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psnet.ahrq.gov/issue/health-care-safety-during-pandemic-and-beyond-building-system-ensures-resilience
July 20, 2022 - Commentary
Health care safety during the pandemic and beyond--building a system that ensures resilience.
Citation Text:
Fleisher LA, Schreiber M, Cardo D, et al. Health care safety during the pandemic and beyond--building a system that ensures resilience. N Engl J Med. 2022;386(7):609-61…
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psnet.ahrq.gov/issue/healthcare-professionals-perception-safety-culture-and-operating-room-or-black-box-technology
March 02, 2022 - Study
Healthcare professionals' perception of safety culture and the Operating Room (OR) Black Box technology before clinical implementation: a cross-sectional survey.
Citation Text:
Strandbygaard J, Dose N, Moeller KE, et al. Healthcare professionals’ perception of safety culture and th…
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psnet.ahrq.gov/issue/improving-patient-safety-through-involvement-patients-development-and-evaluation-novel
October 12, 2016 - Book/Report
Improving patient safety through the involvement of patients: development and evaluation of novel interventions to engage patients in preventing patient safety incidents and protecting them against unintended harm.
Citation Text:
Wright J, Lawton R, O’Hara J, et al. Improving…
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psnet.ahrq.gov/issue/using-machine-learning-system-identify-and-prevent-medication-prescribing-errors-clinical-and
June 05, 2018 - Study
Emerging Classic
Using a machine learning system to identify and prevent medication prescribing errors: a clinical and cost analysis evaluation.
Citation Text:
Rozenblum R, Rodriguez-Monguio R, Volk LA, et al. Using a machine learning system to identify an…
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psnet.ahrq.gov/issue/mixed-methods-analysis-patient-safety-incidents-involving-opioid-substitution-treatment
August 25, 2021 - Study
A mixed-methods analysis of patient safety incidents involving opioid substitution treatment with methadone or buprenorphine in community-based care in England and Wales.
Citation Text:
Gibson R, MacLeod N, Donaldson LJ, et al. A mixed‐methods analysis of patient safety incidents i…
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psnet.ahrq.gov/issue/covid-19-pandemic-preparation-using-simulation-systems-based-learning-prepare-largest
August 19, 2020 - Commentary
Emerging Classic
COVID-19 pandemic preparation: using simulation for systems-based learning to prepare the largest healthcare workforce and system in Canada.
Citation Text:
Dubé MM, Kaba A, Cronin T, et al. COVID-19 pandemic preparation: using simulat…
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psnet.ahrq.gov/issue/prevalence-potentially-inappropriate-medication-use-older-adults-living-nursing-homes
May 04, 2022 - Review
Prevalence of potentially inappropriate medication use in older adults living in nursing homes: a systematic review.
Citation Text:
Morin L, Laroche M-L, Texier G, et al. Prevalence of potentially inappropriate medication use in older adults living in nursing homes: a systematic r…
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psnet.ahrq.gov/issue/learning-different-lenses-reports-medical-errors-primary-care-clinicians-staff-and-patients
June 11, 2008 - Study
Learning from different lenses: reports of medical errors in primary care by clinicians, staff, and patients: a project of the American Academy of Family Physicians National Research Network.
Citation Text:
Phillips RL, Dovey SM, Graham D, et al. Learning From Different Lenses: R…
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psnet.ahrq.gov/issue/risk-factors-associated-medication-ordering-errors
December 02, 2020 - Study
Risk factors associated with medication ordering errors.
Citation Text:
Abraham J, Galanter WL, Touchette DR, et al. Risk factors associated with medication ordering errors. J Am Med Inform Assoc. 2021;18(1):86-94. doi:10.1093/jamia/ocaa264.
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psnet.ahrq.gov/issue/enhancing-safety-high-risk-operations-multilevel-analysis-role-mindful-organising-translating
January 26, 2022 - Study
Enhancing safety in high-risk operations: a multilevel analysis of the role of mindful organising in translating safety climate into individual safety behaviours.
Citation Text:
Renecle M, Curcuruto M, Gracia Lerín FJ, et al. Enhancing safety in high-risk operations: a multilevel a…
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psnet.ahrq.gov/issue/risk-reduction-strategy-decrease-incidence-retained-surgical-items
July 06, 2022 - Study
Risk reduction strategy to decrease incidence of retained surgical items.
Citation Text:
Kaplan HJ, Spiera ZC, Feldman DL, et al. Risk reduction strategy to decrease incidence of retained surgical items. J Am Coll Surg. 2022;235(3):494-499. doi:10.1097/xcs.0000000000000264.
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psnet.ahrq.gov/issue/using-human-factors-and-ergonomics-principles-prevent-inpatient-falls
November 09, 2022 - Study
Using human factors and ergonomics principles to prevent inpatient falls.
Citation Text:
Kwok Y-ting, Lam M-sang. Using human factors and ergonomics principles to prevent inpatient falls. BMJ Open Qual. 2022;11(1):e001696. doi:10.1136/bmjoq-2021-001696.
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psnet.ahrq.gov/issue/self-reported-medical-medication-and-laboratory-error-eight-countries-risk-factors
September 19, 2012 - Study
Self-reported medical, medication and laboratory error in eight countries: risk factors for chronically ill adults.
Citation Text:
Scobie A. Self-reported medical, medication and laboratory error in eight countries: risk factors for chronically ill adults. Int J Qual Health Care. 2…
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psnet.ahrq.gov/issue/description-and-evaluation-adaptations-global-trigger-tool-enhance-value-adverse-event
November 23, 2014 - Study
Description and evaluation of adaptations to the Global Trigger Tool to enhance value to adverse event reduction efforts.
Citation Text:
Kennerly DA, Saldaña M, Kudyakov R, et al. Description and evaluation of adaptations to the global trigger tool to enhance value to adverse eve…
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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/irish-national-adverse-events-study-inaes-frequency-and-nature-adverse-events-irish-hospitals
March 03, 2021 - Study
The Irish National Adverse Events Study (INAES): the frequency and nature of adverse events in Irish hospitals—a retrospective record review study.
Citation Text:
Rafter N, Hickey A, Conroy RM, et al. The Irish National Adverse Events Study (INAES): the frequency and nature of adve…
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psnet.ahrq.gov/issue/change-what-can-actually-make-tough-times-better-patient-centred-patient-safety-intervention
September 24, 2017 - Study
"Change is what can actually make the tough times better": a patient-centred patient safety intervention delivered in collaboration with hospital volunteers.
Citation Text:
Louch G, Mohammed MA, Hughes L, et al. "Change is what can actually make the tough times better": A patient-c…
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psnet.ahrq.gov/issue/safety-anaesthesia-study-12606-reported-incidents-uk-national-reporting-and-learning-system
October 19, 2022 - Study
Safety in anaesthesia: a study of 12,606 reported incidents from the UK National Reporting and Learning System.
Citation Text:
Catchpole K, Bell MDD, Johnson S. Safety in anaesthesia: a study of 12,606 reported incidents from the UK National Reporting and Learning System. Anaesth…
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psnet.ahrq.gov/issue/analysis-results-event-investigations-industrial-and-patient-safety-contexts
July 06, 2022 - Commentary
Analysis of results from event investigations in industrial and patient safety contexts.
Citation Text:
Harms-Ringdahl L. Analysis of results from event investigations in industrial and patient safety contexts. Safety. 2021;7(1):19. doi:10.3390/safety7010019.
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs025429-aguilera-final-report-2022.pdf
January 01, 2022 - Diabetes and Depression Text Messaging Intervention (DIAMANTE)- Final Report
AHRQ Grant Final Progress Report
Title of Project:
Diabetes and Depression Text Messaging Intervention (DIAMANTE)
Principal Investigators
Adrian Aguilera, PhD - Associate…