention will go forward for refinement as an update to or
expansion of an existing comparative effectiveness or effectiveness revie…
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psnet.ahrq.gov/issue/comparing-safety-climate-between-two-populations-hospitals-united-states
June 16, 2011 - Study
Comparing safety climate between two populations of hospitals in the United States.
Citation Text:
Singer SJ, Hartmann CW, Hanchate A, et al. Comparing Safety Climate between Two Populations of Hospitals in the United States. Health Serv Res. 2009;44(5p1). doi:10.1111/j.1475-6773…
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psnet.ahrq.gov/issue/information-needs-operating-room-teams-what-right-what-wrong-and-what-needed
August 18, 2017 - Study
Information needs in operating room teams: what is right, what is wrong, and what is needed?
Citation Text:
Forrest D, Healey A, Shirafkan H, et al. Information needs in operating room teams: what is right, what is wrong, and what is needed? Surg Endosc. 2011;25(6):1913-20. doi:1…
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psnet.ahrq.gov/issue/second-victim-contested-term
December 08, 2021 - Study
The second victim: a contested term?
Citation Text:
Tumelty M-E. The second victim: a contested term? J Patient Saf. 2021;17(8):e1488-e1493. doi:10.1097/pts.0000000000000558.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…