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digital.ahrq.gov/program-overview/research-stories/automated-retract-and-reorder-measures-improve-medication-safety
January 01, 2023 - Automated Retract-and-Reorder Measures to Improve Medication Safety
Theme:
Supporting Health Systems in Advancing Care Delivery
Subtheme:
Using Digital Healthcare Tools to Improve Patient Safety
New measures to identify near-miss medication errors are a major advancement in patient safety …
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psnet.ahrq.gov/issue/safety-management-within-scope-teaching-practical-clinical-skills-framing-errors
December 21, 2022 - Study
Safety management within the scope of teaching practical clinical skills: framing errors for cardiopulmonary resuscitation training - a multi-arm randomized controlled equivalence trial.
Citation Text:
Schmidt M, Schauwinhold MT, Loeffler LAK, et al. Safety management within the sc…
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/oral-health-screening-interventions-draft-rec-bulletin.pdf
June 20, 2023 - U.S. Preventive Services Task Force Issues Draft Recommendations on Oral Health in Primary Care: More research is needed to recommend for or against screening and interventions in school-aged children and adults without symptoms
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www.uspreventiveservicestaskforce.org
U.S. Preventive Services Task Force Iss…
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psnet.ahrq.gov/issue/learning-safety-incidents-high-reliability-organizations-systematic-review-learning-tools
May 26, 2021 - Review
Learning from safety incidents in high reliability organizations: a systematic review of learning tools that could be adapted and used in healthcare.
Citation Text:
Serou N, Sahota LM, Husband AK, et al. Learning from safety incidents in high-reliability organizations: a systemati…
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psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-physicians-and-nurses-differ
February 24, 2011 - Study
Does error and adverse event reporting by physicians and nurses differ?
Citation Text:
Rowin EJ, Lucier D, Pauker SG, et al. Does error and adverse event reporting by physicians and nurses differ? Jt Comm J Qual Patient Saf. 2008;34(9):537-545.
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G…
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digital.ahrq.gov/health-care-theme/patient-reported-outcomes
January 01, 2023 - Patient-Reported Outcomes
Patient-Centered Outcomes Research Clinical Decision Support (CDS) Connect
Description
This research developed and maintained the CDS Connect platform, including its public repository of CDS resources and tools. Current work explores the potential of…
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psnet.ahrq.gov/issue/review-adverse-event-reports-emergency-departments-veterans-health-administration
November 17, 2021 - Study
A review of adverse event reports from emergency departments in the Veterans Health Administration.
Citation Text:
Gill S, Mills PD, Watts BV, et al. A Review of Adverse Event Reports From Emergency Departments in the Veterans Health Administration. J Patient Saf. 2021;17(8):e898-…
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psnet.ahrq.gov/issue/covid-19-pandemic-patient-safety-new-spring-telemedicine-or-boomerang-effect
April 13, 2022 - Commentary
From COVID-19 pandemic to patient safety: a new "spring" for telemedicine or a boomerang effect?
Citation Text:
De Micco F, Fineschi V, Banfi G, et al. From COVID-19 pandemic to patient safety: a new "spring" for telemedicine or a boomerang effect? Front Med (Lausanne). 2022;9…
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psnet.ahrq.gov/issue/seroprevalence-sars-cov-2-among-frontline-health-care-personnel-multistate-hospital-network
October 19, 2022 - Study
Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020.
Citation Text:
Self WH, Tenforde MW, Stubblefield WB, et al. Seroprevalence of SARS-CoV-2 among frontline health care personnel in a mu…
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/oral-health-screening-interventions-final-rec-bullletin.pdf
November 07, 2023 - U.S. Preventive Services Task Force Issues Final Recommendations on Screening and Preventive Interventions for Oral Health
www.uspreventiveservicestaskforce.org 1
U.S. Preventive Services Task Force Issues Final Recommendations
on Screening and Preventive Interventions for Oral Health
More research is nee…
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psnet.ahrq.gov/issue/comparison-methods-reduce-bias-clinical-prediction-models-postpartum-depression
April 15, 2020 - Study
Comparison of methods to reduce bias from clinical prediction models of postpartum depression.
Citation Text:
Park Y, Hu J, Singh M, et al. Comparison of methods to reduce bias from clinical prediction models of postpartum depression. JAMA Netw Open. 2021;4(4):e213909. doi:10.1001/…
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psnet.ahrq.gov/issue/rising-drug-allergy-alert-overrides-electronic-health-records-observational-retrospective
July 06, 2022 - Study
Rising drug allergy alert overrides in electronic health records: an observational retrospective study of a decade of experience.
Citation Text:
Topaz M, Seger DL, Slight SP, et al. Rising drug allergy alert overrides in electronic health records: an observational retrospective stu…
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psnet.ahrq.gov/issue/prevalence-and-nature-medication-errors-and-preventable-adverse-drug-events-paediatric-and
March 06, 2024 - Review
Emerging Classic
Prevalence and nature of medication errors and preventable adverse drug events in paediatric and neonatal intensive care settings: a systematic review.
Citation Text:
Alghamdi AA, Keers RN, Sutherland A, et al. Prevalence and Nature of Me…
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psnet.ahrq.gov/issue/evaluation-symptom-checkers-self-diagnosis-and-triage-audit-study
December 08, 2021 - Study
Classic
Evaluation of symptom checkers for self diagnosis and triage: audit study.
Citation Text:
Semigran HL, Linder JA, Gidengil C, et al. Evaluation of symptom checkers for self diagnosis and triage: audit study. BMJ. 2015;351:h3480. doi:10.1136/bmj.h34…
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psnet.ahrq.gov/issue/introduction-surgical-safety-checklists-ontario-canada
June 21, 2016 - Study
Classic
Introduction of surgical safety checklists in Ontario, Canada.
Citation Text:
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/nejmsa13082…
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psnet.ahrq.gov/issue/avoiding-chemotherapy-prescribing-errors-analysis-and-innovative-strategies
January 02, 2009 - Study
Avoiding chemotherapy prescribing errors: analysis and innovative strategies.
Citation Text:
Reinhardt H, Otte P, Eggleton AG, et al. Avoiding chemotherapy prescribing errors: Analysis and innovative strategies. Cancer. 2019;125(9):1547-1557. doi:10.1002/cncr.31950.
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psnet.ahrq.gov/issue/ten-principles-more-conservative-care-full-diagnosis
August 04, 2021 - Commentary
Emerging Classic
Ten principles for more conservative, care-full diagnosis.
Citation Text:
Schiff G, Martin SA, Eidelman DH, et al. Ten Principles for More Conservative, Care-Full Diagnosis. Ann Intern Med. 2018;169(9):643-645. doi:10.7326/M18-1468.
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psnet.ahrq.gov/issue/association-note-quality-and-quality-care-cross-sectional-study
June 05, 2018 - Study
Association of note quality and quality of care: a cross-sectional study.
Citation Text:
Edwards ST, Neri PM, Volk LA, et al. Association of note quality and quality of care: a cross-sectional study. BMJ Qual Saf. 2014;23(5):406-13. doi:10.1136/bmjqs-2013-002194.
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psnet.ahrq.gov/issue/second-victim-experiences-nurses-obstetrics-and-gynaecology-second-victim-experience-and
May 19, 2021 - Study
Second victim experiences of nurses in obstetrics and gynaecology: a Second Victim Experience and Support Tool Survey
Citation Text:
Finney RE, Torbenson VE, Riggan KA, et al. Second victim experiences of nurses in obstetrics and gynaecology: a Second Victim Experience and Support …
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psnet.ahrq.gov/issue/short-and-long-term-effects-electronic-medication-management-system-paediatric-prescribing
August 28, 2024 - Study
Short- and long-term effects of an electronic medication management system on paediatric prescribing errors.
Citation Text:
Westbrook JI, Li L, Raban MZ, et al. Short- and long-term effects of an electronic medication management system on paediatric prescribing errors. NPJ Digit Me…