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psnet.ahrq.gov/issue/identification-common-themes-never-events-data-published-nhs-england
April 07, 2021 - Study
Identification of common themes from never events data published by NHS England.
Citation Text:
Omar I, Graham Y, Singhal R, et al. Identification of common themes from never events data published by NHS England. World J Surg. 2021;45(3):697-704. doi:10.1007/s00268-020-05867-7.
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psnet.ahrq.gov/issue/relationships-among-work-stress-strain-and-self-reported-errors-uk-community-pharmacy
October 19, 2022 - Study
The relationships among work stress, strain and self-reported errors in UK community pharmacy.
Citation Text:
Johnson SJ, O'Connor EM, Jacobs S, et al. The relationships among work stress, strain and self-reported errors in UK community pharmacy. Res Social Adm Pharm. 2014;10(6):88…
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digital.ahrq.gov/ahrq-funded-projects/medication-metronome-project/annual-summary/2010
January 01, 2010 - The Medication Metronome Project - 2010
Project Name
The Medication Metronome Project
Principal Investigator
Grant, Richard
Organization
Massachusetts General Hospital
Funding Mechanism
PAR: HS08-270: Utilizing Health Information Technology (IT) to Improve Health Ca…
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psnet.ahrq.gov/issue/patient-error-preliminary-taxonomy
June 02, 2010 - Study
Patient error: a preliminary taxonomy.
Citation Text:
Buetow S, Kiata L, Liew T, et al. Patient error: a preliminary taxonomy. Ann Fam Med. 2009;7(3):223-31. doi:10.1370/afm.941.
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Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…
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psnet.ahrq.gov/issue/validating-domains-patient-contextual-factors-essential-preventing-contextual-errors
September 20, 2011 - Study
Validating domains of patient contextual factors essential to preventing contextual errors: a qualitative study conducted at Chicago area Veterans Health Administration sites.
Citation Text:
Binns-Calvey AE, Malhiot A, Kostovich CT, et al. Validating Domains of Patient Contextual F…
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psnet.ahrq.gov/issue/trigger-tool-method-measure-harmful-medication-errors-children
August 03, 2022 - Study
The trigger tool as a method to measure harmful medication errors in children.
Citation Text:
Maaskant JM, Smeulers M, Bosman D, et al. The Trigger Tool as a Method to Measure Harmful Medication Errors in Children. J Patient Saf. 2018;14(2):95-100. doi:10.1097/PTS.0000000000000177.…
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psnet.ahrq.gov/issue/nursing-staffs-perceptions-patient-safety-psychiatric-inpatient-care
September 27, 2017 - Study
Nursing staff's perceptions of patient safety in psychiatric inpatient care.
Citation Text:
Kanerva A, Lammintakanen J, Kivinen T. Nursing Staff's Perceptions of Patient Safety in Psychiatric Inpatient Care. Perspect Psych Care. 2016;52(1):25-31. doi:10.1111/ppc.12098.
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digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program/annual-summary/2012
January 01, 2012 - Evaluation of AHRQ’s On-Time Pressure Ulcer Program - 2012
Project Name
Evaluation of AHRQ's On-time Pressure Ulcer Program
Principal Investigator
Hurd, Donna
Organization
Abt Associates, Inc.
Funding Mechanism
Accelerating Change and Transformation in Organizations…
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digital.ahrq.gov/funding-mechanism/planning
January 01, 2023 - Planning, Evaluation, and Analysis Task Order Contract (PEATOC)
Managing personal health information: an action agenda.
Citation
Wilson C, Peterson A. Managing personal health information: an action agenda. (Prepared by Insight Policy Research under Contract No. 290-07-10072-1…
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psnet.ahrq.gov/issue/lessons-learned-reducing-negative-impact-adverse-events-patients-health-professionals-and
September 19, 2016 - Study
Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations.
Citation Text:
Mira JJ, Lorenzo S, Carrillo I, et al. Lessons learned for reducing the negative impact of adverse events on patients, health profession…
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psnet.ahrq.gov/issue/quality-improvement-patient-safety-project-level-versus-program-level-learning
April 01, 2010 - Study
Quality improvement for patient safety: project-level versus program-level learning.
Citation Text:
Rivard PE, Parker VA, Rosen AK. Quality improvement for patient safety: project-level versus program-level learning. Health Care Manage Rev. 2013;38(1):40-50. doi:10.1097/HMR.0b013…
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psnet.ahrq.gov/issue/systematic-review-impact-health-information-technology-quality-efficiency-and-costs-medical
March 30, 2022 - Review
Classic
Systematic review: impact of health information technology on quality, efficiency, and costs of medical care.
Citation Text:
Chaudhry B, Wang J, Wu S, et al. Systematic review: impact of health information technology on quality, efficiency, and …
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digital.ahrq.gov/ahrq-funded-projects/improving-patient-access-and-patient-clinician-continuity-through-panel/annual-summary/2010
January 01, 2010 - Improving Patient Access and Patient-Clinician Continuity Through Panel Redesign - 2010
Project Name
Improving Patient Access and Patient-Clinician Continuity through Panel Redesign
Principal Investigator
Balasubramanian, Hari
Organization
University of Massachusetts Amherst …
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psnet.ahrq.gov/issue/blame-patient-blame-doctor-or-blame-system-meta-synthesis-qualitative-studies-patient-safety
March 04, 2020 - Review
Blame the patient, blame the doctor or blame the system? A meta-synthesis of qualitative studies of patient safety in primary care.
Citation Text:
Daker-White G, Hays R, McSharry J, et al. Blame the Patient, Blame the Doctor or Blame the System? A Meta-Synthesis of Qualitative Stu…
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psnet.ahrq.gov/issue/threats-patient-safety-primary-care-reported-older-people-multimorbidity-baseline-findings
November 14, 2018 - Study
Threats to patient safety in primary care reported by older people with multimorbidity: baseline findings from a longitudinal qualitative study and implications for intervention.
Citation Text:
Hays R, Daker-White G, Esmail A, et al. Threats to patient safety in primary care report…
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psnet.ahrq.gov/issue/accuracy-practitioner-estimates-probability-diagnosis-and-after-testing
May 05, 2021 - Study
Accuracy of practitioner estimates of probability of diagnosis before and after testing.
Citation Text:
Morgan DJ, Pineles L, Owczarzak J, et al. Accuracy of practitioner estimates of probability of diagnosis before and after testing. JAMA Intern Med. 2021;181(6):747-755. doi:10.10…
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psnet.ahrq.gov/issue/emergency-medical-services-provider-perceptions-nature-adverse-events-and-near-misses-out
September 09, 2010 - Study
Emergency medical services provider perceptions of the nature of adverse events and near-misses in out-of-hospital care: an ethnographic view.
Citation Text:
Fairbanks RJ, Crittenden CN, O’Gara KG, et al. Emergency Medical Services Provider Perceptions of the Nature of Adverse E…
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psnet.ahrq.gov/issue/factors-influencing-physician-responsiveness-nurse-initiated-communication-qualitative-study
October 13, 2021 - Study
Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study.
Citation Text:
Manojlovich M, Harrod M, Hofer TP, et al. Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study. BMJ Qual Saf. 2021;30(9):…
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psnet.ahrq.gov/issue/bridging-gap-between-hospital-and-primary-care-pharmacist-home-visit
April 10, 2019 - Commentary
Bridging the gap between hospital and primary care: the pharmacist home visit.
Citation Text:
Ensing HT, Koster ES, Stuijt CCM, et al. Bridging the gap between hospital and primary care: the pharmacist home visit. Int J Clin Pharm. 2015;37(3):430-4. doi:10.1007/s11096-015-0093…
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psnet.ahrq.gov/issue/social-disparities-patient-safety-primary-care-systematic-review
January 08, 2025 - Review
Emerging Classic
Social disparities in patient safety in primary care: a systematic review.
Citation Text:
Piccardi C, Detollenaere J, Bussche PV, et al. Social disparities in patient safety in primary care: a systematic review. Int J Equity Health. 2018;…