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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/nurse-working-conditions-and-patient-safety-outcomes
May 22, 2024 - Study
Classic
Nurse working conditions and patient safety outcomes.
Citation Text:
Stone PW, Mooney-Kane C, Larson EL, et al. Nurse Working Conditions and Patient Safety Outcomes. Med Care. 2007;45(6):571-578. doi:10.1097/mlr.0b013e3180383667.
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psnet.ahrq.gov/issue/improving-nurse-patient-staffing-ratios-cost-effective-safety-intervention
May 14, 2008 - Study
Improving nurse-to-patient staffing ratios as a cost-effective safety intervention.
Citation Text:
Rothberg MB, Abraham I, Lindenauer PK, et al. Improving nurse-to-patient staffing ratios as a cost-effective safety intervention. Med Care. 2005;43(8):785-91.
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psnet.ahrq.gov/issue/impact-critical-event-checklists-anaesthetist-performance-simulated-operating-theatre
August 16, 2017 - Study
Impact of critical event checklists on anaesthetist performance in simulated operating theatre emergencies.
Citation Text:
Siddiqui A, Ng E, Burrows C, et al. Impact of Critical Event Checklists on Anaesthetist Performance in Simulated Operating Theatre Emergencies. Cureus. 2019;11…
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psnet.ahrq.gov/issue/health-literacy-medication-errors-and-health-outcomes-there-relationship
January 02, 2008 - Review
Health literacy, medication errors, and health outcomes: is there a relationship?
Citation Text:
Warner A, Menachemi N, Brooks RG. Health Literacy, Medication Errors, and Health Outcomes: Is There a Relationship? Hosp Pharm. 2010;41(6):542-551. doi:10.1310/hpj4106-538.
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psnet.ahrq.gov/issue/does-inappropriate-selectivity-information-use-relate-diagnostic-errors-and-patient-harm
July 02, 2014 - Study
Does inappropriate selectivity in information use relate to diagnostic errors and patient harm? The diagnosis of patients with dyspnea.
Citation Text:
Zwaan L, Thijs A, Wagner C, et al. Does inappropriate selectivity in information use relate to diagnostic errors and patient harm?…
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psnet.ahrq.gov/issue/healthcare-resilience-meta-narrative-systematic-review-and-synthesis-reviews
June 10, 2020 - Review
Healthcare resilience: a meta-narrative systematic review and synthesis of reviews.
Citation Text:
Tan MZY, Prager G, McClelland A, et al. Healthcare resilience: a meta-narrative systematic review and synthesis of reviews. BMJ Open. 2023;13(9):e072136. doi:10.1136/bmjopen-2023-072…
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psnet.ahrq.gov/issue/understanding-behaviour-newly-qualified-doctors-acute-care-contexts
July 02, 2014 - Study
Understanding the behaviour of newly qualified doctors in acute care contexts.
Citation Text:
Tallentire VR, Smith SE, Skinner J, et al. Understanding the behaviour of newly qualified doctors in acute care contexts. Med Educ. 2011;45(10):995-1005. doi:10.1111/j.1365-2923.2011.040…
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psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-facilities-fiscal-2021
October 12, 2022 - Book/Report
Evaluation of Quality, Safety and Value in Veterans Health Administration Facilities, Fiscal 2021.
Citation Text:
Evaluation of Quality, Safety and Value in Veterans Health Administration Facilities, Fiscal 2021. Washington, DC: Veterans Affairs Office of Inspector General; 2…
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digital.ahrq.gov/program-overview/research-stories/app-assists-patients-decide-if-home-hospital-level-care-right
January 01, 2023 - App Assists Patients Decide if In-Home Hospital-Level Care is Right for Them
Theme:
Optimizing Care Delivery for Clinicians
Subtheme:
Using Digital Tools to Support Shared Decision-Making and Personalized Care
A web-based application that incorporates patient and caregiver preferences hel…
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psnet.ahrq.gov/issue/nurse-staffing-levels-and-quality-care-hospitals
June 25, 2010 - Study
Classic
Nurse-staffing levels and the quality of care in hospitals.
Citation Text:
Needleman J, Buerhaus P, Mattke S, et al. Nurse-staffing levels and the quality of care in hospitals. N Engl J Med. 2002;346(22):1715-22.
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psnet.ahrq.gov/issue/radiologist-age-and-diagnostic-errors
March 02, 2022 - Study
Radiologist age and diagnostic errors.
Citation Text:
Lamoureux C, Hanna TN, Callaway E, et al. Radiologist age and diagnostic errors. Emerg Radiol. 2023;30(5):577-587. doi:10.1007/s10140-023-02158-1.
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DOI Google Scholar BibTeX EndNote X3 XML EndN…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/smith-my-et-al-2007
January 01, 2007 - Smith MY et al. 2007 "Computerized decision-support systems for chronic pain management in primary care."
Reference
Smith MY, Depue JD, Rini C. Computerized decision-support systems for chronic pain management in primary care. Pain Med 2007;8:S155-S166.
Abstract
"Objective: Computerized decis…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/zheng-k-et-al-2009
January 01, 2009 - Zheng K et al. 2009 "An interface-driven analysis of user interactions with an electronic health records system."
Reference
Zheng K, Padman R, Johnson MP, et al. An interface-driven analysis of user interactions with an electronic health records system. J Am Med Inform Assoc 2009;16(2):228-237.
[L…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/harno-k-et-al-2000
January 01, 2000 - Harno K et al. 2000 "Patient referral by telemedicine: effectiveness and cost analysis of an Intranet system."
Reference
Harno K, Paavola T, Carlson C, et al. Patient referral by telemedicine: effectiveness and cost analysis of an intranet system. J Telemed Telecare 2000;6(6):320-329.
Abstract
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psnet.ahrq.gov/issue/shift-shift-handoff-effects-patient-safety-and-outcomes-systematic-review
January 22, 2016 - Review
Shift-to-shift handoff effects on patient safety and outcomes: a systematic review.
Citation Text:
Mardis M, Davis JJ, Benningfield B, et al. Shift-to-Shift Handoff Effects on Patient Safety and Outcomes. Am J Med Qual. 2017;32(1):34-42. doi:10.1177/1062860615612923.
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/reports-congress/first-annual-report-congress-high-priority-evidence-gaps-clinical-preventive-services
December 01, 2011 - First Annual Report to Congress on High-Priority Evidence Gaps for Clinical Preventive Services
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The U.S. Preventive Services Task Force (USPSTF or Task Force), scientificall…
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psnet.ahrq.gov/issue/patient-engagement-health-care-safety-overview-mixed-quality-evidence
October 21, 2020 - Review
Emerging Classic
Patient engagement in health care safety: an overview of mixed-quality evidence.
Citation Text:
Sharma AE, Rivadeneira NA, Barr-Walker J, et al. Patient Engagement In Health Care Safety: An Overview Of Mixed-Quality Evidence. Health Aff (…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/meigs-jb-et-al-2003
January 01, 2003 - Meigs JB et al. 2003 "A controlled trial of web-based diabetes disease management - the MGH diabetes primary care improvement project."
Reference
Meigs JB, Cagliero E, Dubey A, et al. A controlled trial of web-based diabetes disease management - The MGH diabetes primary care improvement project. Diabe…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/opioids-1.pdf
March 01, 2020 - Making Healthcare Safer Practices: 10. Harms Due to Opioids
Harms Due to Opioids 10-1
10. Harms Due to Opioids
Authors: Sarah J. Shoemaker-Hunt Pharm.D., Ph.D., Cori Sheedy Ph.D., and Brandy Wyant, M.P.H.,
M.S.W.
Reviewer: Scott Winiecki, M.D.
Introduction
Background
Prescription opioids are commonly used i…