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psnet.ahrq.gov/issue/role-cognitive-bias-breast-radiology-diagnostic-and-judgment-errors
April 24, 2018 - Commentary
The role of cognitive bias in breast radiology diagnostic and judgment errors.
Citation Text:
Loving VA, Valencia EM, Patel B, et al. The role of cognitive bias in breast radiology diagnostic and judgment errors. J Breast Imag. 2020. doi:10.1093/jbi/wbaa023.
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psnet.ahrq.gov/issue/pharmacist-staffing-technology-use-and-implementation-medication-safety-practices-rural
September 27, 2010 - Study
Pharmacist staffing, technology use, and implementation of medication safety practices in rural hospitals.
Citation Text:
Casey M, Moscovice I, Davidson G. Pharmacist staffing, technology use, and implementation of medication safety practices in rural hospitals. J Rural Health. 2…
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psnet.ahrq.gov/issue/medication-error-identification-rates-pharmacy-medical-and-nursing-students
June 02, 2021 - Study
Medication error identification rates by pharmacy, medical, and nursing students.
Citation Text:
Warholak TL, Queiruga C, Roush R, et al. Medication error identification rates by pharmacy, medical, and nursing students. Am J Pharm Educ. 2011;75(2):24.
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psnet.ahrq.gov/issue/model-recovering-medical-errors-coronary-care-unit
June 02, 2010 - Study
A model of recovering medical errors in the coronary care unit.
Citation Text:
Hurley A, Rothschild JM, Moore ML, et al. A model of recovering medical errors in the coronary care unit. Heart Lung. 2008;37(3):219-26. doi:10.1016/j.hrtlng.2007.06.002.
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psnet.ahrq.gov/issue/multidisciplinary-crisis-simulations-way-forward-training-surgical-teams
July 31, 2008 - Study
Multidisciplinary crisis simulations: the way forward for training surgical teams.
Citation Text:
Undre S, Koutantji M, Sevdalis N, et al. Multidisciplinary crisis simulations: the way forward for training surgical teams. World J Surg. 2007;31(9):1843-53.
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psnet.ahrq.gov/issue/surgical-crisis-management-skills-training-and-assessment-stimulation-based-approach
March 03, 2011 - Study
Surgical crisis management skills training and assessment: a stimulation-based approach to enhancing operating room performance.
Citation Text:
Moorthy K, Munz Y, Forrest D, et al. Surgical Crisis Management Skills Training and Assessment. Ann Surg. 2006;244(1). doi:10.1097/01.sl…
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psnet.ahrq.gov/issue/instituting-vincristine-minibag-administration-innovative-strategy-using-simulation-enhance
April 24, 2018 - Commentary
Instituting vincristine minibag administration: an innovative strategy using simulation to enhance chemotherapy safety.
Citation Text:
Corbitt N, Malick L, Nishioka J, et al. Instituting Vincristine Minibag Administration: An Innovative Strategy Using Simulation to Enhance Che…
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psnet.ahrq.gov/issue/methodology-and-bias-assessing-compliance-surgical-safety-checklist
May 04, 2012 - Study
Methodology and bias in assessing compliance with a surgical safety checklist.
Citation Text:
Poon SJ, Zuckerman SL, Mainthia R, et al. Methodology and bias in assessing compliance with a surgical safety checklist. Jt Comm J Qual Patient Saf. 2013;39(2):77-82.
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psnet.ahrq.gov/issue/creating-effective-quality-improvement-collaboratives-multiple-case-study
December 19, 2012 - Study
Creating effective quality-improvement collaboratives: a multiple case study.
Citation Text:
Strating MMH, Nieboer AP, Zuiderent-Jerak T, et al. Creating effective quality-improvement collaboratives: a multiple case study. BMJ Qual Saf. 2011;20(4). doi:10.1136/bmjqs.2010.047159. …
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psnet.ahrq.gov/issue/human-face-simulation-patient-focused-simulation-training
January 13, 2010 - Study
The human face of simulation: patient-focused simulation training.
Citation Text:
Kneebone R, Nestel D, Wetzel C, et al. The human face of simulation: patient-focused simulation training. Acad Med. 2006;81(10):919-24.
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psnet.ahrq.gov/issue/organizational-culture-critical-success-factors-and-reduction-hospital-errors
December 12, 2014 - Study
Organizational culture, critical success factors, and the reduction of hospital errors.
Citation Text:
Stock GN, McFadden KL, Gowen CR. Organizational culture, critical success factors, and the reduction of hospital errors. Int J Prod Econ. 2006;106(2). doi:10.1016/j.ijpe.2006.0…
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psnet.ahrq.gov/issue/patient-safety-institute-demonstration-project-model-implementing-local-health-information
May 15, 2013 - Commentary
The Patient Safety Institute demonstration project: a model for implementing a local health information infrastructure.
Citation Text:
Classen D, Kanhouwa M, Will D, et al. The patient safety institute demonstration project: a model for implementing a local health informatio…
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psnet.ahrq.gov/issue/agreement-between-patient-reported-symptoms-and-their-documentation-medical-record
November 09, 2022 - Study
Agreement between patient-reported symptoms and their documentation in the medical record.
Citation Text:
Pakhomov S, Jacobsen SJ, Chute CG, et al. Agreement between patient-reported symptoms and their documentation in the medical record. Am J Manag Care. 2008;14(8):530-539.
C…
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psnet.ahrq.gov/issue/drug-selection-errors-relation-medication-labels-simulation-study
January 14, 2009 - Study
Drug selection errors in relation to medication labels: a simulation study.
Citation Text:
Garnerin P, Perneger T, Chopard P, et al. Drug selection errors in relation to medication labels: a simulation study. Anaesthesia. 2007;62(11):1090-4.
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psnet.ahrq.gov/issue/implementing-obstetric-emergency-team-response-system-overcoming-barriers-and-sustaining
January 16, 2010 - Study
Implementing an obstetric emergency team response system: overcoming barriers and sustaining response dose.
Citation Text:
Richardson MG, Domaradzki KA, McWeeney DT. Implementing an Obstetric Emergency Team Response System: Overcoming Barriers and Sustaining Response Dose. Jt Comm …
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psnet.ahrq.gov/issue/tools-and-methods-quality-improvement-and-patient-safety-perinatal-care
November 16, 2022 - Commentary
Tools and methods for quality improvement and patient safety in perinatal care.
Citation Text:
Nathan AT, Kaplan HC. Tools and methods for quality improvement and patient safety in perinatal care. Semin Perinatol. 2017;41(3):142-150. doi:10.1053/j.semperi.2017.03.002.
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www.ahrq.gov/sites/default/files/2024-01/jones2-report.pdf
January 01, 2024 - Final Progress Report: Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer
Final Progress Report
Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer
Principal Investigator:
Katherine J. Jones, PT, PhD1
Co-Investigators:
MARobin High, MBA, 1
Roni Reiter-P…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_111.pdf
June 18, 2008 - resources, time, and
reduction of harm.19 In 2002, IV safety systems for large volume infusions were implemented
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digital.ahrq.gov/sites/default/files/docs/citation/p30hs021645-fiks-final-report-2018.pdf
January 01, 2018 - funding for studies, including rapid responses to AHRQ limited-
competition funding opportunities
C-PRL implemented
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digital.ahrq.gov/principal-investigator/kass-graham-andera
January 01, 2023 - Graham, Andera Kass
Implementation of Digital Mental Health Tools in Ambulatory Care Coordination
Description
This research will adapt and implement a digital mental health intervention to improve care coordination of mental health services in ambulatory care settings.
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