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psnet.ahrq.gov/issue/towards-high-reliability-organising-healthcare-strategy-building-organisational-capacity
January 06, 2016 - Commentary
Towards high-reliability organising in healthcare: a strategy for building organisational capacity.
Citation Text:
Aboumatar HJ, Weaver SJ, Rees D, et al. Towards high-reliability organising in healthcare: a strategy for building organisational capacity. BMJ Qual Saf. 2017;26(…
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psnet.ahrq.gov/issue/pain-management-and-opioid-epidemic-balancing-societal-and-individual-benefits-and-risks
March 29, 2006 - Book/Report
Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use.
Citation Text:
Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use. Bonnie RJ, Ford M…
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psnet.ahrq.gov/issue/unmet-needs-teaching-physicians-provide-safe-patient-care
November 07, 2012 - Book/Report
Classic
Unmet Needs: Teaching Physicians to Provide Safe Patient Care.
Citation Text:
Unmet Needs: Teaching Physicians to Provide Safe Patient Care. Boston, MA: Lucian Leape Institute at the National Patient Safety Foundation; March 2010.
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psnet.ahrq.gov/issue/systematic-review-effects-resident-work-hours-patient-safety
February 03, 2011 - Review
Systematic review: effects of resident work hours on patient safety.
Citation Text:
Fletcher KE, Davis SQ, Underwood W, et al. Systematic review: effects of resident work hours on patient safety. Ann Intern Med. 2004;141(11):851-857.
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psnet.ahrq.gov/issue/role-clinical-learning-environments-preparing-new-clinicians-engage-patient-safety
November 18, 2020 - Book/Report
The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in Patient Safety.
Citation Text:
The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in Patient Safety. Disch J, Kilo CM, Passiment M, Wagner R, Weiss KB; National C…
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psnet.ahrq.gov/issue/clinical-learning-environment-review-cler-program
November 18, 2020 - Multi-use Website
Clinical Learning Environment Review (CLER) Program.
Citation Text:
Clinical Learning Environment Review (CLER) Program. Accreditation Council for Graduate Medical Education.
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psnet.ahrq.gov/issue/leadership-improve-diagnosis-call-action
June 28, 2023 - Book/Report
Leadership To Improve Diagnosis: A Call to Action.
Citation Text:
Leadership To Improve Diagnosis: A Call to Action. Rosen M, Ali KJ, Buckley BO, et al. Rockville, MD: Agency for Healthcare Research and Quality; June 2021. AHRQ Publication No. 20(21)-0040-5-EF.
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digital.ahrq.gov/ahrq-funded-projects/developing-guide-identifying-and-remediating-unintended-consequences/annual-summary/2011
January 01, 2011 - Developing a Guide to Identifying and Remediating Unintended Consequences of Implementing Health IT - 2011
Project Name
Developing a Guide to Identifying and Remediating Unintended Consequences of Implementing Health Information Technology
Principal Investigator
Koppel, Ross
Orga…
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psnet.ahrq.gov/issue/position-statement-criminalization-medical-error-and-call-action-prevent-patient-harm-error
December 02, 2020 - Organizational Policy/Guidelines
Position Statement on Criminalization of Medical Error and Call for Action to Prevent Patient Harm from Error.
Citation Text:
Position Statement on Criminalization of Medical Error and Call for Action to Prevent Patient Harm from Error. Cooper J, Thomas B…
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psnet.ahrq.gov/issue/caregiver-perspectives-safety-home-dementia-care
January 20, 2010 - Study
Caregiver perspectives on safety in home dementia care.
Citation Text:
Lach HW, Chang Y-P. Caregiver perspectives on safety in home dementia care. West J Nurs Res. 2007;29(8):993-1014.
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psnet.ahrq.gov/issue/safer-care-home-use-simulation-training-improve-standards
August 05, 2020 - Study
Safer care at home: use of simulation training to improve standards.
Citation Text:
Unsworth J, Tuffnell C, Platt A. Safer care at home: use of simulation training to improve standards. Br J Community Nurs. 2011;16(7):334-9.
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psnet.ahrq.gov/issue/piece-my-mind-despite-my-best-intentions
September 13, 2016 - Commentary
A piece of my mind. Despite my best intentions.
Citation Text:
Kahn JS. Despite My Best Intentions. JAMA. 2017;318(17). doi:10.1001/jama.2017.6123.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0319_06-17-2009.pdf
January 01, 2009 - Effective Health Care
Topic Number(s): 0170
Document Completion Date: 1-13-10
1
Results of Topic Selection Process & Next Steps
The use of procalcitonin for the diagnosis and management of sepsis will go forward for refinement as
a systematic review. The scope of this topic, including popul…
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psnet.ahrq.gov/issue/older-adults-perceptions-feeling-safe-urban-and-rural-acute-care
October 17, 2018 - Study
Older adults' perceptions of feeling safe in urban and rural acute care.
Citation Text:
Lasiter S, Duffy J. Older adults' perceptions of feeling safe in urban and rural acute care. J Nurs Adm. 2013;43(1):30-6. doi:10.1097/NNA.0b013e3182786013.
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psnet.ahrq.gov/issue/oncology-nurses-perceptions-about-involving-patients-prevention-chemotherapy-administration
July 01, 2010 - Study
Oncology nurses' perceptions about involving patients in the prevention of chemotherapy administration errors.
Citation Text:
Schwappach DLB, Hochreutener M-A, Wernli M. Oncology nurses' perceptions about involving patients in the prevention of chemotherapy administration errors. …
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psnet.ahrq.gov/issue/patient-safety-nicu-comprehensive-review
September 12, 2016 - Review
Patient safety in the NICU: a comprehensive review.
Citation Text:
Samra HA, McGrath JM, Rollins W. Patient safety in the NICU: a comprehensive review. J Perinat Neonatal Nurs. 2011;25(2):123-132. doi:10.1097/JPN.0b013e31821693b2.
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psnet.ahrq.gov/issue/suboptimal-prescribing-elderly-outpatients-potentially-harmful-drug-drug-and-drug-disease
July 29, 2020 - Study
Suboptimal prescribing in elderly outpatients: potentially harmful drug-drug and drug-disease combinations.
Citation Text:
Zhan C, Correa-de-Araujo R, Bierman AS, et al. Suboptimal prescribing in elderly outpatients: potentially harmful drug-drug and drug-disease combinations. J A…
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digital.ahrq.gov/sites/default/files/docs/page/buildinghealthitresearchcapacity.pdf
December 01, 2012 - This includes supporting the next generation of
health IT researchers by funding health IT-focused … The
SEN noted particular interest in funding disserta-
tion research projects focused in one of three … Portfolio has supported six doctoral
candidates from a range of disciplines working on
health IT-focused … Analyses
focused on patient characteristics such as age, gender,
and race; hospital characteristics … A variety of additional health IT-focused dissertation
grants are currently ongoing and will continue
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024350-wernz-final-report-2018.pdf
January 01, 2018 - A study focused on small private practices estimates
that downtime costs are approximately $500 per … Few studies have focused on the impact of delays
in reporting of results, and even fewer studies have … We focused on door-to-doc time,
patient backlog, and arrival rate. … ED interviews
focused on physicians and nurses; laboratory sessions focused on technicians from the … The interviews focused on feedback from stakeholders
about their perceptions of downtime operations,
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023849-valdez-final-report-2018.pdf
January 01, 2018 - Consumer health IT developers, however, have
predominantly focused on the needs of a limited number … (15)
Context: This study focused on complementing and building upon existing design guidance from … The study focused on one form
(i.e., mobile health) and one functional domain (i.e., health information … Phase two focused on participants’ experiences engaging with the three mHealth
apps both in a lab (task … In particular, this study
focused on one form and one functional domain of consumer health IT, mHealth