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psnet.ahrq.gov/node/47948/psn-pdf
May 29, 2019 - Potential consequences of patient complications for
surgeon well-being: a systematic review.
May 29, 2019
Srinivasa S, Gurney J, Koea J. Potential Consequences of Patient Complications for Surgeon Well-being:
A Systematic Review. JAMA Surg. 2019;154(5):451-457. doi:10.1001/jamasurg.2018.5640.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/46805/psn-pdf
September 25, 2018 - Factors associated with hospital admission after
outpatient surgery in the Veterans Health Administration.
September 25, 2018
Mull HJ, Rosen AK, O'Brien WJ, et al. Factors Associated with Hospital Admission after Outpatient Surgery
in the Veterans Health Administration. Health Serv Res. 2018;53(5):3855-3880. doi:10…
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psnet.ahrq.gov/node/44976/psn-pdf
February 14, 2017 - Do patients' disruptive behaviours influence the accuracy
of a doctor's diagnosis? A randomised experiment.
February 14, 2017
Schmidt HG, Van Gog T, Schuit SC, et al. Do patients' disruptive behaviours influence the accuracy of a
doctor's diagnosis? A randomised experiment. BMJ Qual Saf. 2017;26(1):19-23. doi:10.11…
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psnet.ahrq.gov/node/44721/psn-pdf
August 20, 2016 - Tall Man lettering and potential prescription errors: a time
series analysis of 42 children's hospitals in the USA over
9 years.
August 20, 2016
Zhong W, Feinstein JA, Patel NS, et al. Tall Man lettering and potential prescription errors: a time series
analysis of 42 children's hospitals in the USA over 9 years. B…
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psnet.ahrq.gov/node/45615/psn-pdf
October 26, 2016 - Mandatory provider review and pain clinic laws reduce
the amounts of opioids prescribed and overdose death
rates.
October 26, 2016
Dowell D, Zhang K, Noonan RK, et al. Mandatory Provider Review And Pain Clinic Laws Reduce The
Amounts Of Opioids Prescribed And Overdose Death Rates. Health Aff (Millwood). 2016;35(10…
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psnet.ahrq.gov/node/47082/psn-pdf
July 02, 2019 - Effect of systematic physician cross-checking on
reducing adverse events in the emergency department:
the CHARMED cluster randomized trial.
July 2, 2019
Freund Y, Goulet H, Leblanc J, et al. Effect of Systematic Physician Cross-checking on Reducing Adverse
Events in the Emergency Department: The CHARMED Cluster Ra…
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psnet.ahrq.gov/node/46405/psn-pdf
October 13, 2018 - Children's hospitals' solutions for patient safety
collaborative impact on hospital-acquired harm.
October 13, 2018
Lyren A, Brilli RJ, Zieker K, et al. Children's Hospitals' Solutions for Patient Safety Collaborative Impact on
Hospital-Acquired Harm. Pediatrics. 2017;140(3). doi:10.1542/peds.2016-3494.
https://ps…
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digital.ahrq.gov/ahrq-funded-projects/central-kenai-peninsula-health-collaborative-technology
January 01, 2023 - Central Kenai Peninsula Health Collaborative Technology
Project Description
Project Details -
Completed
Grant Number
P20 HS014902
Funding Mechanism(s)
Transforming Healthcare Quality Through Information Technology (THQIT) - Planning Gra…
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digital.ahrq.gov/principal-investigator/nemeth-lynne
January 01, 2023 - Nemeth, Lynne
Synthesizing Lessons Learned Using Health Information Technology - Final Report
Citation
Nemeth L. Synthesizing Lessons Learned Using Health Information Technology - Final Report. (Prepared by the Medical University of South Carolina under Grant No. R03 HS018830)…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/root-cause-analysis
January 01, 2023 - Root Cause Analysis
Acronym
RCA
Examples
Latino RJ. The "5 PS" concept. Patient safety: the PROACT root cause analysis approach. Boca Raton, FL: CRC Press; 2009. p. 77-86.
Latino RJ. Case studies. Patient safety: the PROACT root cause analysis approach. Boca Raton, FL: CRC Press; 2009. p. …
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psnet.ahrq.gov/issue/preventing-accidents-and-injuries-mri-suite
July 18, 2024 - Press Release/Announcement
Preventing accidents and injuries in the MRI suite.
Citation Text:
Preventing accidents and injuries in the MRI suite. Sentinel Event Alert. 2008;38(38):1-3.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
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psnet.ahrq.gov/node/46307/psn-pdf
August 20, 2018 - Post-operative mortality, missed care and nurse staffing
in nine countries: a cross-sectional study.
August 20, 2018
Ball JE, Bruyneel L, Aiken LH, et al. Post-operative mortality, missed care and nurse staffing in nine
countries: A cross-sectional study. Int J Nurs Stud. 2018;78:10-15. doi:10.1016/j.ijnurstu.2017.…
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psnet.ahrq.gov/node/43042/psn-pdf
December 18, 2014 - Introduction of surgical safety checklists in Ontario,
Canada.
December 18, 2014
Urbach DR, Govindarajan A, Saskin R, et al. Introduction of Surgical Safety Checklists in Ontario, Canada.
New Engl J Med. 2014;370(11):1029-1038. doi:10.1056/nejmsa1308261.
https://psnet.ahrq.gov/issue/introduction-surgical-safety-ch…
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psnet.ahrq.gov/node/46959/psn-pdf
August 20, 2018 - Education outcomes from a duty-hour flexibility trial in
internal medicine.
August 20, 2018
Desai SV, Asch DA, Bellini LM, et al. Education Outcomes in a Duty-Hour Flexibility Trial in Internal
Medicine. New Engl J Med. 2018;378(16):1494-1508. doi:10.1056/nejmoa1800965.
https://psnet.ahrq.gov/issue/education-outco…
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psnet.ahrq.gov/node/47228/psn-pdf
August 09, 2018 - A road map for advancing the practice of respect in health
care: the results of an interdisciplinary modified Delphi
consensus study.
August 9, 2018
Sokol-Hessner L, Folcarelli P, Annas CL, et al. A Road Map for Advancing the Practice of Respect in
Health Care: The Results of an Interdisciplinary Modified Delphi C…
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psnet.ahrq.gov/node/45330/psn-pdf
August 03, 2016 - Association between hospital performance on patient
safety and 30-day mortality and unplanned readmission
for Medicare fee-for-service patients with acute
myocardial infarction.
August 3, 2016
Wang Y, Eldridge N, Metersky ML, et al. Association Between Hospital Performance on Patient Safety and
30?Day Mortality a…
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psnet.ahrq.gov/node/47605/psn-pdf
January 17, 2019 - Assessment of incorrect surgical procedures within and
outside the operating room. A follow-up study from US
Veterans Health Administration medical centers.
January 17, 2019
Neily J, Soncrant C, Mills PD, et al. Assessment of Incorrect Surgical Procedures Within and Outside the
Operating Room: A Follow-up Study Fr…
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psnet.ahrq.gov/node/37167/psn-pdf
February 03, 2011 - Mortality among patients in VA hospitals in the first 2
years following ACGME resident duty hour reform.
February 3, 2011
Volpp KG, Rosen AK, Rosenbaum PR, et al. Mortality among patients in VA hospitals in the first 2 years
following ACGME resident duty hour reform. JAMA. 2007;298(9):984-92.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/47312/psn-pdf
October 13, 2018 - Opioid prescribing in the United States before and after
the Centers for Disease Control and Prevention's 2016
opioid guideline.
October 13, 2018
Bohnert ASB, Guy GP, Losby JL. Opioid prescribing in the United States before and after the Centers for
Disease Control and Prevention's 2016 opioid guideline. Ann Inter…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/consent-form-nc.pdf
June 02, 2025 - Heart Health Now Advancing Heart Health in NC Primary Care Consent Form
Heart Health NOW
Advancing Heart Health in NC Primary Care
This document outlines the agreement between UNC-Chapel Hill and [Practice Name] to conduct the project
titled “Heart Health Now! Advancing Heart Health in NC Primary Care”. This agr…