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psnet.ahrq.gov/issue/electronic-prescription-writing-errors-pediatric-emergency-department
November 16, 2022 - Study
Electronic prescription writing errors in the pediatric emergency department.
Citation Text:
Nelson CE, Selbst SM. Electronic prescription writing errors in the pediatric emergency department. Pediatr Emerg Care. 2015;31(5):368-72. doi:10.1097/PEC.0000000000000428.
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psnet.ahrq.gov/issue/ending-disruptive-behavior-staff-nurse-recommendations-nurse-educators
July 19, 2023 - Study
Ending disruptive behavior: staff nurse recommendations to nurse educators.
Citation Text:
Lux KM, Hutcheson JB, Peden AR. Ending disruptive behavior: staff nurse recommendations to nurse educators. Nurse Educ Pract. 2014;14(1):37-42. doi:10.1016/j.nepr.2013.06.014.
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psnet.ahrq.gov/issue/surgical-team-behaviors-and-patient-outcomes
April 08, 2011 - Study
Classic
Surgical team behaviors and patient outcomes.
Citation Text:
Mazzocco K, Petitti DB, Fong KT, et al. Surgical team behaviors and patient outcomes. Am J Surg. 2009;197(5):678-85. doi:10.1016/j.amjsurg.2008.03.002.
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…
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psnet.ahrq.gov/issue/improving-safety-and-quality-care-enhanced-teamwork-through-operating-room-briefings
May 11, 2019 - Commentary
Improving safety and quality of care with enhanced teamwork through operating room briefings.
Citation Text:
Hicks CW, Rosen MA, Hobson DB, et al. Improving safety and quality of care with enhanced teamwork through operating room briefings. JAMA Surg. 2014;149(8):863-8. doi:10…
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psnet.ahrq.gov/issue/patient-perceptions-receiving-test-results-online-portals-mixed-methods-study
July 01, 2017 - Study
Patient perceptions of receiving test results via online portals: a mixed-methods study.
Citation Text:
Giardina TD, Baldwin J, Nystrom DT, et al. Patient perceptions of receiving test results via online portals: a mixed-methods study. J Am Med Inform Assoc. 2018;25(4):440-446. doi…
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psnet.ahrq.gov/issue/scoping-review-clinical-handover-mnemonic-devices
July 24, 2019 - Review
A scoping review of clinical handover mnemonic devices.
Citation Text:
Yung AHW, Pak CS, Watson B. A scoping review of clinical handover mnemonic devices. Int J Qual Health Care. 2023;35(3):mzad065. doi:10.1093/intqhc/mzad065.
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DOI Google Scholar…
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www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/patient-safety-issues.pdf
June 02, 2025 - Infographic Poster: Did you know...Patient safety issues in primary care are real.
Did you know...
Patient safety issues in
primary care are real.
Annually,
1 in 20 outpatients experiences a diagnostic error
55%
of patients said
diagnostic errors
were a chief concern
in outpatient visits
1 in 9
ED admissi…
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digital.ahrq.gov/sites/default/files/docs/citation/appendix-b-cdspain-practice-readiness-assessment.docx
August 12, 2024 - Appendix B: Practice Readiness Assessment
Determining your practice’s readiness to implement the clinician and patient facing Tapering And Patient Reported Outcomes for Chronic Pain Management (TAPR-CPM) application (app) is an important first step to beginning any project. Use the checklist below to evaluate your prac…
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psnet.ahrq.gov/issue/implementing-peer-evaluation-handoffs-associations-experience-and-workload
February 19, 2013 - Study
Implementing peer evaluation of handoffs: associations with experience and workload.
Citation Text:
Arora V, Greenstein EA, Woodruff JN, et al. Implementing peer evaluation of handoffs: associations with experience and workload. J Hosp Med. 2013;8(3):132-6. doi:10.1002/jhm.2002. …
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psnet.ahrq.gov/issue/intervention-enhance-nursing-staff-teamwork-and-engagement
June 21, 2010 - Study
An intervention to enhance nursing staff teamwork and engagement.
Citation Text:
Kalisch BJ, Curley M, Stefanov S. An intervention to enhance nursing staff teamwork and engagement. J Nurs Adm. 2007;37(2):77-84.
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Format:
Google Scholar PubMed BibTeX EndN…
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psnet.ahrq.gov/issue/wrong-sidewrong-site-wrong-procedure-and-wrong-patient-adverse-events-are-they-preventable
February 24, 2011 - Study
Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable?
Citation Text:
Seiden SC, Barach P. Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: Are they preventable? Arch Surg. 2006;141(9):931-9.
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Fo…
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digital.ahrq.gov/ahrq-funded-projects/improving-electronic-health-records-patient-education-materials
January 01, 2023 - Improving Electronic Health Records Patient Education Materials
Project Description
Annual Summaries
Publications
Project Details -
Completed
Contract Number
290-09-00012I-4
Funding Mechanism(s)
National Resource Center for …
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psnet.ahrq.gov/issue/proceed-reasonable-care-when-legal-principles-inform-training-prevent-harm-during-childbirth
July 24, 2013 - Commentary
Proceed with reasonable care: when legal principles inform training to prevent harm during the childbirth.
Citation Text:
Petrovic M, Nicholls J, Siassakos D. Proceed with reasonable care: when legal principles inform training to prevent harm during childbirth. Best Pract Res …
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/miller-rh-et
January 01, 2023 - Miller RH et al. 2005 "The value of electronic health records in solo or small group practices."
Reference
Miller RH, West C, Brown TM, et al. The value of electronic health records in solo or small group practices. Health Aff 2005;24(5):1127.
[Link]
Abstract
"We conducted case studies of fo…
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psnet.ahrq.gov/issue/using-situ-simulation-identify-latent-safety-threats-emergency-medicine-systematic-review
November 03, 2015 - Review
Using in situ simulation to identify latent safety threats in emergency medicine: a systematic review.
Citation Text:
Grace MA, O'Malley R. Using in situ simulation to identify latent safety threats in emergency medicine: a systematic review. Simul Healthc. 2023;19(4):243-253. doi…
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psnet.ahrq.gov/issue/medication-guides-patient-medication-information-proposed-rule-food-and-drug-administration
September 15, 2021 - Press Release/Announcement
Medication guides: patient medication information. A proposed rule by the Food and Drug Administration.
Citation Text:
Medication guides: patient medication information. A proposed rule by the Food and Drug Administration. May 31, 2023; Fed Register;88:35694-35…
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psnet.ahrq.gov/issue/neonatal-near-miss-audits-systematic-review-and-call-action
August 04, 2021 - Review
Neonatal near-miss audits: a systematic review and a call to action.
Citation Text:
Medeiros PB, Bailey C, Pollock D, et al. Neonatal near-miss audits: a systematic review and a call to action. BMC Pediatr. 2023;23(1):573. doi:10.1186/s12887-023-04383-6.
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psnet.ahrq.gov/issue/accuracy-safer-dx-instrument-identify-diagnostic-errors-primary-care
April 13, 2017 - Study
Accuracy of the Safer Dx Instrument to identify diagnostic errors in primary care.
Citation Text:
Al-Mutairi A, Meyer AND, Thomas EJ, et al. Accuracy of the Safer Dx Instrument to Identify Diagnostic Errors in Primary Care. J Gen Intern Care. 2016;31(6):602-608. doi:10.1007/s11606-…
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psnet.ahrq.gov/issue/ten-strategies-improve-management-abnormal-test-result-alerts-electronic-health-record
April 14, 2011 - Commentary
Ten strategies to improve management of abnormal test result alerts in the electronic health record.
Citation Text:
Singh H, Wilson L, Reis B, et al. Ten strategies to improve management of abnormal test result alerts in the electronic health record. J Patient Saf. 2010;6(2)…
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psnet.ahrq.gov/issue/act-performance-exploring-residents-decision-making-processes-seek-help
October 13, 2021 - Study
An act of performance: exploring residents' decision-making processes to seek help.
Citation Text:
Jansen I, Stalmeijer RE, Silkens MEWM, et al. An act of performance: exploring residents’ decision‐making processes to seek help. Med Educ. 2021;55(6):758-767. doi:10.1111/medu.14465.…