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psnet.ahrq.gov/node/865922/psn-pdf
May 22, 2024 - Pharmacy-driven performance improvement initiative to
increase compliance with intravenous smart pump drug
error reduction systems at a large urban academic
medical center.
May 22, 2024
Abboudi E, Baron SW, Goriacko P, et al. Pharmacy-driven performance improvement initiative to increase
compliance with intraveno…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/safford.pdf
December 17, 2014 - Using Comparative Effectiveness Reviews to Optimize Quality of Life for Persons with Diabetes and Chronic Pain
Research to Help Underserved Populations
Innovative Adaptation and Dissemination of AHRQ Comparative Effectiveness
Research Products
Using Comparative Effectiveness Reviews to Optimize Quality of Life fo…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/pearson.pdf
December 17, 2014 - The New England RAPiD (Regional Adaptation for Payer Policy Decisions) Project
Research to Help Underserved Populations
Innovative Adaptation and Dissemination of AHRQ Comparative Effectiveness
Research Products
The New England RAPiD (Regional Adaptation for Payer Policy Decisions) Project
Description
The goal…
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psnet.ahrq.gov/node/43193/psn-pdf
June 17, 2014 - Risks in the implementation and use of smart pumps in a
pediatric intensive care unit: application of the failure
mode and effects analysis.
June 17, 2014
Manrique-Rodríguez S, Sánchez-Galindo AC, López-Herce J, et al. Risks in the implementation and use of
smart pumps in a pediatric intensive care unit: applicati…
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psnet.ahrq.gov/node/72566/psn-pdf
January 01, 2021 - Incidence, nature and causes of avoidable significant
harm in primary care in England: retrospective case note
review.
December 16, 2020
Avery AJ, Sheehan C, Bell BG, et al. Incidence, nature and causes of avoidable significant harm in primary
care in England: retrospective case note review. BMJ Qual Saf. 2021;30(…
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psnet.ahrq.gov/node/72670/psn-pdf
January 27, 2021 - System issues leading to "found-on-floor" incidents: a
multi-incident analysis.
January 27, 2021
Shaw J, Bastawrous M, Burns S, et al. System Issues Leading to “Found-on-Floor” Incidents: A Multi-
Incident Analysis. J Patient Saf. 2021;17(1):30-35. doi:10.1097/pts.0000000000000294.
https://psnet.ahrq.gov/issue/sys…
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psnet.ahrq.gov/node/43436/psn-pdf
August 13, 2014 - Decreasing handoff-related care failures in children's
hospitals.
August 13, 2014
Bigham MT, Logsdon TR, Manicone PE, et al. Decreasing handoff-related care failures in children's
hospitals. Pediatrics. 2014;134(2):e572-e579. doi:10.1542/peds.2013-1844.
https://psnet.ahrq.gov/issue/decreasing-handoff-related-care-…
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psnet.ahrq.gov/node/42854/psn-pdf
March 20, 2014 - Medication event huddles: a tool for reducing adverse
drug events.
March 20, 2014
Morvay S, Lewe D, Stewart B, et al. Medication event huddles: a tool for reducing adverse drug events. Jt
Comm J Qual Patient Saf. 2014;40(1):39-45.
https://psnet.ahrq.gov/issue/medication-event-huddles-tool-reducing-adverse-drug-eve…
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psnet.ahrq.gov/node/45120/psn-pdf
September 11, 2016 - Saving lives: a meta-analysis of team training in
healthcare.
September 11, 2016
Hughes A, Gregory ME, Joseph DL, et al. Saving lives: A meta-analysis of team training in healthcare. J
Appl Psychol. 2016;101(9):1266-304. doi:10.1037/apl0000120.
https://psnet.ahrq.gov/issue/saving-lives-meta-analysis-team-training-…
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psnet.ahrq.gov/node/866405/psn-pdf
July 31, 2024 - Analysis of an academic medical center’s corrective
action plan in response to fatal medication error using the
Institute for Safe Medication Practices’ Hierarchy of
Effectiveness.
July 31, 2024
Stolte AR, Siwy YM, Tanios SB, et al. Analysis of an academic medical center’s corrective action plan in
response to fa…
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psnet.ahrq.gov/node/43190/psn-pdf
September 04, 2015 - Pediatric obesity and safety in inpatient settings: a
systematic literature review.
September 4, 2015
Halvorson EE, Irby MB, Skelton JA. Pediatric obesity and safety in inpatient settings: a systematic literature
review. Clin Pediatr (Phila). 2014;53(10):975-87. doi:10.1177/0009922814533406.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/48143/psn-pdf
January 01, 2020 - Assessing the safety of electronic health records: a
national longitudinal study of medication-related decision
support.
August 7, 2019
Holmgren J, Co Z, Newmark L, et al. Assessing the safety of electronic health records: a national
longitudinal study of medication-related decision support. BMJ Qual Saf. 2020;29(…
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psnet.ahrq.gov/node/47207/psn-pdf
July 19, 2018 - National quality program achieves improvements in
safety culture and reduction in preventable harms in
community hospitals.
July 19, 2018
Frush K, Chamness C, Olson B, et al. National Quality Program Achieves Improvements in Safety Culture
and Reduction in Preventable Harms in Community Hospitals. Jt Comm J Qual P…
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psnet.ahrq.gov/node/45535/psn-pdf
January 23, 2017 - Surgical specimen management: a descriptive study of
648 adverse events and near misses.
January 23, 2017
Steelman VM, Williams TL, Szekendi MK, et al. Surgical specimen management: a descriptive study of 648
adverse events and near misses. Arch Pathol Lab Med. 2016;140(12):1390-1396.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/852444/psn-pdf
August 16, 2023 - Comparing rates of adverse events detected in incident
reporting and the Global Trigger Tool: a systematic
review.
August 16, 2023
Hibbert PD, Molloy CJ, Schultz TJ, et al. Comparing rates of adverse events detected in incident reporting
and the Global Trigger Tool: a systematic review. Int J Qual Health Care. 202…
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www.ahrq.gov/funding/priorities-contacts/special-emphasis-notices/index.html
February 01, 2025 - AHRQ Research Funding Priorities & Special Emphasis Notices
AHRQ Announces Interest in Health Services Research to Reduce Emergency Department Boarding and Hospital Crowding AHRQ Announces Interest in Research to Improve Treatment and Management of Menopause Symptoms AHRQ Announces Interest in Health Services R…
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psnet.ahrq.gov/node/72468/psn-pdf
November 18, 2020 - Development of rapid response capabilities in a large
COVID-19 alternate care site using Failure Modes and
Effect Analysis with in situ simulation.
November 18, 2020
Levy N, Zucco L, Ehrlichman RJ, et al. Development of rapid response capabilities in a large COVID-19
alternate care site using Failure Modes and Eff…
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www.ahrq.gov/ncepcr/communities/pbrn/registry/kansas-patients-and-providers-engaged-prevention-research.html
January 16, 2013 - Kansas Patients and Providers Engaged in Prevention Research
Status:
Active
Registered Date:
January 16, 2013
PBRN Acronym:
KPPEPR
PBRN Type:
Family Medicine Network (at least 75% are Family Medicine Clinicians)
Network Category:
Established
City:
Kansas City
…
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www.ahrq.gov/ncepcr/communities/pbrn/registry/southern-primary-care-urban-research-network.html
January 01, 2012 - Southern Primary-care Urban Research Network
Status:
Inactive
Registered Date:
January 1, 2012
PBRN Acronym:
SPUR-Net
PBRN Type:
Family Medicine Network (at least 75% are Family Medicine Clinicians)
Network Category:
Established
City:
Houston
State:
Texas
…
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www.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/index.html
March 01, 2021 - EvidenceNOW in Action
EvidenceNOW cooperatives have provided tailored support to small practices in their regions to help them use evidence and data to enhance patient care. For example, external consultants helped practices use their electronic health record data to identify at-risk patients and improve care. …