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psnet.ahrq.gov/issue/analyzing-and-mitigating-risks-patient-harm-during-operating-room-intensive-care-unit-patient
October 05, 2022 - Commentary
Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient handoffs.
Citation Text:
Martins NRS, Martinez EZ, Simões CM, et al. Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient …
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www.ahrq.gov/policy/electronic/plain-writing/index.html
July 01, 2025 - Plain Language at AHRQ
The Plain Writing Act of 2010 requires federal agencies to write clear Government communication that the public can understand and use. This page explains what plain language is and how the Agency for Healthcare Research and Quality (AHRQ) is implementing the Act.
What is Plain Language…
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psnet.ahrq.gov/issue/development-and-validation-deep-learning-model-detection-allergic-reactions-using-safety
June 15, 2022 - Study
Development and validation of a deep learning model for detection of allergic reactions using safety event reports across hospitals.
Citation Text:
Yang J, Wang L, Phadke NA, et al. Development and validation of a deep learning model for detection of allergic reactions using safety…
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psnet.ahrq.gov/issue/community-discharge-among-post-acute-nursing-home-residents-association-patient-safety
November 04, 2020 - Study
Community discharge among post-acute nursing home residents: an association with patient safety culture?
Citation Text:
Guo W, Li Y, Temkin-Greener H. Community discharge among post-acute nursing home residents: an association with patient safety culture? J Am Med Dir Assoc. 2021;2…
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psnet.ahrq.gov/issue/patient-safety-issues-information-overload-electronic-medical-records
May 04, 2022 - Review
Patient safety issues from information overload in electronic medical records.
Citation Text:
Nijor S, Rallis G, Lad N, et al. Patient safety issues from information overload in electronic medical records. J Patient Saf. 2022;18(6):e999-e1003. doi:10.1097/pts.0000000000001002.
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psnet.ahrq.gov/issue/effects-interorganisational-information-technology-networks-patient-safety-realist-synthesis
December 02, 2020 - Review
Effects of interorganisational information technology networks on patient safety: a realist synthesis.
Citation Text:
Keen J, Abdulwahid MA, King N, et al. Effects of interorganisational information technology networks on patient safety: a realist synthesis. BMJ Open. 2020;10(10):…
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psnet.ahrq.gov/issue/instruments-measuring-patient-safety-competencies-nursing-scoping-review
November 09, 2022 - Review
Instruments for measuring patient safety competencies in nursing: a scoping review.
Citation Text:
Mortensen M, Naustdal KI, Uibu E, et al. Instruments for measuring patient safety competencies in nursing: a scoping review. BMJ Open Qual. 2022;11(2):e001751. doi:10.1136/bmjoq-2021…
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psnet.ahrq.gov/issue/health-care-workers-second-victims-medical-errors
April 07, 2021 - Study
Health care workers as second victims of medical errors.
Citation Text:
Edrees HH, Paine LA, Feroli R, et al. Health care workers as second victims of medical errors. Pol Arch Med Wewn. 2011;121(4):101-108.
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psnet.ahrq.gov/issue/supporting-emotional-well-being-health-care-workers-during-covid-19-pandemic
October 14, 2020 - Commentary
Emerging Classic
Supporting the emotional well-being of health care workers during the COVID-19 pandemic.
Citation Text:
Wu AW, Buckle P, Haut ER, et al. Supporting the emotional well-being of health care workers during the COVID-19 pandemic. J Patien…
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psnet.ahrq.gov/issue/role-theory-research-develop-and-evaluate-implementation-patient-safety-practices
September 20, 2011 - Commentary
The role of theory in research to develop and evaluate the implementation of patient safety practices.
Citation Text:
Foy R, Ovretveit J, Shekelle PG, et al. The role of theory in research to develop and evaluate the implementation of patient safety practices. BMJ Qual Saf. …
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psnet.ahrq.gov/issue/implementation-science-neglected-opportunity-accelerate-improvements-safety-and-quality
February 14, 2018 - Review
Implementation science: a neglected opportunity to accelerate improvements in the safety and quality of surgical care.
Citation Text:
Hull L, Athanasiou T, Russ S. Implementation Science: A Neglected Opportunity to Accelerate Improvements in the Safety and Quality of Surgical Care…
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psnet.ahrq.gov/issue/referrals-infection-control-breaches-public-health-authorities-ambulatory-care-settings
December 09, 2020 - Study
Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017.
Citation Text:
Braun B, Chitavi SO, Perkins KM, et al. Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017. J…
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psnet.ahrq.gov/issue/it-rational-pursue-zero-suicides-among-patients-health-care
October 18, 2023 - Commentary
Is it rational to pursue zero suicides among patients in health care?
Citation Text:
Mokkenstorm JK, Kerkhof AJFM, Smit JH, et al. Is It Rational to Pursue Zero Suicides Among Patients in Health Care? Suicide Life Threat Behav. 2018;48(6):745-754. doi:10.1111/sltb.12396.
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psnet.ahrq.gov/issue/information-transfer-hospital-discharge-systematic-review
February 21, 2015 - Review
Classic
Information transfer at hospital discharge: a systematic review.
Citation Text:
Kattel S, Manning DM, Erwin PJ, et al. Information transfer at hospital discharge: a systematic review. J Patient Saf. 2020;16(1):e25-e33. doi:10.1097/pts.000000000000…
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psnet.ahrq.gov/issue/adverse-drug-events-after-hospital-discharge-older-adults-types-severity-and-involvement
August 11, 2010 - Study
Adverse drug events after hospital discharge in older adults: types, severity, and involvement of Beers criteria medications.
Citation Text:
Kanaan AO, Donovan JL, Duchin NP, et al. Adverse drug events after hospital discharge in older adults: types, severity, and involvement of …
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digital.ahrq.gov/principal-investigator/ralston-james-d
January 01, 2023 - Ralston, James D.
"It's not just technology, it's people": constructing a conceptual model of shared health informatics for tracking in chronic illness management.
Citation
Vizer LM, Eschler J, Koo BM, Ralston J, Pratt W, Munson S. "It's not just technology, it's people": cons…
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psnet.ahrq.gov/issue/patient-reasoning-patients-and-care-partners-perceptions-diagnostic-accuracy-emergency-care
October 23, 2024 - Study
Patient reasoning: patients' and care partners' perceptions of diagnostic accuracy in emergency care.
Citation Text:
Dukhanin V, McDonald KM, Gonzalez N, et al. Patient reasoning: patients' and care partners' perceptions of diagnostic accuracy in emergency care. Med Decis Making. 2…
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psnet.ahrq.gov/issue/improving-patient-handoffs-and-transitions-through-adaptation-and-implementation-i-pass
September 23, 2020 - Study
Improving patient handoffs and transitions through adaptation and implementation of I-PASS across multiple handoff settings.
Citation Text:
Blazin LJ, Sitthi-Amorn J, Hoffman JM, et al. Improving patient handoffs and transitions through adaptation and implementation of I-PASS acros…
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psnet.ahrq.gov/issue/use-expedited-review-tool-screen-prior-diagnostic-error-emergency-department-patients
December 16, 2020 - Study
Use of an expedited review tool to screen for prior diagnostic error in emergency department patients.
Citation Text:
Hudspeth J, El-Kareh R, Schiff G. Use of an expedited review tool to screen for prior diagnostic error in emergency department patients. Appl Clin Inform. 2015;06(0…
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psnet.ahrq.gov/issue/adverse-event-reporting-priorities-integrative-review
March 10, 2021 - Review
Adverse event reporting priorities: an integrative review.
Citation Text:
Falcone ML, Van Stee SK, Tokac U, et al. Adverse event reporting priorities: an integrative review. J Patient Saf. 2022;18(4):e727-e740. doi:10.1097/pts.0000000000000945.
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