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psnet.ahrq.gov/issue/identification-latent-safety-threats-using-high-fidelity-simulation-based-training
June 26, 2019 - Study
Identification of latent safety threats using high-fidelity simulation-based training with multidisciplinary neonatology teams.
Citation Text:
Wetzel EA, Lang TR, Pendergrass TL, et al. Identification of Latent Safety Threats Using High-Fidelity Simulation-Based Training with Mult…
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psnet.ahrq.gov/issue/standardized-handoff-simulation-promotes-recovery-auditory-distractions-resident-physicians
March 09, 2016 - Study
A standardized handoff simulation promotes recovery from auditory distractions in resident physicians.
Citation Text:
Matern LH, Farnan JM, Hirsch KW, et al. A Standardized Handoff Simulation Promotes Recovery From Auditory Distractions in Resident Physicians. Simul Healthc. 2018;1…
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digital.ahrq.gov/technology/standards-and-classifications
January 08, 2025 - Standards and Classifications
CDS Connect- Year 8 Final Report
Citation
Final Report (Year 8 of CDS Connect) CDS Connect Maintenance and Update Prepared under Contract No. 75FCMC18D0047. AHRQ Publication No. 24-0067. Rockville, MD: Agency for Healthcare Research and Quality; A…
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psnet.ahrq.gov/issue/graphical-display-diagnostic-test-results-electronic-health-records-comparison-8-systems
November 11, 2020 - Study
Graphical display of diagnostic test results in electronic health records: a comparison of 8 systems.
Citation Text:
Sittig DF, Murphy DR, Smith MW, et al. Graphical display of diagnostic test results in electronic health records: a comparison of 8 systems. J Am Med Inform Assoc. 2…
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psnet.ahrq.gov/issue/search-international-multidimensional-action-plan-second-victim-support-narrative-review
February 15, 2023 - Review
In search of an international multidimensional action plan for second victim support: a narrative review.
Citation Text:
Seys D, Panella M, Russotto S, et al. In search of an international multidimensional action plan for second victim support: a narrative review. BMC Health Serv …
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psnet.ahrq.gov/issue/evaluating-iatrogenic-prescribing-development-oncology-focused-trigger-tool
December 23, 2020 - Study
Evaluating iatrogenic prescribing: development of an oncology-focused trigger tool.
Citation Text:
Hébert G, Netzer F, Ferrua M, et al. Evaluating iatrogenic prescribing: development of an oncology-focused trigger tool. Eur J Cancer. 2015;51(3):427-35. doi:10.1016/j.ejca.2014.12.00…
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psnet.ahrq.gov/issue/physician-prescribing-opioids-patients-increased-risk-overdose-benzodiazepine-use-united
September 27, 2016 - Study
Emerging Classic
Physician prescribing of opioids to patients at increased risk of overdose from benzodiazepine use in the United States.
Citation Text:
Ladapo JA, Larochelle MR, Chen A, et al. Physician Prescribing of Opioids to Patients at Increased Risk…
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psnet.ahrq.gov/issue/applying-medications-transitions-and-clinical-handoffs-toolkit-rural-primary-care-clinic
August 04, 2021 - Study
Applying the Medications at Transitions and Clinical Handoffs Toolkit in a rural primary care clinic: implications for nursing, patients, and caregivers.
Citation Text:
Jarrett T, Cochran J, Baus A. Applying the Medications at Transitions and Clinical Handoffs Toolkit in a rural pr…
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psnet.ahrq.gov/issue/scoping-review-communication-tools-applicable-patients-and-their-primary-care-providers-after
December 15, 2021 - Review
A scoping review of communication tools applicable to patients and their primary care providers after discharge from hospital.
Citation Text:
Spencer RA, Singh Punia H. A scoping review of communication tools applicable to patients and their primary care providers after discharge …
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psnet.ahrq.gov/issue/case-safety-leadership-team-training-hospital-managers
August 31, 2011 - Study
A case for safety leadership team training of hospital managers.
Citation Text:
Singer SJ, Hayes J, Cooper JB, et al. A case for safety leadership team training of hospital managers. Health Care Manage Rev. 2011;36(2):188-200. doi:10.1097/HMR.0b013e318208cd1d.
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psnet.ahrq.gov/issue/describing-evidence-linking-interprofessional-education-interventions-improving-delivery-safe
June 12, 2013 - Review
Describing the evidence linking interprofessional education interventions to improving the delivery of safe and effective patient care: a scoping review.
Citation Text:
Cadet T, Cusimano J, McKearney S, et al. Describing the evidence linking interprofessional education interventio…
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psnet.ahrq.gov/issue/sources-medication-omissions-among-hospitalized-older-adults-polypharmacy
January 18, 2023 - Study
Sources of medication omissions among hospitalized older adults with polypharmacy.
Citation Text:
Shah AS, Hollingsworth EK, Shotwell MS, et al. Sources of medication omissions among hospitalized older adults with polypharmacy. J Am Geriatr Soc. 2022;70(4):1180-1189. doi:10.1111/jg…
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psnet.ahrq.gov/issue/how-valid-icd-9-cm-based-ahrq-patient-safety-indicator-postoperative-venous-thromboembolism
April 03, 2017 - Study
How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative venous thromboembolism?
Citation Text:
White RH, Sadeghi B, Tancredi DJ, et al. How Valid is the ICD-9-CM Based AHRQ Patient Safety Indicator for Postoperative Venous Thromboembolism? Med Care. 2009;4…
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psnet.ahrq.gov/issue/changing-and-sustaining-medical-students-knowledge-skills-and-attitudes-about-patient-safety
December 19, 2012 - Study
Changing and sustaining medical students' knowledge, skills, and attitudes about patient safety and medical fallibility.
Citation Text:
Madigosky WS, Headrick LA, Nelson K, et al. Changing and sustaining medical students' knowledge, skills, and attitudes about patient safety and …
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psnet.ahrq.gov/issue/situ-simulation-program-quantitative-and-qualitative-prospective-study-identifying-latent
March 25, 2021 - Study
An in situ simulation program: a quantitative and qualitative prospective study identifying latent safety threats and examining participant experiences.
Citation Text:
Kjaergaard-Andersen G, Ibsgaard P, Paltved C, et al. An in situ simulation program: a quantitative and qualitativ…
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psnet.ahrq.gov/issue/barriers-implementing-reporting-and-learning-patient-safety-system-pediatric-chiropractic
October 19, 2016 - Study
Barriers to implementing a reporting and learning patient safety system: pediatric chiropractic perspective.
Citation Text:
Pohlman KA, Carroll L, Hartling L, et al. Barriers to Implementing a Reporting and Learning Patient Safety System: Pediatric Chiropractic Perspective. J Evid …
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hcup-us.ahrq.gov/news/exhibit_booth/SEDDBrochure_050218.pdf
May 16, 2018 - What are the SEDD?
The State Emergency Department Databases
(SEDD) are part of the family of databases and
software tools developed for the Healthcare Cost
and Utilization Project (HCUP). The SEDD are a
set of longitudinal State-specific emergency
department databases included in the HCUP
family. The SEDD capture disch…
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psnet.ahrq.gov/issue/why-open-disclosure-procedure-and-not-followed-after-avoidable-adverse-event
August 11, 2021 - Study
Why an open disclosure procedure is and is not followed after an avoidable adverse event.
Citation Text:
Carrillo I, Mira JJ, Guilabert M, et al. Why an open disclosure procedure is and is not followed after an avoidable adverse event. J Patient Saf. 2021;17(6):e529-e533. doi:10.10…
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psnet.ahrq.gov/issue/learning-radiation-oncology-12-month-experience-new-incident-learning-system
February 16, 2022 - Study
Learning in radiation oncology: 12-month experience with a new incident learning system.
Citation Text:
Crouch K, Adamson L, Beldham‐Collins R, et al. Learning in radiation oncology: 12‐month experience with a new incident learning system. J Med Radiat Sci. 2024;Epub Sep 15. doi:10…
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psnet.ahrq.gov/issue/interventions-health-organisations-reduce-impact-adverse-events-second-and-third-victims
October 11, 2017 - Study
Interventions in health organisations to reduce the impact of adverse events in second and third victims.
Citation Text:
Mira JJ, Lorenzo S, Carrillo I, et al. Interventions in health organisations to reduce the impact of adverse events in second and third victims. BMC Health Serv …