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psnet.ahrq.gov/issue/understanding-diagnostic-errors-medicine-lesson-aviation
December 30, 2014 - Study
Understanding diagnostic errors in medicine: a lesson from aviation.
Citation Text:
Singh H, Petersen LA, Thomas EJ. Understanding diagnostic errors in medicine: a lesson from aviation. Qual Saf Health Care. 2006;15(3):159-64.
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psnet.ahrq.gov/issue/impact-standardized-incident-reporting-system-perioperative-setting-single-center-experience
February 09, 2022 - Study
The impact of a standardized incident reporting system in the perioperative setting: a single center experience on 2,563 'near-misses' and adverse events.
Citation Text:
Heideveld-Chevalking AJ, Calsbeek H, Damen J, et al. The impact of a standardized incident reporting system in t…
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psnet.ahrq.gov/issue/reducing-near-miss-medication-events-using-evidence-based-approach
July 07, 2021 - Study
Reducing near miss medication events using an evidence-based approach.
Citation Text:
Smith-Love J. Reducing near miss medication events using an evidence-based approach. J Nurs Care Qual. 2022;37(4):327-333. doi:10.1097/ncq.0000000000000630.
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psnet.ahrq.gov/issue/nurse-staffing-nursing-assistants-and-hospital-mortality-retrospective-longitudinal-cohort
July 11, 2018 - Study
Nurse staffing, nursing assistants and hospital mortality: retrospective longitudinal cohort study.
Citation Text:
Griffiths P, Maruotti A, Saucedo AR, et al. Nurse staffing, nursing assistants and hospital mortality: retrospective longitudinal cohort study. BMJ Qual Saf. 2019;28(…
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psnet.ahrq.gov/issue/perceptions-nurses-towards-barriers-safe-administration-medicines-mental-health-settings
October 30, 2013 - Study
The perceptions of nurses towards barriers to the safe administration of medicines in mental health settings.
Citation Text:
Hemingway S, McCann T, Baxter H, et al. The perceptions of nurses towards barriers to the safe administration of medicines in mental health settings. Int J N…
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psnet.ahrq.gov/issue/managing-interruptions-improve-diagnostic-decision-making-strategies-and-recommended-research
February 24, 2021 - Commentary
Managing interruptions to improve diagnostic decision-making: strategies and recommended research agenda.
Citation Text:
Sloane JF, Donkin C, Newell BR, et al. Managing interruptions to improve diagnostic decision-making: strategies and recommended research agenda. J Gen Inter…
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psnet.ahrq.gov/issue/adopting-real-time-surveillance-dashboards-component-enterprisewide-medication-safety
June 27, 2018 - Study
Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy.
Citation Text:
Waitman LR, Phillips IE, McCoy AB, et al. Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy. Jt Comm J Q…
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psnet.ahrq.gov/issue/effect-surgical-safety-checklist-provider-and-patient-outcomes-systematic-review
March 01, 2023 - Review
Effect of the surgical safety checklist on provider and patient outcomes: a systematic review.
Citation Text:
Armstrong BA, Dutescu IA, Nemoy L, et al. Effect of the surgical safety checklist on provider and patient outcomes: a systematic review. BMJ Qual Saf. 2022;31(6):463-478. …
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psnet.ahrq.gov/issue/role-ai-detecting-and-mitigating-human-errors-safety-critical-industries-review
January 15, 2025 - Review
The role of AI in detecting and mitigating human errors in safety-critical industries: a review.
Citation Text:
Gursel E, Madadi M, Coble JB, et al. The role of AI in detecting and mitigating human errors in safety-critical industries: a review. Reliability Eng System Saf. 2025;25…
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www.ahrq.gov/news/blog/ahrqviews/focus-diagnostic-safety.html
March 01, 2023 - AHRQ Views: Blog posts from AHRQ leaders
In the Spirit of Patient Safety Awareness Week, AHRQ Sharpens Its Focus on Diagnostic Safety
MAR
15
2023
By
Robert Otto
Valdez,
Ph.D., M.H.S.A.
Robert Otto Valdez, Ph.D., M.H.S.A.
In 2023, the American healthcare system rem…
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digital.ahrq.gov/ahrq-funded-projects/decision-support-improve-dental-care-medically-compromised-patients
January 01, 2023 - Decision Support to Improve Dental Care for Medically Compromised Patients
Project Final Report ( PDF , 7.93 MB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent…
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psnet.ahrq.gov/issue/predictors-and-triggers-incivility-within-healthcare-teams-systematic-review-literature
July 21, 2011 - Review
Predictors and triggers of incivility within healthcare teams: a systematic review of the literature.
Citation Text:
Keller S, Yule S, Zagarese V, et al. Predictors and triggers of incivility within healthcare teams: a systematic review of the literature. BMJ Open. 2020;10(6):e035…
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psnet.ahrq.gov/issue/types-diagnostic-errors-reported-paediatric-emergency-providers-global-paediatric-emergency
December 16, 2020 - Study
Types of diagnostic errors reported by paediatric emergency providers in a global paediatric emergency care research network.
Citation Text:
Mahajan P, Grubenhoff JA, Cranford J, et al. Types of diagnostic errors reported by paediatric emergency providers in a global paediatric eme…
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psnet.ahrq.gov/issue/nature-reported-safety-events-related-care-coordination-operating-room-setting-tertiary
May 11, 2022 - Study
The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center.
Citation Text:
Krishnan S, Wheeler KK, Pimentel MP, et al. The nature of reported safety events related to care coordination in the operating room setting …
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psnet.ahrq.gov/issue/prescription-opioid-dose-reductions-and-potential-adverse-events-multi-site-observational
March 04, 2020 - Study
Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health systems.
Citation Text:
Metz VE, Ray GT, Palzes V, et al. Prescription opioid dose reductions and potential adverse events: a multi-site observational coho…
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psnet.ahrq.gov/issue/advance-care-planning-documentation-practices-and-accessibility-electronic-health-record
December 05, 2012 - Study
Emerging Classic
Advance care planning documentation practices and accessibility in the electronic health record: implications for patient safety.
Citation Text:
Walker E, McMahan R, Barnes D, et al. Advance Care Planning Documentation Practices and Access…
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/falls-prevention-community-dwelling-older-adults-interventions
July 21, 2022 - Share to Facebook
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Final Research Plan
Falls Prevention in Community-Dwelling Older Adults: Interventions
July 21, 2022
Recommendations made by the USPSTF are independent of the U.S. governm…
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psnet.ahrq.gov/issue/icd-11-quality-and-safety-overview-who-quality-and-safety-topic-advisory-group
February 17, 2017 - Commentary
ICD-11 for quality and safety: overview of the WHO Quality and Safety Topic Advisory Group.
Citation Text:
Ghali WA, Pincus HA, Southern DA, et al. ICD-11 for quality and safety: overview of the WHO Quality and Safety Topic Advisory Group. Int J Qual Health Care. 2013;25(6):62…
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www.ahrq.gov/prevention/chronic-care/decision/research-centers/index.html
October 01, 2018 - Research Centers for Excellence in Clinical Preventive Services
AHRQ has funded three Research Centers for Excellence in Clinical Preventive Services focusing on the delivery of preventive services in the clinical setting. Each center is conducting three research projects seeking solutions to the problems of un…
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psnet.ahrq.gov/issue/e-prescribing-and-medication-safety-community-settings-rapid-scoping-review
January 22, 2025 - Review
E-prescribing and medication safety in community settings: a rapid scoping review.
Citation Text:
Cassidy CE, Boulos L, McConnell E, et al. E-prescribing and medication safety in community settings: a rapid scoping review. Explor Res Clin Soc Pharm. 2023;12:100365. doi:10.1016/j.r…