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psnet.ahrq.gov/issue/adverse-event-reporting-practices-us-hospitals-results-national-survey
December 30, 2014 - Study
Adverse-event-reporting practices by US hospitals: results of a national survey.
Citation Text:
Farley DO, Haviland A, Champagne S, et al. Adverse-event-reporting practices by US hospitals: results of a national survey. Qual Saf Health Care. 2008;17(6):416-23. doi:10.1136/qshc.20…
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-transitions-complex-elderly/annual-summary/2011
January 01, 2011 - Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home - 2011
Project Name
Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home
Princi…
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psnet.ahrq.gov/issue/missing-near-miss-recognizing-valuable-learning-opportunities-radiation-oncology
November 18, 2020 - Study
Missing the near miss: recognizing valuable learning opportunities in radiation oncology.
Citation Text:
Kundu P, Jung OS, Valle LF, et al. Missing the near miss: recognizing valuable learning opportunities in radiation oncology. Pract Radiat Oncol. 2021;11(3):e256-e262. doi:10.101…
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psnet.ahrq.gov/issue/prevalence-and-nature-medication-administration-errors-health-care-settings-systematic-review
April 01, 2015 - Review
Prevalence and nature of medication administration errors in health care settings: a systematic review of direct observational evidence.
Citation Text:
Keers RN, Williams SD, Cooke J, et al. Prevalence and nature of medication administration errors in health care settings: a sys…
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psnet.ahrq.gov/issue/reported-medication-events-paediatric-emergency-research-network-sharing-improve-patient
April 03, 2013 - Study
Reported medication events in a paediatric emergency research network: sharing to improve patient safety.
Citation Text:
Shaw KN, Lillis KA, Ruddy RM, et al. Reported medication events in a paediatric emergency research network: sharing to improve patient safety. Emerg Med J. 20…
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psnet.ahrq.gov/issue/incidence-and-preventability-adverse-events-requiring-intensive-care-admission-systematic
May 16, 2018 - Review
Incidence and preventability of adverse events requiring intensive care admission: a systematic review.
Citation Text:
Vlayen A, Verelst S, Bekkering GE, et al. Incidence and preventability of adverse events requiring intensive care admission: a systematic review. J Eval Clin Pr…
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psnet.ahrq.gov/issue/computerized-physician-order-entry-clinical-decision-support-long-term-care-setting-insights
February 26, 2009 - Study
Computerized physician order entry with clinical decision support in the long-term care setting: insights from the Baycrest Centre for Geriatric Care.
Citation Text:
Rochon P, Field T, Bates DW, et al. Computerized physician order entry with clinical decision support in the long-t…
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psnet.ahrq.gov/issue/analysis-unintended-events-hospitals-inter-rater-reliability-constructing-causal-trees-and
April 30, 2014 - Study
Analysis of unintended events in hospitals: inter-rater reliability of constructing causal trees and classifying root causes.
Citation Text:
Smits M, Janssen J, de Vet R, et al. Analysis of unintended events in hospitals: inter-rater reliability of constructing causal trees and c…
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psnet.ahrq.gov/issue/characteristics-medication-errors-and-adverse-drug-events-hospitals-participating-california
July 13, 2010 - Study
Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative.
Citation Text:
Takata GS, Taketomo CK, Waite S, et al. Characteristics of medication errors and adverse drug events in hospitals particip…
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psnet.ahrq.gov/issue/underlying-risk-factors-prescribing-errors-long-term-aged-care-qualitative-study
August 26, 2020 - Study
Underlying risk factors for prescribing errors in long-term aged care: a qualitative study.
Citation Text:
Tariq A, Georgiou A, Raban MZ, et al. Underlying risk factors for prescribing errors in long-term aged care: a qualitative study. BMJ Qual Saf. 2016;25(9):704-15. doi:10.1136/…
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psnet.ahrq.gov/issue/learning-preventable-deaths-exploring-case-record-reviewers-narratives-using-change-analysis
June 17, 2014 - Study
Learning from preventable deaths: exploring case record reviewers' narratives using change analysis.
Citation Text:
Hogan H, Healey F, Neale G, et al. Learning from preventable deaths: exploring case record reviewers' narratives using change analysis. J R Soc Med. 2014;107(9):365-7…
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psnet.ahrq.gov/issue/worldwide-incidence-surgical-site-infections-general-surgical-patients-systematic-review-and
August 11, 2021 - Review
Worldwide incidence of surgical site infections in general surgical patients: a systematic review and meta-analysis of 488,594 patients.
Citation Text:
Gillespie BM, Harbeck EL, Rattray M, et al. Worldwide incidence of surgical site infections in general surgical patients: a syste…
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psnet.ahrq.gov/issue/adverse-events-and-burnout-moderating-effects-workgroup-identification-and-safety-climate
February 09, 2022 - Study
Adverse events and burnout: the moderating effects of workgroup identification and safety climate.
Citation Text:
Vogus TJ, Ramanujam R, Novikov Z, et al. Adverse events and burnout: the moderating effects of workgroup identification and safety climate. Med Care. 2020;58(7):594-600…
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psnet.ahrq.gov/issue/effects-leadership-self-worth-inclusion-trust-and-psychological-safety-medical-error
March 30, 2022 - Study
The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting.
Citation Text:
Brimhall KC, Tsai C-Y, Eckardt R, et al. The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting. …
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digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program/annual-summary/2012
January 01, 2012 - Evaluation of AHRQ’s On-Time Pressure Ulcer Program - 2012
Project Name
Evaluation of AHRQ's On-time Pressure Ulcer Program
Principal Investigator
Hurd, Donna
Organization
Abt Associates, Inc.
Funding Mechanism
Accelerating Change and Transformation in Organizations…
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psnet.ahrq.gov/issue/nurse-judgements-hospitalized-patients-safety-concerns-are-affected-patient-nurse-and-event
May 13, 2020 - Study
Nurse judgements of hospitalized patients' safety concerns are affected by patient, nurse and event characteristics: a factorial survey experiment.
Citation Text:
Groves PS, Farag A, Perkhounkova Y, et al. Nurse judgements of hospitalized patients' safety concerns are affected by p…
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psnet.ahrq.gov/issue/effects-hospital-physician-financial-integration-adverse-incident-rate-agency-theory
August 10, 2022 - Study
The effects of hospital-physician financial integration on adverse incident rate: an agency theory perspective.
Citation Text:
Upadhyay S, Weech-Maldonado R, Opoku-Agyeman W. The effects of hospital-physician financial integration on adverse incident rate: an agency theory perspect…
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psnet.ahrq.gov/issue/rapid-cycle-improvement-during-covid-19-pandemic-using-safety-reports-inform-incident-command
August 12, 2020 - Commentary
Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident command.
Citation Text:
Desai S, Eappen S, Murray K, et al. Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident command. Jt Comm J Qual Patie…
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psnet.ahrq.gov/issue/efficiency-and-safety-speech-recognition-documentation-electronic-health-record
February 14, 2024 - Study
Efficiency and safety of speech recognition for documentation in the electronic health record.
Citation Text:
Hodgson T, Magrabi F, Coiera E. Efficiency and safety of speech recognition for documentation in the electronic health record. J Am Med Inform Assoc. 2017;24(6):1127-1133. …
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/diabetes-mellitus-type-2-in-adults-screening-2003
February 04, 2003 - Share to Facebook
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Final Recommendation Statement
Diabetes Mellitus (Type 2) in Adults: Screening, 2003
February 04, 2003
Recommendations made by the USPSTF are independent of the…