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psnet.ahrq.gov/issue/safety-and-risk-management-interventions-hospitals-systematic-review-literature
April 01, 2010 - Review
Safety and risk management interventions in hospitals: a systematic review of the literature.
Citation Text:
Dückers M, Faber M, Cruijsberg J, et al. Safety and risk management interventions in hospitals: a systematic review of the literature. Med Care Res Rev. 2009;66(6 Suppl):…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/EvidenceNOW-BSC-AL-profile.pdf
September 01, 2021 - EvidenceNOW Building State Capacity Profile: Alabama Cooperative
Alabama Cooperative
Project Name:
Alabama Cardiovascular
Cooperative
Principal Investigators:
Andrea L. Cherrington, MD, MPH
and Elizabeth Jackson, MD, MPH,
FAHA, University of Alabama at
Birmingham
Cooperative Partners:
Alabama Department …
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psnet.ahrq.gov/issue/impact-pharmacist-interventions-medication-errors-hospitalized-pediatric-patients-systematic
August 04, 2021 - Review
Impact of pharmacist interventions on medication errors in hospitalized pediatric patients: a systematic review and meta-analysis.
Citation Text:
Naseralallah LM, Hussain TA, Jaam M, et al. Impact of pharmacist interventions on medication errors in hospitalized pediatric patients:…
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hcup-us.ahrq.gov/db/nation/kid/kidrelatedreports.jsp
December 01, 2022 - KID Related Reports
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs
Email Updates
…
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psnet.ahrq.gov/issue/analysis-critical-incident-reports-using-natural-language-processing
June 14, 2023 - Study
Analysis of critical incident reports using natural language processing.
Citation Text:
Denecke K, Paula H. Analysis of critical incident reports using natural language processing. Stud Health Technol Inform. 2024;313:1-6. doi:10.3233/shti240002.
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Format:
…
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psnet.ahrq.gov/issue/implementation-health-information-technology-safety-classification-system-veterans-health
August 04, 2021 - Study
Implementation of a health information technology safety classification system in the Veterans Health Administration's Informatics Patient Safety Office.
Citation Text:
Kato D, Lucas J, Sittig DF. Implementation of a health information technology safety classification system in the…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/atrial-fibrillation_executive.pdf
June 01, 2013 - 1
Comparative Effectiveness Review
Number 119
Treatment of Atrial Fibrillation
Executive Summary
Background
Definition and Impact of Atrial
Fibrillation
Atrial fibrillation (AF) is a supraventricular
tachyarrhythmia (any tachycardic rhythm
originating above the ventricular tissue)
and is characterized by unc…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-213-fullreport.pdf
January 01, 2019 - Sickle Cell Disease Pathology and Severity
Vaso-occlusion (the sudden blockage of a blood vessel caused
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psnet.ahrq.gov/node/33638/psn-pdf
August 01, 2006 - Getting Into Patient Safety: A Personal Story
August 1, 2006
Cooper JB. Getting Into Patient Safety: A Personal Story. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
Perspective
My journey into patient safety began in 1972. It was born of serendipity enabled by the…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/masks-prevention-covid-surveillance-report.pdf
July 17, 2020 - Surveillance Report: Masks for Prevention of COVID-19 in Community and Healthcare Settings
Surveillance Report: July 17, 2020
Masks for Prevention of COVID-19 in
Community and Healthcare Settings:
Surveillance Report
Background
This surveillance report summarizes the search and update for the rapid review and l…
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psnet.ahrq.gov/web-mm/insert-omission
May 09, 2014 - Insert Omission
Citation Text:
Darney P. Insert Omission. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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effectivehealthcare.ahrq.gov/sites/default/files/pregnancy-horizon-scan-high-impact-1412.pdf
December 01, 2014 - PREGNANCY, INCLUDING PRETERM BIRTH #12
AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Priority Area 12: Pregnancy, Including Preterm Birth
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither Road
…
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psnet.ahrq.gov/node/867655/psn-pdf
February 26, 2025 - Learning Health Systems for Patient Safety
February 26, 2025
Savitz LA, Sousane Z, Mossburg SE. Learning Health Systems for Patient Safety. PSNet [internet]. 2025.
https://psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
Despite an observable decrease in adverse events in health care over time, rat…
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psnet.ahrq.gov/web-mm/security-lapse
December 18, 2019 - Security Lapse
Citation Text:
Mason D. Security Lapse. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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psnet.ahrq.gov/node/33621/psn-pdf
November 01, 2005 - Rapid Response Teams: Lessons from the Early
Experience
November 1, 2005
Krimsky WS. Rapid Response Teams: Lessons from the Early Experience. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience
Perspective
Health care organizations throughout the world have ide…
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psnet.ahrq.gov/node/49631/psn-pdf
July 01, 2011 - Patient Safety and Adherence to Self-Administered
Medications
July 1, 2011
Spall H, Van-Spall C, Nieuwlaat R, et al. Patient Safety and Adherence to Self-Administered Medications.
PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/patient-safety-and-adherence-self-administered-medications
The Case
A 30-year-o…
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psnet.ahrq.gov/node/850362/psn-pdf
June 14, 2023 - Home Medications Contribute to a Unique Opportunity for
Error on Discharge from the Hospital
June 14, 2023
Agrawal G, Nguyen DM. Home Medications Contribute to a Unique Opportunity for Error on Discharge from
the Hospital. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/home-medications-contribute-unique-opp…
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psnet.ahrq.gov/node/49628/psn-pdf
June 01, 2011 - Routine Goes Awry
June 1, 2011
Huoh KC, Rosbe KW. Routine Goes Awry. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/routine-goes-awry
The Case
A 6-year-old girl with a history of asthma and chronic adenotonsillitis was referred to a surgeon and
scheduled for a tonsillectomy and adenoidectomy. She was in ot…
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www.ahrq.gov/sites/default/files/2024-12/doi-report.pdf
January 01, 2024 - Final Progress Report: Optimizing Detection of MRSA Carriage
Title of the project:
Optimizing Detection of MRSA Carriage
Principal investigator and team members:
Yohei Doi (principal investigator)
Diana Pakstis (research director)
Charma Chaussard (research coordinator)
Jessica O’Hara (laboratory technician…
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www.ahrq.gov/sops/bibliography/index.html?page=2
January 01, 2025 - SOPS Bibliography
Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture.
Results
101-150 of 505 Bibliography Items displayed
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