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psnet.ahrq.gov/issue/surgical-safety-does-not-happen-accident-learning-perioperative-near-miss-case-studies
August 04, 2021 - Commentary
Surgical safety does not happen by accident: learning from perioperative near miss case studies.
Citation Text:
Stucky CH, Michael Hartmann J, Yauger YJ, et al. Surgical safety does not happen by accident: learning from perioperative near miss case studies. J Perianesth Nurs. …
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psnet.ahrq.gov/issue/should-all-duty-hours-be-same-results-national-survey-surgical-trainees
October 19, 2022 - Study
Should all duty hours be the same? Results of a national survey of surgical trainees.
Citation Text:
Moalem J, Salzman P, Ruan DT, et al. Should All Duty Hours Be the Same? Results of a National Survey of Surgical Trainees. J Am Coll Surg. 2009;209(1). doi:10.1016/j.jamcollsurg.2…
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psnet.ahrq.gov/issue/resident-duty-hour-restrictions-and-neurosurgical-training-review-literature
September 23, 2020 - Review
On resident duty hour restrictions and neurosurgical training: review of the literature.
Citation Text:
Bina RW, Lemole M, Dumont TM. On resident duty hour restrictions and neurosurgical training: review of the literature. J Neurosurg. 2016;124(3):842-8. doi:10.3171/2015.3.JNS1427…
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psnet.ahrq.gov/issue/trainee-autonomy-and-patient-safety
November 03, 2021 - Commentary
Trainee autonomy and patient safety.
Citation Text:
George BC, Dunnington GL, DaRosa DA. Trainee autonomy and patient safety. Ann Surg. 2018;267(5):820-822. doi:10.1097/SLA.0000000000002599.
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psnet.ahrq.gov/issue/transfusion-related-errors-and-associated-adverse-reactions-and-blood-product-wastage
September 23, 2020 - Study
Transfusion-related errors and associated adverse reactions and blood product wastage as reported to the National Healthcare Safety Network Hemovigilance Module, 2014-2022.
Citation Text:
Chavez Ortiz JL, Griffin I, Kazakova SV, et al. Transfusion‐related errors and associated adve…
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/final-impact/intro.html
October 01, 2015 - AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
Introduction
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Table of Contents
AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
Introduction
Methods
Model State Enhanc…
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psnet.ahrq.gov/issue/comparison-internal-medicine-and-general-surgery-residents-assessments-risk-postsurgical
September 27, 2017 - Study
Comparison of internal medicine and general surgery residents' assessments of risk of postsurgical complications in surgically complex patients.
Citation Text:
Healy JM, Davis KA, Pei KY. Comparison of Internal Medicine and General Surgery Residents' Assessments of Risk of Postsurg…
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psnet.ahrq.gov/issue/longitudinal-analysis-culture-patient-safety-survey-results-surgical-departments
October 12, 2022 - Study
Longitudinal analysis of culture of patient safety survey results in surgical departments.
Citation Text:
Butler LR, Lashani S, Mitchell C, et al. Longitudinal analysis of culture of patient safety survey results in surgical departments. Front Health Serv. 2024;4:1419248. doi:10.33…
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psnet.ahrq.gov/issue/prevalence-and-severity-patient-harm-sample-uk-hospitalised-children-detected-paediatric
February 15, 2023 - Study
Prevalence and severity of patient harm in a sample of UK-hospitalised children detected by the Paediatric Trigger Tool.
Citation Text:
Chapman SM, Fitzsimons J, Davey N, et al. Prevalence and severity of patient harm in a sample of UK-hospitalised children detected by the Paediatr…
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psnet.ahrq.gov/issue/remote-assessment-real-world-surgical-safety-checklist-performance-using-or-black-box-multi
March 17, 2021 - Study
Remote assessment of real-world surgical safety checklist performance using the OR Black Box: a multi-institutional evaluation.
Citation Text:
Riley MS, Etheridge J, Palter V, et al. Remote assessment of real-world surgical safety checklist performance using the OR Black Box: a mul…
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psnet.ahrq.gov/issue/role-organizational-and-professional-cultures-medication-safety-scoping-review-literature
February 12, 2020 - Review
The role of organizational and professional cultures in medication safety: a scoping review of the literature.
Citation Text:
Machen S, Jani Y, Turner S, et al. The role of organizational and professional cultures in medication safety: a scoping review of the literature. Int J Hea…
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www.ahrq.gov/news/blog/ahrqviews/world-patient-safety-day.html
September 01, 2023 - AHRQ Views: Blog posts from AHRQ leaders
For World Patient Safety Day 2023, AHRQ Recognizes the Imperative of Engaging Patients in Their Care
SEP
14
2023
By
Robert Otto
Valdez,
Ph.D., M.H.S.A.
Robert Otto Valdez, Ph.D., M.H.S.A.
The theme of World Patient Safety Day…
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psnet.ahrq.gov/issue/machine-learning-based-clinical-predictive-tool-identify-patients-high-risk-medication-errors
March 29, 2012 - Study
A machine learning-based clinical predictive tool to identify patients at high risk of medication errors.
Citation Text:
Abdo A, Gallay L, Vallecillo T, et al. A machine learning-based clinical predictive tool to identify patients at high risk of medication errors. Sci Rep. 2024;14…
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psnet.ahrq.gov/issue/biased-language-simulated-handoffs-and-clinician-recall-and-attitudes
June 29, 2022 - Study
Biased language in simulated handoffs and clinician recall and attitudes.
Citation Text:
Wesevich A, Langan E, Fridman I, et al. Biased language in simulated handoffs and clinician recall and attitudes. JAMA Netw Open. 2024;7(12):e2450172. doi:10.1001/jamanetworkopen.2024.50172.
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psnet.ahrq.gov/issue/failure-rescue-female-patients-undergoing-high-risk-surgery
October 25, 2017 - Study
Failure to rescue female patients undergoing high-risk surgery.
Citation Text:
Wagner CM, Joynt Maddox KE, Ailawadi G, et al. Failure to rescue female patients undergoing high-risk surgery. JAMA Surg. 2024;160(1):29-36. doi:10.1001/jamasurg.2024.4574.
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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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psnet.ahrq.gov/issue/impact-electronic-communication-medication-discontinuation-cancelrx-medication-safety-pilot
December 07, 2022 - Study
The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot study.
Citation Text:
Pitts S, Yang Y, Woodroof T, et al. The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot stud…
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psnet.ahrq.gov/issue/analysis-medication-therapy-discontinuation-orders-new-electronic-prescriptions-and
July 23, 2018 - Study
Analysis of medication therapy discontinuation orders in new electronic prescriptions and opportunities for implementing CancelRx.
Citation Text:
Yang Y, Ward-Charlerie S, Kashyap N, et al. Analysis of medication therapy discontinuation orders in new electronic prescriptions and op…
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digital.ahrq.gov/program-overview/research-stories/technology-support-personalized-care-decisions-breast-cancer
January 01, 2023 - Technology to Support Personalized Care Decisions for Breast Cancer Treatment
Theme:
Engaging and Empowering Patients and Caregivers
Subtheme:
Using Digital Shared Decision-Making Tools to Support Personalized Decision Making
Enhancing personalized care decisions, using technology designed…
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/hypertensive-disorders-pregnancy-bulletin.pdf
March 06, 2023 - Task Force Issues Draft Recommendation Statement on Screening for Hypertensive Disorders of Pregnancy
www.uspreventiveservicestaskforce.org 1
USPSTF Bulletin
Task Force Issues Draft Recommendation Statement on
Screening for Hypertensive Disorders of Pregnancy
All pregnant people should have their b…