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psnet.ahrq.gov/issue/surgical-specimen-management-descriptive-study-648-adverse-events-and-near-misses
December 22, 2021 - Study
Surgical specimen management: a descriptive study of 648 adverse events and near misses.
Citation Text:
Steelman VM, Williams TL, Szekendi MK, et al. Surgical specimen management: a descriptive study of 648 adverse events and near misses. Arch Pathol Lab Med. 2016;140(12):1390-1396…
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psnet.ahrq.gov/issue/potentially-inappropriate-medication-administration-associated-adverse-postoperative-outcomes
October 07, 2020 - Study
Potentially inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients: a retrospective cohort study.
Citation Text:
Burfeind KG, Zarnegarnia Y, Tekkali P, et al. Potentially inappropriate medication administration is associ…
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psnet.ahrq.gov/issue/harnessing-event-report-data-identify-diagnostic-error-during-covid-19-pandemic
October 07, 2020 - Study
Harnessing event report data to identify diagnostic error during the COVID-19 pandemic.
Citation Text:
Shen L, Levie A, Singh H, et al. Harnessing event report data to identify diagnostic error during the COVID-19 pandemic. Jt Comm J Qual Patient Saf. 2022;48(2):71-80. doi:10.1016/…
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/references.html
December 01, 2017 - ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems for American Indians and Alaska Natives Using Enhanced Data Infrastructure
References
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Table of Contents
ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems for American Indians and Alask…
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psnet.ahrq.gov/issue/alcoholism-and-american-healthcare-case-patient-safety-approach
March 30, 2022 - Review
Alcoholism and American healthcare: the case for a patient safety approach.
Citation Text:
Zipperer L, Ryan R, Jones B. Alcoholism and American healthcare: the case for a patient safety approach. J Patient Saf Risk Manag. 2022;27(5):201-208. doi:10.1177/25160435221117952.
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldataapf.html
May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
F. Granular Ethnicities with No Determinate OMB Race Classification
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Table of Contents
Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Summary
Re…
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hcup-us.ahrq.gov/db/vars/nchronic/kidnote.jsp
September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) KID Notes
An official website of the Department of Health & Human Services
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psnet.ahrq.gov/issue/victims-severe-intimate-partner-violence-are-left-without-advocacy-intervention-primary-care
October 21, 2020 - Study
Victims of severe intimate partner violence are left without advocacy intervention in primary care emergency rooms: a prospective observational study.
Citation Text:
Hackenberg EAM, Sallinen V, Handolin L, et al. Victims of severe intimate partner violence are left without advocacy…
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psnet.ahrq.gov/issue/decisions-and-repercussions-second-victim-experiences-mothers-medicine-save-dr-mom
May 18, 2022 - Study
Decisions and repercussions of second victim experiences for mothers in medicine (SAVE DR MoM).
Citation Text:
Gupta K, Lisker S, Rivadeneira NA, et al. Decisions and repercussions of second victim experiences for mothers in medicine (SAVE DR MoM). BMJ Qual Saf. 2019;28(7):564-573.…
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psnet.ahrq.gov/issue/provider-patient-communication-and-hospital-ratings-perceived-gaps-and-forward-thinking-about
December 16, 2020 - Study
Provider-patient communication and hospital ratings: perceived gaps and forward thinking about the effects of COVID-19.
Citation Text:
Belasen AT, Hertelendy AJ, Belasen AR, et al. Provider–patient communication and hospital ratings: perceived gaps and forward thinking about the ef…
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www.ahrq.gov/opioids/funding-opportunities.html
February 01, 2023 - Funding Opportunities to Address Opioid and Other Substance Use Disorders
Special Emphasis Notice
Notice of Funding Opportunity Announcement
On Feb. 10, 2023, AHRQ released a NOFO for the Management of Substance Use Disorders in Primary Care and other Ambulatory Settings (R18). The proposed Notice of Fund…
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hcup-us.ahrq.gov/db/vars/e_ccsn/nedsnote.jsp
May 01, 2015 - Healthcare Cost and Utilization Project (HCUP) NEDS Notes
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psnet.ahrq.gov/issue/veterans-affairs-root-cause-analysis-system-action
June 22, 2022 - Study
Classic
The Veterans Affairs root cause analysis system in action.
Citation Text:
Bagian JP, Gosbee JW, Lee CZ, et al. The Veterans Affairs Root Cause Analysis System in Action. Jt Comm J Qual Improv. 2016;28(10):531-545. doi:10.1016/s1070-3241(02)28057-8.…
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psnet.ahrq.gov/issue/communication-regarding-adverse-neonatal-birth-events-experiences-parents-and-clinicians
May 13, 2020 - Study
Communication regarding adverse neonatal birth events: experiences of parents and clinicians.
Citation Text:
Loren DL, Lyerly AD, Lipira L, et al. Communication regarding adverse neonatal birth events: experiences of parents and clinicians. J Patient Saf Risk Manag. 2021;26(5):200-…
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hcup-us.ahrq.gov/db/vars/ndx/nedsnote.jsp
May 01, 2015 - Healthcare Cost and Utilization Project (HCUP) NEDS Notes
An official website of the Department of Health & Human Services
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digital.ahrq.gov/ahrq-funded-projects/integration-nlp-based-application-support-medication-management
January 01, 2023 - Integration of an NLP-based Application to Support Medication Management
Project Final Report ( PDF , 1.47 MB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent t…
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psnet.ahrq.gov/issue/quality-standards-safe-medication-nursing-homes-development-through-multistep-approach
July 13, 2022 - Study
Quality standards for safe medication in nursing homes: development through a multistep approach including a Delphi consensus study.
Citation Text:
Brühwiler LD, Niederhauser A, Fischer S, et al. Quality standards for safe medication in nursing homes: development through a multiste…
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psnet.ahrq.gov/issue/association-open-communication-and-emotional-and-behavioural-impact-medical-error-patients
February 16, 2022 - Study
Association of open communication and the emotional and behavioural impact of medical error on patients and families: state-wide cross-sectional survey.
Citation Text:
Prentice JC, Bell SK, Thomas EJ, et al. Association of open communication and the emotional and behavioural impact…
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psnet.ahrq.gov/issue/influence-organizational-climate-and-clinician-morale-seclusion-and-physical-restraint-use
August 21, 2018 - Study
Influence of organizational climate and clinician morale on seclusion and physical restraint use in inpatient psychiatric units.
Citation Text:
Anderson E, Mohr DC, Regenbogen I, et al. Influence of organizational climate and clinician morale on seclusion and physical restraint use…
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psnet.ahrq.gov/issue/helping-healthcare-teams-debrief-effectively-associations-debriefers-actions-and-participants
February 02, 2022 - Study
Helping healthcare teams to debrief effectively: associations of debriefers' actions and participants' reflections during team debriefings.
Citation Text:
Kolbe M, Grande B, Lehmann-Willenbrock N, et al. Helping healthcare teams to debrief effectively: associations of debriefers’ a…