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psnet.ahrq.gov/issue/prevalence-and-nature-medication-administration-errors-health-care-settings-systematic-review
April 01, 2015 - Review
Prevalence and nature of medication administration errors in health care settings: a systematic review of direct observational evidence.
Citation Text:
Keers RN, Williams SD, Cooke J, et al. Prevalence and nature of medication administration errors in health care settings: a sys…
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psnet.ahrq.gov/issue/feeling-safe-context-digitalization-healthcare-scoping-review
May 04, 2022 - Review
Feeling safe in the context of digitalization in healthcare: a scoping review.
Citation Text:
Minartz P, Aumann CM, Vondeberg C, et al. Feeling safe in the context of digitalization in healthcare: a scoping review. Syst Rev. 2024;13(1):62. doi:10.1186/s13643-024-02465-9.
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psnet.ahrq.gov/issue/care-transition-trauma-patients-processes-articulation-work-and-after-handoff
June 22, 2022 - Study
Care transition of trauma patients: processes with articulation work before and after handoff.
Citation Text:
Wooldridge AR, Carayon P, Hoonakker PLT, et al. Care transition of trauma patients: processes with articulation work before and after handoff. Appl Ergon. 2022;98:103606. d…
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hcup-us.ahrq.gov/reports/infographics/Substance-RelatedInpatientsStays.jsp
February 01, 2019 - Substance-Related Inpatient Stays Across U.S. States and Counties
An official website of the Department of Health & Human Services
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psnet.ahrq.gov/issue/importance-prevention-and-early-intervention-adverse-events-pediatric-cardiac-catheterization
March 24, 2019 - Study
Importance of prevention and early intervention of adverse events in pediatric cardiac catheterization: a review of three years of experience.
Citation Text:
Huang Y-C, Chang J-S, Lai Y-C, et al. Importance of prevention and early intervention of adverse events in pediatric cardi…
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psnet.ahrq.gov/issue/methodological-approaches-analyzing-medication-error-reports-patient-safety-reporting-systems
May 11, 2022 - Review
Methodological approaches for analyzing medication error reports in patient safety reporting systems: a scoping review.
Citation Text:
Tchijevitch O, Hansen SM-B, Hallas J, et al. Methodological approaches for analyzing medication error reports in patient safety reporting systems:…
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psnet.ahrq.gov/issue/implementing-patient-safety-interventions-your-hospital-what-try-and-what-avoid
June 03, 2010 - Review
Implementing patient safety interventions in your hospital: what to try and what to avoid.
Citation Text:
Ranji SR, Shojania KG. Implementing patient safety interventions in your hospital: what to try and what to avoid. Med Clin North Am. 2008;92(2):275-93, vii-viii. doi:10.1016…
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psnet.ahrq.gov/issue/systematic-review-evidence-misdiagnosis-dementia-and-its-impact-accessing-dementia-care
December 02, 2020 - Review
A systematic review on the evidence of misdiagnosis in dementia and its impact on accessing dementia care.
Citation Text:
Giebel C, Silva‐Ribeiro W, Watson J, et al. A systematic review on the evidence of misdiagnosis in dementia and its impact on accessing dementia care. Int J Ge…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/fry-administering.pdf
June 02, 2025 - Understanding CAHPS Surveys: A Primer for New Users - CAHPS 101
CAHPS 101
Stephanie Fry
Senior Study Director
Westat
12
What is Patient Experience?
Patient experience refers to what happened in a health care setting. It
encompasses the range of interactions that patients have with the health care
system, inc…
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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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www.ahrq.gov/patient-safety/index.html
January 01, 2024 - Patient Safety and Quality Improvement
AHRQ Safety Program for Perinatal Care, Phase 2
Resources to help labor and delivery units reduce obstetric hemorrhage and severe hypertension in pregnancy
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psnet.ahrq.gov/issue/communication-failures-contributing-patient-injury-anaesthesia-malpractice-claims
August 04, 2021 - Study
Communication failures contributing to patient injury in anaesthesia malpractice claims.
Citation Text:
Douglas RN, Stephens LS, Posner KL, et al. Communication failures contributing to patient injury in anaesthesia malpractice claims. Br J Anaesth. 2021;127(3):470-478. doi:10.1016…
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psnet.ahrq.gov/issue/pharmacists-reducing-medication-risk-medical-outpatient-clinics-retrospective-study-18
June 16, 2021 - Study
Pharmacists reducing medication risk in medical outpatient clinics: a retrospective study of 18 clinics.
Citation Text:
Snoswell CL, De Guzman KR, Barras M. Pharmacists reducing medication risk in medical outpatient clinics: a retrospective study of 18 clinics. Intern Med J. 2023;5…
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psnet.ahrq.gov/issue/large-language-model-influence-diagnostic-reasoning-randomized-clinical-trial
November 03, 2021 - Study
Large language model influence on diagnostic reasoning: a randomized clinical trial.
Citation Text:
Goh E, Gallo R, Hom J, et al. Large language model influence on diagnostic reasoning: a randomized clinical trial. JAMA Netw Open. 2024;7(10):e2440969. doi:10.1001/jamanetworkopen.20…
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psnet.ahrq.gov/issue/applying-medications-transitions-and-clinical-handoffs-toolkit-rural-primary-care-clinic
August 04, 2021 - Study
Applying the Medications at Transitions and Clinical Handoffs Toolkit in a rural primary care clinic: implications for nursing, patients, and caregivers.
Citation Text:
Jarrett T, Cochran J, Baus A. Applying the Medications at Transitions and Clinical Handoffs Toolkit in a rural pr…
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psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-emergency-department-study-closed-malpractice-claims-4-liability
March 02, 2011 - Study
Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers.
Citation Text:
Kachalia A, Gandhi TK, Puopolo AL, et al. Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4…
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psnet.ahrq.gov/issue/complexity-and-challenges-clinical-diagnosis-and-management-long-covid
January 12, 2022 - Study
Complexity and challenges of the clinical diagnosis and management of Long COVID.
Citation Text:
O’Hare AM, Vig EK, Iwashyna TJ, et al. Complexity and challenges of the clinical diagnosis and management of Long COVID. JAMA Netw Open. 2022;5(11):e2240332. doi:10.1001/jamanetworkopen…
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psnet.ahrq.gov/issue/stoppstart-criteria-potentially-inappropriate-prescribing-older-people-version-2
March 23, 2012 - Study
STOPP/START criteria for potentially inappropriate prescribing in older people: version 2.
Citation Text:
O'Mahony D, O'Sullivan D, Byrne S, et al. STOPP/START criteria for potentially inappropriate prescribing in older people: version 2. Age Ageing. 2015;44(2):213-218. doi:10.1093…
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hcup-us.ahrq.gov/db/vars/h_bedsz/kidnote.jsp
September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) KID Notes
An official website of the Department of Health & Human Services
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psnet.ahrq.gov/issue/promises-project
January 30, 2019 - Multi-use Website
The PROMISES Project.
Citation Text:
The PROMISES Project. Brigham and Women's Hospital; Institute for Healthcare Improvement; Massachusetts Coalition for the Prevention of Medical Errors; Coverys; CRICO; Harvard School of Public Health; Harvard Medical School; Health…