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psnet.ahrq.gov/issue/direct-oral-anticoagulant-related-medication-incidents-and-pharmacists-interventions-hospital
January 12, 2022 - Study
Direct oral anticoagulant-related medication incidents and pharmacists' interventions in hospital in-patients: evaluation using Reason's accident causation theory.
Citation Text:
Haque H, Alrowily A, Jalal Z, et al. Direct oral anticoagulant-related medication incidents and pharmac…
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psnet.ahrq.gov/issue/use-therapeutic-outcomes-monitoring-method-performing-pharmaceutical-care-oncology-patients
April 21, 2021 - Study
Use of therapeutic outcomes monitoring method for performing of pharmaceutical care in oncology patients.
Citation Text:
Cataldo RRV, Manaças LAR, Figueira PHM, et al. Use of therapeutic outcomes monitoring method for performing of pharmaceutical care in oncology patients. J Oncol …
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psnet.ahrq.gov/issue/are-dental-patients-concerned-about-safety-exploratory-study
December 22, 2021 - Study
Are dental patients concerned about safety? An exploratory study.
Citation Text:
Obadan-Udoh E, Panwar S, Yansane A-I, et al. Are dental patients concerned about safety? An exploratory study. J Evid Based Dent Pract. 2020;20(3):101424. doi:10.1016/j.jebdp.2020.101424.
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psnet.ahrq.gov/issue/exploring-psychological-safety-healthcare-teams-inform-development-interventions-combining
March 18, 2020 - Study
Exploring psychological safety in healthcare teams to inform the development of interventions: combining observational, survey and interview data.
Citation Text:
O’Donovan R, McAuliffe E. Exploring psychological safety in healthcare teams to inform the development of interventions:…
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psnet.ahrq.gov/issue/development-and-usability-testing-agency-healthcare-research-and-quality-common-formats
October 12, 2022 - Study
Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture diagnostic safety events.
Citation Text:
Bradford A, Shahid U, Schiff GD, et al. Development and usability testing of the Agency for Healthcare Research and Quality Common …
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psnet.ahrq.gov/issue/emergency-physician-perceptions-electronic-health-record-usability-and-safety
August 24, 2022 - Study
Emergency physician perceptions of electronic health record usability and safety.
Citation Text:
Pruitt ZM, Howe JL, Hettinger AZ, et al. Emergency physician perceptions of electronic health record usability and safety. J Patient Saf. 2021;17(8):e983-e987. doi:10.1097/pts.000000000…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/tpCHxaLN8aUUEWELwGmFLd
June 01, 2020 - Screening for Unhealthy Drug Use: Clinician Summary of USPSTF Recommendation
1
www.uspreventiveservicestaskforce.org
B
Grade
Clinician Summary of USPSTF Recommendation
Screening for Unhealthy Drug Use
June 2020
What does the USPSTF recommend?
B
Grade
For adults 18 years or older
Screen by asking questions…
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psnet.ahrq.gov/issue/preferences-and-perceptions-medical-error-disclosure-among-marginalized-populations-narrative
June 15, 2022 - Review
Preferences and perceptions of medical error disclosure among marginalized populations: a narrative review.
Citation Text:
Olazo K, Wang K, Sierra M, et al. Preferences and perceptions of medical error disclosure among marginalized populations: a narrative review. Jt Comm J Qual P…
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psnet.ahrq.gov/issue/adverse-event-and-error-unexpected-life-threatening-events-within-24h-emergency-department
October 27, 2016 - Study
Adverse event and error of unexpected life-threatening events within 24h of emergency department admission.
Citation Text:
Zhang E, Hung S-C, Wu C-H, et al. Adverse event and error of unexpected life-threatening events within 24hours of ED admission. Am J Emerg Med. 2017;35(3):479-…
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psnet.ahrq.gov/issue/patient-carer-and-family-experiences-seeking-redress-and-reconciliation-following-life
April 24, 2018 - Review
Patient, carer and family experiences of seeking redress and reconciliation following a life-changing event: systematic review of qualitative evidence.
Citation Text:
Shaw L, Lawal HM, Briscoe S, et al. Patient, carer and family experiences of seeking redress and reconciliation fo…
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psnet.ahrq.gov/issue/review-medication-errors-are-new-or-likely-occur-more-frequently-electronic-medication
August 18, 2021 - Study
Review of medication errors that are new or likely to occur more frequently with electronic medication management systems.
Citation Text:
Van de Vreede M, McGrath A, de Clifford J. Review of medication errors that are new or likely to occur more frequently with electronic medicatio…
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psnet.ahrq.gov/issue/improving-self-reported-empathy-and-communication-skills-through-harm-healthcare-response
March 09, 2022 - Study
Improving self-reported empathy and communication skills through harm in healthcare response training.
Citation Text:
Samuels A, Broome ME, McDonald TB, et al. Improving self-reported empathy and communication skills through harm in healthcare response training. J Patient Saf Risk …
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www.ahrq.gov/news/blog/ahrqviews/hospice-care-ensure-quality.html
December 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders
For Hospice Care, a Pressing Need to Ensure Quality for Patients and Families
DEC
20
2022
By
Members of AHRQ’s National Advisory Council:
Krista Hughes, B.C.P.A., and Andrew D. Auerbach, M.D., M.P.H.
Krista Hughes, B.C.P.A.
…
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psnet.ahrq.gov/issue/integrating-principles-safety-culture-and-just-culture-nursing-homes-lessons-pandemic
October 28, 2020 - Commentary
Integrating principles of safety culture and just culture into nursing homes: lessons from the pandemic.
Citation Text:
Gaur S, Kumar R, Gillespie SM, et al. Integrating Principles of Safety Culture and Just Culture Into Nursing Homes: Lessons From the Pandemic. J Am Med Dir A…
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psnet.ahrq.gov/issue/suicide-risk-changing-jobs-or-leaving-nursing-profession-aftermath-patient-safety-incident
July 22, 2020 - Study
Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a patient safety incident.
Citation Text:
Stovall M, Hansen L. Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a patient safety incident. Worldviews Evid Based Nurs…
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psnet.ahrq.gov/issue/interprofessional-training-and-communication-practices-among-clinicians-postoperative-icu
February 06, 2019 - Study
Interprofessional training and communication practices among clinicians in the postoperative ICU handoff.
Citation Text:
Massa S, Wu J, Wang C, et al. Interprofessional training and communication practices among clinicians in the postoperative ICU handoff. Jt Comm J Qual Patient Sa…
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www.ahrq.gov/action-alliance/competencies-affinity-group/index.html
April 01, 2025 - Healthcare Safety Competencies Affinity Group
Background The AHRQ National Action Alliance Healthcare Safety Competencies Affinity Group provided a forum for identifying and exploring the patient and workforce safety competencies needed by our healthcare workforce to support the safety of healthcare delivery. …
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psnet.ahrq.gov/issue/device-use-errors-among-patients-asthma-and-copd-and-role-training-real-life-study
June 22, 2022 - Study
Device use errors among patients with asthma and COPD and the role of training: a real-life study.
Citation Text:
Papaioannou AI, Bartziokas K, Hillas G, et al. Device use errors among patients with asthma and COPD and the role of training: a real-life study. Postgrad Med. 2021;133…
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psnet.ahrq.gov/issue/role-organizational-and-professional-cultures-medication-safety-scoping-review-literature
February 12, 2020 - Review
The role of organizational and professional cultures in medication safety: a scoping review of the literature.
Citation Text:
Machen S, Jani Y, Turner S, et al. The role of organizational and professional cultures in medication safety: a scoping review of the literature. Int J Hea…
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psnet.ahrq.gov/issue/covid-19-dark-side-and-sunny-side-patient-safety
August 05, 2020 - Commentary
COVID-19: the dark side and the sunny side for patient safety.
Citation Text:
Wu AW, Sax H, Letaief M, et al. COVID-19: the dark side and the sunny side for patient safety. J Patient Saf Risk Manag. 2020;25(4):137-141. doi:10.1177/2516043520957116.
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