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psnet.ahrq.gov/issue/safety-home-care-mapping-review-international-literature
February 10, 2012 - Review
Safety in home care: a mapping review of the international literature.
Citation Text:
Harrison MB, Keeping-Burke L, Godfrey CM, et al. Safety in home care: a mapping review of the international literature. Int J Evid Based Healthc. 2013;11(3). doi:10.1111/1744-1609.12027.
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psnet.ahrq.gov/issue/simulation-based-education-ensure-provider-competency-within-healthcare-system
May 02, 2018 - Commentary
Simulation-based education to ensure provider competency within the healthcare system.
Citation Text:
Griswold S, Fralliccardi A, Boulet J, et al. Simulation-based Education to Ensure Provider Competency Within the Health Care System. Acad Emerg Med. 2018;25(2):168-176. doi:10…
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psnet.ahrq.gov/issue/impact-clinical-decision-support-system-high-alert-medications-prevention-prescription-errors
May 10, 2017 - Study
Impact of a clinical decision support system for high-alert medications on the prevention of prescription errors.
Citation Text:
Lee JH, Han H, Ock M, et al. Impact of a clinical decision support system for high-alert medications on the prevention of prescription errors. Int J Med …
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psnet.ahrq.gov/issue/evolution-reporting-identifying-missing-link
August 17, 2022 - Commentary
An evolution of reporting: identifying the missing link.
Citation Text:
Harsini S, Tofighi S, Eibschutz L, et al. An evolution of reporting: identifying the missing link. Diagnostics (Basel). 2022;12(7):1761. doi:10.3390/diagnostics12071761.
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psnet.ahrq.gov/issue/barriers-staff-adoption-surgical-safety-checklist
February 25, 2015 - Study
Barriers to staff adoption of a surgical safety checklist.
Citation Text:
Fourcade A, Blache J-L, Grenier C, et al. Barriers to staff adoption of a surgical safety checklist. BMJ Qual Saf. 2012;21(3):191-7. doi:10.1136/bmjqs-2011-000094.
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psnet.ahrq.gov/issue/confused-and-bewildered-hospital-adverse-event-discovery-pay-performance-and-big-data-tools
September 23, 2020 - Commentary
The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technologies.
Citation Text:
Furrow BR. The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technolog…
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psnet.ahrq.gov/issue/measuring-preventable-harm-helping-science-keep-pace-policy
December 29, 2014 - Commentary
Measuring preventable harm: helping science keep pace with policy.
Citation Text:
Pronovost P, Colantuoni E. Measuring preventable harm: helping science keep pace with policy. JAMA. 2009;301(12):1273-5. doi:10.1001/jama.2009.388.
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psnet.ahrq.gov/issue/iom-shorten-residents-work-shifts-reduce-fatigue-improve-patient-safety
January 31, 2024 - Journal Article
IOM: shorten residents' work shifts to reduce fatigue, improve patient safety.
Citation Text:
Kuehn BM. IOM: Shorten residents' work shifts to reduce fatigue, improve patient safety. JAMA. 2009;301(3):259-61. doi:10.1001/jama.2008.940.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/smoking-cessation-flowchart.pdf
June 02, 2025 - Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Preventive Care and
Screening: Tobacco Use:
Screening and Cessation
Intervention
Was the patient aged 18 years or
older on the first day of the
measurement period?
Did the patient have at least two
face to face visits with an e…
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psnet.ahrq.gov/issue/barcode-medication-administration-software-technology-use-emergency-department-and-medication
November 04, 2015 - Study
Barcode medication administration software technology use in the emergency department and medication error rates.
Citation Text:
Gauthier-Wetzel HE. Barcode medication administration software technology use in the emergency department and medication error rates. Comput Inform Nurs.…
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psnet.ahrq.gov/issue/health-care-failure-mode-and-effect-analysis-useful-proactive-risk-analysis-pediatric
June 13, 2011 - Study
Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis in a pediatric oncology ward.
Citation Text:
van Tilburg CM, Leistikow IP, Rademaker CMA, et al. Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis in a pediatric oncology w…
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psnet.ahrq.gov/issue/engineering-safe-landing-engaging-medical-practitioners-systems-approach-patient-safety
July 23, 2008 - Study
Engineering a safe landing: engaging medical practitioners in a systems approach to patient safety.
Citation Text:
Brand C, Ibrahim JE, Bain C, et al. Engineering a safe landing: engaging medical practitioners in a systems approach to patient safety. Intern Med J. 2007;37(5):295-…
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psnet.ahrq.gov/issue/dynamics-dignity-and-safety-discussion
September 07, 2022 - Commentary
Dynamics of dignity and safety: a discussion.
Citation Text:
Goodwin D, Mesman J, Verkerk M, et al. Dynamics of dignity and safety: a discussion. BMJ Qual Saf. 2018;27(6):488-491. doi:10.1136/bmjqs-2017-007159.
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psnet.ahrq.gov/issue/implementation-safety-checklists-surgery-realist-synthesis-evidence
November 20, 2015 - Review
Implementation of safety checklists in surgery: a realist synthesis of evidence.
Citation Text:
Gillespie BM, Marshall AP. Implementation of safety checklists in surgery: a realist synthesis of evidence. Implement Sci. 2015;10:137. doi:10.1186/s13012-015-0319-9.
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psnet.ahrq.gov/issue/patient-safety-ten-unmistakable-progress-troubling-gaps
March 02, 2011 - Commentary
Classic
Patient safety at ten: unmistakable progress, troubling gaps.
Citation Text:
Wachter R. Patient safety at ten: unmistakable progress, troubling gaps. Health Aff (Millwood). 2010;29(1):165-173. doi:10.1377/hlthaff.2009.0785.
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psnet.ahrq.gov/issue/child-specific-risk-factors-and-patient-safety
February 02, 2022 - Study
Child-specific risk factors and patient safety.
Citation Text:
Child-specific risk factors and patient safety. Woods DM, Holl JL, Shonkoff JP, et al. J Patient Saf. 2005;1(1):17-22.
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psnet.ahrq.gov/issue/interventions-increase-clinical-incident-reporting-health-care
September 02, 2009 - Review
Interventions to increase clinical incident reporting in health care.
Citation Text:
Parmelli E, Flodgren G, Fraser SG, et al. Interventions to increase clinical incident reporting in health care. Cochrane Database Syst Rev. 2012;8(8):CD005609. doi:10.1002/14651858.cd005609.pub2…
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psnet.ahrq.gov/issue/please-reconcile-not-wait-while
April 19, 2023 - Commentary
Please reconcile, not wait a while.
Citation Text:
Trivedi A, Sharma S, Ajitsaria R, et al. Please reconcile, not wait a while. Arch Dis Child Educ Pract Ed. 2019;105(2):122-126. doi:10.1136/archdischild-2018-316356.
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psnet.ahrq.gov/issue/specialist-physicians-attitudes-and-practice-patterns-regarding-disclosure-pre-referral
November 02, 2018 - Study
Specialist physicians' attitudes and practice patterns regarding disclosure of pre-referral medical errors.
Citation Text:
Dossett LA, Kauffmann RM, Lee JS, et al. Specialist Physicians' Attitudes and Practice Patterns Regarding Disclosure of Pre-referral Medical Errors. Ann Surg. …
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psnet.ahrq.gov/issue/reducing-accidental-extubation-neonates
September 09, 2011 - Study
Reducing accidental extubation in neonates.
Citation Text:
Loughead JL, Brennan RA, DeJuilio P, et al. Reducing accidental extubation in neonates. Jt Comm J Qual Patient Saf. 2008;34(3):164-170, 125.
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