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psnet.ahrq.gov/issue/improving-resident-and-fellow-engagement-patient-safety-through-graduate-medical-education
June 02, 2021 - Study
Improving resident and fellow engagement in patient safety through a graduate medical education incentive program.
Citation Text:
Turner DA, Bae J, Cheely G, et al. Improving Resident and Fellow Engagement in Patient Safety Through a Graduate Medical Education Incentive Program. J …
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psnet.ahrq.gov/issue/how-do-nurses-use-early-warning-scoring-systems-detect-and-act-patient-deterioration-ensure
June 16, 2021 - Review
Emerging Classic
How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure patient safety? A scoping review.
Citation Text:
Wood C, Chaboyer W, Carr P. How do nurses use early warning scoring systems to detect an…
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psnet.ahrq.gov/issue/partnering-va-stakeholders-develop-comprehensive-patient-safety-data-display-lessons-learned
September 25, 2019 - Study
Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons learned from the field.
Citation Text:
Chen Q, Shin MH, Chan J, et al. Partnering With VA Stakeholders to Develop a Comprehensive Patient Safety Data Display: Lessons Learned From the Fi…
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psnet.ahrq.gov/issue/analysis-electronic-health-record-related-patient-safety-concerns
January 21, 2019 - Study
Classic
An analysis of electronic health record–related patient safety concerns.
Citation Text:
Meeks DW, Smith MW, Taylor L, et al. An analysis of electronic health record-related patient safety concerns. J Am Med Inform Assoc. 2014;21(6):1053-9. doi:10.1…
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psnet.ahrq.gov/issue/mapping-resilience-performance-community-pharmacy-maintain-patient-safety-during-covid-19
June 29, 2022 - Study
Mapping the resilience performance of community pharmacy to maintain patient safety during the Covid-19 pandemic.
Citation Text:
Peat G, Olaniyan JO, Fylan B, et al. Mapping the resilience performance of community pharmacy to maintain patient safety during the Covid-19 pandemic. Re…
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psnet.ahrq.gov/issue/risk-factors-clinically-relevant-deviations-patients-medication-lists-reported-patients
March 23, 2022 - Study
Risk factors for clinically relevant deviations in patients' medication lists reported by patients in personal health records: a prospective cohort study in a hospital setting.
Citation Text:
van der Nat DJ, Taks M, Huiskes VJB, et al. Risk factors for clinically relevant deviation…
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psnet.ahrq.gov/issue/case-controlled-study-relatives-complaints-concerning-patients-who-died-hospital-role
November 16, 2022 - Study
A case-controlled study of relatives' complaints concerning patients who died in hospital: the role of treatment escalation/limitation planning.
Citation Text:
Taylor DR, Bouttell J, Campbell JN, et al. A case-controlled study of relatives’ complaints concerning patients who died i…
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psnet.ahrq.gov/issue/expanding-scope-critical-care-rapid-response-teams-feasible-approach-identify-adverse-events
September 03, 2014 - Study
Expanding the scope of Critical Care Rapid Response Teams: a feasible approach to identify adverse events. A prospective observational cohort.
Citation Text:
Amaral ACK-B, McDonald A, Coburn NG, et al. Expanding the scope of Critical Care Rapid Response Teams: a feasible approach t…
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psnet.ahrq.gov/issue/development-pilot-study-and-psychometric-analysis-ahrq-surveys-patient-safety-culture-sops
December 09, 2020 - Study
Development, pilot study, and psychometric analysis of the AHRQ Surveys on Patient Safety Culture (SOPS) Workplace Safety Supplemental Items for Hospitals.
Citation Text:
Zebrak K, Yount N, Sorra J, et al. Development, pilot study, and psychometric analysis of the AHRQ Surveys on P…
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digital.ahrq.gov/ahrq-funded-projects/improving-uptake-and-use-personal-health-records/annual-summary/2010
January 01, 2010 - Improving Uptake and Use of Personal Health Records - 2010
Project Name
Improving Uptake and Use of Personal Health Records
Principal Investigator
Bates, David
Organization
Brigham and Women's Hospital
Funding Mechanism
PAR: HS08-270: Utilizing Health Information Te…
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effectivehealthcare.ahrq.gov/sites/default/files/bar-cohen_-eccs2012.pdf
January 01, 2012 - Bar-Cohen_ ECCS2012
Slide 1: Addressing
Tensions
When Social/Family Support and Evidence-‐
Based Care Collide
Annette Bar-‐Cohen, M.A., M.P.H., Discussant
Executive Director, Center for NBCC Advocacy Training
National Breast Cancer
Coalition,
Washington,
DC
…
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psnet.ahrq.gov/issue/effective-interventions-and-implementation-strategies-reduce-adverse-drug-events-veterans
January 02, 2017 - Study
Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system.
Citation Text:
Mills PD, Neily J, Kinney LM, et al. Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs…
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digital.ahrq.gov/ahrq-funded-projects/can-risk-score-alerts-improve-office-care-chest-pain
January 01, 2023 - Can Risk Score Alerts Improve Office Care for Chest Pain?
Project Final Report ( PDF , 247.27 KB) 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 the views of A…
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digital.ahrq.gov/ahrq-funded-projects/supporting-continuity-care-poisonings-electronic-information-exchange/annual-summary/2012
January 01, 2012 - Supporting Continuity of Care for Poisonings with Electronic Information Exchange - 2012
Project Name
Supporting Continuity of Care for Poisonings With Electronic Information Exchange
Principal Investigator
Cummins, Mollie Rebecca
Organization
University of Utah
Fundi…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/ICEChecklist2_parental-med-prep.pdf
June 02, 2025 - ICE Checklist 2: Parenteral Medication Preparation and Administration
…
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psnet.ahrq.gov/issue/associations-person-related-environment-related-and-communication-related-factors-medication
January 19, 2022 - Study
Associations of person-related, environment-related and communication-related factors on medication errors in public and private hospitals: a retrospective clinical audit.
Citation Text:
Manias E, Street M, Lowe G, et al. Associations of person-related, environment-related and comm…
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psnet.ahrq.gov/issue/relationship-self-report-quality-practice-size-and-health-information-technology
April 12, 2011 - Study
The relationship of self-report of quality to practice size and health information technology.
Citation Text:
Gorman PN, O'Malley JP, Fagnan LJ. The relationship of self-report of quality to practice size and health information technology. J Am Board Fam Med. 2012;25(5):614-24. do…
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psnet.ahrq.gov/issue/concept-and-development-discharge-alert-filter-abnormal-laboratory-values-coupled
June 27, 2018 - Study
Concept and development of a discharge alert filter for abnormal laboratory values coupled with computerized provider order entry: a tool for quality improvement and hospital risk management.
Citation Text:
Mathew G, Kho A, Dexter P, et al. Concept and development of a discharge a…
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psnet.ahrq.gov/issue/prevalence-nature-severity-and-risk-factors-prescribing-errors-hospital-inpatients
October 22, 2014 - Study
Prevalence, nature, severity and risk factors for prescribing errors in hospital inpatients: prospective study in 20 UK hospitals.
Citation Text:
Ashcroft DM, Lewis PJ, Tully MP, et al. Prevalence, Nature, Severity and Risk Factors for Prescribing Errors in Hospital Inpatients: Pro…
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psnet.ahrq.gov/issue/fda-recommends-health-care-professionals-discuss-naloxone-all-patients-when-prescribing
December 16, 2020 - Press Release/Announcement
FDA recommends health care professionals discuss naloxone with all patients when prescribing opioid pain relievers or medicines to treat opioid use disorder.
Citation Text:
FDA recommends health care professionals discuss naloxone with all patients when prescri…