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psnet.ahrq.gov/issue/validation-new-icd-10-based-patient-safety-indicators-identification-hospital-complications
April 19, 2023 - Study
Validation of new ICD-10-based patient safety indicators for identification of in-hospital complications in surgical patients: a study of diagnostic accuracy.
Citation Text:
McIsaac DI, Hamilton GM, Abdulla K, et al. Validation of new ICD-10-based patient safety indicators for iden…
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psnet.ahrq.gov/issue/follow-abnormal-screening-mammograms-among-low-income-ethnically-diverse-women-findings
May 12, 2021 - Study
Follow-up of abnormal screening mammograms among low-income ethnically diverse women: findings from a qualitative study.
Citation Text:
Allen JD, Shelton RC, Harden E, et al. Follow-up of abnormal screening mammograms among low-income ethnically diverse women: findings from a quali…
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psnet.ahrq.gov/issue/patient-comprehension-emergency-department-care-and-instructions-are-patients-aware-when-they
September 23, 2020 - Study
Classic
Patient comprehension of emergency department care and instructions: are patients aware of when they do not understand?
Citation Text:
Engel KG, Heisler M, Smith DM, et al. Patient comprehension of emergency department care and instructions: are …
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psnet.ahrq.gov/issue/older-patients-perceptions-unnecessary-tests-and-referrals-national-survey-medicare
May 25, 2011 - Study
Older patients' perceptions of "unnecessary" tests and referrals: a national survey of Medicare beneficiaries.
Citation Text:
Herndon B, Schwartz LM, Woloshin S, et al. Older patients perceptions of "unnecessary" tests and referrals: a national survey of Medicare beneficiaries. J…
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psnet.ahrq.gov/issue/non-health-care-facility-medication-errors-resulting-serious-medical-outcomes
June 14, 2017 - Study
Classic
Non–health care facility medication errors resulting in serious medical outcomes.
Citation Text:
Hodges NL, Spiller HA, Casavant MJ, et al. Non-health care facility medication errors resulting in serious medical outcomes. Clin Toxicol (Phila). 2018…
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psnet.ahrq.gov/issue/what-known-about-adverse-events-older-medical-hospital-inpatients-systematic-review
January 12, 2012 - Review
What is known about adverse events in older medical hospital inpatients? A systematic review of the literature.
Citation Text:
Long SJ, Brown KF, Ames D, et al. What is known about adverse events in older medical hospital inpatients? A systematic review of the literature. Int J He…
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psnet.ahrq.gov/issue/risk-adjusted-morbidity-teaching-hospitals-correlates-reported-levels-communication-and
July 12, 2010 - Study
Classic
Risk-adjusted morbidity in teaching hospitals correlates with reported levels of communication and collaboration on surgical teams but not with scale measures of teamwork climate, safety climate, or working conditions.
Citation Text:
Davenport DL…
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psnet.ahrq.gov/issue/paper-and-computer-based-workarounds-electronic-health-record-use-three-benchmark
June 06, 2012 - Study
Paper- and computer-based workarounds to electronic health record use at three benchmark institutions.
Citation Text:
Flanagan ME, Saleem JJ, Millitello LG, et al. Paper- and computer-based workarounds to electronic health record use at three benchmark institutions. J Am Med Inform…
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psnet.ahrq.gov/issue/actions-mitigating-negative-effects-patient-participation-patient-safety-qualitative-study
February 01, 2023 - Study
Actions for mitigating the negative effects of patient participation in patient safety: a qualitative study.
Citation Text:
Van der Voorden M, Franx A, Ahaus K. Actions for mitigating the negative effects of patient participation in patient safety: a qualitative study. BMC Health S…
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psnet.ahrq.gov/issue/defining-near-misses-towards-sharpened-definition-based-empirical-data-about-error-handling
June 28, 2011 - Study
Defining near misses: towards a sharpened definition based on empirical data about error handling processes.
Citation Text:
Kessels-Habraken M, Van der Schaaf T, De Jonge J, et al. Defining near misses: towards a sharpened definition based on empirical data about error handling pr…
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psnet.ahrq.gov/issue/implementation-barcode-medication-administration-bmca-technology-infusion-pumps-operating
April 12, 2019 - Study
Implementation of barcode medication administration (BMCA) technology on infusion pumps in the operating rooms.
Citation Text:
Hogerwaard M, Stolk M, Dijk L van, et al. Implementation of barcode medication administration (BMCA) technology on infusion pumps in the operating rooms. B…
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psnet.ahrq.gov/issue/association-hydrocodone-schedule-change-opioid-prescriptions-following-surgery
June 07, 2017 - Study
Association of hydrocodone schedule change with opioid prescriptions following surgery.
Citation Text:
Habbouche J, Lee JS, Steiger R, et al. Association of Hydrocodone Schedule Change With Opioid Prescriptions Following Surgery. JAMA Surg. 2018;153(12):1111-1119. doi:10.1001/jamas…
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psnet.ahrq.gov/issue/using-patient-experience-surveys-identify-potential-diagnostic-safety-breakdowns-mixed
October 30, 2024 - Study
Using patient experience surveys to identify potential diagnostic safety breakdowns: a mixed methods study.
Citation Text:
Baker KM, Brahier M, Penne M, et al. Using patient experience surveys to identify potential diagnostic safety breakdowns: a mixed methods study. J Patient Saf.…
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psnet.ahrq.gov/issue/gender-bias-risk-management-reports-involving-physicians-training-retrospective-qualitative
September 01, 2021 - Study
Gender bias in risk management reports involving physicians in training - a retrospective qualitative study.
Citation Text:
Andraska EA, Phillips AR, Asaadi S, et al. Gender bias in risk management reports involving physicians in training - a retrospective qualitative study. J Surg…
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psnet.ahrq.gov/issue/exploring-leadership-within-systems-approach-reduce-health-care-associated-infections-scoping
October 29, 2017 - Review
Exploring leadership within a systems approach to reduce health care–associated infections: a scoping review of one work system model.
Citation Text:
Knobloch MJ, Thomas K, Musuuza J, et al. Exploring leadership within a systems approach to reduce health care-associated infections…
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psnet.ahrq.gov/issue/good-practice-guides-medication-errors-part-1-and-part-2
August 03, 2016 - Book/Report
Good Practice Guides on Medication Errors: Part 1 and Part 2.
Citation Text:
Goedecke T, Ord K, Newbould V, et al. Medication Errors: New Eu Good Practice Guide On Risk Minimisation And Error Prevention. Springer Science and Business Media LLC; 2016. doi:10.1007/s40264-016-04…
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psnet.ahrq.gov/issue/empowerment-failure-how-shortcomings-physician-communication-unwittingly-undermine-patient
January 17, 2019 - Study
Empowerment failure: how shortcomings in physician communication unwittingly undermine patient autonomy.
Citation Text:
Ubel PA, Scherr KA, Fagerlin A. Empowerment Failure: How Shortcomings in Physician Communication Unwittingly Undermine Patient Autonomy. Am J Bioeth. 2017;17(11):…
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integrationacademy.ahrq.gov/sites/default/files/2025-08/Charting%20the%20Future%20of%20Integrated%20Behavioral%20Health_Transcript.docx
January 01, 2025 - I spend a lot of time working in primary care doctors, offices providing mental health care. … And it's not so much me making the argument, for it's really our primary care doctors, especially our … younger primary care doctors
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00:58:03.890 --> 00:58:28.409
Jurgen Unutzer: working in a clinic … working together with this colleague in behavioral health is going to help me make a huge difference, and doctors
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psnet.ahrq.gov/node/33857/psn-pdf
July 01, 2012 - psnet.ahrq.gov/issue/dana-farber-cancer-institute-principles-fair-and-just-culture
https://psnet.ahrq.gov/issue/doctors-orders-killed-cancer-patient-dana-farber-admits-drug-overdose-caused-death-globe … wide use of patient portals would never have happened without
Meaningful Use requirements because doctors
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www.ahrq.gov/faqs/index.html?page=9
September 01, 2016 - These tools and resources help doctors and other health care providers to determine which services should