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psnet.ahrq.gov/issue/risk-factors-clinically-relevant-deviations-patients-medication-lists-reported-patients
March 23, 2022 - Study
Risk factors for clinically relevant deviations in patients' medication lists reported by patients in personal health records: a prospective cohort study in a hospital setting.
Citation Text:
van der Nat DJ, Taks M, Huiskes VJB, et al. Risk factors for clinically relevant deviation…
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psnet.ahrq.gov/issue/classification-medication-incidents-associated-information-technology
November 23, 2012 - Study
Classification of medication incidents associated with information technology.
Citation Text:
Cheung K-C, van der Veen W, Bouvy ML, et al. Classification of medication incidents associated with information technology. J Am Med Inform Assoc. 2014;21(e1):e63-70. doi:10.1136/amiajnl-2…
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psnet.ahrq.gov/issue/child-age-and-risk-medication-error-multisite-childrens-hospital-study
August 28, 2024 - Study
Child age and risk of medication error: a multisite children's hospital study.
Citation Text:
Badgery-Parker T, Li L, Fitzpatrick E, et al. Child age and risk of medication error: a multisite children's hospital study. J Pediatr. 2024;272:114087. doi:10.1016/j.jpeds.2024.114087.
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psnet.ahrq.gov/issue/hospital-characteristics-associated-penalties-centers-medicare-medicaid-services-hospital
November 18, 2016 - Study
Hospital characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition Reduction Program.
Citation Text:
Rajaram R, Chung JW, Kinnier C, et al. Hospital Characteristics Associated With Penalties in the Centers for Medicare & M…
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psnet.ahrq.gov/issue/national-assessment-patient-safety-curricula-undergraduate-medical-education-results-2012
June 07, 2023 - Study
A national assessment on patient safety curricula in undergraduate medical education: results from the 2012 clerkship directors in internal medicine survey.
Citation Text:
Jain CC, Aiyer MK, Murphy EJ, et al. A national assessment on patient safety curricula in undergraduate medica…
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psnet.ahrq.gov/issue/effect-digital-tools-promote-hospital-quality-and-safety-adverse-events-after-discharge
October 16, 2024 - Study
Effect of digital tools to promote hospital quality and safety on adverse events after discharge.
Citation Text:
Vasudevan A, Plombon S, Piniella N, et al. Effect of digital tools to promote hospital quality and safety on adverse events after discharge. J Am Med Inform Assoc. 2024;…
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psnet.ahrq.gov/issue/patient-perceptions-and-experiences-medication-related-activities-emergency-department
September 22, 2017 - Study
Patient perceptions and experiences with medication-related activities in the emergency department: a qualitative study.
Citation Text:
Zahl-Holmstad B, Garcia BH, Johnsgård T, et al. Patient perceptions and experiences with medication-related activities in the emergency department…
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psnet.ahrq.gov/issue/engaging-patients-and-informal-caregivers-improve-safety-and-facilitate-person-and-family
March 08, 2023 - Study
Engaging patients and informal caregivers to improve safety and facilitate person- and family-centered care during transitions from hospital to home: a qualitative descriptive study.
Citation Text:
Backman C, Cho-Young D. Engaging patients and informal caregivers to improve safety …
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psnet.ahrq.gov/issue/systematic-review-effect-telepharmacy-services-community-pharmacy-setting-care-quality-and
October 27, 2021 - Review
A systematic review of the effect of telepharmacy services in the community pharmacy setting on care quality and patient safety.
Citation Text:
Pathak S, Blanchard CM, Moreton E, et al. A systematic review of the effect of telepharmacy services in the community pharmacy setting on…
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psnet.ahrq.gov/issue/exposure-leadership-walkrounds-neonatal-intensive-care-units-associated-better-patient-safety
December 12, 2014 - Study
Exposure to Leadership WalkRounds in neonatal intensive care units is associated with a better patient safety culture and less caregiver burnout.
Citation Text:
Sexton B, Sharek PJ, Thomas EJ, et al. Exposure to Leadership WalkRounds in neonatal intensive care units is associated w…
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psnet.ahrq.gov/issue/effects-rudeness-experience-and-perspective-taking-challenging-premature-closure-after
February 16, 2022 - Study
The effects of rudeness, experience, and perspective-taking on challenging premature closure after pediatric ICU physicians receive hand-off with the wrong diagnosis: a randomized controlled simulation trial.
Citation Text:
Avesar M, Erez A, Essakow J, et al. The effects of rudenes…
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psnet.ahrq.gov/issue/near-miss-and-maternal-sepsis-mortality-qualitative-study-survivors-and-support-persons
October 11, 2023 - Study
Near-miss and maternal sepsis mortality: a qualitative study of survivors and support persons.
Citation Text:
Bauer ME, Perez SL, Main EK, et al. Near-miss and maternal sepsis mortality: a qualitative study of survivors and support persons. Eur J Obstet Gynecol Reprod Biol. 2024;29…
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psnet.ahrq.gov/issue/frequency-and-outcome-cervical-cancer-prevention-failures-united-states
April 09, 2013 - Study
Frequency and outcome of cervical cancer prevention failures in the United States.
Citation Text:
Raab SS, Grzybicki DM, Zarbo RJ, et al. Frequency and outcome of cervical cancer prevention failures in the United States. Am J Clin Pathol. 2007;128(5):817-24.
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psnet.ahrq.gov/issue/optimization-drug-drug-interaction-alert-rules-pediatric-hospitals-electronic-health-record
May 20, 2019 - Study
Optimization of drug–drug interaction alert rules in a pediatric hospital's electronic health record system using a visual analytics dashboard.
Citation Text:
Simpao AF, Ahumada LM, Desai BR, et al. Optimization of drug-drug interaction alert rules in a pediatric hospital's electro…
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psnet.ahrq.gov/issue/clinical-impact-and-frequency-anatomic-pathology-errors-cancer-diagnoses
March 28, 2012 - Study
Classic
Clinical impact and frequency of anatomic pathology errors in cancer diagnoses.
Citation Text:
Raab SS, Grzybicki DM, Janosky JE, et al. Clinical impact and frequency of anatomic pathology errors in cancer diagnoses. Cancer. 2005;104(10):2205-13.…
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psnet.ahrq.gov/issue/changes-prescription-and-over-counter-medication-and-dietary-supplement-use-among-older
May 06, 2020 - Study
Changes in prescription and over-the-counter medication and dietary supplement use among older adults in the United States, 2005 vs 2011.
Citation Text:
Qato DM, Wilder J, Schumm P, et al. Changes in Prescription and Over-the-Counter Medication and Dietary Supplement Use Among Olde…
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www.ahrq.gov/cpi/about/index.html
March 01, 2025 - About AHRQ
The Agency for Healthcare Research and Quality (AHRQ) is the federal agency charged with improving the quality and safety of healthcare delivery. The agency develops and disseminates scientific evidence, tools, and data to help patients and their families, healthcare professionals, and policymakers m…
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psnet.ahrq.gov/issue/making-inpatient-medication-reconciliation-patient-centered-clinically-relevant-and
January 14, 2009 - Commentary
Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps.
Citation Text:
Greenwald JL, Halasyamani L, Greene J, et al. Making inpatient medication reconciliation pati…
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psnet.ahrq.gov/issue/safety-culture-and-complications-after-bariatric-surgery
August 02, 2015 - Study
Safety culture and complications after bariatric surgery.
Citation Text:
Birkmeyer NJO, Finks JF, Greenberg CK, et al. Safety culture and complications after bariatric surgery. Ann Surg. 2013;257(2):260-5. doi:10.1097/SLA.0b013e31826c0085.
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psnet.ahrq.gov/issue/effects-second-victim-phenomenon-work-related-outcomes-connecting-self-reported-caregiver
September 19, 2016 - Study
The effects of the second victim phenomenon on work-related outcomes: connecting self-reported caregiver distress to turnover intentions and absenteeism.
Citation Text:
Burlison JD, Quillivan RR, Scott SD, et al. The Effects of the Second Victim Phenomenon on Work-Related Outcomes:…