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psnet.ahrq.gov/issue/risk-factors-missed-colorectal-lesions-after-colonoscopy
March 25, 2020 - Study
Risk factors of missed colorectal lesions after colonoscopy.
Citation Text:
Lee J, Park SW, Kim YS, et al. Risk factors of missed colorectal lesions after colonoscopy. Medicine (Baltimore). 2017;96(27):e7468. doi:10.1097/MD.0000000000007468.
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psnet.ahrq.gov/issue/tablet-splitting-common-yet-not-so-innocent-practice
August 31, 2022 - Study
Tablet-splitting: a common yet not so innocent practice.
Citation Text:
Verrue C, Mehuys E, Boussery K, et al. Tablet-splitting: a common yet not so innocent practice. J Adv Nurs. 2011;67(1):26-32. doi:10.1111/j.1365-2648.2010.05477.x.
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psnet.ahrq.gov/issue/possible-net-harms-breast-cancer-screening-updated-modelling-forrest-report
November 17, 2021 - Study
Possible net harms of breast cancer screening: updated modelling of Forrest report.
Citation Text:
Raftery J, Chorozoglou M. Possible net harms of breast cancer screening: updated modelling of Forrest report. BMJ. 2011;343(dec08 2):d7627. doi:10.1136/bmj.d7627.
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psnet.ahrq.gov/issue/decreasing-errors-pediatric-continuous-intravenous-infusions
January 06, 2017 - Study
Decreasing errors in pediatric continuous intravenous infusions.
Citation Text:
Lehmann CU, Kim G, Gujral R, et al. Decreasing errors in pediatric continuous intravenous infusions. Pediatr Crit Care Med. 2006;7(3):225-30.
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psnet.ahrq.gov/issue/academic-detailing-improve-laboratory-testing-among-outpatient-medication-users
September 24, 2010 - Study
Academic detailing to improve laboratory testing among outpatient medication users.
Citation Text:
Lafata JE, Gunter MJ, Hsu J, et al. Academic detailing to improve laboratory testing among outpatient medication users. Med Care. 2007;45(10):966-72.
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psnet.ahrq.gov/issue/new-technologies-radiation-therapy-ensuring-patient-safety-radiation-safety-and-regulatory
November 01, 2023 - Study
New technologies in radiation therapy: ensuring patient safety, radiation safety and regulatory issues in radiation oncology.
Citation Text:
Amols HI. New technologies in radiation therapy: ensuring patient safety, radiation safety and regulatory issues in radiation oncology. Hea…
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psnet.ahrq.gov/issue/national-reporting-and-learning-system-research-and-development
April 06, 2016 - Book/Report
National Reporting and Learning System Research and Development.
Citation Text:
National Reporting and Learning System Research and Development. Mayer E, Flott K, Callahan R, Darzi A. London, UK: NIHR Imperial Patient Safety Translational Research Centre; 2016.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-flyer-va.pdf
June 02, 2025 - RecruitmentFlyer_FAQs_VA
Frequently Asked Questions
1. Why should my practice participate in the Heart of Virginia Healthcare (HVH) initiative?
Your practice will receive personalized coaching on optimizing your practice model and culture; helping you
improve cardiovascular care for your patients. Improving func…
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psnet.ahrq.gov/issue/technology-governance-and-patient-safety-systems-issues-technology-and-patient-safety
September 14, 2016 - Review
Technology, governance and patient safety: systems issues in technology and patient safety.
Citation Text:
Balka E, Doyle-Waters M, Lecznarowicz D, et al. Technology, governance and patient safety: systems issues in technology and patient safety. Int J Med Inform. 2007;76 Suppl …
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psnet.ahrq.gov/issue/health-care-getting-safer
December 14, 2016 - Commentary
Is health care getting safer?
Citation Text:
Vincent CA, Aylin PP, Franklin BD, et al. Is health care getting safer? BMJ. 2008;337:a2426. doi:10.1136/bmj.a2426.
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psnet.ahrq.gov/issue/differential-impact-crew-resource-management-program-according-professional-specialty
July 31, 2013 - Study
Differential impact of a crew resource management program according to professional specialty.
Citation Text:
Suva D, Haller G, Lübbeke A, et al. Differential impact of a crew resource management program according to professional specialty. Am J Med Qual. 2012;27(4):313-20. doi:1…
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psnet.ahrq.gov/issue/safe-and-equitable-pediatric-clinical-use-ai
February 26, 2025 - Commentary
Safe and equitable pediatric clinical use of AI.
Citation Text:
Handley JL, Lehmann CU, Ratwani RM. Safe and equitable pediatric clinical use of AI. JAMA Pediatr. 2024;178(7):637-638. doi:10.1001/jamapediatrics.2024.0897.
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psnet.ahrq.gov/issue/beyond-crisis-resource-management-new-frontiers-human-factors-training-acute-care-medicine
September 01, 2021 - Review
Beyond crisis resource management: new frontiers in human factors training for acute care medicine.
Citation Text:
Petrosoniak A, Hicks CM. Beyond crisis resource management: new frontiers in human factors training for acute care medicine. Curr Opin Anaesthesiol. 2013;26(6):699-…
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psnet.ahrq.gov/issue/full-disclosure-adverse-events-patients-and-families-icu-wouldnt-you-want-know
May 26, 2021 - Commentary
Full disclosure of adverse events to patients and families in the ICU: wouldn't you want to know?
Citation Text:
Doucette E, Fazio S, LaSalle V, et al. Full disclosure of adverse events to patients and families in the ICU: wouldn't you want to know? Dynamics. 2010;21(3):16-9. …
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psnet.ahrq.gov/issue/oversedation-patient-obstructive-sleep-apnea-prior-imaging
September 02, 2020 - Commentary
Oversedation of a patient with obstructive sleep apnea prior to imaging.
Citation Text:
Blay E, Barnard C, Bilimoria KY. Oversedation of a Patient With Obstructive Sleep Apnea Prior to Imaging. JAMA. 2018;319(5):495-496. doi:10.1001/jama.2017.22004.
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psnet.ahrq.gov/issue/recommendations-and-low-technology-safety-solutions-following-neuromuscular-blocking-agent
October 02, 2024 - Commentary
Recommendations and low-technology safety solutions following neuromuscular blocking agent incidents.
Citation Text:
Graudins L, Downey G, Bui T, et al. Recommendations and Low-Technology Safety Solutions Following Neuromuscular Blocking Agent Incidents. Jt Comm J Qual Patient…
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psnet.ahrq.gov/issue/improving-teamwork-general-medical-units-when-teams-do-not-work-face-face
June 12, 2013 - Study
Improving teamwork on general medical units: when teams do not work face-to-face.
Citation Text:
McComb SA, Henneman EA, Hinchey KT, et al. Improving teamwork on general medical units: when teams do not work face-to-face. Jt Comm J Qual Patient Saf. 2012;38(10):471-478.
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psnet.ahrq.gov/issue/prevention-surgical-malpractice-claims-surgical-safety-checklist
September 20, 2011 - Study
Prevention of surgical malpractice claims by a surgical safety checklist.
Citation Text:
de Vries EN, Eikens-Jansen MP, Hamersma AM, et al. Prevention of surgical malpractice claims by use of a surgical safety checklist. Ann Surg. 2011;253(3):624-8. doi:10.1097/SLA.0b013e31820688…
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psnet.ahrq.gov/issue/improving-patient-safety-through-informed-consent-patients-limited-health-literacy
April 28, 2021 - Book/Report
Classic
Improving Patient Safety Through Informed Consent for Patients with Limited Health Literacy.
Citation Text:
Improving Patient Safety Through Informed Consent for Patients with Limited Health Literacy. Wu HW, Nishimi RY, Page-Lopez CM, et …
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psnet.ahrq.gov/issue/using-staff-perceptions-patient-safety-tool-improving-safety-culture-pediatric-hospital
October 04, 2011 - Study
Using staff perceptions on patient safety as a tool for improving safety culture in a pediatric hospital system.
Citation Text:
Edwards PJ, Scott T, Richardson P, et al. Using Staff Perceptions on Patient Safety as a Tool for Improving Safety Culture in a Pediatric Hospital Syste…