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psnet.ahrq.gov/issue/association-emotional-intelligence-malpractice-claims-review
August 02, 2015 - Review
Association of emotional intelligence with malpractice claims: a review.
Citation Text:
Shouhed D, Beni C, Manguso N, et al. Association of Emotional Intelligence With Malpractice Claims: A Review. JAMA Surg. 2019;154(3):250-256. doi:10.1001/jamasurg.2018.5065.
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psnet.ahrq.gov/issue/intravenous-chemotherapy-preparation-errors-patient-safety-risks-identified-pan-canadian
March 18, 2011 - Study
Intravenous chemotherapy preparation errors: patient safety risks identified in a pan-Canadian exploratory study.
Citation Text:
White R, Cassano-Piché A, Fields A, et al. Intravenous chemotherapy preparation errors: patient safety risks identified in a pan-Canadian exploratory stu…
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psnet.ahrq.gov/issue/distractions-anesthesia-work-environment-impact-patient-safety-report-meeting-sponsored
July 24, 2024 - Commentary
Distractions in the anesthesia work environment: impact on patient safety? Report of a meeting sponsored by the Anesthesia Patient Safety Foundation.
Citation Text:
van Pelt M, Weinger MB. Distractions in the Anesthesia Work Environment: Impact on Patient Safety? Report of a M…
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psnet.ahrq.gov/issue/safe-and-equitable-pediatric-clinical-use-ai
February 26, 2025 - Commentary
Safe and equitable pediatric clinical use of AI.
Citation Text:
Handley JL, Lehmann CU, Ratwani RM. Safe and equitable pediatric clinical use of AI. JAMA Pediatr. 2024;178(7):637-638. doi:10.1001/jamapediatrics.2024.0897.
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psnet.ahrq.gov/issue/new-technology-new-errors-how-prime-upgrade-insulin-infusion-pump
July 14, 2010 - Commentary
New technology, new errors: how to prime an upgrade of an insulin infusion pump.
Citation Text:
Rule AM, Drincic A, Galt K. New technology, new errors: how to prime an upgrade of an insulin infusion pump. Jt Comm J Qual Patient Saf. 2007;33(3):155-62.
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psnet.ahrq.gov/issue/medication-safety-during-covid-19-pandemic-what-have-we-learned-united-states
January 13, 2021 - Webinar
Medication Safety During the COVID-19 Pandemic: What Have We Learned in the United States.
Citation Text:
Medication Safety During the COVID-19 Pandemic: What Have We Learned in the United States. Institute for Safe Medication Practices and US Food and Drug Administration Divisio…
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psnet.ahrq.gov/issue/pediatric-aspects-inpatient-health-information-technology-systems
August 02, 2010 - Review
Pediatric aspects of inpatient health information technology systems.
Citation Text:
Kim GR, Lehmann CU. Pediatric Aspects of Inpatient Health Information Technology Systems. Pediatrics. 2008;122(6):e1287-e1296. doi:10.1542/peds.2008-2963.
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psnet.ahrq.gov/issue/systematic-review-nursing-practice-workarounds
April 28, 2021 - Review
A systematic review of nursing practice workarounds.
Citation Text:
McCord JL, Lippincott CR, Abreu E, et al. A systematic review of nursing practice workarounds. Dimens Crit Care Nurs. 2022;41(6):347-356. doi:10.1097/dcc.0000000000000549.
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psnet.ahrq.gov/issue/addressing-delays-medication-administration-patients-transferred-hospital-nursing-home-pilot
November 16, 2022 - Study
Addressing delays in medication administration for patients transferred from the hospital to the nursing home: a pilot quality improvement project.
Citation Text:
Ward KT, Bates-Jensen B, Eslami MS, et al. Addressing delays in medication administration for patients transferred …
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psnet.ahrq.gov/issue/ihi-skilled-nursing-facility-trigger-tool-measuring-adverse-events
February 15, 2017 - Book/Report
IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events.
Citation Text:
IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. Adler L, Moore J, Federico F. Cambridge, MA: Institute for Healthcare Improvement; November 2015.
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digital.ahrq.gov/location/usa-or-portland
January 01, 2023 - USA, OR, Portland
Collaboration-Oriented Approach to Controlling High Blood Pressure (COACH)
Description
This research will refine an existing interoperable, patient-facing blood pressure control tool--the Collaboration Oriented Approach to Controlling High Blood Pressure (COA…
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psnet.ahrq.gov/issue/pain-management-and-prescription-opioid-related-harms-exploring-state-evidence-proceedings
July 05, 2008 - Meeting/Conference Proceedings
Pain Management and Prescription Opioid-related Harms: Exploring the State of the Evidence: Proceedings of a Workshop—in Brief.
Citation Text:
Pain Management and Prescription Opioid-related Harms: Exploring the State of the Evidence: Proceedings of a Works…
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psnet.ahrq.gov/issue/problem-never-events
July 12, 2023 - Commentary
The problem with 'never events'.
Citation Text:
Zaslow J, Fortier J, Garber G. The problem with ‘never events’. BMJ Qual Saf. 2024;33(9):613-616. doi:10.1136/bmjqs-2023-016981.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
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psnet.ahrq.gov/issue/adverse-events-after-screening-and-follow-colonoscopy
September 30, 2010 - Study
Adverse events after screening and follow-up colonoscopy.
Citation Text:
Rutter CM, Johnson E, Miglioretti DL, et al. Adverse events after screening and follow-up colonoscopy. Cancer Causes & Control. 2011;23(2). doi:10.1007/s10552-011-9878-5.
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digital.ahrq.gov/program-overview/research-stories/creating-meaningful-decision-support-reduce-drug-drug
January 01, 2023 - Creating Meaningful Decision Support to Reduce Drug-Drug Interactions
Theme:
Optimizing Care Delivery for Clinicians
Subtheme:
Optimizing Patient Safety Using Digital Healthcare Solutions
By individualizing drug–drug interaction alerts to individual patient circumstances, providers can …
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psnet.ahrq.gov/issue/advancing-science-measurement-diagnostic-errors-healthcare-safer-dx-framework
December 06, 2023 - Commentary
Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework.
Citation Text:
Singh H, Sittig DF. Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework. BMJ Qual Saf. 2015;24(2):103-110. doi:10.1136/bm…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/fung-ch-2006
January 01, 2006 - Fung CH 2006 "Computerized condition-specific templates for improving care of geriatric syndromes in a primary care setting."
Reference
Fung CH. Computerized condition-specific templates for improving care of geriatric syndromes in a primary care setting. J Gen Intern Med 2006;21(9):989-994.
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digital.ahrq.gov/health-care-theme/medication-safety
January 01, 2023 - Medication Safety
Identifying Sepsis Phenotypes Associated with Antibiotic-Resistant Pathogens Using Large Language Models and Machine Learning
Description
This research uses large language models and machine learning to retrospectively analyze electronic health records of pa…
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digital.ahrq.gov/organization/oregon-health-and-science-university
January 01, 2023 - Oregon Health and Science University
Collaboration-Oriented Approach to Controlling High Blood Pressure (COACH)
Description
This research will refine an existing interoperable, patient-facing blood pressure control tool--the Collaboration Oriented Approach to Controlling High …
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psnet.ahrq.gov/issue/safety-enhancements-every-hospital-must-consider-wake-another-tragic-neuromuscular-blocker
June 19, 2019 - Newspaper/Magazine Article
Safety enhancements every hospital must consider in wake of another tragic neuromuscular blocker event.
Citation Text:
Safety enhancements every hospital must consider in wake of another tragic neuromuscular blocker event. ISMP Medication Safety Alert! Acute Ca…