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psnet.ahrq.gov/node/47769/psn-pdf
May 11, 2019 - Avoiding chemotherapy prescribing errors: analysis and
innovative strategies.
May 11, 2019
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.
https://psnet.ahrq.gov/issue/avoiding-chemotherapy…
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psnet.ahrq.gov/node/44244/psn-pdf
November 03, 2015 - Evaluation of outcomes from a national patient-initiated
second-opinion program.
November 3, 2015
Meyer AND, Singh H, Graber ML. Evaluation of Outcomes From a National Patient-initiated Second-
opinion Program. Am J Med. 2015;128(10). doi:10.1016/j.amjmed.2015.04.020.
https://psnet.ahrq.gov/issue/evaluation-outcom…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/rosenbloom.pdf
December 19, 2014 - Disseminating Adapted Diabetes Evidence to Clinicians Through a Patient Portal
Research to Help Underserved Populations
Innovative Adaptation and Dissemination of AHRQ Comparative Effectiveness
Research Products
Disseminating Adapted Diabetes Evidence to Clinicians Through a Patient Portal
Description
The…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/safford.pdf
December 17, 2014 - Using Comparative Effectiveness Reviews to Optimize Quality of Life for Persons with Diabetes and Chronic Pain
Research to Help Underserved Populations
Innovative Adaptation and Dissemination of AHRQ Comparative Effectiveness
Research Products
Using Comparative Effectiveness Reviews to Optimize Quality of Life fo…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/pearson.pdf
December 17, 2014 - The New England RAPiD (Regional Adaptation for Payer Policy Decisions) Project
Research to Help Underserved Populations
Innovative Adaptation and Dissemination of AHRQ Comparative Effectiveness
Research Products
The New England RAPiD (Regional Adaptation for Payer Policy Decisions) Project
Description
The goal…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/malone.pdf
September 29, 2013 - Innovative Diffusion of Comparative Effectiveness Research
Research to Help Underserved Populations
Innovative Adaptation and Dissemination of AHRQ Comparative Effectiveness
Research Products
Innovative Diffusion of Comparative Effectiveness Research
Description
The purpose of this study was to develop and…
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psnet.ahrq.gov/node/837136/psn-pdf
May 18, 2022 - What can we learn from in-depth analysis of human errors
resulting in diagnostic errors in the emergency
department: an analysis of serious adverse event reports.
May 18, 2022
Baartmans MC, Hooftman J, Zwaan L, et al. What can we learn from in-depth analysis of human errors
resulting in diagnostic errors in the em…
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psnet.ahrq.gov/node/44042/psn-pdf
November 03, 2015 - Deployment of rapid response teams by 31 hospitals in a
statewide collaborative.
November 3, 2015
Stolldorf DP, Jones CB. Deployment of rapid response teams by 31 hospitals in a statewide collaborative.
Jt Comm J Qual Patient Saf. 2015;41(4):186-191.
https://psnet.ahrq.gov/issue/deployment-rapid-response-teams-31-…
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psnet.ahrq.gov/node/837729/psn-pdf
July 27, 2022 - Development of a multicomponent intervention to
decrease racial bias among healthcare staff.
July 27, 2022
Tajeu GS, Juarez L, Williams JH, et al. Development of a multicomponent intervention to decrease racial
bias among healthcare staff. J Gen Intern Med. 2022;37(8):1970-1979. doi:10.1007/s11606-022-07464-x.
htt…
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psnet.ahrq.gov/node/45944/psn-pdf
August 15, 2018 - Orders on file but no labs drawn: investigation of machine
and human errors caused by an interface idiosyncrasy.
August 15, 2018
Schreiber R, Sittig DF, Ash JS, et al. Orders on file but no labs drawn: investigation of machine and human
errors caused by an interface idiosyncrasy. J Am Med Inform Assoc. 2017;24(5):9…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/become-an-adviser.html
July 01, 2023 - Am I Ready to Become an Advisor?
AHRQ Safety Program for Perinatal Care
Are you thinking about becoming a patient and family advisor? Review the checklist below and check those statements with which you agree. If there are statements with which you do not agree, these may be things to work on befo…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/transcript-speaking-up.doc
May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery
Improving Communication and Teamwork in the Surgical Environment Module
Transcript of Speaking Up Audio
Narrator:
The patient’s undergoing a laparoscopic cholecystectomy, and the surgeon notices that the patient’s blood pressure is falling.
Dr. Berry:
“Anesthesia, I’m conc…
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psnet.ahrq.gov/node/867185/psn-pdf
November 20, 2024 - Perception of medication safety-related behaviors among
different age groups: web-based cross-sectional study.
November 20, 2024
Lang Y, Chen K-Y, Zhou Y, et al. Perception of medication safety-related behaviors among different age
groups: web-based cross-sectional study. Interact J Med Res. 2024;13:e58635. doi:10.…
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psnet.ahrq.gov/node/61061/psn-pdf
October 28, 2020 - Safer prescribing for hospitalized older adults with an
electronic health records?based prescribing context.
October 28, 2020
Drago K, Sharpe J, De Lima B, et al. Safer prescribing for hospitalized older adults with an electronic health
records?based prescribing context. J Am Geriatrics Soc. 2020;68(9):2123-2127. d…
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psnet.ahrq.gov/node/60812/psn-pdf
January 01, 2021 - A clinical pharmacist-led integrated approach for
evaluation of medication errors among medical intensive
care unit patients.
August 19, 2020
Aghili M, Neelathahalli Kasturirangan M. A clinical pharmacist-led integrated approach for evaluation of
medication errors among medical intensive care unit patients. JBI Ev…
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psnet.ahrq.gov/node/37690/psn-pdf
April 16, 2008 - How willing are patients to question healthcare staff on
issues related to the quality and safety of their
healthcare? An exploratory study.
April 16, 2008
Davis R, Koutantji M, Vincent C. How willing are patients to question healthcare staff on issues related to
the quality and safety of their healthcare? An expl…
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psnet.ahrq.gov/node/38608/psn-pdf
January 02, 2017 - Using consumer-based kiosk technology to improve and
standardize medication reconciliation in a specialty care
setting.
January 2, 2017
Lesselroth B, Adams S, Felder R, et al. Using consumer-based kiosk technology to improve and
standardize medication reconciliation in a specialty care setting. Jt Comm J Qual Pati…
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psnet.ahrq.gov/node/48173/psn-pdf
August 28, 2019 - Does learning from mistakes have to be painful? Analysis
of 5 years' experience from the Leeds radiology
educational cases meetings identifies common repetitive
reporting errors and suggests acknowledging and
celebrating excellence (ACE) as a more positive way of
teaching the same lessons.
August 28, 2019
Koo A,…
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psnet.ahrq.gov/node/837807/psn-pdf
August 10, 2022 - Concordance with urgent referral guidelines in patients
presenting with any of six ‘alarm’ features of possible
cancer: a retrospective cohort study using linked primary
care records.
August 10, 2022
Wiering B, Lyratzopoulos G, Hamilton W, et al. Concordance with urgent referral guidelines in patients
presenting …
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psnet.ahrq.gov/node/845298/psn-pdf
March 01, 2023 - National statutory reporting: not even ticking the boxes?
The quality of 'Learning from Deaths' reporting in quality
accounts within the NHS in England 2017-2020.
March 1, 2023
Brummell Z, Braun D, Hussein Z, et al. National statutory reporting: not even ticking the boxes? The quality
of ‘Learning from Deaths’ rep…