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psnet.ahrq.gov/issue/dispensing-error-rates-pharmacy-systematic-review-and-meta-analysis
June 10, 2020 - Review
Dispensing error rates in pharmacy: a systematic review and meta-analysis.
Citation Text:
Um IS, Clough A, Tan ECK. Dispensing error rates in pharmacy: a systematic review and meta-analysis. Res Social Adm Pharm. 2024;20(1):1-9. doi:10.1016/j.sapharm.2023.10.003.
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hcup-us.ahrq.gov/db/vars/neomat/nisnote.jsp
September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) NIS Notes
An official website of the Department of Health & Human Services
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psnet.ahrq.gov/issue/professional-development-course-improves-unprofessional-physician-behavior
August 12, 2020 - Study
A professional development course improves unprofessional physician behavior.
Citation Text:
Swiggart WH, Bills JL, Penberthy JK, et al. A professional development course improves unprofessional physician behavior. Jt Comm J Qual Patient Saf. 2019;46(2). doi:10.1016/j.jcjq.2019.11.…
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psnet.ahrq.gov/issue/joint-commissions-new-and-revised-workplace-violence-prevention-standards-hospitals-major
April 27, 2022 - Commentary
The Joint Commission's new and revised workplace violence prevention standards for hospitals: a major step forward toward improved quality and safety.
Citation Text:
Arnetz JE. The Joint Commission's new and revised workplace violence prevention standards for hospitals: a majo…
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psnet.ahrq.gov/issue/do-clinician-disruptive-behaviors-make-unsafe-environment-patients
September 16, 2020 - Study
Do clinician disruptive behaviors make an unsafe environment for patients?
Citation Text:
Dang D, Bae S-H, Karlowicz KA, et al. Do Clinician Disruptive Behaviors Make an Unsafe Environment for Patients? J Nurs Care Qual. 2016;31(2):115-123. doi:10.1097/NCQ.0000000000000150.
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psnet.ahrq.gov/issue/fatigue-nurses-and-medication-administration-errors-scoping-review
December 01, 2021 - Review
Fatigue in nurses and medication administration errors: a scoping review.
Citation Text:
Bell T, Sprajcer M, Flenady T, et al. Fatigue in nurses and medication administration errors: a scoping review. J Clin Nurs. 2023;32(17-18):5445-5460. doi:10.1111/jocn.16620.
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psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-stoelting-conference-2019-perioperative-deterioration
October 19, 2022 - Meeting/Conference Proceedings
The Anesthesia Patient Safety Foundation Stoelting Conference 2019: perioperative deterioration--early recognition, rapid intervention, and the end of failure-to-rescue.
Citation Text:
Lin D, Peden CJ, Langness SM, et al. The Anesthesia Patient Safety Found…
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psnet.ahrq.gov/issue/internal-medicine-trainees-views-training-adequacy-and-duty-hours-restrictions-2009
August 20, 2018 - Study
Internal medicine trainees' views of training adequacy and duty hours restrictions in 2009.
Citation Text:
Shea JA, Weissman A, McKinney S, et al. Internal medicine trainees' views of training adequacy and duty hours restrictions in 2009. Acad Med. 2012;87(7):889-94. doi:10.1097/AC…
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psnet.ahrq.gov/issue/emergency-department-visits-antibiotic-associated-adverse-events
October 31, 2014 - Study
Emergency department visits for antibiotic-associated adverse events.
Citation Text:
Shehab N, Patel PR, Srinivasan A, et al. Emergency department visits for antibiotic-associated adverse events. Clin Infect Dis. 2008;47(6):735-43. doi:10.1086/591126.
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psnet.ahrq.gov/issue/risk-factors-adverse-drug-events-10-year-analysis
September 27, 2017 - Study
Risk factors for adverse drug events: a 10-year analysis.
Citation Text:
Evans S, Lloyd JF, Stoddard GJ, et al. Risk factors for adverse drug events: a 10-year analysis. Ann Pharmacother. 2005;39(7-8):1161-8.
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psnet.ahrq.gov/issue/time-day-and-decision-prescribe-antibiotics
September 29, 2017 - Study
Time of day and the decision to prescribe antibiotics.
Citation Text:
Linder JA, Doctor JN, Friedberg MW, et al. Time of day and the decision to prescribe antibiotics. JAMA Intern Med. 2014;174(12):2029-31. doi:10.1001/jamainternmed.2014.5225.
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digital.ahrq.gov/ahrq-funded-projects/participation-primary-care-practices-health-information-exchange-hie-colorado
January 01, 2023 - Participation by Primary Care Practices in Health Information Exchange (HIE) in Colorado
Project Description
Annual Summaries
Publications
Project Details -
Completed
Contract Number
290-07-10008-3
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Prima…
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psnet.ahrq.gov/issue/physicians-training-attitudes-patient-safety-2003-2008
May 04, 2022 - Study
Physicians-in-training attitudes on patient safety: 2003 to 2008.
Citation Text:
Sorokin R, Riggio JM, Moleski S, et al. Physicians-in-training attitudes on patient safety: 2003 to 2008. J Patient Saf. 2011;7(3):133-138. doi:10.1097/PTS.0b013e31822a9c5e.
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digital.ahrq.gov/ahrq-funded-projects/improving-otitis-media-care-electronic-health-record-ehr-based-clinical/annual-summary/2011
January 01, 2011 - Improving Otitis Media Care with Electronic Health Record (EHR)-based Clinical Decision Support and Feedback - 2011
Project Name
Improving Otitis Media Care with Electronic Health Record (EHR)-based Clinical Decision Support and Feedback
Principal Investigator
Forrest, Christopher
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psnet.ahrq.gov/issue/system-wide-hospital-child-maltreatment-patient-safety-program
September 15, 2021 - Study
A system-wide hospital child maltreatment patient safety program.
Citation Text:
Hansen J, Terreros A, Sherman A, et al. A system-wide hospital child maltreatment patient safety program. Pediatrics. 2021;148(3):e2021050555. doi:10.1542/peds.2021-050555.
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psnet.ahrq.gov/issue/ten-years-incident-reports-hospital-cardiac-arrest-are-they-useful-improvements
January 26, 2022 - Study
Ten years of incident reports on in-hospital cardiac arrest - Are they useful for improvements?
Citation Text:
Djärv T. Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements? Resusc Plus. 2023;17:100525. doi:10.1016/j.resplu.2023.100525.
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psnet.ahrq.gov/issue/optimizing-patient-handoff-between-ems-and-emergency-department
April 24, 2018 - Study
Optimizing the patient handoff between EMS and the emergency department.
Citation Text:
Meisel ZF, Shea JA, Peacock NJ, et al. Optimizing the patient handoff between emergency medical services and the emergency department. Ann Emerg Med. 2015;65(3):310-317.e1. doi:10.1016/j.annemer…
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psnet.ahrq.gov/issue/guideline-order-set-patient-harm
October 10, 2017 - Commentary
From guideline to order set to patient harm.
Citation Text:
Shah SD, Cifu AS. From Guideline to Order Set to Patient Harm. JAMA. 2018;319(12):1207-1208. doi:10.1001/jama.2018.1666.
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psnet.ahrq.gov/issue/factors-predictive-intravenous-fluid-administration-errors-australian-surgical-care-wards
September 23, 2020 - Study
Factors predictive of intravenous fluid administration errors in Australian surgical care wards.
Citation Text:
Han PY, Coombes ID, Green B. Factors predictive of intravenous fluid administration errors in Australian surgical care wards. Qual Saf Health Care. 2005;14(3):179-84.
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www.ahrq.gov/teamstepps-program/evidence-base/research.html
June 01, 2023 - TeamSTEPPS Research and Tools
Agency for Healthcare Research and Quality. (2006). TeamSTEPPS™ Guide to Action: Creating a Safety Net for your Healthcare Organization . AHRQ Publication No. 06-0020-4.
Castner, J. (2012). Validity and reliability of the Brief TeamSTEPPS Teamwork Perceptions Questionnaire. Jo…