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psnet.ahrq.gov/issue/root-cause-analysis-identify-contributing-factors-development-hospital-acquired-pressure
July 20, 2022 - Study
Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries.
Citation Text:
Abela G. Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries. J Tissue Viability. 2021;30(3):3…
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psnet.ahrq.gov/issue/health-system-leaders-role-addressing-racism-time-prioritize-eliminating-health-care
March 20, 2019 - Commentary
Health system leaders' role in addressing racism: time to prioritize eliminating health care disparities.
Citation Text:
Austin JM, Weeks K, Pronovost PJ. Health System Leaders’ Role in Addressing Racism: Time to Prioritize Eliminating Health Care Disparities. Jt Comm J Qual …
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psnet.ahrq.gov/issue/its-time-consider-national-culture-when-designing-team-training-initiatives-healthcare
January 26, 2022 - Commentary
It’s time to consider national culture when designing team training initiatives in healthcare.
Citation Text:
Rice JC, Daouk-Öyry L, Hitti E. It’s time to consider national culture when designing team training initiatives in healthcare. BMJ Qual Saf. 2021;30(5):412-417. doi:10…
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psnet.ahrq.gov/issue/prosocial-voice-hierarchy-healthcare-professionals-role-emotions-after-harmful-patient-safety
February 23, 2022 - Review
Prosocial voice in the hierarchy of healthcare professionals: the role of emotions after harmful patient safety incidents.
Citation Text:
Richmond JG, Burgess N. Prosocial voice in the hierarchy of healthcare professionals: the role of emotions after harmful patient safety inciden…
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psnet.ahrq.gov/issue/alternatives-potentially-inappropriate-medications-use-e-prescribing-software-triggers-and
February 18, 2011 - Study
Alternatives to potentially inappropriate medications for use in e-prescribing software: triggers and treatment algorithms.
Citation Text:
Hume AL, Quilliam BJ, Goldman R, et al. Alternatives to potentially inappropriate medications for use in e-prescribing software: triggers and…
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digital.ahrq.gov/ahrq-funded-projects/patient-safety-metadata/activity/patient-safety-metadata/annual-summary/2010
January 01, 2010 - Patient Safety Metadata - 2010
Project Name
Patient Safety Metadata
Principal Investigator
Penoza, Chuck
Organization
Data Consulting Group
Contract Number
290-08-10005M
Project Period
January 2008 – December 2010, Completion of Contract
AHRQ Funding A…
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psnet.ahrq.gov/issue/engaging-patients-use-real-time-electronic-clinical-data-improve-safety-and-reliability-their
March 16, 2022 - Study
Engaging patients in the use of real-time electronic clinical data to improve the safety and reliability of their own care.
Citation Text:
Schnock KO, Roulier S, Butler J, et al. Engaging patients in the use of real-time electronic clinical data to improve the safety and reliabilit…
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psnet.ahrq.gov/issue/human-right-based-approach-dealing-adverse-events-residential-care-facilities
May 27, 2011 - Study
A human right-based approach to dealing with adverse events in residential care facilities.
Citation Text:
McGrane N, Behan L, Keyes LM. A human right-based approach to dealing with adverse events in residential care facilities. Health Hum Rights. 2024;26(1):115-128.
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psnet.ahrq.gov/issue/higher-accuracy-complex-medication-reconciliation-through-improved-design-electronic-tools
April 05, 2017 - Study
Higher accuracy of complex medication reconciliation through improved design of electronic tools.
Citation Text:
Horsky J, Drucker EA, Ramelson HZ. Higher accuracy of complex medication reconciliation through improved design of electronic tools. J Am Med Inform Assoc. 2018;25(5):46…
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psnet.ahrq.gov/issue/advancing-interprofessional-patient-safety-education-medical-nursing-and-pharmacy-learners
May 18, 2022 - Commentary
Advancing interprofessional patient safety education for medical, nursing, and pharmacy learners during clinical rotations.
Citation Text:
Thom KA, Heil EL, Croft LD, et al. Advancing interprofessional patient safety education for medical, nursing, and pharmacy learners during…
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psnet.ahrq.gov/issue/policies-and-practices-related-role-board-certification-and-recertification-pediatricians
February 03, 2011 - Study
Policies and practices related to the role of board certification and recertification of pediatricians in hospital privileging.
Citation Text:
Freed GL, Uren RL, Hudson EJ, et al. Policies and practices related to the role of board certification and recertification of pediatricia…
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psnet.ahrq.gov/issue/executive-summary-american-college-obstetricians-and-gynecologists-presidential-task-force
September 23, 2020 - Commentary
Executive summary of the American College of Obstetricians and Gynecologists Presidential Task Force on Patient Safety in the Office Setting: reinvigorating safety in office-based gynecologic surgery.
Citation Text:
Erickson TB, Kirkpatrick DH, DeFrancesco MS, et al. Executi…
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psnet.ahrq.gov/issue/process-care-failures-breast-cancer-diagnosis
January 06, 2017 - Study
Process of care failures in breast cancer diagnosis.
Citation Text:
Weingart SN, Saadeh MG, Simchowitz B, et al. Process of care failures in breast cancer diagnosis. J Gen Intern Med. 2009;24(6):702-709. doi:10.1007/s11606-009-0982-0.
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Format:
DOI Googl…
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psnet.ahrq.gov/issue/va-health-care-actions-needed-assess-decrease-root-cause-analyses-adverse-events
November 22, 2017 - Book/Report
VA Health Care: Actions Needed to Assess Decrease in Root Cause Analyses of Adverse Events.
Citation Text:
VA Health Care: Actions Needed to Assess Decrease in Root Cause Analyses of Adverse Events. Washington, DC: United States Government Accountability Office; July 29, 2015…
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psnet.ahrq.gov/issue/usage-and-accuracy-medication-data-nationwide-health-information-exchange-quebec-canada
June 17, 2020 - Study
Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada.
Citation Text:
Motulsky A, Weir DL, Couture I, et al. Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada. J Am Med Inform Assoc. 201…
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psnet.ahrq.gov/issue/computer-assisted-process-modeling-enhance-intraoperative-safety-cardiac-surgery
July 19, 2023 - Study
Computer-assisted process modeling to enhance intraoperative safety in cardiac surgery.
Citation Text:
Tarola CL, Quin JA, Haime ME, et al. Computer-Assisted Process Modeling to Enhance Intraoperative Safety in Cardiac Surgery. JAMA Surg. 2016;151(12):1183-1186. doi:10.1001/jamasur…
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psnet.ahrq.gov/issue/second-victims-need-emotional-support-after-adverse-events-even-just-safety-culture
April 12, 2023 - Commentary
Second victims need emotional support after adverse events: even in a just safety culture.
Citation Text:
Schrøder K, Lamont RF, Jørgensen JS, et al. Second victims need emotional support after adverse events: even in a just safety culture. BJOG. 2019;126(4):440-442. doi:10.11…
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psnet.ahrq.gov/issue/five-topics-health-care-simulation-can-address-improve-patient-safety-results-consensus
June 28, 2023 - Study
Five topics health care simulation can address to improve patient safety: results from a consensus process.
Citation Text:
Sollid SJM, Dieckman P, Aase K, et al. Five Topics Health Care Simulation Can Address to Improve Patient Safety: Results From a Consensus Process. J Patient Sa…
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psnet.ahrq.gov/issue/theoretical-model-flow-disruptions-anesthesia-team-during-cardiovascular-surgery
July 21, 2021 - Study
A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery.
Citation Text:
Boquet A, Cohen T, Diljohn F, et al. A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery. J Patient Saf. 2021;17(6):e534-e539. doi…
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psnet.ahrq.gov/issue/determinants-patient-oncologist-prognostic-discordance-advanced-cancer
July 13, 2022 - Study
Determinants of patient–oncologist prognostic discordance in advanced cancer.
Citation Text:
Gramling R, Fiscella K, Xing G, et al. Determinants of Patient-Oncologist Prognostic Discordance in Advanced Cancer. JAMA Oncol. 2016;2(11):1421-1426. doi:10.1001/jamaoncol.2016.1861.
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