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psnet.ahrq.gov/issue/preventing-health-care-associated-harm-children
March 14, 2022 - Commentary
Preventing health care–associated harm in children.
Citation Text:
Walsh KE, Bundy DG, Landrigan CP. Preventing health care-associated harm in children. JAMA. 2014;311(17):1731-2. doi:10.1001/jama.2014.2038.
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psnet.ahrq.gov/issue/prosecution-radonda-vaught-ethical-and-legal-mistake
November 16, 2022 - Commentary
The prosecution of RaDonda Vaught: an ethical and legal mistake.
Citation Text:
Vogelstein E. The prosecution of RaDonda Vaught: An ethical and legal mistake. Nurs Forum. 2022;57(6):1571-1574. doi:10.1111/nuf.12838.
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psnet.ahrq.gov/issue/impact-pharmacist-directed-pain-management-service-inpatient-opioid-use-pain-control-and
February 11, 2015 - Study
Impact of a pharmacist-directed pain management service on inpatient opioid use, pain control, and patient safety.
Citation Text:
Impact of a pharmacist-directed pain management service on inpatient opioid use, pain control, and patient safety. Poirier RH; Brown CS; Baggenstos YT; …
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psnet.ahrq.gov/issue/risk-adverse-drug-events-and-hospital-related-morbidity-and-mortality-among-older-adults
October 10, 2012 - Study
The risk of adverse drug events and hospital-related morbidity and mortality among older adults with potentially inappropriate medication use.
Citation Text:
Page RL, Ruscin M. The risk of adverse drug events and hospital-related morbidity and mortality among older adults with po…
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digital.ahrq.gov/ahrq-funded-projects/human-factors-home-health-care/annual-summary/2011
January 01, 2011 - Human Factors in Home Health Care - 2011
Project Name
Human Factors in Home Health Care
Principal Investigator
O'Connell, Mary Ellen
Organization
National Research Council
Contract Number
AHR7128
Project Period
September 2009 - October 2011
AHRQ Fundin…
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psnet.ahrq.gov/issue/catching-and-correcting-near-misses-collective-vigilance-and-individual-accountability-trade
March 24, 2012 - Study
Catching and correcting near misses: the collective vigilance and individual accountability trade-off.
Citation Text:
Jeffs LP, Lingard LA, Berta W, et al. Catching and correcting near misses: the collective vigilance and individual accountability trade-off. J Interprof Care. 201…
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digital.ahrq.gov/ahrq-funded-projects/randomized-controlled-trial-embedded-electronic-health-record/annual-summary/2010
January 01, 2010 - Randomized Control Trial Embedded in an Electronic Health Record - 2010
Project Name
Randomized Controlled Trial Embedded in an Electronic Health Record
Principal Investigator
Kahn, James
Organization
University of California, San Francisco
Funding Mechanism
RFA: HS…
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psnet.ahrq.gov/issue/understanding-swiss-cheese-model-and-its-application-patient-safety
May 25, 2022 - Commentary
Classic
Understanding the "Swiss cheese model" and its application to patient safety.
Citation Text:
Wiegmann DA, J. Wood L, N. Cohen T, et al. Understanding the "Swiss cheese model" and its application to patient safety. J Patient Saf. 2022;18(2):119…
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psnet.ahrq.gov/issue/how-real-time-data-can-change-patient-safety-game
July 07, 2021 - Commentary
How real-time data can change the patient safety game.
Citation Text:
Diesing G. How real-time data can change the patient safety game. J AHIMA. 2020;July 1.
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psnet.ahrq.gov/issue/routinely-recorded-patient-safety-events-primary-care-literature-review
April 18, 2012 - Review
Routinely recorded patient safety events in primary care: a literature review.
Citation Text:
Tsang C, Majeed A, Aylin PP. Routinely recorded patient safety events in primary care: a literature review. Fam Pract. 2012;29(1):8-15. doi:10.1093/fampra/cmr050.
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psnet.ahrq.gov/issue/i-pass-mnemonic-standardize-verbal-handoffs
November 12, 2014 - Commentary
I-PASS, a mnemonic to standardize verbal handoffs.
Citation Text:
Starmer AJ, Spector ND, Srivastava R, et al. I-pass, a mnemonic to standardize verbal handoffs. Pediatrics. 2012;129(2):201-4. doi:10.1542/peds.2011-2966.
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psnet.ahrq.gov/issue/adverse-events-associated-use-complementary-and-alternative-medicine-children
September 03, 2014 - Study
Adverse events associated with the use of complementary and alternative medicine in children.
Citation Text:
Lim A, Cranswick N, South M. Adverse events associated with the use of complementary and alternative medicine in children. Arch Dis Child. 2011;96(3):297-300. doi:10.1136/…
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psnet.ahrq.gov/issue/inpatient-fall-prevention-initiative-tertiary-care-hospital
October 19, 2022 - Study
An inpatient fall prevention initiative in a tertiary care hospital.
Citation Text:
Weinberg J, Proske D, Szerszen A, et al. An inpatient fall prevention initiative in a tertiary care hospital. Jt Comm J Qual Patient Saf. 2011;37(7):317-325.
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psnet.ahrq.gov/issue/barcode-medication-administration-work-arounds-systematic-review-and-implications-nurse
January 10, 2017 - Review
Barcode medication administration work-arounds: a systematic review and implications for nurse executives.
Citation Text:
Voshall B, Piscotty R, Lawrence J, et al. Barcode medication administration work-arounds: a systematic review and implications for nurse executives. J Nurs A…
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psnet.ahrq.gov/issue/barriers-and-facilitators-nursing-handoffs-recommendations-redesign
January 22, 2016 - Study
Barriers and facilitators to nursing handoffs: recommendations for redesign.
Citation Text:
Welsh CA, Flanagan ME, Ebright PR. Barriers and facilitators to nursing handoffs: Recommendations for redesign. Nurs Outlook. 2010;58(3):148-154. doi:10.1016/j.outlook.2009.10.005.
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psnet.ahrq.gov/issue/taking-challenge-improve-name-and-role-recognition-operating-room
July 12, 2023 - Review
Taking up the challenge to improve name and role recognition in the operating room.
Citation Text:
Thota B, Rabinowitz A, Guttman OT. Taking up the challenge to improve name and role recognition in the operating room. J Patient Saf. 2024;20(1):45-47. doi:10.1097/pts.00000000000011…
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psnet.ahrq.gov/issue/incidence-staff-awareness-and-mortality-patients-risk-general-wards
November 15, 2023 - Study
Incidence, staff awareness and mortality of patients at risk on general wards.
Citation Text:
Fuhrmann L, Lippert A, Perner A, et al. Incidence, staff awareness and mortality of patients at risk on general wards. Resuscitation. 2008;77(3):325-30. doi:10.1016/j.resuscitation.2008.…
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psnet.ahrq.gov/issue/anesthesia-workspaces-safe-medication-practices-design-guidelines
November 29, 2017 - Study
Anesthesia workspaces for safe medication practices: design guidelines.
Citation Text:
MohammadiGorji S, Joseph A, Mihandoust S, et al. Anesthesia workspaces for safe medication practices: design guidelines. HERD. 2024;17(1):64-83. doi:10.1177/19375867231190646.
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psnet.ahrq.gov/issue/what-effectiveness-reporting-systems-promoting-learning-healthcare
September 23, 2020 - Review
What is the effectiveness of reporting systems in promoting learning in healthcare?
Citation Text:
Sehgal A. What is the effectiveness of reporting systems in promoting learning in healthcare? Br J Hosp Med (Lond). 2024;85(4):1-9. doi:10.12968/hmed.2023.0444.
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/ehr_implementation_checklist.pdf
January 01, 2006 - EHR Implementation Checklist
EHR Implementation Checklist
Establishment of Project Team
Physician champion(s)
Project manager
IT\EHR Lead
Super User
Workflow Coordinator
Development of Project Plan
Scope document
Implementation schedule/timeline
Roles and responsibilities
Change manageme…