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psnet.ahrq.gov/node/60887/psn-pdf
September 09, 2020 - Human-based errors involving smart infusion pumps: a
catalog of error types and prevention strategies.
September 9, 2020
Kirkendall ES, Timmons K, Huth H, et al. Human-based errors involving smart infusion pumps: a catalog of
error types and prevention strategies. Drug Saf. 2020;43(11):1073-1087. doi:10.1007/s40264…
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psnet.ahrq.gov/node/42502/psn-pdf
October 07, 2013 - Patient safety in the cardiac operating room: human
factors and teamwork: a scientific statement from the
American Heart Association.
October 7, 2013
Wahr JA, Prager RL, Abernathy JH, et al. Patient Safety in the Cardiac Operating Room: Human Factors
and Teamwork. Circulation. 2013;128(10):1139-1169. doi:10.1161/c…
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psnet.ahrq.gov/node/43514/psn-pdf
April 25, 2016 - A qualitative analysis of physician perspectives on
missed and delayed outpatient diagnosis: the focus on
system-related factors.
April 25, 2016
Sarkar U, Simchowitz B, Bonacum D, et al. A Qualitative Analysis of Physician Perspectives on Missed and
Delayed Outpatient Diagnosis: The Focus on System-Related Factors…
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psnet.ahrq.gov/node/45780/psn-pdf
March 15, 2017 - Overdose risk in young children of women prescribed
opioids.
March 15, 2017
Finkelstein Y, Macdonald EM, Gonzalez A, et al. Overdose Risk in Young Children of Women Prescribed
Opioids. Pediatrics. 2017;139(3). doi:10.1542/peds.2016-2887.
https://psnet.ahrq.gov/issue/overdose-risk-young-children-women-prescribed-op…
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psnet.ahrq.gov/node/867223/psn-pdf
December 04, 2024 - "It is not the fault of the health care team - it is the way the
system works": a mixed-methods quality improvement
study of patients with advanced cancer and family
members reveals challenges navigating a fragmented
healthcare system and the administrative and financial
burdens of care.
December 4, 2024
Dillon …
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psnet.ahrq.gov/node/45870/psn-pdf
March 25, 2017 - Improving communication with primary care physicians at
the time of hospital discharge.
March 25, 2017
Destino LA, Dixit A, Pantaleoni JL, et al. Improving Communication with Primary Care Physicians at the
Time of Hospital Discharge. Jt Comm J Qual Patient Saf. 2017;43(2):80-88. doi:10.1016/j.jcjq.2016.11.005.
htt…
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psnet.ahrq.gov/node/43002/psn-pdf
March 12, 2014 - Exposure to media information about a disease can cause
doctors to misdiagnose similar-looking clinical cases.
March 12, 2014
Schmidt HG, Mamede S, Van den Berge K, et al. Exposure to media information about a disease can
cause doctors to misdiagnose similar-looking clinical cases. Acad Med. 2014;89(2):285-91.
doi…
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psnet.ahrq.gov/node/44974/psn-pdf
April 12, 2019 - Medicare letters to curb overprescribing of controlled
substances had no detectable effect on providers.
April 12, 2019
Sacarny A, Yokum D, Finkelstein A, et al. Medicare Letters To Curb Overprescribing Of Controlled
Substances Had No Detectable Effect On Providers. Health Aff (Millwood). 2016;35(3):471-9.
doi:10.…
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psnet.ahrq.gov/node/47663/psn-pdf
January 01, 2021 - The association of the nurse work environment and
patient safety in pediatric acute care.
January 16, 2019
Lake ET, Roberts KE, Agosto PD, et al. The Association of the Nurse Work Environment and Patient
Safety in Pediatric Acute Care. J Patient Saf. 2021;17(8):e1546-e1552.
doi:10.1097/pts.0000000000000559.
https…
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psnet.ahrq.gov/node/45959/psn-pdf
June 29, 2017 - Impact of the Opioid Safety Initiative on opioid-related
prescribing in veterans.
June 29, 2017
Lin LA, Bohnert ASB, Kerns RD, et al. Impact of the Opioid Safety Initiative on opioid-related prescribing in
veterans. Pain. 2017;158(5):833-839. doi:10.1097/j.pain.0000000000000837.
https://psnet.ahrq.gov/issue/impact…
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psnet.ahrq.gov/node/42269/psn-pdf
July 02, 2014 - Enculturation of unsafe attitudes and behaviors: student
perceptions of safety culture.
July 2, 2014
Bowman C, Neeman N, Sehgal NL. Enculturation of unsafe attitudes and behaviors: student perceptions of
safety culture. Acad Med. 2013;88(6):802-10. doi:10.1097/ACM.0b013e31828fd4f4.
https://psnet.ahrq.gov/issue/enc…
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psnet.ahrq.gov/node/45333/psn-pdf
September 21, 2016 - Association of inpatient hospital experience with patient
safety indicators: a cross-sectional, Canadian study.
September 21, 2016
Kemp KA, Santana MJ, Southern DA, et al. Association of inpatient hospital experience with patient safety
indicators: a cross-sectional, Canadian study. BMJ Open. 2016;6(7):e011242. doi…
-
psnet.ahrq.gov/node/42154/psn-pdf
January 07, 2015 - Paper- and computer-based workarounds to electronic
health record use at three benchmark institutions.
January 7, 2015
Flanagan ME, Saleem JJ, Millitello LG, et al. Paper- and computer-based workarounds to electronic health
record use at three benchmark institutions. J Am Med Inform Assoc. 2013;20(e1):e59-66.
doi:…
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psnet.ahrq.gov/node/43571/psn-pdf
October 01, 2014 - The evolving literature on safety WalkRounds: emerging
themes and practical messages.
October 1, 2014
Singer SJ, Tucker AL. The evolving literature on safety WalkRounds: emerging themes and practical
messages: Table 1. BMJ Qual Saf. 2014;23(10). doi:10.1136/bmjqs-2014-003416.
https://psnet.ahrq.gov/issue/evolving-…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-113-fullreport.pdf
May 01, 2018 - multidisciplinary expert panel whose members participated in a
two- round RAND/UCLA modified Delphi process, with enhanced
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-118-fullreport.pdf
October 01, 2016 - We employed a highly engaged process to develop an enhanced set of measures. … Two excellent measures proposed by The Vermont Oxford Network (VON) are complemented
and enhanced by … multidisciplinary expert panel who participated in a two-round
RAND/UCLA modified Delphi process, with enhanced … temperature measurement, and specific and meaningful temperature
cutoffs, were developed using an enhanced
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www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/grants/active/cdpostcer10/cdpostcer10.pdf
November 01, 2010 - AHRQ's Career Development and Postdoctoral Training Awards for Comparative Effectiveness Research
Introduction
The mission of the Agency for
Healthcare Research and Quality
(AHRQ) is to improve the safety,
quality, efficiency, and effectiveness of
health care for all Americans. To help
achieve the Agency’s mission, …
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/about/evidencenow-factsheet.pdf
April 01, 2021 - Evidence Now: Bridging Research & Practice in Primary Care
BRIDGING RESEARCH & PRACTICE
IN PRIMARY CARE
What is EvidenceNOW: Advancing Heart Health?
The U.S. Agency for Healthcare Research and Quality (AHRQ) made one of its biggest investments
in primary care in 2015 with EvidenceNOW: Advancing Heart H…
-
www.ahrq.gov/funding/training-grants/grants/active/cdpostcer10/cdpostcer10.html
November 01, 2015 - AHRQ's Career Development and Postdoctoral Training Awards for Comparative Effectiveness Research
Fact Sheet
This fact sheet describes awards made by AHRQ in FY 2010 to support trainees who are focusing on comparative effectiveness research.
This fact sheet describes awards made by the Agency for Healthcare…
-
www.ahrq.gov/research/findings/final-reports/diabetesnetwork/diabnet1.html
October 01, 2014 - Hispanic Diabetes Disparities Learning Network in Community Health Centers
Chapter 1. Introduction
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Table of Contents
Hispanic Diabetes Disparities Learning Network in Community Health Centers
Chapter 1. Introduction
Chapter 2. Project Description
Chapter 3. Structure of…