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psnet.ahrq.gov/issue/role-remediation-cases-serious-misconduct-uk-healthcare-regulators-qualitative-study
June 02, 2021 - Study
Role of remediation in cases of serious misconduct before UK healthcare regulators: a qualitative study.
Citation Text:
Price T, Reynolds E, O’Brien T, et al. Role of remediation in cases of serious misconduct before UK healthcare regulators: a qualitative study. BMJ Qual Saf. 2025…
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psnet.ahrq.gov/issue/surgical-management-and-outcomes-165-colonoscopic-perforations-single-institution
November 16, 2022 - Study
Surgical management and outcomes of 165 colonoscopic perforations from a single institution.
Citation Text:
Iqbal CW, Cullinane DC, Schiller HJ, et al. Surgical management and outcomes of 165 colonoscopic perforations from a single institution. Arch Surg. 2008;143(7):701-6; discu…
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psnet.ahrq.gov/issue/experiences-lean-six-sigma-improvement-strategy-reduce-parenteral-medication-administration
October 13, 2021 - Commentary
Experiences with Lean Six Sigma as improvement strategy to reduce parenteral medication administration errors and associated potential risk of harm.
Citation Text:
van de Plas A, Slikkerveer M, Hoen S, et al. Experiences with Lean Six Sigma as improvement strategy to reduce pa…
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www.ahrq.gov/sites/default/files/2025-02/peterson-report.pdf
January 01, 2025 - An educational program on the importance of hand hygiene was
given annually for all nursing units.
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digital.ahrq.gov/ahrq-funded-projects/tele-toc-telehealth-education-leveraging-electronic-transitions-care-copd-patients/citation/real
January 01, 2024 - Real-world use of inhaled COPD medications: The good, the bad, the ugly.
Citation
Press VG. Real-world use of inhaled COPD medications: The good, the bad, the ugly. Chronic Obstr Pulm Dis. 2024 Jul 25;11(4):331-340. doi: 10.15326/jcopdf.2024.0546. PMID: 39054287; PMCID: PMC11363969.
Link
https…
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digital.ahrq.gov/ahrq-funded-projects/integrating-contextual-factors-clinical-decision-support-reduce-contextual/citation/contextualizing
January 01, 2023 - Contextualizing care: An essential and measurable clinical competency.
Citation
Weiner SJ. Contextualizing care: An essential and measurable clinical competency. Patient Educ Couns. 2022 Mar;105(3):594-598. doi: 10.1016/j.pec.2021.06.016. Epub 2021 Jun 15. PMID: 34158194.
Link
https://pubmed.n…
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-center-education-and-research-therapeutics-6
January 01, 2023 - "Stealth" alerts to improve Warfarin monitoring when initiating interacting medications.
Citation
Koplan KE, Brush AD, Packer MS, et al. "Stealth" alerts to improve Warfarin monitoring when initiating interacting medications. J Gen Intern Med 2012 Dec;27(12):1666-73.
Link
http://www.ncbi.nlm.n…
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-center-education-and-research-therapeutics/citation/evaluation
January 01, 2023 - Evaluation of medication-related clinical decision support alert overrides in the intensive care unit.
Citation
Wong A, Amato MG, Seger DL, et al. Evaluation of medication-related clinical decision support alert overrides in the intensive care unit. J Crit Care 2017 Jun;39:156-161. PMID: 28259059.
…
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-center-education-and-research-therapeutics/citation/impact-medical-informatics
January 01, 2023 - The impact of medical informatics on patient satisfaction: a USA-based literature review.
Citation
Rozenblum R, Donzé J, Hockey PM, et al. The impact of medical informatics on patient satisfaction: a USA-based literature review. Int J Med Inform 2013 Mar;82(3):141-58.
Link
http://www.ncbi.nlm.…
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-center-education-and-research-therapeutics/citation/medication
January 01, 2023 - Medication-related clinical decision support alert overrides in inpatients.
Citation
Nanji KC, Seger DL, Slight SP, et al. Medication-related clinical decision support alert overrides in inpatients. J Am Med Inform Assoc 2017 Oct 27. doi: 10.1093/jamia/ocx115. [Epub ahead of print]. PMID: 29092059.
…
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-center-education-and-research-therapeutics/citation/overrides-of-medication-related-clinical-decision-support-alerts-in-outpatients
January 01, 2023 - Overrides of medication-related clinical decision support alerts in outpatients.
Citation
Nanji KC, Slight SP, Seger DL, et al. Overrides of medication-related clinical decision support alerts in outpatients. J Am Med Inform Assoc 2014 May-Jun;21(3):487-91.
Link
http://www.ncbi.nlm.nih.gov/pub…
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-center-education-and-research-therapeutics/citation/review
January 01, 2023 - Review of nonformulary medication approvals in an academic medical center.
Citation
Her QL, Amato MG, Seger DL, et al. Her QL, Amato MG, Seger DL, et al. Review of nonformulary medication approvals in an academic medical center. Jt Comm J Qual Patient Saf 2017 Feb;43(2):89-96. PMID: 28334567.
Li…
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-center-education-and-research-therapeutics-1
January 01, 2023 - The costs of adverse drug events in community hospitals.
Citation
Hug BL, Keohane C, Seger DL, et al. The costs of adverse drug events in community hospitals. Jt Comm J Qual Patient Saf 2012 Mar;38(3):120-6.
Link
Hug BL, Keohane C, Seger DL, et al. The costs of adverse drug events in communi… …
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digital.ahrq.gov/ahrq-funded-projects/developing-and-evaluating-online-education-improve-older-adults-health/citation
January 01, 2023 - Developing and evaluating a website to guide older adults in their health information searches: a mixed-methods approach.
Citation
Fink A, Beck JC. Developing and evaluating a website to guide older adults in their health information searches: a mixed-methods approach. J Appl Gerontol 2015;34(5):633-5…
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digital.ahrq.gov/organization/cloquet-community-memorial-hospital
January 01, 2023 - Cloquet Community Memorial Hospital
HIT-Based Regional Medication Management Pharmacy System - 2009
Principal Investigator
Schmidt, Mark
Project Name
HIT-Based Regional Medication Management Pharmacy System
HIT-Based Regional Medication M…
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psnet.ahrq.gov/node/42075/psn-pdf
February 27, 2020 - ASHP statement on the role of the medication safety
leader.
February 27, 2020
ASHP Statement on the Role of the Medication Safety Leader. Am J Health-Syst Pharm. 2020;77(4):308-
312. doi:10.1093/ajhp/zxz292.
https://psnet.ahrq.gov/issue/ashp-statement-role-medication-safety-leader
This piece highlights the value …
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psnet.ahrq.gov/node/41442/psn-pdf
May 30, 2012 - Radiation Therapy Safety: The Critical Role of the
Radiation Therapist.
May 30, 2012
Odle TG, Rosier N. Albuquerque, NM: American Society of Radiologic Technologists Education and
Research Foundation; 2012.
https://psnet.ahrq.gov/issue/radiation-therapy-safety-critical-role-radiation-therapist
Summarizing the rol…
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psnet.ahrq.gov/node/41576/psn-pdf
October 11, 2012 - The role of talking (and keeping silent) in physician
coping with medical error: a qualitative study.
October 11, 2012
May NB, Plews-Ogan M. The role of talking (and keeping silent) in physician coping with medical error: a
qualitative study. Patient Educ Couns. 2012;88(3):449-54. doi:10.1016/j.pec.2012.06.024.
ht…
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psnet.ahrq.gov/node/848105/psn-pdf
April 26, 2023 - GoodDx.org
April 26, 2023
GoodDx.
https://psnet.ahrq.gov/issue/gooddxorg
Effective feedback is an important component of individual, team and organizational learning in order to
achieve safe diagnosis. GoodDx.org houses a variety of diagnostic performance feedback resources for
use by clinicians, patient safety p…
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psnet.ahrq.gov/node/38700/psn-pdf
July 13, 2009 - The active components of effective training in obstetric
emergencies.
July 13, 2009
Siassakos D, Crofts JF, Winter C, et al. The active components of effective training in obstetric
emergencies. BJOG. 2009;116(8):1028-32. doi:10.1111/j.1471-0528.2009.02178.x.
https://psnet.ahrq.gov/issue/active-components-effectiv…