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psnet.ahrq.gov/issue/effects-intervention-increase-bed-alarm-use-prevent-falls-hospitalized-patients-cluster
January 03, 2017 - Study
Effects of an intervention to increase bed alarm use to prevent falls in hospitalized patients: a cluster randomized trial.
Citation Text:
Shorr RI, Chandler M, Mion LC, et al. Effects of an intervention to increase bed alarm use to prevent falls in hospitalized patients: a clust…
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psnet.ahrq.gov/issue/bridging-gap-leveraging-business-intelligence-tools-support-patient-safety-and-financial
February 15, 2011 - Commentary
Bridging the gap: leveraging business intelligence tools in support of patient safety and financial effectiveness.
Citation Text:
Ferranti JM, Langman MK, Tanaka D, et al. Bridging the gap: leveraging business intelligence tools in support of patient safety and financial effe…
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psnet.ahrq.gov/issue/catastrophic-drug-errors-involving-tranexamic-acid-administered-during-spinal-anaesthesia
September 23, 2020 - Review
Emerging Classic
Catastrophic drug errors involving tranexamic acid administered during spinal anaesthesia.
Citation Text:
Patel S, Robertson B, McConachie I. Catastrophic drug errors involving tranexamic acid administered during spinal anaesthesia. Anaes…
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psnet.ahrq.gov/issue/adverse-events-and-near-misses-relating-information-management-hospital
December 29, 2014 - Study
Adverse events and near misses relating to information management in a hospital.
Citation Text:
Jylhä V, Bates DW, Saranto K. Adverse events and near misses relating to information management in a hospital. Health Inf Manag. 2016;45(2):55-63. doi:10.1177/1833358316641551.
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psnet.ahrq.gov/issue/blood-sampling-guidelines-focus-patient-safety-and-identification-review
August 10, 2016 - Review
Blood sampling guidelines with focus on patient safety and identification—a review.
Citation Text:
Cornes M, Ibarz M, Ivanov H, et al. Blood sampling guidelines with focus on patient safety and identification - a review. Diagnosis (Berl). 2019;6(1):33-37. doi:10.1515/dx-2018-0042.…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/mui-flyer-sample.pdf
June 02, 2025 - PURSUIT Flyer (Birmingham)
NOTE: This is an example of a patient recruitment flyer for practices recruiting patients for the PURSUIT Managing Urinary
Incontinence project.
Do you have Bladder
Trouble?
If so, you may qualify for a program for wom…
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psnet.ahrq.gov/issue/improving-electronic-health-record-usability-and-safety-requires-transparency
September 19, 2018 - Commentary
Improving electronic health record usability and safety requires transparency.
Citation Text:
Ratwani RM, Hodgkins M, Bates DW. Improving Electronic Health Record Usability and Safety Requires Transparency. JAMA. 2018;320(24):2533-2534. doi:10.1001/jama.2018.14079.
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supplhighlight13.html
June 01, 2015 - Supplement to Evaluation Highlight No. 13
How did CHIPRA quality demonstration States employ learning collaboratives to improve children’s health care quality?
June 2015
Evaluation Highlight No. 13 is the 13th in a series that presents descriptive and analytic findings from the national evaluation of the C…
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psnet.ahrq.gov/issue/potential-benefits-and-problems-computerized-prescriber-order-entry-analysis-voluntary
January 06, 2017 - Study
Potential benefits and problems with computerized prescriber order entry: analysis of a voluntary medication error-reporting database.
Citation Text:
Zhan C, Hicks RW, Blanchette CM, et al. Potential benefits and problems with computerized prescriber order entry: analysis of a vo…
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psnet.ahrq.gov/issue/matching-identifiers-electronic-health-records-implications-duplicate-records-and-patient
October 13, 2015 - Study
Matching identifiers in electronic health records: implications for duplicate records and patient safety.
Citation Text:
McCoy AB, Wright A, Kahn MG, et al. Matching identifiers in electronic health records: implications for duplicate records and patient safety. BMJ Qual Saf. 20…
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psnet.ahrq.gov/issue/developing-systematic-approach-safer-medication-use-during-pregnancy-summary-centers-disease
February 17, 2011 - Commentary
Developing a systematic approach to safer medication use during pregnancy: summary of a Centers for Disease Control and Prevention–convened meeting.
Citation Text:
Broussard CS, Frey MT, Hernandez-Diaz S, et al. Developing a systematic approach to safer medication use during p…
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psnet.ahrq.gov/issue/using-system-analysis-build-safety-culture-improving-reliability-epidural-analgesia
January 14, 2009 - Study
Using system analysis to build a safety culture: improving the reliability of epidural analgesia.
Citation Text:
Garnerin P, Huchet-Belouard A, Diby M, et al. Using system analysis to build a safety culture: improving the reliability of epidural analgesia. Acta Anaesthesiol Scand…
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psnet.ahrq.gov/issue/prescribing-errors-pediatric-emergency-department
December 04, 2016 - Study
Prescribing errors in a pediatric emergency department.
Citation Text:
Rinke ML, Moon M, Clark J, et al. Prescribing errors in a pediatric emergency department. Pediatr Emerg Care. 2008;24(1):1-8. doi:10.1097/pec.0b013e31815f6f6c.
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Format:
DOI Google Sc…
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psnet.ahrq.gov/issue/effects-safety-checklists-medicine-systematic-review
December 07, 2011 - Review
The effects of safety checklists in medicine: a systematic review.
Citation Text:
Thomassen Ø, Storesund A, Søfteland E, et al. The effects of safety checklists in medicine: a systematic review. Acta Anaesthesiol Scand. 2014;58(1):5-18. doi:10.1111/aas.12207.
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…
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psnet.ahrq.gov/issue/evaluating-implementation-rapid-response-team-considering-alternative-outcome-measures
October 19, 2022 - Study
Evaluating implementation of a rapid response team: considering alternative outcome measures.
Citation Text:
Moriarty JP, Schiebel NE, Johnson MG, et al. Evaluating implementation of a rapid response team: considering alternative outcome measures. Int J Qual Health Care. 2014;26(1)…
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psnet.ahrq.gov/issue/not-overstepping-professional-boundaries-challenging-role-nurses-simulated-error-disclosures
August 04, 2021 - Study
Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures.
Citation Text:
Jeffs L, Espin S, Rorabeck L, et al. Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures. J Nurs Care Qual. …
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psnet.ahrq.gov/issue/proposed-2022-cdc-clinical-practice-guideline-prescribing-opioids-notice-centers-disease
December 21, 2022 - Press Release/Announcement
Proposed 2022 CDC clinical practice guideline for prescribing opioids. A notice by the Centers for Disease Control and Prevention.
Citation Text:
Proposed 2022 CDC clinical practice guideline for prescribing opioids. A notice by the Centers for Disease Control …
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psnet.ahrq.gov/issue/safety-culture-patient-safety-and-quality-care-outcomes-literature-review
October 24, 2018 - Review
Safety culture, patient safety, and quality of care outcomes: a literature review.
Citation Text:
Lee SE, Scott LD, Dahinten S, et al. Safety Culture, Patient Safety, and Quality of Care Outcomes: A Literature Review. West J Nurs Res. 2019;41(2):279-304. doi:10.1177/01939459177474…
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psnet.ahrq.gov/issue/role-computerized-physician-order-entry-usability-reduction-prescribing-errors
June 23, 2021 - Study
Role of computerized physician order entry usability in the reduction of prescribing errors.
Citation Text:
Peikari HR, Zakaria MS, Yasin NM, et al. Role of computerized physician order entry usability in the reduction of prescribing errors. Healthc Inform Res. 2013;19(2):93-101. d…
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psnet.ahrq.gov/issue/board-pharmacy-practices-related-medication-errors-and-their-potential-impact-patient-safety
December 20, 2017 - Study
Board of pharmacy practices related to medication errors and their potential impact on patient safety.
Citation Text:
Degnan DD, Hertig JB, Peters MJ, et al. Board of Pharmacy Practices Related to Medication Errors and Their Potential Impact on Patient Safety. J Pharm Pract. 2018;3…