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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-barriers-postcard-final508.pdf
June 02, 2025 - Overcoming Barriers to Medicine Adherence
Overcoming Barriers to
Medicine Adherence
What Patients Might Say Possible Solutions
My medicine makes me
feel sick.
Prescribe a substitute medication;
change the dose.
I feel fine. I don’t need
any medicine.
Explain in plain language how the
medicine affects the bo…
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psnet.ahrq.gov/issue/patient-safety-incidents-associated-airway-devices-critical-care-review-reports-uk-national
March 12, 2025 - Study
Patient safety incidents associated with airway devices in critical care: a review of reports to the UK National Patient Safety Agency.
Citation Text:
Thomas AN, McGrath BA. Patient safety incidents associated with airway devices in critical care: a review of reports to the UK Na…
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psnet.ahrq.gov/issue/utilizing-quality-improvement-methods-prevent-falls-and-injury-falls-enhancing-resident
September 01, 2021 - Commentary
Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety in long-term care.
Citation Text:
MacLaurin A, McConnell H. Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety in long…
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psnet.ahrq.gov/issue/department-medicine-infrastructure-patient-safety-and-clinical-quality-improvement
July 01, 2017 - Review
A Department of Medicine infrastructure for patient safety and clinical quality improvement.
Citation Text:
Mathews SC, Pronovost P, Biddison LD, et al. A Department of Medicine Infrastructure for Patient Safety and Clinical Quality Improvement. Am J Med Qual. 2018;33(4):413-419. …
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psnet.ahrq.gov/issue/clinical-pathway-adherence-and-missed-diagnostic-opportunities-among-children-musculoskeletal
November 08, 2023 - Study
Clinical pathway adherence and missed diagnostic opportunities among children with musculoskeletal infections.
Citation Text:
Grubenhoff JA, Bakel LA, Dominguez F, et al. Clinical pathway adherence and missed diagnostic opportunities among children with musculoskeletal infections. …
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psnet.ahrq.gov/issue/improving-medication-safety-primary-care-using-electronic-health-records
April 23, 2008 - Study
Improving medication safety in primary care using electronic health records.
Citation Text:
Nemeth LS, Wessell AM. Improving medication safety in primary care using electronic health records. J Patient Saf. 2010;6(4):238-43.
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Format:
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psnet.ahrq.gov/issue/how-teams-work-or-dont-primary-care-field-study-internal-medicine-practices
November 28, 2012 - Study
How teams work—or don’t—in primary care: a field study on internal medicine practices.
Citation Text:
Chesluk BJ, Holmboe ES. How teams work--or don't--in primary care: a field study on internal medicine practices. Health Aff (Millwood). 2010;29(5):874-879. doi:10.1377/hlthaff.2009…
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digital.ahrq.gov/sites/default/files/docs/resource/Dataform_5_ADE_and_Near_Miss_Incident_Classification_Form.pdf
June 16, 2021 - DATAFORM 5 ADE and Near Miss Incident Classification Form
DATAFORM 5
ADE and Near Miss Incident Classification Form
1. Study ID Number: ____ ____ ____ ____
1. Rx ID Number: ____ ____ ____ ____
2. Case Number: ____ ____ ____ ____ ____
3. Reviewer Initials: ____ ____ ____
4. C…
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psnet.ahrq.gov/issue/improving-safety-health-information-technology-requires-shared-responsibility-it-time-we-all
August 20, 2014 - Commentary
Improving the safety of health information technology requires shared responsibility: it is time we all step up.
Citation Text:
Sittig DF, Belmont E, Singh H. Improving the safety of health information technology requires shared responsibility: It is time we all step up. Healt…
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psnet.ahrq.gov/issue/improving-prescription-drug-warnings-promote-patient-comprehension
December 21, 2014 - Study
Improving prescription drug warnings to promote patient comprehension.
Citation Text:
Wolf MS, Davis TC, Bass PF, et al. Improving prescription drug warnings to promote patient comprehension. Arch Intern Med. 2010;170(1):50-6. doi:10.1001/archinternmed.2009.454.
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psnet.ahrq.gov/issue/goals-and-priorities-health-care-organizations-improve-safety-using-health-it-revised-report
May 13, 2015 - Book/Report
Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report.
Citation Text:
Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. Graber ML, Bailey R, Johnston D. RTI International; Washi…
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psnet.ahrq.gov/issue/compliance-who-surgical-safety-checklist-deviations-and-possible-improvements
September 29, 2017 - Study
Compliance with the WHO Surgical Safety Checklist: deviations and possible improvements.
Citation Text:
Rydenfält C, Johansson G, Odenrick P, et al. Compliance with the WHO Surgical Safety Checklist: deviations and possible improvements. Int J Qual Health Care. 2013;25(2):182-187. …
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digital.ahrq.gov/overview
January 01, 2023 - Overview
1. Eight Key Lessons for Managing Care in Medicaid in 2011 and Beyond ( PDF , 142 KB)
Author(s) : Lorie Martin, Center for Health Care Strategies, Inc. Date : May 2011 Summary : This brief outlines eight lessons for effective managed care drawn from the Center for Health Care Str…
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psnet.ahrq.gov/issue/addressing-safety-concerns-about-u-500-insulin-hospital-setting
March 15, 2017 - Commentary
Addressing safety concerns about U-500 insulin in a hospital setting.
Citation Text:
Samaan KH, Dahlke M, Stover J. Addressing safety concerns about U-500 insulin in a hospital setting. Am J Health Syst Pharm. 2011;68(1):63-8. doi:10.2146/ajhp100224.
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psnet.ahrq.gov/issue/management-test-results-family-medicine-offices
July 14, 2010 - Study
Management of test results in family medicine offices.
Citation Text:
Elder NC, McEwen TR, Flach JM, et al. Management of test results in family medicine offices. Ann Fam Med. 2009;7(4):343-51. doi:10.1370/afm.961.
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DOI Google Scholar PubMed Bib…
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psnet.ahrq.gov/issue/impact-power-health-care-team-performance-and-patient-safety-review-literature
February 01, 2023 - Review
The impact of power on health care team performance and patient safety: a review of the literature.
Citation Text:
Stevens EL, Hulme A, Salmon PM. The impact of power on health care team performance and patient safety: a review of the literature. Ergonomics. 2021;64(8):1072-1090. …
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psnet.ahrq.gov/issue/registered-nurses-judgments-classification-and-risk-level-patient-care-errors
August 24, 2022 - Study
Registered nurses' judgments of the classification and risk level of patient care errors.
Citation Text:
Chipps E, Wills CE, Tanda R, et al. Registered nurses' judgments of the classification and risk level of patient care errors. J Nurs Care Qual. 2011;26(4):302-310. doi:10.1097…
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psnet.ahrq.gov/issue/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer
June 21, 2016 - Study
Ambulatory safety nets to reduce missed and delayed diagnoses of cancer.
Citation Text:
Emani S, Sequist TD, Lacson R, et al. Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer. Jt Comm J Qual Patient Saf. 2019;45(8):552-557. doi:10.1016/j.jcjq.2019.05.010.
C…
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psnet.ahrq.gov/issue/research-practice-factors-affecting-implementation-prospective-targeted-injury-detection
August 04, 2021 - Study
From research to practice: factors affecting implementation of prospective targeted injury-detection systems.
Citation Text:
Sorensen A, Harrison MI, Kane HL, et al. From research to practice: factors affecting implementation of prospective targeted injury-detection systems. BMJ …
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psnet.ahrq.gov/issue/opennotes-and-patient-safety-perilous-voyage-uncharted-waters
March 10, 2021 - Commentary
OpenNotes and patient safety: a perilous voyage into uncharted waters.
Citation Text:
Schust G, Manning M, Weil A. OpenNotes and patient safety: a perilous voyage into uncharted waters. J Gen Intern Med. 2022;37(8):2074-2076. doi:10.1007/s11606-021-07384-2.
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