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psnet.ahrq.gov/issue/failure-medication-delivery-system-how-disclosure-and-systems-investigation-improve-patient
April 03, 2005 - Commentary
A failure in the medication delivery system-how disclosure and systems investigation improve patient safety.
Citation Text:
Lucas SR, Pollak E, Makowski C. A failure in the medication delivery system—how disclosure and systems investigation improve patient safety. J Healthc Ri…
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psnet.ahrq.gov/issue/charter-professionalism-health-care-organizations
May 25, 2016 - Commentary
The Charter on Professionalism for Health Care Organizations.
Citation Text:
Egener BE, Mason DJ, McDonald WJ, et al. The Charter on Professionalism for Health Care Organizations. Acad Med. 2017;92(8):1091-1099. doi:10.1097/ACM.0000000000001561.
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hcup-us.ahrq.gov/datainnovations/clinicaldata/OverviewAHRQSupportedAddingClinicalDataPilots09.pdf
November 18, 2009 - Slide 1
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care • www.ahrq.gov
Adding Clinical Data to
Administrative Datasets: Overview of AHRQ Pilots
Roxanne Andrews
Anne Elixhauser
13th Annual Healthcare Cost and Utilization Project
(HCUP) Partners Meeting
November 18, 2009
Advan…
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psnet.ahrq.gov/issue/root-cause-analysis-swatting-mosquitoes-versus-draining-swamp
January 31, 2024 - Commentary
Root-cause analysis: swatting at mosquitoes versus draining the swamp.
Citation Text:
Trbovich PL, Shojania KG. Root-cause analysis: swatting at mosquitoes versus draining the swamp. BMJ Qual Saf. 2017;26(5):350-353. doi:10.1136/bmjqs-2016-006229.
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psnet.ahrq.gov/issue/factors-affecting-patient-safety-culture-among-dental-healthcare-workers-nationwide-cross
June 16, 2021 - Study
Factors affecting patient safety culture among dental healthcare workers: A nationwide cross-sectional survey
Citation Text:
Cheng H-C, Yen AM-F, Lee Y-H. Factors affecting patient safety culture among dental healthcare workers: A nationwide cross-sectional survey. J Dent Sci. 2019…
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digital.ahrq.gov/ahrq-funded-projects/using-information-technology-provide-measurement-based-care-chronic-illness/annual-summary/2011
January 01, 2011 - Using Information Technology to Provide Measurement Based Care for Chronic Illness - 2011
Project Name
Using Information Technology to Provide Measurement Based Care for Chronic Illness
Principal Investigator
Trivedi, Madhukar
Organization
University of Texas Southwestern Med…
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digital.ahrq.gov/ahrq-funded-projects/randomized-controlled-trial-embedded-electronic-health-record/annual-summary/2011
January 01, 2011 - Randomized Controlled Trial Embedded in an Electronic Health Record - 2011
Project Name
Randomized Controlled Trial Embedded in an Electronic Health Record
Principal Investigator
Kahn, James
Organization
University of California, San Francisco
Funding Mechanism
RFA:…
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digital.ahrq.gov/funding-mechanism/research-centers-primary-care-practice-based-research-and-learning
January 01, 2023 - Research Centers in Primary Care Practice Based Research and Learning
Use of an electronic health record clinical decision support tool to improve antibiotic prescribing for acute respiratory infections: the ABX-TRIP study.
Citation
Litvin CB, Ornstein SM, Wessell AM, et al. U…
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psnet.ahrq.gov/issue/evaluation-measurement-system-assess-icu-team-performance
November 17, 2014 - Study
Evaluation of a measurement system to assess ICU team performance.
Citation Text:
Dietz AS, Salas E, Pronovost P, et al. Evaluation of a Measurement System to Assess ICU Team Performance. Crit Care Med. 2018;46(12):1898-1905. doi:10.1097/CCM.0000000000003431.
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psnet.ahrq.gov/issue/perspective-culture-respect-part-1-and-part-2
October 04, 2006 - Commentary
Perspective: a culture of respect—part 1 and part 2.
Citation Text:
Perspective: a culture of respect—part 1 and part 2. Leape LL, Shore MF, Dienstag JL, et al. Acad Med. 2012;87(7):845-858.
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psnet.ahrq.gov/issue/identification-adverse-events-ground-transport-emergency-medical-services
August 26, 2020 - Study
Identification of adverse events in ground transport emergency medical services.
Citation Text:
Patterson PD, Weaver MD, Abebe K, et al. Identification of adverse events in ground transport emergency medical services. Am J Med Qual. 2011;27(2):139-146. doi:10.1177/106286061141551…
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psnet.ahrq.gov/issue/changes-supervision-community-pharmacy-pharmacist-and-pharmacy-support-staff-views
June 17, 2020 - Study
Changes to supervision in community pharmacy: pharmacist and pharmacy support staff views.
Citation Text:
Bradley F, Schafheutle EI, Willis SC, et al. Changes to supervision in community pharmacy: pharmacist and pharmacy support staff views. Health Soc Care Community. 2013;21(6):…
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psnet.ahrq.gov/innovation/predicting-dispensing-errors-community-pharmacies-application-systematic-human-error
February 06, 2019 - EMERGING INNOVATIONS
Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA).
Citation Text:
Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Predic…
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psnet.ahrq.gov/issue/patient-safety-morning-report-innovation-teaching-core-patient-safety-principles-third-year
May 07, 2014 - Commentary
Patient safety morning report: innovation in teaching core patient safety principles to third-year medical students.
Citation Text:
Beekman M, Emani VK, Wolford R, et al. Patient Safety Morning Report: Innovation in Teaching Core Patient Safety Principles to Third-Year Medical…
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psnet.ahrq.gov/issue/assessing-distractors-and-teamwork-during-surgery-developing-event-based-method-direct
February 19, 2020 - Study
Assessing distractors and teamwork during surgery: developing an event-based method for direct observation.
Citation Text:
Seelandt JC, Tschan F, Keller S, et al. Assessing distractors and teamwork during surgery: developing an event-based method for direct observation. BMJ Qual Sa…
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psnet.ahrq.gov/issue/learning-preventable-adverse-events-health-care-organizations-development-multilevel-model
June 28, 2010 - Commentary
Learning from preventable adverse events in health care organizations: development of a multilevel model of learning and propositions.
Citation Text:
Chuang Y-T, Ginsburg LR, Berta WB. Learning from preventable adverse events in health care organizations: development of a mu…
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psnet.ahrq.gov/issue/results-survey-pediatric-medication-safety-part-1-and-part-2
November 16, 2015 - Newspaper/Magazine Article
Results of survey on pediatric medication safety—part 1 and part 2.
Citation Text:
Results of survey on pediatric medication safety—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. June 4, 2015;20:1-6. July 2, 2015;20:1-5.
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psnet.ahrq.gov/issue/applying-fault-tree-analysis-prevention-wrong-site-surgery
September 09, 2015 - Review
Applying fault tree analysis to the prevention of wrong-site surgery.
Citation Text:
Abecassis ZA, McElroy LM, Patel RM, et al. Applying fault tree analysis to the prevention of wrong-site surgery. J Surg Res. 2015;193(1):88-94. doi:10.1016/j.jss.2014.08.062.
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psnet.ahrq.gov/issue/continuous-monitoring-adverse-events-influence-quality-care-and-incidence-errors-general
March 09, 2022 - Study
Continuous monitoring of adverse events: influence on the quality of care and the incidence of errors in general surgery.
Citation Text:
Rebasa P, Mora L, Luna A, et al. Continuous monitoring of adverse events: influence on the quality of care and the incidence of errors in gener…
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psnet.ahrq.gov/issue/long-term-effects-e-learning-course-patient-safety-controlled-longitudinal-study-medical
March 16, 2016 - Study
Long-term effects of an e-learning course on patient safety: a controlled longitudinal study with medical students.
Citation Text:
Gaupp R, Dinius J, Drazic I, et al. Long-term effects of an e-learning course on patient safety: A controlled longitudinal study with medical students.…