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psnet.ahrq.gov/issue/registered-nurses-and-medical-doctors-experiences-patient-safety-health-information-exchange
July 22, 2020 - Review
Registered nurses' and medical doctors' experiences of patient safety in health information exchange during interorganizational care transitions: a qualitative review.
Citation Text:
Hyvämäki P, Kääriäinen M, Tuomikoski A-M, et al. Registered nurses' and medical doctors' experienc…
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psnet.ahrq.gov/issue/impact-statewide-intensive-care-unit-quality-improvement-initiative-hospital-mortality-and
October 16, 2012 - Study
Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis.
Citation Text:
Lipitz-Snyderman A, Steinwachs D, Needham DM, et al. Impact of a statewide intensive care unit quality improvement…
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psnet.ahrq.gov/issue/association-current-opioid-use-serious-adverse-events-among-older-adult-survivors-breast
February 15, 2023 - Study
Association of current opioid use with serious adverse events among older adult survivors of breast cancer.
Citation Text:
Winn AN, Check DK, Farkas A, et al. Association of current opioid use with serious adverse events among older adult survivors of breast cancer. JAMA Netw Open.…
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psnet.ahrq.gov/issue/patient-race-and-opioid-misuse-history-influence-provider-risk-perceptions-future-opioid
March 24, 2021 - Study
Patient race and opioid misuse history influence provider risk perceptions for future opioid-related problems.
Citation Text:
Hirsh AT, Anastas TM, Miller MM, et al. Patient race and opioid misuse history influence provider risk perceptions for future opioid-related problems. Am Ps…
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psnet.ahrq.gov/issue/patient-comprehension-emergency-department-care-and-instructions-are-patients-aware-when-they
September 23, 2020 - Study
Classic
Patient comprehension of emergency department care and instructions: are patients aware of when they do not understand?
Citation Text:
Engel KG, Heisler M, Smith DM, et al. Patient comprehension of emergency department care and instructions: are …
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psnet.ahrq.gov/issue/misdiagnosis-thoracic-aortic-emergencies-occurs-frequently-among-transfers-aortic-referral
October 28, 2020 - Study
Misdiagnosis of thoracic aortic emergencies occurs frequently among transfers to aortic referral centers: an analysis of over 3700 patients.
Citation Text:
Arnaoutakis GJ, Ogami T, Aranda‐Michel E, et al. Misdiagnosis of thoracic aortic emergencies occurs frequently among transfers…
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psnet.ahrq.gov/issue/room-hazards-comparison-differences-safety-hazard-recognition-among-various-hospital-based
April 01, 2020 - Study
Room of hazards: a comparison of differences in safety hazard recognition among various hospital-based healthcare professionals and trainees in a simulated patient room.
Citation Text:
Wang M, Banda B, Rodwin BA, et al. Room of hazards: a comparison of differences in safety hazard …
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psnet.ahrq.gov/issue/occurrence-no-harm-incidents-and-adverse-events-hospitalized-patients-ischemic-stroke-or-tia
August 05, 2020 - Study
Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study using trigger tool methodology.
Citation Text:
Nowak B, Schwendimann R, Lyrer P, et al. Occurrence of no-harm incidents and adverse events in hospitalized patient…
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psnet.ahrq.gov/issue/do-patient-engagement-it-functionalities-influence-patient-safety-outcomes-study-us-hospitals
October 21, 2020 - Study
Do patient engagement IT functionalities influence patient safety outcomes? A study of US hospitals.
Citation Text:
Upadhyay S, Opoku-Agyeman W, Choi S, et al. Do patient engagement IT functionalities influence patient safety outcomes? A study of US hospitals. J Public Health Manag…
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digital.ahrq.gov/ahrq-funded-projects/first-do-no-harm-using-health-information-technology-reduce-use-preventive
January 01, 2023 - "First, Do No Harm": Using Health Information Technology to Reduce Use of Preventive Services with Potential Harms
Project Description
Annual Summaries
Project Details -
Completed
Contract Number
290-09-00032U
Funding Mechanism(s)
…
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psnet.ahrq.gov/issue/evaluating-implementation-and-impact-pharmacy-technician-supported-medicines-administration
November 14, 2018 - Study
Evaluating the implementation and impact of a pharmacy technician-supported medicines administration service designed to reduce omitted doses in hospitals: a qualitative study.
Citation Text:
Seston EM, Ashcroft DM, Lamerton E, et al. Evaluating the implementation and impact of a p…
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psnet.ahrq.gov/issue/tall-man-lettering-and-potential-prescription-errors-time-series-analysis-42-childrens
January 12, 2012 - Study
Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hospitals in the USA over 9 years.
Citation Text:
Zhong W, Feinstein JA, Patel NS, et al. Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hosp…
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psnet.ahrq.gov/issue/look-alikesound-alike-drugs-literature-review-causes-and-solutions
September 28, 2022 - Review
Look alike/sound alike drugs: a literature review on causes and solutions.
Citation Text:
Ciociano N, Bagnasco L. Look alike/sound alike drugs: a literature review on causes and solutions. Int J Clin Pharm. 2014;36(2):233-242. doi:10.1007/s11096-013-9885-6.
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psnet.ahrq.gov/issue/older-patients-perceptions-unnecessary-tests-and-referrals-national-survey-medicare
May 25, 2011 - Study
Older patients' perceptions of "unnecessary" tests and referrals: a national survey of Medicare beneficiaries.
Citation Text:
Herndon B, Schwartz LM, Woloshin S, et al. Older patients perceptions of "unnecessary" tests and referrals: a national survey of Medicare beneficiaries. J…
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digital.ahrq.gov/sites/default/files/docs/resource/Dataform_3_Medication_Error_and_Near_Miss_Classification_Form.pdf
June 16, 2021 - DATAFORM 3 Medication Error and Near Miss Classification Form
WBD
DATAFORM 3
Medication Error and Near Miss
Classification Form
1. Study ID Number: ____ ____-____ ____ ____ ____ ____
2. Reviewer ID Number: ____ ____
See below for codes
3.
Case #
4.
Script #
5.
ME o…
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digital.ahrq.gov/ahrq-funded-projects/assessing-impact-dynamic-chronic-care-registry-quality-care
January 01, 2023 - Assessing the Impact of a Dynamic Chronic Care Registry on Quality of Care
Project Final Report ( PDF , 2.17 MB)
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Project Description
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Project Details -
Completed
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psnet.ahrq.gov/issue/nurse-staffing-levels-missed-vital-signs-and-mortality-hospitals-retrospective-longitudinal
July 19, 2019 - Book/Report
Emerging Classic
Nurse Staffing Levels, Missed Vital Signs and Mortality in Hospitals: Retrospective Longitudinal Observational Study.
Citation Text:
Griffiths P, Ball JE, Bloor K, et al. Nurse Staffing Levels, Missed Vital Signs And Mortality In Hos…
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psnet.ahrq.gov/issue/adverse-drug-events-hospitalized-patients-excess-length-stay-extra-costs-and-attributable
February 10, 2011 - Study
Classic
Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality.
Citation Text:
Classen DC, Pestotnik SL, Evans RS, et al. Adverse drug events in hospitalized patients. Excess length of stay, extra cos…
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psnet.ahrq.gov/issue/better-nurse-staffing-associated-survival-black-patients-and-diminishes-racial-disparities
June 02, 2021 - Study
Better nurse staffing is associated with survival for Black patients and diminishes racial disparities in survival after in-hospital cardiac arrests.
Citation Text:
Brooks Carthon M, Brom H, McHugh MD, et al. Better nurse staffing is associated with survival for black patients and …
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psnet.ahrq.gov/issue/influence-general-practice-pharmacist-medication-management-patients-risk-medicine-related
May 19, 2021 - Study
Influence of a general practice pharmacist on medication management for patients at risk of medicine-related harm: a qualitative evaluation.
Citation Text:
Jordan M, Young-Whitford M, Mullan J, et al. Influence of a general practice pharmacist on medication management for patients …