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1781. Intrathecal chemotherapy: potential for medication error. | PSNet
      psnet.ahrq.gov/issue/intrathecal-chemotherapy-potential-medication-error
      February 23, 2015 - Review Intrathecal chemotherapy: potential for medication error. Citation Text: Gilbar PJ. Intrathecal chemotherapy: potential for medication error. Cancer Nurs. 2014;37(4):299-309. doi:10.1097/NCC.0000000000000108. Copy Citation Format: DOI Google Scholar PubMed BibTeX End…

1782. Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Systems Analysis, Change and Implementation Theories Group Report Day 1 (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/Systems%20Analysis,%20Change%20and%20Implementation%20Theories%20Group%20Report%20Day%201.pdf
      September 21, 2009 - Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Systems Analysis, Change and Implementation Theories Group Report Day 1 Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop Monday, September 21, 2009 Systems Analysis, Change and Implementa…

1783. Inattentional blindness in medicine. | PSNet
      psnet.ahrq.gov/issue/inattentional-blindness-medicine
      March 31, 2021 - Review Inattentional blindness in medicine. Citation Text: Hults CM, Ding Y, Xie GG, et al. Inattentional blindness in medicine. Cogn Res Princ Implic. 2024;9(1):18. doi:10.1186/s41235-024-00537-x. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…

1784. Using video recording to identify management errors in pediatric trauma resuscitation. | PSNet
      psnet.ahrq.gov/issue/using-video-recording-identify-management-errors-pediatric-trauma-resuscitation
      July 01, 2020 - Study Using video recording to identify management errors in pediatric trauma resuscitation. Citation Text: Oakley E, Stocker S, Staubli G, et al. Using video recording to identify management errors in pediatric trauma resuscitation. Pediatrics. 2006;117(3):658-664. Copy Citation …

1785. Pediatric medication administration errors and workflow following implementation of a bar code medication administration system. | PSNet
      psnet.ahrq.gov/issue/pediatric-medication-administration-errors-and-workflow-following-implementation-bar-code
      July 02, 2019 - Study Pediatric medication administration errors and workflow following implementation of a bar code medication administration system. Citation Text: Hardmeier A, Tsourounis C, Moore M, et al. Pediatric medication administration errors and workflow following implementation of a bar code …

1786. Advancing a More Health-Literate Approach to Patient Safety | PSNet
      psnet.ahrq.gov/issue/advancing-more-health-literate-approach-patient-safety
      May 31, 2017 - Journal Article Advancing a More Health-Literate Approach to Patient Safety Citation Text: Sanders LM. Advancing a More Health-Literate Approach to Patient Safety. J Pediatr. 2019;214:10-11. doi:10.1016/j.jpeds.2019.07.003. Copy Citation Format: DOI Google Scholar PubMed Bi…

1787. Characteristics of registered clinical trials assessing strategies of medication errors prevention- an unusual cross sectional analysis. | PSNet
      psnet.ahrq.gov/issue/characteristics-registered-clinical-trials-assessing-strategies-medication-errors-prevention
      August 17, 2022 - Study Characteristics of registered clinical trials assessing strategies of medication errors prevention- an unusual cross sectional analysis. Citation Text: doi:http://doi.org/10.23750/abm.v92iS2.11507. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote…

1788. Trends in Potentially Preventable Inpatient Hospital Admissions and Emergency Department Visits. | PSNet
      psnet.ahrq.gov/issue/trends-potentially-preventable-inpatient-hospital-admissions-and-emergency-department-visits
      January 11, 2017 - Book/Report Trends in Potentially Preventable Inpatient Hospital Admissions and Emergency Department Visits. Citation Text: Trends in Potentially Preventable Inpatient Hospital Admissions and Emergency Department Visits. Fingar KR, Barrett ML, Elixhauser A, et al. HCUP Statistical Brief …

1789. How to Complete the Practice Self-Assessment Tool for Opioid Use in Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-compendium-self-assessment-instructions.pdf
      December 01, 2023 - How to Complete the Practice Self-Assessment Tool for Opioid Use in Older Adults www.ahrq.gov How to Complete the Practice Self-Assessment Tool for Opioid Use in Older Adults The Practice Self-Assessment Tool for Opioid Use in Older Adults (Self-Assessment tool) is for primary care practices that want to improve…

1790. Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review. | PSNet
      psnet.ahrq.gov/issue/frequency-type-and-clinical-importance-medication-history-errors-admission-hospital
      September 23, 2020 - Review Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review. Citation Text: Tam VC. Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review. Can Med Assoc J. 2005;17…

1791. AHRQ Papers on Diagnostic Safety Topics | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/dxsafety-issuebriefs.html
      July 01, 2025 - AHRQ Papers on Diagnostic Safety Topics Diagnostic errors occur in all settings of care, contribute to about 10 percent of patient deaths, and are the primary reason for medical liability claims. As the lead Federal agency investing in research to improve diagnostic safety and reduce diagnostic error, AHRQ is c…

1792. Detection of medication-related problems in hospital practice: a review. | PSNet
      psnet.ahrq.gov/issue/detection-medication-related-problems-hospital-practice-review
      June 16, 2021 - Review Detection of medication-related problems in hospital practice: a review. Citation Text: Manias E. Detection of medication-related problems in hospital practice: a review. Br J Clin Pharmacol. 2013;76(1):7-20. doi:10.1111/bcp.12049. Copy Citation Format: DOI Google S…

1793. About AHRQ's National Center for Excellence in Primary Care Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/about/index.html
      December 01, 2024 - About AHRQ's National Center for Excellence in Primary Care Research Sign Up: NCEPCR and Primary Care Email Updates   The National Center for Excellence in Primary Care Research (NCEPCR) is the home for primary care research at AHRQ. NCEPCR is focused on strengthening the Nation's primary care system, provi…

1794. Framework for patient safety research and improvement. | PSNet
      psnet.ahrq.gov/issue/framework-patient-safety-research-and-improvement
      May 20, 2009 - Commentary Framework for patient safety research and improvement. Citation Text: Pronovost P, Goeschel CA, Marsteller JA, et al. Framework for patient safety research and improvement. Circulation. 2009;119(2):330-7. doi:10.1161/CIRCULATIONAHA.107.729848. Copy Citation Format: …

1795. Effects of interdisciplinary collaboration in hospitals on medication errors: an integrative review. | PSNet
      psnet.ahrq.gov/issue/effects-interdisciplinary-collaboration-hospitals-medication-errors-integrative-review
      June 16, 2021 - Review Effects of interdisciplinary collaboration in hospitals on medication errors: an integrative review. Citation Text: Manias E. Effects of interdisciplinary collaboration in hospitals on medication errors: an integrative review. Expert Opin Drug Saf. 2018;17(3):259-275. doi:10.1080/…

1796. Orienting frames and private routines: the role of cultural process in critical care safety. | PSNet
      psnet.ahrq.gov/issue/orienting-frames-and-private-routines-role-cultural-process-critical-care-safety
      December 31, 2014 - Study Orienting frames and private routines: the role of cultural process in critical care safety. Citation Text: Hazlehurst B, McMullen C. Orienting frames and private routines: the role of cultural process in critical care safety. Int J Med Inform. 2007;76 Suppl 1:S129-35. Copy Cit…

1797. Learning Health System | Digital Healthcare Research
      digital.ahrq.gov/health-care-theme/learning-health-system
      January 01, 2023 - Learning Health System Patient Intestinal Failure-ECHO Project (PIF-ECHO) Description This study will evaluate the feasibility and effectiveness of providing chronic intestinal failure patients and their family caregivers with direct access to live, virtual, multi-disciplinary…

1798. Health Literacy | Digital Healthcare Research
      digital.ahrq.gov/health-care-theme/health-literacy
      January 01, 2023 - Health Literacy LabGenie: A Patient-Engagement Tool to Aid Older Adults' Understanding of Lab Test Results Description The study will create, implement, and test a patient-centric web app to support older adults with chronic conditions in comprehending, managing, and acting up…

1799. Teamwork in healthcare: key discoveries enabling safer, high-quality care. | PSNet
      psnet.ahrq.gov/issue/teamwork-healthcare-key-discoveries-enabling-safer-high-quality-care
      July 02, 2014 - Review Classic Teamwork in healthcare: key discoveries enabling safer, high-quality care. Citation Text: Rosen MA, DiazGranados D, Dietz AS, et al. Teamwork in healthcare: Key discoveries enabling safer, high-quality care. Am Psychol. 2018;73(4):433-450. doi:10.…

1800. Improving patient safety through simulation training in anesthesiology: where are we? | PSNet
      psnet.ahrq.gov/issue/improving-patient-safety-through-simulation-training-anesthesiology-where-are-we
      October 13, 2018 - Review Improving patient safety through simulation training in anesthesiology: where are we? Citation Text: Green M, Tariq R, Green P. Improving Patient Safety through Simulation Training in Anesthesiology: Where Are We? Anesthesiol Res Pract. 2016;2016:4237523. doi:10.1155/2016/4237523.…