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psnet.ahrq.gov/node/848089/psn-pdf
April 26, 2023 - Patient Safety Advisory: fentanyl counterfeit prescription
medications that contain fentanyl and patient safety.
April 26, 2023
Jewell ML, Jewell HL, Singer R, et al. Patient Safety Advisory: fentanyl counterfeit prescription medications
that contain fentanyl and patient safety. Aesthetic Plast Surg. 2023;47(3):123…
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psnet.ahrq.gov/node/852287/psn-pdf
August 09, 2023 - Electronic health record usability contributions to patient
safety and clinician burnout: a path forward.
August 9, 2023
Schwappach DLB, Ratwani RM. Electronic health record usability contributions to patient safety and
clinician burnout: a path forward. J Patient Saf. 2023;19(5):38-39. doi:10.1097/pts.000000000000…
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psnet.ahrq.gov/node/46911/psn-pdf
May 02, 2018 - Errors in electronic health record–based data query of
statin prescriptions in patients with coronary artery
disease in a large, academic, multispecialty clinic
practice.
May 2, 2018
Shin EY, Ochuko P, Bhatt K, et al. Errors in Electronic Health Record-Based Data Query of Statin
Prescriptions in Patients With Cor…
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psnet.ahrq.gov/node/38310/psn-pdf
June 03, 2010 - The relationship between early emergency team calls and
serious adverse events.
June 3, 2010
Chen J, Bellomo R, Flabouris A, et al. The relationship between early emergency team calls and serious
adverse events. Crit Care Med. 2009;37(1):148-53. doi:10.1097/CCM.0b013e3181928ce3.
https://psnet.ahrq.gov/issue/relati…
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psnet.ahrq.gov/node/35544/psn-pdf
March 29, 2010 - How surgeons disclose medical errors to patients: a
study using standardized patients.
March 29, 2010
Chan DK, Gallagher TH, Reznick R, et al. How surgeons disclose medical errors to patients: a study using
standardized patients. Surgery. 2005;138(5):851-8.
https://psnet.ahrq.gov/issue/how-surgeons-disclose-medi…
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psnet.ahrq.gov/node/38157/psn-pdf
October 22, 2008 - Contributing factors identified by hospital incident report
narratives.
October 22, 2008
Nuckols TK, Bell DS, Paddock SM, et al. Contributing factors identified by hospital incident report
narratives. Qual Saf Health Care. 2008;17(5):368-72. doi:10.1136/qshc.2007.023721.
https://psnet.ahrq.gov/issue/contributing-f…
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psnet.ahrq.gov/node/867015/psn-pdf
October 23, 2024 - Supporting perioperative safety during a disaster through
clinical crisis education.
October 23, 2024
Kirkman A, Tripp H, Ward L, et al. Supporting perioperative safety during a disaster through clinical crisis
education. AORN J. 2024;120(4):226-237. doi:10.1002/aorn.14217.
https://psnet.ahrq.gov/issue/supporting-…
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psnet.ahrq.gov/node/45726/psn-pdf
December 14, 2016 - National Cancer Institute–American Society of Clinical
Oncology Teams in Cancer Care Project.
December 14, 2016
J Oncol Pract. 2016;12(11):955-1194.
https://psnet.ahrq.gov/issue/national-cancer-institute-american-society-clinical-oncology-teams-cancer-
care-project
Team-based care has been adopted in various spec…
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psnet.ahrq.gov/node/34055/psn-pdf
March 07, 2005 - What is driving hospitals' patient-safety efforts?
March 7, 2005
Devers KJ, Pham HH, Liu G. What is driving hospitals' patient-safety efforts? Health Aff (Millwood).
2004;23(2):103-15.
https://psnet.ahrq.gov/issue/what-driving-hospitals-patient-safety-efforts
This study evaluated the role professionalism, regulati…
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psnet.ahrq.gov/node/865967/psn-pdf
May 29, 2024 - Impact of diagnostic management team on patient time to
diagnosis and percent of accurate and clinically
actionable diagnoses.
May 29, 2024
Brashear J, Mize R, Laposata M, et al. Impact of diagnostic management team on patient time to diagnosis
and percent of accurate and clinically actionable diagnoses. Diagnosis…
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psnet.ahrq.gov/node/73659/psn-pdf
September 01, 2021 - Using a patient safety/quality improvement model to
assess telehealth for psychiatry and behavioral health
services among special populations during COVID-19 and
beyond.
September 1, 2021
Li L, Childs AW. J Psychiatr Pract. 2021;27(4):245-253.
https://psnet.ahrq.gov/issue/using-patient-safetyquality-improvement-m…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/sleep-apnea_surveillance.pdf
April 01, 2012 - One new study was identified
evaluating the Dixon model.
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psnet.ahrq.gov/perspective/conversation-kaveh-shojania-md
February 26, 2025 - You're not doing anyone a favor by rigorously evaluating something that's not going to work.
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www.ahrq.gov/sites/default/files/2025-02/catchpole2-report.pdf
January 01, 2025 - Final Progress Report: Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery
Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery
Principal Investigator and Team Members:
Name Role
Medical University of South Carolina
Ken Catchpole, PhD Principal Investigator
My…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetransitions_finalreport.docx
November 01, 2017 - A Toolkit to Engage High-Risk Patients in Safe Transitions: Final Report
A Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings
Prepared for:
Agency for Healthcare Research & Quality (AHRQ)
U.S. Department of Health and Human Services 540 Gaither Road
Rockville, MD 20850 www.ahrq.gov
Co…
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digital.ahrq.gov/sites/default/files/docs/publication/k08hs018341-armstrong-final-report-2014.pdf
January 01, 2014 - Patient-Centered Online Care Model for Follow-Up Management of Atopic Dermatitis - Final Report
Title of Project:
Patient-Centered Online Care Model for Follow-Up Management of Atopic Dermatitis
Principal Investigator and T…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/ps-research-summary-pfe.pdf
April 30, 2025 - research
projects improved patient safety by generating new knowledge; developing, implementing, and evaluating
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Michel_92.pdf
April 30, 2008 - Evaluating
provider adherence in a trial of a guideline-based
decision support system for hypertension
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapa3.html
April 01, 2018 - Conclusions
By evaluating the relative importance of each of the NNIS System risk index variables
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-tests-outcomes_methods.pdf
July 01, 2012 - All of these may be appropriate outcomes to include in evaluating a
diagnostic test.