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psnet.ahrq.gov/issue/effect-computerized-physician-order-entry-medication-prescription-errors-and-clinical-outcome
May 15, 2013 - Review
The effect of computerized physician order entry on medication prescription errors and clinical outcome in pediatric and intensive care: a systematic review.
Citation Text:
van Rosse F, Maat B, Rademaker CMA, et al. The effect of computerized physician order entry on medication …
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psnet.ahrq.gov/issue/analyzing-diagnostic-errors-acute-setting-process-driven-approach
December 07, 2022 - Study
Analyzing diagnostic errors in the acute setting: a process-driven approach.
Citation Text:
Griffin JA, Carr K, Bersani K, et al. Analyzing diagnostic errors in the acute setting: a process-driven approach. Diagnosis (Berl). 2022;9(1):77-88. doi:10.1515/dx-2021-0033.
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psnet.ahrq.gov/issue/surgical-case-listing-accuracy-failure-analysis-high-volume-academic-medical-center
September 25, 2011 - Study
Surgical case listing accuracy: failure analysis at a high-volume academic medical center.
Citation Text:
Cima RR, Hale C, Kollengode A, et al. Surgical case listing accuracy: failure analysis at a high-volume academic medical center. Arch Surg. 2010;145(7):641-6. doi:10.1001/archs…
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psnet.ahrq.gov/issue/videos-simulated-after-action-reviews-training-resource-support-social-and-inclusive-learning
May 22, 2024 - Commentary
Videos of simulated after action reviews: a training resource to support social and inclusive learning from patient safety events.
Citation Text:
McCarthy SE, Hogan C, Jenkins L, et al. Videos of simulated after action reviews: a training resource to support social and inclusi…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0193_08-12-2009.pdf
January 01, 2009 - Effective Health Care
Topic Number(s): 0184-0193
Document Completion Date: 2-23-10
1
Results of Topic Selection Process & Next Steps
Interventions to improve prescription medication adherence will be considered for refinement as an
umbrella review of systematic reviews to outline current evi…
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psnet.ahrq.gov/issue/nonfatal-opioid-overdoses-urban-emergency-department-during-covid-19-pandemic
March 24, 2021 - Study
Nonfatal opioid overdoses at an urban emergency department during the COVID-19 pandemic.
Citation Text:
Ochalek TA, Cumpston KL, Wills BK, et al. Nonfatal opioid overdoses at an urban emergency department during the COVID-19 pandemic. JAMA. 2020;324(16):1673-1674. doi:10.1001/jama.…
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psnet.ahrq.gov/issue/quality-improvement-initiative-decrease-central-line-associated-bloodstream-infections-during
November 16, 2022 - Commentary
Quality improvement initiative to decrease central line-associated bloodstream infections during the COVID-19 pandemic: a "zero harm" approach.
Citation Text:
Redstone CS, Zadeh M, Wilson M-A, et al. Quality improvement initiative to decrease central line-associated bloodstrea…
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psnet.ahrq.gov/issue/prevalence-copied-information-attendings-and-residents-critical-care-progress-notes
September 28, 2017 - Study
Prevalence of copied information by attendings and residents in critical care progress notes.
Citation Text:
Thornton D, Schold JD, Venkateshaiah L, et al. Prevalence of copied information by attendings and residents in critical care progress notes. Crit Care Med. 2013;41(2):382-…
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psnet.ahrq.gov/issue/surgical-training-duty-hour-restrictions-and-implications-meeting-accreditation-council
July 03, 2014 - Study
Surgical training, duty-hour restrictions, and implications for meeting the Accreditation Council for Graduate Medical Education core competencies: views of surgical interns compared with program directors.
Citation Text:
Antiel RM, Van Arendonk K, Reed DA, et al. Surgical training…
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psnet.ahrq.gov/issue/professionalising-patient-safety-findings-mixed-methods-formative-evaluation-patient-safety
August 28, 2024 - Study
Professionalising patient safety? Findings from a mixed-methods formative evaluation of the patient safety specialist role in the English National Health Service.
Citation Text:
Martin G, Pralat R, Waring J, et al. Professionalising patient safety? Findings from a mixed-methods for…
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psnet.ahrq.gov/issue/proactive-risk-avoidance-system-using-failure-mode-and-effects-analysis-same-name-physician
February 23, 2022 - Commentary
A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders.
Citation Text:
Tarpey K, Schaaf E, Lakhani U, et al. A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. Jt Comm …
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www.ahrq.gov/funding/grantee-profiles/landrigan-transcript.html
June 01, 2016 - K Award Grantee Interview: Christopher Landrigan, M.D., M.P.H.
Transcript
The following is a transcript of grantee responses to the following questions:
What is the primary focus of your research?
How has funding from AHRQ helped to advance your research?
Why did you choose to focus on this topic?
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psnet.ahrq.gov/issue/how-best-measure-surgical-quality-comparison-agency-healthcare-research-and-quality-patient
December 21, 2014 - Study
How best to measure surgical quality? Comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse events at a single institution.
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psnet.ahrq.gov/issue/defining-impact-rapid-response-team-qualitative-study-nurses-physicians-and-hospital
September 26, 2012 - Study
Defining impact of a rapid response team: qualitative study with nurses, physicians and hospital administrators.
Citation Text:
Benin AL, Borgstrom CP, Jenq GY, et al. Defining impact of a rapid response team: qualitative study with nurses, physicians and hospital administrators.…
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psnet.ahrq.gov/issue/effect-universal-glove-and-gown-use-adverse-events-intensive-care-unit-patients
December 09, 2015 - Study
The effect of universal glove and gown use on adverse events in intensive care unit patients.
Citation Text:
Croft LD, Harris AD, Pineles L, et al. The Effect of Universal Glove and Gown Use on Adverse Events in Intensive Care Unit Patients. Clin Infect Dis. 2015;61(4):545-53. doi:…
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psnet.ahrq.gov/issue/healthcare-workers-experiences-patient-safety-intensive-care-unit-during-covid-19-pandemic
May 01, 2024 - Study
Healthcare workers' experiences of patient safety in the intensive care unit during the COVID-19 pandemic: a multicentre qualitative study.
Citation Text:
Berggren K, Ekstedt M, Joelsson‐Alm E, et al. Healthcare workers' experiences of patient safety in the intensive care unit duri…
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psnet.ahrq.gov/issue/understanding-multidimensional-effects-resident-duty-hours-restrictions-thematic-analysis
July 03, 2016 - Review
Understanding the multidimensional effects of resident duty hours restrictions: a thematic analysis of published viewpoints in surgery.
Citation Text:
Devitt KS, Kim MJ, Conn LG, et al. Understanding the Multidimensional Effects of Resident Duty Hours Restrictions: A Thematic Anal…
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www.ahrq.gov/research/publications/search.html?page=2
September 01, 2023 - Search Publications
The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 21 - 30 of 191 Publications displayed
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psnet.ahrq.gov/issue/predictors-adverse-events-patients-after-discharge-intensive-care-unit
December 08, 2021 - Study
Predictors of adverse events in patients after discharge from the intensive care unit.
Citation Text:
Chaboyer W, Thalib L, Foster M, et al. Predictors of adverse events in patients after discharge from the intensive care unit. Am J Crit Care. 2008;17(3):255-63; quiz 264.
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psnet.ahrq.gov/issue/do-work-condition-interventions-affect-quality-and-errors-primary-care-results-healthy-work
September 04, 2016 - Study
Do work condition interventions affect quality and errors in primary care? Results from the Healthy Work Place Study.
Citation Text:
Linzer M, Poplau S, Brown RL, et al. Do Work Condition Interventions Affect Quality and Errors in Primary Care? Results from the Healthy Work Place S…