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psnet.ahrq.gov/issue/pathologists-perspectives-disclosing-harmful-pathology-error
January 22, 2020 - Study
Pathologists' perspectives on disclosing harmful pathology error.
Citation Text:
Dintzis SM, Clennon EK, Prouty CD, et al. Pathologists' Perspectives on Disclosing Harmful Pathology Error. Arch Pathol Lab Med. 2017;141(6):841-845. doi:10.5858/arpa.2016-0136-OA.
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psnet.ahrq.gov/issue/identification-errors-involving-clinical-laboratories-college-american-pathologists-q-probes
February 15, 2010 - Study
Identification errors involving clinical laboratories: a College of American Pathologists Q-Probes study of patient and specimen identification errors at 120 institutions.
Citation Text:
Pathologists C of A, Valenstein PN, Raab SS, et al. Identification errors involving clinical …
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psnet.ahrq.gov/issue/parental-preferences-error-disclosure-reporting-and-legal-action-after-medical-error-care
May 24, 2010 - Study
Parental preferences for error disclosure, reporting, and legal action after medical error in the care of their children.
Citation Text:
Hobgood C, Tamayo-Sarver JH, Elms A, et al. Parental preferences for error disclosure, reporting, and legal action after medical error in the c…
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psnet.ahrq.gov/issue/triad-xii-are-patients-aware-and-agree-dnr-or-polst-orders-their-medical-records
September 15, 2021 - Study
TRIAD XII: are patients aware of and agree with DNR or POLST orders in their medical records.
Citation Text:
Mirarchi FL, Juhasz K, Cooney TE, et al. TRIAD XII: Are Patients Aware of and Agree With DNR or POLST Orders in Their Medical Records. J Patient Saf. 2019;15(3):230-237. doi…
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psnet.ahrq.gov/issue/identifying-risks-and-opportunities-outpatient-surgical-patient-safety-qualitative-analysis
November 10, 2010 - Study
Identifying risks and opportunities in outpatient surgical patient safety: a qualitative analysis of Veterans Health Administration staff perceptions.
Citation Text:
Mull HJ, Rosen AK, Charns MP, et al. Identifying Risks and Opportunities in Outpatient Surgical Patient Safety: A Qu…
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psnet.ahrq.gov/issue/passing-baton-grounded-practical-theory-handoff-communication-between-multidisciplinary
November 16, 2022 - Study
Passing the baton: a grounded practical theory of handoff communication between multidisciplinary providers in two Department of Veterans Affairs outpatient settings.
Citation Text:
Koenig CJ, Maguen S, Daley A, et al. Passing the baton: a grounded practical theory of handoff commu…
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psnet.ahrq.gov/issue/addressing-adultification-black-pediatric-patients-emergency-department-framework-decrease
October 27, 2021 - Commentary
Addressing adultification of black pediatric patients in the emergency department: a framework to decrease disparities.
Citation Text:
Koch A, Kozhumam A. Addressing adultification of black pediatric patients in the emergency department: a framework to decrease disparities. He…
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psnet.ahrq.gov/issue/tenfold-medication-errors-5-years-experience-university-affiliated-pediatric-hospital
August 07, 2024 - Study
Tenfold medication errors: 5 years' experience at a university-affiliated pediatric hospital.
Citation Text:
Doherty C, Donnell CM. Tenfold medication errors: 5 years' experience at a university-affiliated pediatric hospital. Pediatrics. 2012;129(5):916-924. doi:10.1542/peds.2011-2…
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psnet.ahrq.gov/issue/implementation-crew-resource-management-qualitative-study-3-intensive-care-units
July 10, 2013 - Study
Implementation of crew resource management: a qualitative study in 3 intensive care units.
Citation Text:
Kemper PF, van Dyck C, Wagner C, et al. Implementation of Crew Resource Management: A Qualitative Study in 3 Intensive Care Units. J Patient Saf. 2017;13(4):223-231. doi:10.109…
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psnet.ahrq.gov/issue/older-folks-hospitals-contributing-factors-and-recommendations-incident-prevention
April 13, 2022 - Study
Older folks in hospitals: the contributing factors and recommendations for incident prevention.
Citation Text:
Mansah M, Griffiths R, Fernandez R, et al. Older folks in hospitals: the contributing factors and recommendations for incident prevention. J Patient Saf. 2014;10(3):146-53…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-brochure-nc.pdf
January 01, 2003 - Heart Health NOW
This is our time!
Are you ready?
Heart Health NOW!
Advancing heart health in
N.C. primary care
Heart Health NOW! is the N.C. Cooperative of
EvidenceNOW —a program funded by the
Agency for Healthcare Research and Quality
Your practice will partner with us by:
• Establishing an EHR connection…
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psnet.ahrq.gov/issue/why-didnt-you-call-me-factors-junior-learners-consider-when-deciding-whether-call-their
July 14, 2021 - Study
Why didn't you call me? Factors junior learners consider when deciding whether to call their supervisor.
Citation Text:
Alibhai KM, Zabolotniuk TR, Raîche I, et al. Why didn't you call me? Factors junior learners consider when deciding whether to call their supervisor. J Surg Educ.…
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psnet.ahrq.gov/issue/blood-and-blood-products-transfusion-errors-what-can-we-do-improve-patient-safety
September 23, 2020 - Review
Blood and blood products transfusion errors: what can we do to improve patient safety.
Citation Text:
Brown C, Brown M. Blood and blood products transfusion errors: what can we do to improve patient safety? Br J Nurs. 2023;32(7):326-332. doi:10.12968/bjon.2023.32.7.326.
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psnet.ahrq.gov/issue/developing-agreement-never-events-primary-care-dentistry-international-edelphi-study
October 05, 2016 - Study
Developing agreement on never events in primary care dentistry: an international eDelphi study.
Citation Text:
Ensaldo-Carrasco E, Carson-Stevens A, Cresswell K, et al. Developing agreement on never events in primary care dentistry: an international eDelphi study. Br Dent J. 2018;2…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-timeline-nw.pdf
June 19, 2015 - Recruitment Process Diagram Northwest
Draft H2N Recruitment Process Flow
June 19, 2015
Practice
completes
interest form
Interest form
is received in
H2N email
box
Recruiter sends an
email to practice
scheduling time for a
phone conversation,
provides some
additional information
about H2N via email…
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psnet.ahrq.gov/issue/opioids-prescribed-after-low-risk-surgical-procedures-united-states-2004-2012
May 29, 2024 - Study
Opioids prescribed after low-risk surgical procedures in the United States, 2004–2012.
Citation Text:
Wunsch H, Wijeysundera DN, Passarella MA, et al. Opioids Prescribed After Low-Risk Surgical Procedures in the United States, 2004-2012. JAMA. 2016;315(15):1654-7. doi:10.1001/jama.…
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psnet.ahrq.gov/issue/relationship-between-computerized-physician-order-entry-and-pediatric-adverse-drug-events
July 13, 2009 - Study
The relationship between computerized physician order entry and pediatric adverse drug events: a nested matched case-control study.
Citation Text:
Yu F, Salas M, Kim Y-I, et al. The relationship between computerized physician order entry and pediatric adverse drug events: a nested…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-cusp.html
May 01, 2017 - Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide
The Comprehensive Unit-based Safety Program (CUSP)
Previous Page Next Page
Table of Contents
Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide
Overview
The Comprehensiv…
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psnet.ahrq.gov/issue/preanalytical-errors-primary-healthcare-questionnaire-study-information-search-procedures
July 07, 2010 - Study
Preanalytical errors in primary healthcare: a questionnaire study of information search procedures, test request management and test tube labelling.
Citation Text:
Söderberg J, Brulin C, Grankvist K, et al. Preanalytical errors in primary healthcare: a questionnaire study of info…
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psnet.ahrq.gov/issue/under-reporting-deaths-coroner-doctors-retrospective-review-deaths-two-hospitals-melbourne
April 24, 2018 - Study
Under-reporting of deaths to the coroner by doctors: a retrospective review of deaths in two hospitals in Melbourne, Australia.
Citation Text:
Charles A, Ranson D, Bohensky M, et al. Under-reporting of deaths to the coroner by doctors: a retrospective review of deaths in two hosp…