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psnet.ahrq.gov/issue/risk-managers-descriptions-programs-support-second-victims-after-adverse-events
May 11, 2016 - This AHRQ-funded study surveyed risk managers about programs that provide support for clinicians involved
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psnet.ahrq.gov/issue/medication-safety-teams-guided-implementation-electronic-medication-administration-records
September 27, 2016 - This AHRQ-funded study provides detailed descriptions and learnings from a quality improvement effort
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psnet.ahrq.gov/issue/computerized-physician-order-entry-factor-medication-errors-descriptive-analysis-events
July 14, 2010 - In this AHRQ-funded study, the authors analyze a computerized provider order entry (CPOE) system implemented
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psnet.ahrq.gov/issue/intensive-care-unit-safety-incidents-medical-versus-surgical-patients-prospective-multicenter
June 29, 2009 - This AHRQ-funded multicenter prospective study used data from a previously described voluntary reporting
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psnet.ahrq.gov/issue/using-evidence-rigorous-measurement-and-collaboration-eliminate-central-catheter-associated
January 15, 2014 - This program report highlights the implementation processes of the AHRQ-funded CUSP initiative that
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psnet.ahrq.gov/issue/reporting-and-disclosing-medical-errors-pediatricians-attitudes-and-behaviors
April 30, 2014 - This AHRQ-funded study surveyed pediatric residents and attending physicians regarding their experiences
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psnet.ahrq.gov/issue/nurse-patient-ratios-patient-safety-strategy-systematic-review
March 20, 2013 - appear to be associated with reduced inpatient mortality and adverse events, according to this AHRQ-funded
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psnet.ahrq.gov/issue/cluster-randomized-clinical-trial-improve-prescribing-patterns-ambulatory-pediatrics
April 04, 2011 - In this AHRQ-funded study, the researchers found that decision support improved prescribing behavior
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psnet.ahrq.gov/issue/advances-prevention-and-control-hais
August 20, 2018 - This AHRQ publication offers 19 papers that explore government-funded research into HAIs, including lessons
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psnet.ahrq.gov/issue/hospital-discharge-review-high-risk-care-transition-highlights-reengineered-discharge-process
December 16, 2014 - In this AHRQ-funded study, the authors reviewed elements of the hospital discharge process and defined
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psnet.ahrq.gov/issue/comparison-error-rates-between-intravenous-push-methods-prospective-multisite-observational
December 20, 2017 - This industry-funded, prospective direct observation study found that ready-to-administer intravenous
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psnet.ahrq.gov/issue/care-transitions-outpatient-surgery-preoperative-process-facilitators-and-obstacles
December 31, 2014 - This AHRQ-funded study describes one organization’s efforts to detail its preoperative process around
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psnet.ahrq.gov/issue/patient-safety-obstetrics-what-aviators-firefighters-and-others-can-teach-us
January 22, 2017 - developed by high-performance fields outside health care and how those experiences informed an AHRQ-funded
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psnet.ahrq.gov/issue/errors-thyroid-gland-fine-needle-aspiration
March 28, 2012 - This AHRQ–funded study used root cause analysis to explore errors in a specific diagnostic procedure
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psnet.ahrq.gov/issue/model-medication-safety-event-detection
May 14, 2008 - This AHRQ-funded work describes a model to identify medication safety events that applies a systems approach
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psnet.ahrq.gov/issue/ahrq-health-information-technology-research-2018-year-review
May 07, 2014 - This report highlights 141 AHRQ-funded projects focused on understanding how health care information
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psnet.ahrq.gov/issue/effect-fit-between-organizational-culture-and-structure-medication-errors-medical-group
June 30, 2009 - In this AHRQ–funded study, the investigators analyzed medication error and culture survey data from 78
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psnet.ahrq.gov/issue/implementing-hospital-based-communication-and-resolution-programs-lessons-learned-new-york
September 01, 2018 - This study reports on an AHRQ-funded effort to establish communication-and-resolution protocols for
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psnet.ahrq.gov/issue/patient-reports-preventable-problems-and-harms-primary-health-care
February 03, 2011 - Through interviews with patients, this AHRQ-funded study found that patients were more likely to report
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psnet.ahrq.gov/issue/can-patients-be-part-solution-views-their-role-preventing-medical-errors
July 22, 2010 - This AHRQ-funded study conducted interviews with nearly 200 participants to assess their likelihood of