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psnet.ahrq.gov/issue/seroprevalence-sars-cov-2-among-frontline-health-care-personnel-multistate-hospital-network
October 19, 2022 - Study
Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020.
Citation Text:
Self WH, Tenforde MW, Stubblefield WB, et al. Seroprevalence of SARS-CoV-2 among frontline health care personnel in a mu…
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psnet.ahrq.gov/issue/wrong-side-thoracentesis-lessons-learned-root-cause-analysis
July 16, 2015 - Study
Wrong-side thoracentesis: lessons learned from root cause analysis.
Citation Text:
Miller K, Mims M, Paull DE, et al. Wrong-side thoracentesis: lessons learned from root cause analysis. JAMA Surg. 2014;149(8):774-9. doi:10.1001/jamasurg.2014.146.
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psnet.ahrq.gov/issue/adverse-patient-safety-events-during-covid-epidemic
May 03, 2023 - Study
Adverse patient safety events during the COVID epidemic.
Citation Text:
Yackel EE, Knowles RS, Jones CM, et al. Adverse patient safety events during the COVID epidemic. J Patient Saf. 2023;19(5):340-345. doi:10.1097/pts.0000000000001129.
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psnet.ahrq.gov/issue/prevalence-and-nature-medication-errors-and-preventable-adverse-drug-events-paediatric-and
March 06, 2024 - Review
Emerging Classic
Prevalence and nature of medication errors and preventable adverse drug events in paediatric and neonatal intensive care settings: a systematic review.
Citation Text:
Alghamdi AA, Keers RN, Sutherland A, et al. Prevalence and Nature of Me…
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psnet.ahrq.gov/issue/structured-override-reasons-drug-drug-interaction-alerts-electronic-health-records
April 29, 2018 - Study
Structured override reasons for drug–drug interaction alerts in electronic health records.
Citation Text:
Wright A, McEvoy D, Aaron S, et al. Structured override reasons for drug-drug interaction alerts in electronic health records. J Am Med Info Asso. 2019;26(10):934-942. doi:10.1…
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psnet.ahrq.gov/issue/effects-crew-resource-management-teamwork-and-safety-climate-veterans-health-administration
December 11, 2024 - Study
The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facilities.
Citation Text:
Schwartz ME, Welsh DE, Paull DE, et al. The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facil…
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digital.ahrq.gov/ahrq-funded-projects/developing-and-using-valid-clinical-quality-metrics-health-information/annual-summary/2010
January 01, 2010 - Developing and Using Valid Clinical Quality Metrics for HIT - 2010
Project Name
Developing and Using Valid Clinical Quality Metrics for Health Information Technology (Health IT) with Health Information Exchange (HIE)
Principal Investigator
Kaushal, Rainu
Organization
Weill Me…
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digital.ahrq.gov/ahrq-funded-projects/pharmaceutical-safety-tracking-phast-managing-medications-patient-safety/annual-summary/2011
January 01, 2011 - Pharmaceutical Safety Tracking (PhaST): Managing Medications for Patient Safety - 2011
Project Name
Pharmaceutical Safety Tracking (PhaST): Managing Medications for Patient Safety
Principal Investigator
Gardner, William
Organization
Research Institute at Nationwide Children’s…
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psnet.ahrq.gov/issue/risk-factors-associated-medication-administration-errors-children-prospective-direct
August 28, 2024 - Study
Risk factors associated with medication administration errors in children: a prospective direct observational study of paediatric inpatients.
Citation Text:
Westbrook JI, Li L, Woods AL, et al. Risk factors associated with medication administration errors in children: a prospective…
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psnet.ahrq.gov/issue/changes-medical-errors-after-implementation-handoff-program
April 24, 2018 - Study
Classic
Changes in medical errors after implementation of a handoff program.
Citation Text:
Starmer AJ, Spector ND, Srivastava R, et al. Changes in medical errors after implementation of a handoff program. New Engl J Med. 2014;371(19):1803-1812. doi:10.105…
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digital.ahrq.gov/ahrq-funded-projects/learning-primary-care-ehr-exemplars-about-health-it-safety
January 01, 2023 - Learning From Primary Care EHR Exemplars About Health IT Safety
Project Final Report ( PDF , 730.25 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 view…
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digital.ahrq.gov/ahrq-funded-projects/sinc-synchronized-immunization-notifications
January 01, 2023 - SINC: Synchronized Immunization Notifications
Project Final Report ( PDF , 580.25 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 AHRQ. No stat…
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digital.ahrq.gov/medical-condition/coronary-artery-disease-cad
January 01, 2024 - Coronary Artery Disease (CAD)
Rural EMS STEMI patients - why the delay to PCI?
Citation
Stopyra JP, Snavely AC, Ashburn NP, Supples MW, Brown WM, Miller CD, Mahler SA. Rural EMS STEMI patients - why the delay to PCI? Prehosp Emerg Care. 2024 Jan 18:1-8. doi: 10.1080/10903127.2…
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psnet.ahrq.gov/issue/root-cause-analysis-reports-help-identify-common-factors-delayed-diagnosis-and-treatment
October 24, 2018 - Study
Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients.
Citation Text:
Giardina TD, King BJ, Ignaczak AP, et al. Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. Health A…
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psnet.ahrq.gov/issue/recommendations-safety-hospitalised-patients-context-covid-19-pandemic-scoping-review
April 14, 2021 - Review
Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic: a scoping review.
Citation Text:
Martins MS, Lourenção DC de A, Pimentel RR da S, et al. Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic…
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psnet.ahrq.gov/issue/association-between-implementation-medical-team-training-program-and-surgical-mortality
December 21, 2014 - Study
Classic
Association between implementation of a medical team training program and surgical mortality.
Citation Text:
Neily J, Mills PD, Young-Xu Y, et al. Association between implementation of a medical team training program and surgical mortality. JAMA. 2…
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psnet.ahrq.gov/issue/effect-emergency-department-process-improvement-package-suicide-prevention-ed-safe-2-cluster
March 09, 2022 - Study
Effect of an emergency department process improvement package on suicide prevention: the ED-SAFE 2 cluster randomized clinical trial.
Citation Text:
Boudreaux ED, Larkin C, Vallejo Sefair A, et al. Effect of an emergency department process improvement package on suicide prevention:…
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psnet.ahrq.gov/issue/taxonomy-advancing-systematic-error-analysis-multi-site-electronic-health-record-based
March 24, 2019 - Study
A taxonomy for advancing systematic error analysis in multi-site electronic health record-based clinical concept extraction.
Citation Text:
Fu S, Wang L, He H, et al. A taxonomy for advancing systematic error analysis in multi-site electronic health record-based clinical concept ex…
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effectivehealthcare.ahrq.gov/sites/default/files/ahrq_community_forum_webinar_branson.pdf
October 13, 2011 - <#> Significant Work. Extraordinary People. SRA.
Outreach to Patient and
Consumer Representatives
October 13, 2011
Carolyn Branson, Manager
Consumer Reviewer Administration
2
Topics
• Who are they?
• What characteristics do they share?
• How can you identify the “right” perso…
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psnet.ahrq.gov/issue/personal-protective-equipment-ppe-surgeons-during-covid-19-pandemic-systematic-review
September 23, 2020 - Review
Emerging Classic
Personal protective equipment (PPE) for surgeons during COVID-19 pandemic: a systematic review of availability, usage, and rationing.
Citation Text:
Jessop ZM, Dobbs TD, Ali SR, et al. Personal protective equipment for surgeons during COV…