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psnet.ahrq.gov/issue/failed-spinal-anaesthesia-mechanisms-management-and-prevention
August 04, 2021 - Review
Failed spinal anaesthesia: mechanisms, management, and prevention.
Citation Text:
Fettes PDW, Jansson J-R, Wildsmith JAW. Failed spinal anaesthesia: mechanisms, management, and prevention. Br J Anaesth. 2009;102(6):739-48. doi:10.1093/bja/aep096.
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psnet.ahrq.gov/issue/themed-issue-innovations-medication-safety
August 30, 2017 - Special or Theme Issue
Themed Issue on Innovations in Medication Safety.
Citation Text:
Kane-Gill SL. Innovations in Medication Safety: Services and Technologies to Enhance the Understanding and Prevention of Adverse Drug Reactions. Pharmacotherapy. 2018;38(8):782-784. doi:10.1002/phar.2…
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psnet.ahrq.gov/issue/interdisciplinary-collaboration-maintain-culture-safety-labor-and-delivery-setting
January 02, 2017 - Commentary
Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting.
Citation Text:
Burke C, Grobman WA, Miller D. Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting. J Perinat Neonatal Nurs. 2013;27(2):…
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psnet.ahrq.gov/issue/health-information-exchange-and-patient-safety
February 03, 2011 - Review
Health information exchange and patient safety.
Citation Text:
Kaelber DC, Bates DW. Health information exchange and patient safety. J Biomed Inform. 2007;40(6 Suppl):S40-5.
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psnet.ahrq.gov/issue/structural-empowerment-magnet-hospital-characteristics-and-patient-safety-culture-making-link
May 28, 2014 - Study
Structural empowerment, Magnet hospital characteristics, and patient safety culture: making the link.
Citation Text:
Armstrong KJ, Laschinger H. Structural empowerment, Magnet hospital characteristics, and patient safety culture: making the link. J Nurs Care Qual. 2006;21(2):124-…
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psnet.ahrq.gov/issue/safe-handover
December 21, 2017 - Commentary
Safe handover.
Citation Text:
Merten H, van Galen LS, Wagner C. Safe handover. BMJ. 2017;359:j4328. doi:10.1136/bmj.j4328.
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psnet.ahrq.gov/issue/using-change-model-reduce-risk-surgical-site-infection
June 06, 2018 - Commentary
Using a change model to reduce the risk of surgical site infection.
Citation Text:
Burden M. Using a change model to reduce the risk of surgical site infection. Br J Nurs. 2016;25(17):949-955.
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psnet.ahrq.gov/issue/different-roles-same-goal-risk-and-quality-management-partnering-patient-safety-ashrm
January 27, 2021 - Book/Report
Different roles, same goal: risk and quality management partnering for patient safety. By the ASHRM Monographs Task Force.
Citation Text:
Bokar V, Perry DG. Different Roles, Same Goal: Risk And Quality Management Partnering For Patient Safety. By The Ashrm Monographs Task Fo…
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psnet.ahrq.gov/issue/interprofessional-communication-and-medical-error-reframing-research-questions-and-approaches
December 08, 2010 - Review
Interprofessional communication and medical error: a reframing of research questions and approaches.
Citation Text:
Varpio L, Hall P, Lingard LA, et al. Interprofessional communication and medical error: a reframing of research questions and approaches. Acad Med. 2008;83(10 Supp…
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psnet.ahrq.gov/issue/risk-care-plans-way-reduce-readmissions-and-adverse-events
October 27, 2010 - Commentary
At risk care plans: a way to reduce readmissions and adverse events.
Citation Text:
Bahle J, Majercik C, Ludwick R, et al. At Risk Care Plans: a way to reduce readmissions and adverse events. J Nurs Care Qual. 2015;30(3):200-4. doi:10.1097/NCQ.0000000000000106.
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psnet.ahrq.gov/issue/medication-administration-process-assessment-applying-lessons-learned-commercial-aviation
May 25, 2011 - Commentary
Medication administration process assessment: applying lessons learned from commercial aviation.
Citation Text:
Donahue M, Brown JP, Fitzpatrick JJ. Medication administration process assessment: applying lessons learned from commercial aviation. J Nurs Admin. 2009;39(2):77-8…
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psnet.ahrq.gov/issue/obstetric-practice-guidelines-labors-love-lost
April 30, 2014 - Commentary
Obstetric practice guidelines: labor's love lost?
Citation Text:
Cohen WR, Friedman EA. Obstetric practice guidelines: labor's love lost? J Matern Fetal Neonatal Med. 2019;32(9):1567-1570. doi:10.1080/14767058.2017.1406474.
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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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integrationacademy.ahrq.gov/news-and-events/calendar/event/22909
September 11, 2024 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
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digital.ahrq.gov/2020-year-review/research-summary/mammoscreen-using-interoperable-standards-within-clinical-decision-support-tool-increase
January 01, 2020 - MammoScreen: Using Interoperable Standards Within a Clinical Decision Support Tool to Increase Appropriate Breast Cancer Screening and Prevention
Integrating patient-generated breast cancer risk information with patients’ electronic health records will enhance decision support for clinicians and patients and improv…
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digital.ahrq.gov/health-care-theme/clinical-workflow
January 01, 2023 - Clinical Workflow
Guiding the Safe and Effective Integration of Ambient Digital Scribes into Primary Care
Description
This study will develop a prototype guide for the safe and effective integration of ambient digital scribes into primary care, providing insights into how this…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0715-140408.pdf
October 08, 2025 - Topic 0590 Strategies to Treat and Manage Infantile Hemangioma NSD FINAL_SJ
Strategies to Treat and Manage Infantile Hemangioma
Nomination Summary Document
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psnet.ahrq.gov/issue/position-statement-criminalization-medical-error-and-call-action-prevent-patient-harm-error
December 02, 2020 - Organizational Policy/Guidelines
Position Statement on Criminalization of Medical Error and Call for Action to Prevent Patient Harm from Error.
Citation Text:
Position Statement on Criminalization of Medical Error and Call for Action to Prevent Patient Harm from Error. Cooper J, Thomas B…
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psnet.ahrq.gov/issue/paediatric-international-patient-safety-and-quality-community
September 30, 2015 - Multi-use Website
Paediatric International Patient Safety and Quality Community.
Citation Text:
Paediatric International Patient Safety and Quality Community. Paediatric International Patient Safety and Quality Community. 525 University Ave, Suite 630, Toronto, Ontario M5G 2L3, Canada.
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psnet.ahrq.gov/issue/problem-medication-reconciliation
May 08, 2017 - Commentary
The problem with medication reconciliation.
Citation Text:
Pevnick JM, Shane R, Schnipper JL. The problem with medication reconciliation. BMJ Qual Saf. 2016;25(9):726-730. doi:10.1136/bmjqs-2015-004734.
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