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psnet.ahrq.gov/issue/assessing-controlled-substance-prescribing-errors-pediatric-teaching-hospital-analysis-safety
August 02, 2010 - Study
Assessing controlled substance prescribing errors in a pediatric teaching hospital: an analysis of the safety of analgesic prescription practice in the transition from the hospital to home.
Citation Text:
Lee BH, Lehmann CU, Jackson E, et al. Assessing controlled substance prescr…
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psnet.ahrq.gov/issue/consensus-statement-effective-communication-urgent-diagnoses-and-significant-unexpected
November 16, 2022 - Organizational Policy/Guidelines
Consensus statement on effective communication of urgent diagnoses and significant, unexpected diagnoses in surgical pathology and cytopathology from the College of American Pathologists and Association of Directors of Anatomic and Surgical Pathology.
Cit…
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psnet.ahrq.gov/issue/adverse-events-intensive-care-and-continuing-care-units-during-bed-bath-procedures
March 05, 2025 - Study
Adverse events in intensive care and continuing care units during bed-bath procedures: the prospective observational NURSIng during critical carE (NURSIE) study.
Citation Text:
Decormeille G, Maurer-Maouchi V, Mercier G, et al. Adverse events in intensive care and continuing care u…
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psnet.ahrq.gov/issue/patient-safety-skills-primary-care-national-survey-gp-educators
October 05, 2016 - Study
Patient safety skills in primary care: a national survey of GP educators.
Citation Text:
Ahmed M, Arora S, McKay J, et al. Patient safety skills in primary care: a national survey of GP educators. BMC Fam Pract. 2014;15:206. doi:10.1186/s12875-014-0206-5.
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psnet.ahrq.gov/issue/frequency-failure-inform-patients-clinically-significant-outpatient-test-results
April 24, 2018 - Study
Frequency of failure to inform patients of clinically significant outpatient test results.
Citation Text:
Casalino LP, Dunham D, Chin MH, et al. Frequency of failure to inform patients of clinically significant outpatient test results. Arch Intern Med. 2009;169(12):1123-9. doi:10…
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psnet.ahrq.gov/issue/registration-associated-patient-misidentification-academic-medical-center-causes-and
September 02, 2020 - Study
Registration-associated patient misidentification in an academic medical center: causes and corrections.
Citation Text:
Bittle MJ, Charache P, Wassilchalk DM. Registration-associated patient misidentification in an academic medical center: causes and corrections. Jt Comm J Qual Pat…
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psnet.ahrq.gov/issue/are-more-experienced-clinicians-better-able-tolerate-uncertainty-and-manage-risks-vignette
March 08, 2023 - Study
Emerging Classic
Are more experienced clinicians better able to tolerate uncertainty and manage risks? A vignette study of doctors in three NHS emergency departments in England.
Citation Text:
Lawton R, Robinson O, Harrison R, et al. Are more experienced c…
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psnet.ahrq.gov/issue/hand-hygiene-putting-nonsterile-gloves-intensive-care-unit-waste-health-care-worker-time
November 30, 2016 - Study
Is hand hygiene before putting on nonsterile gloves in the intensive care unit a waste of health care worker time? A randomized controlled trial.
Citation Text:
Rock C, Harris AD, Reich NG, et al. Is hand hygiene before putting on nonsterile gloves in the intensive care unit a wa…
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psnet.ahrq.gov/issue/randomized-trial-effectiveness-demand-versus-computer-triggered-drug-decision-support-primary
March 11, 2011 - Study
A randomized trial of the effectiveness of on-demand versus computer-triggered drug decision support in primary care.
Citation Text:
Tamblyn R, Huang A, Taylor L, et al. A randomized trial of the effectiveness of on-demand versus computer-triggered drug decision support in primar…
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digital.ahrq.gov/ahrq-funded-projects/technology-exchange-cancer-health-network-tech-net
January 01, 2023 - Technology Exchange for Cancer Health Network (TECH-Net)
Project Final Report ( PDF , 67.12 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 AHR…
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psnet.ahrq.gov/issue/second-victim-experiences-health-care-learners-and-influence-training-environment-postevent
January 31, 2024 - Study
Second victim experiences of health care learners and the influence of the training environment on postevent adaptation.
Citation Text:
Huang L, Riggan KA, Torbenson VE, et al. Second victim experiences of health care learners and the influence of the training environment on postev…
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digital.ahrq.gov/ahrq-funded-projects/ehealth-bp-control-program/annual-summary/2010
January 01, 2010 - eHealth BP Control Program - 2010
Project Name
eHealth Blood Pressure Control Program
Principal Investigator
Eaton, Charles B.
Organization
Memorial Hospital of Rhode Island
Funding Mechanism
RFA: HS08-269: Exploratory and Developmental Grant to Improve Health Care …
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psnet.ahrq.gov/issue/patient-safety-perceptions-pediatric-out-hospital-emergency-care-childrens-safety-initiative
March 22, 2017 - Study
Patient safety perceptions in pediatric out-of-hospital emergency care: Children's Safety Initiative.
Citation Text:
Guise J-M, Meckler G, O'Brien K, et al. Patient Safety Perceptions in Pediatric Out-of-Hospital Emergency Care: Children's Safety Initiative. J Pediatr. 2015;167(5):…
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psnet.ahrq.gov/issue/unscheduled-return-visits-emergency-department-icu-admission-trigger-tool-diagnostic-error
December 02, 2020 - Study
Unscheduled return visits to the emergency department with ICU admission: a trigger tool for diagnostic error.
Citation Text:
Aaronson E, Jansson P, Wittbold K, et al. Unscheduled return visits to the emergency department with ICU admission: A trigger tool for diagnostic error. Am …
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psnet.ahrq.gov/issue/nursing-strategies-safeguard-covid-19-patients-harm-intensive-care-unit
July 31, 2013 - Commentary
Nursing strategies to safeguard COVID-19 patients from harm in the intensive care unit.
Citation Text:
Shiner D, Bock B, Simpson C, et al. Nursing strategies to safeguard COVID-19 patients from harm in the intensive care unit. Crit Care Nurs Q. 2021;45(1):13-21. doi:10.1097/cn…
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psnet.ahrq.gov/issue/i-readi-quality-and-safety-framework-health-systems-response-airway-complications
June 09, 2021 - Commentary
The I-READI quality and safety framework: a health system’s response to airway complications in mechanically ventilated patients with Covid-19.
Citation Text:
Ginestra JC, Atkins JH, Mikkelsen ME, et al. The I-READI Quality and Safety Framework: a health system’s response to a…
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psnet.ahrq.gov/issue/when-agency-fails-analysis-association-between-hospital-agency-staffing-and-quality-outcomes
September 11, 2024 - Study
When agency fails: an analysis of the association between hospital agency staffing and quality outcomes.
Citation Text:
Beauvais B, Pradhan R, Ramamonjiarivelo Z, et al. When agency fails: an analysis of the association between hospital agency staffing and quality outcomes. Risk Ma…
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psnet.ahrq.gov/issue/objective-methodology-task-analysis-and-workload-assessment-anesthesia-providers
February 19, 2010 - Study
Classic
An objective methodology for task analysis and workload assessment in anesthesia providers.
Citation Text:
Weinger M B, Herndon O W, Zornow M H, et al. An Objective Methodology for Task Analysis and Workload Assessment in Anesthesia Providers. An…
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psnet.ahrq.gov/issue/do-patient-engagement-it-functionalities-influence-patient-safety-outcomes-study-us-hospitals
October 21, 2020 - Study
Do patient engagement IT functionalities influence patient safety outcomes? A study of US hospitals.
Citation Text:
Upadhyay S, Opoku-Agyeman W, Choi S, et al. Do patient engagement IT functionalities influence patient safety outcomes? A study of US hospitals. J Public Health Manag…
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digital.ahrq.gov/ahrq-funded-projects/health-it-enhanced-family-health-history-documentation-management-primary-care/annual-summary/2011
January 01, 2011 - Health IT Enhanced Family Health History Documentation & Management in Primary Care - 2011
Project Name
Health Information Technology Enhanced Family Health History Documentation & Management in Primary Care
Principal Investigator
Haas, Jennifer S.
Organization
Brigham and Wo…