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www.ahrq.gov/pcor/ahrq-pcor-trust-fund-training-projects/pcor-lhs.html
January 01, 2024 - Learning Health System Embedded Scientist Training and Research (LHS E-StaR) Centers
The Agency for Healthcare Research and Quality (AHRQ) and the Patient-Centered Outcomes Research Institute (PCORI) support the Learning Health System Embedded Scientist Training and Research (LHS E-STaR) centers. These centers…
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psnet.ahrq.gov/issue/patient-safety-and-technology
June 24, 2009 - Commentary
Patient safety and technology.
Citation Text:
Henneman EA. Patient safety and technology. AACN Adv Crit Care. 2009;20(2):128-132. doi:10.1097/NCI.0b013e3181a0b468.
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psnet.ahrq.gov/issue/still-hard-share-psos-making-progress-still-face-tech-hurdles
February 08, 2010 - Newspaper/Magazine Article
Still hard to share. PSOs making progress but still face tech hurdles.
Citation Text:
DerGurahian J. Still hard to share. PSOs making progress but still face tech hurdles. Modern healthcare. 2009;39(41):30, 32.
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psnet.ahrq.gov/issue/defining-technical-skills-teamwork-surgery
October 26, 2010 - Commentary
Defining the technical skills of teamwork in surgery.
Citation Text:
Healey A, Undre S, Vincent C. Defining the technical skills of teamwork in surgery. Qual Saf Health Care. 2006;15(4):231-4.
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psnet.ahrq.gov/issue/teamwork-and-team-training-icu-where-do-similarities-aviation-end
March 28, 2012 - Commentary
Teamwork and team training in the ICU: where do the similarities with aviation end?
Citation Text:
Reader TW, Cuthbertson BH. Teamwork and team training in the ICU: Where do the similarities with aviation end? Crit Care. 2011;15(6). doi:10.1186/cc10353.
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psnet.ahrq.gov/issue/second-victim-traumatic-experience
October 06, 2016 - Commentary
Second victim: a traumatic experience.
Citation Text:
Second victim: a traumatic experience. Wands B. AANA J. 2021;89(2):168-174.
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psnet.ahrq.gov/issue/medical-emergency-team-implementation-experiences-mentor-hospital
November 21, 2016 - Commentary
Medical emergency team implementation: experiences of a mentor hospital.
Citation Text:
Jamieson E, Ferrell C, Rutledge DN. Medical emergency team implementation: experiences of a mentor hospital. Medsurg Nurs. 2008;17(5):312-6, 323.
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psnet.ahrq.gov/issue/key-principles-quality-and-safety-radiology
September 09, 2009 - Review
Key principles in quality and safety in radiology.
Citation Text:
Abujudeh H, Kaewlai R, Shaqdan K, et al. Key Principles in Quality and Safety in Radiology. American Journal of Roentgenology. 2017;208(3). doi:10.2214/ajr.16.16951.
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psnet.ahrq.gov/issue/iatrogenic-harm-cost-equation-and-new-technology
January 24, 2024 - Commentary
The iatrogenic-harm cost equation and new technology.
Citation Text:
Webster CS. The iatrogenic-harm cost equation and new technology. Anaesthesia. 2005;60(9). doi:10.1111/j.1365-2044.2005.04331.x.
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psnet.ahrq.gov/issue/overcoming-diagnostic-errors-medical-practice
March 15, 2017 - Commentary
Overcoming diagnostic errors in medical practice.
Citation Text:
Bordini BJ, Stephany A, Kliegman RM. Overcoming Diagnostic Errors in Medical Practice. J Pediatr. 2017;185. doi:10.1016/j.jpeds.2017.02.065.
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psnet.ahrq.gov/issue/va-hospitals-flooded-complaints-about-care
August 09, 2017 - Newspaper/Magazine Article
VA hospitals flooded with complaints about care.
Citation Text:
VA hospitals flooded with complaints about care. Estes A. Boston Globe. September 16, 2017.
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psnet.ahrq.gov/issue/rate-and-costs-attributable-intravenous-patient-controlled-analgesia-errors
April 29, 2010 - Study
The rate and costs attributable to intravenous patient-controlled analgesia errors.
Citation Text:
Meissner B, Nelson W, Hicks R (R), et al. The rate and costs attributable to intravenous patient-controlled analgesia errors. Hosp Pharm. 2010;44(4):312-324. doi:10.1310/hpj4404-312. …
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psnet.ahrq.gov/issue/quality-pharmacologic-care-vulnerable-older-patients
August 27, 2012 - Study
The quality of pharmacologic care for vulnerable older patients.
Citation Text:
Higashi T, Shekelle PG, Solomon DH, et al. The quality of pharmacologic care for vulnerable older patients. Ann Intern Med. 2004;140(9):714-20.
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psnet.ahrq.gov/issue/fatal-error-sparks-debate-over-punitive-measures
May 20, 2020 - Newspaper/Magazine Article
Fatal error sparks debate over punitive measures.
Citation Text:
Fatal error sparks debate over punitive measures. Fernandez J. Drug Topics. May 7, 2007.
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psnet.ahrq.gov/issue/does-simulation-improve-patient-safety-self-efficacy-competence-operational-performance-and
May 25, 2016 - Commentary
Does simulation improve patient safety?: self-efficacy, competence, operational performance, and patient safety.
Citation Text:
Nishisaki A, Keren R, Nadkarni V. Does simulation improve patient safety? Self-efficacy, competence, operational performance, and patient safety. A…
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psnet.ahrq.gov/issue/patient-safety-performance-reversing-recent-declines-through-shared-profession-wide-system
December 01, 2021 - Commentary
Patient safety performance: reversing recent declines through shared profession-wide system-level solutions.
Citation Text:
doi:full/10.1056/CAT.22.0318.
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psnet.ahrq.gov/issue/evidence-under-judgment-can-we-oversee-our-own-decision-making
May 21, 2019 - Commentary
Evidence under judgment: can we oversee our own decision making?
Citation Text:
Zilberberg MD. Evidence Under Judgment. Arch Intern Med. 2011;171(16). doi:10.1001/archinternmed.2011.355.
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psnet.ahrq.gov/issue/health-informatics-healthcare-quality-and-safety-and-healthcare-simulation-new-triad-advance
April 28, 2021 - Special or Theme Issue
Health Informatics, Healthcare Quality and Safety, and Healthcare Simulation: the New Triad to Advance Healthcare Operations
Citation Text:
Health Informatics, Healthcare Quality and Safety, and Healthcare Simulation: the New Triad to Advance Healthcare Operations …
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psnet.ahrq.gov/issue/certified-pharmacy-technicians-views-their-medication-preparation-errors-and-educational
June 03, 2015 - Study
Certified pharmacy technicians' views on their medication preparation errors and educational needs.
Citation Text:
Desselle SP. Certified pharmacy technicians' views on their medication preparation errors and educational needs. Am J Health Syst Pharm. 2005;62(19):1992-7.
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psnet.ahrq.gov/issue/hearing-broken-promises-assessing-vas-systems-protecting-veterans-clinical-harm
December 23, 2012 - Congressional Testimony
Hearing: Broken Promises: Assessing VA’s Systems for Protecting Veterans from Clinical Harm.
Citation Text:
Hearing: Broken Promises: Assessing VA’s Systems for Protecting Veterans from Clinical Harm. US House of Representatives Committee on Veterans Affairs Subco…