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psnet.ahrq.gov/issue/so-why-didnt-you-think-baby-was-ill-decision-making-acute-paediatrics
April 10, 2019 - Review
'So why didn't you think this baby was ill?' Decision-making in acute paediatrics.
Citation Text:
Roland D, Snelson E. 'So why didn't you think this baby was ill?' Decision-making in acute paediatrics. Arch Dis Child Educ Pract Ed. 2019;104(1):43-48. doi:10.1136/archdischild-2017-…
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www.ahrq.gov/news/newsroom/case-studies/202301.html
October 01, 2024 - Ohio Veterans’ Facility Relied on AHRQ Resource to Develop Diabetes Initiative
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March 2023
The Dayton (Ohio) Veterans Affairs (VA) Medical Center facility has adopted AHRQ’s SHARE Approach as part of the U.S. Department of Veterans Affairs' national Hypoglycemic Safety Initia…
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psnet.ahrq.gov/issue/medication-errors-and-error-chains-involving-high-alert-medications-paediatric-hospital
March 27, 2024 - Study
Medication errors and error chains involving high-alert medications in a paediatric hospital setting: a qualitative analysis of self-reported medication safety incidents.
Citation Text:
Kuitunen S, Saksa M, Holmström A-R. Medication errors and error chains involving high-alert medi…
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psnet.ahrq.gov/issue/improving-standardization-paging-communication-using-quality-improvement-methodology
September 23, 2020 - Study
Improving standardization of paging communication using quality improvement methodology.
Citation Text:
Weigert RM, Schmitz AH, Soung PJ, et al. Improving Standardization of Paging Communication Using Quality Improvement Methodology. Pediatrics. 2019;143(4). doi:10.1542/peds.2018-1…
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psnet.ahrq.gov/issue/do-my-feelings-fit-diagnosis-avoiding-misdiagnoses-psychosomatic-consultation-services
March 18, 2020 - Study
Do my feelings fit the diagnosis? Avoiding misdiagnoses in psychosomatic consultation services.
Citation Text:
Seidl E, Seidl O. Do my feelings fit the diagnosis? Avoiding misdiagnoses in psychosomatic consultation services. J Healthc Risk Manag. 2021;41(2):9-17. doi:10.1002/jhrm.2…
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psnet.ahrq.gov/issue/academic-year-end-transfers-outpatients-outgoing-incoming-residents-unaddressed-patient
January 27, 2016 - Commentary
Academic year-end transfers of outpatients from outgoing to incoming residents: an unaddressed patient safety issue.
Citation Text:
Young JQ, Wachter R. Academic year-end transfers of outpatients from outgoing to incoming residents: an unaddressed patient safety issue. JAMA.…
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psnet.ahrq.gov/issue/low-literacy-impairs-comprehension-prescription-drug-warning-labels
January 21, 2009 - Study
Low literacy impairs comprehension of prescription drug warning labels.
Citation Text:
Davis TC, Wolf MS, Bass PF, et al. Low literacy impairs comprehension of prescription drug warning labels. J Gen Intern Med. 2006;21(8):847-51.
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psnet.ahrq.gov/issue/association-polypharmacy-and-potential-drug-drug-interactions-adverse-treatment-outcomes
May 25, 2016 - Study
Association of polypharmacy and potential drug-drug interactions with adverse treatment outcomes in older adults with advanced cancer.
Citation Text:
Mohamed MR, Mohile SG, Juba KM, et al. Association of polypharmacy and potential drug‐drug interactions with adverse treatment outco…
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psnet.ahrq.gov/issue/medication-administration-aged-care-facilities-mixed-methods-systematic-review-0
July 31, 2024 - Review
Medication administration in aged care facilities: a mixed-methods systematic review.
Citation Text:
Garratt S, Dowling A, Manias E. Medication administration in aged care facilities: a mixed‐methods systematic review. J Adv Nurs. 2025;81(2):621-640. doi:10.1111/jan.16318.
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psnet.ahrq.gov/issue/medication-administration-aged-care-facilities-mixed-methods-systematic-review
March 05, 2025 - Review
Medication administration in aged care facilities: a mixed-methods systematic review.
Citation Text:
Garratt S, Dowling A, Manias E. Medication administration in aged care facilities: a mixed‐methods systematic review. J Adv Nurs. 2025;81(2):621-640. doi:10.1111/jan.16318.
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psnet.ahrq.gov/issue/integrating-safety-i-and-safety-ii-conceptual-frameworks-enhance-safety-measurement-and
September 27, 2023 - Commentary
Integrating Safety-I and Safety-II conceptual frameworks to enhance safety measurement and management.
Citation Text:
Lounsbury O, Brant K, Stockwell DC. Integrating Safety-I and Safety-II conceptual frameworks to enhance safety measurement and management. J Patient Saf Risk M…
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psnet.ahrq.gov/issue/disparities-racial-ethnic-and-payer-groups-pediatric-safety-events-us-hospitals
February 21, 2024 - Study
Disparities in racial, ethnic, and payer groups for pediatric safety events in US hospitals.
Citation Text:
Parikh K, Hall M, Tieder JS, et al. Disparities in racial, ethnic, and payer groups for pediatric safety events in US hospitals. Pediatrics. 2024;153(3):e2023063714. doi:10.1…
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psnet.ahrq.gov/issue/fatigue-nurses-and-medication-administration-errors-scoping-review
December 01, 2021 - Review
Fatigue in nurses and medication administration errors: a scoping review.
Citation Text:
Bell T, Sprajcer M, Flenady T, et al. Fatigue in nurses and medication administration errors: a scoping review. J Clin Nurs. 2023;32(17-18):5445-5460. doi:10.1111/jocn.16620.
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psnet.ahrq.gov/issue/health-care-worker-fatigue-and-patient-safety
December 23, 2016 - Sentinel Event Alerts
Health care worker fatigue and patient safety.
Citation Text:
Health care worker fatigue and patient safety. Sentinel Event Alert. December 14, 2011;(48):1-4. (addendum May 14, 2018).
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hcup-us.ahrq.gov/db/vars/chronn/nisnote.jsp
September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) NIS Notes
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psnet.ahrq.gov/issue/morbidity-and-mortality-conference-emergency-medicine-residencies-and-culture-safety
November 16, 2022 - Study
Morbidity and mortality conference in emergency medicine residencies and the culture of safety.
Citation Text:
Aaronson E, Wittels KA, Nadel ES, et al. Morbidity and Mortality Conference in Emergency Medicine Residencies and the Culture of Safety. West J Emerg Med. 2015;16(6):810-7…
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psnet.ahrq.gov/issue/racism-and-electronic-health-records-ehrs-perspectives-research-and-practice
March 27, 2024 - Commentary
Racism and electronic health records (EHRs): perspectives for research and practice.
Citation Text:
Emani S, Rodriguez JA, Bates DW. Racism and electronic health records (EHRs): perspectives for research and practice. J Am Med Inform Assoc. 2023;30(5):995-999. doi:10.1093/jami…
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psnet.ahrq.gov/issue/measuring-and-improving-patient-safety-through-health-information-technology-health-it-safety
December 06, 2023 - Commentary
Measuring and improving patient safety through health information technology: the Health IT Safety Framework.
Citation Text:
Singh H, Sittig DF. Measuring and improving patient safety through health information technology: The Health IT Safety Framework. BMJ Qual Saf. 2016;25(…
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psnet.ahrq.gov/issue/diagnosing-crime-and-diagnosing-disease-part-1-and-part-2
December 05, 2018 - Review
Diagnosing crime and diagnosing disease—part 1 and part 2.
Citation Text:
Lockhart JJ, Satya-Murti S. Diagnosing Crime and Diagnosing Disease: Bias Reduction Strategies in the Forensic and Clinical Sciences. J Forensic Sci. 2017;62(6):1534-1541. doi:10.1111/1556-4029.13453.
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psnet.ahrq.gov/issue/essential-elements-nurses-have-address-promote-safe-discharge-paediatrics-systematic-review
September 28, 2022 - Review
Essential elements nurses have to address to promote a safe discharge in paediatrics: a systematic review and narrative synthesis.
Citation Text:
Rossi S, Hayter M, Zuco A, et al. Essential elements nurses have to address to promote a safe discharge in paediatrics: a systematic re…