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psnet.ahrq.gov/issue/safety-patients-isolated-infection-control
January 15, 2020 - Study
Classic
Safety of patients isolated for infection control.
Citation Text:
Stelfox HT, Bates DW, Redelmeier DA. Safety of patients isolated for infection control. JAMA. 2003;290(14):1899-1905.
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psnet.ahrq.gov/issue/towards-international-consensus-patient-harm-perspectives-pressure-injury-policy
September 27, 2016 - Review
Towards international consensus on patient harm: perspectives on pressure injury policy.
Citation Text:
Jackson D, Hutchinson M, Barnason S, et al. Towards international consensus on patient harm: perspectives on pressure injury policy. J Nurs Manag. 2016;24(7):902-914. doi:10.111…
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psnet.ahrq.gov/issue/how-us-teams-advanced-communication-and-resolution-program-adoption-local-state-and-national
April 24, 2018 - Study
How U.S. teams advanced communication and resolution program adoption at local, state and national levels.
Citation Text:
LeCraw FR, Stearns SC, McCoy MJ. How U.S. Teams advanced communication and resolution program adoption at local, state and national levels. J Patient Saf Risk M…
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psnet.ahrq.gov/issue/medication-reconciliation-community-pharmacy-setting
November 16, 2022 - Study
Medication reconciliation in a community pharmacy setting.
Citation Text:
Johnson CM, Marcy TR, Harrison DL, et al. Medication reconciliation in a community pharmacy setting. J Am Pharm Assoc (2003). 2010;50(4):523-6. doi:10.1331/JAPhA.2010.09121.
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psnet.ahrq.gov/issue/medication-reconciliation-reducing-risk-medication-misadventure-during-transition-hospital
April 24, 2018 - Study
Medication reconciliation: reducing risk for medication misadventure during transition from hospital to assisted living.
Citation Text:
Fitzgibbon M, Lorenz R, Lach H. Medication reconciliation: reducing risk for medication misadventure during transition from hospital to assisted…
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psnet.ahrq.gov/issue/seeking-systems-based-facilitators-safety-and-healthcare-resilience-thematic-review-incident
December 06, 2023 - Study
Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident reports.
Citation Text:
Leon C, Hogan H, Jani YH. Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident reports. Int J Qual Health C…
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psnet.ahrq.gov/issue/learning-design-development-and-implementation-medication-safety-thermometer
November 02, 2016 - Commentary
Learning from the design, development and implementation of the Medication Safety Thermometer.
Citation Text:
Rostami P, Power M, Harrison A, et al. Learning from the design, development and implementation of the Medication Safety Thermometer. Int J Qual Health Care. 2017;29(2…
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digital.ahrq.gov/ahrq-funded-projects/enabling-health-care-decisionmaking-through-use-health-information-technology/annual-summary/2011
January 01, 2011 - Enabling Health Care Decisionmaking through the Use of Health Information Technology - 2011
Project Name
Enabling Health Care Decisionmaking through the Use of Health Information Technology
Principal Investigator
Lobach, David
Organization
Duke University
Contract Num…
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psnet.ahrq.gov/issue/how-perform-root-cause-analysis-workup-and-future-prevention-medical-errors-review
August 03, 2017 - Review
How to perform a root cause analysis for workup and future prevention of medical errors: a review.
Citation Text:
Charles R, Hood B, DeRosier JM, et al. How to perform a root cause analysis for workup and future prevention of medical errors: a review. Patient Saf Surg. 2016;10:20.…
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psnet.ahrq.gov/issue/integrating-intensive-care-unit-safety-reporting-system-existing-incident-reporting-systems
January 12, 2011 - Study
Integrating the intensive care unit safety reporting system with existing incident reporting systems.
Citation Text:
Thompson DA, Lubomski LH, Holzmueller CG, et al. Integrating the intensive care unit safety reporting system with existing incident reporting systems. Jt Comm J Qual…
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psnet.ahrq.gov/issue/payment-innovations-improve-diagnostic-accuracy-and-reduce-diagnostic-error
December 16, 2020 - Commentary
Payment innovations to improve diagnostic accuracy and reduce diagnostic error.
Citation Text:
Berenson R, Singh H. Payment Innovations To Improve Diagnostic Accuracy And Reduce Diagnostic Error. Health Aff (Millwood). 2018;37(11):1828-1835. doi:10.1377/hlthaff.2018.0714.
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psnet.ahrq.gov/issue/money-risk-hospitals-push-staff-wash-hands
May 18, 2022 - Newspaper/Magazine Article
With money at risk, hospitals push staff to wash hands.
Citation Text:
Armellino D, Hussain E, Schilling ME, et al. Using High-Technology to Enforce Low-Technology Safety Measures: The Use of Third-party Remote Video Auditing and Real-time Feedback in Health…
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psnet.ahrq.gov/issue/hospital-commitments-address-diagnostic-errors-assessment-95-us-hospitals
September 18, 2024 - Study
Hospital commitments to address diagnostic errors: an assessment of 95 US hospitals.
Citation Text:
Campione Russo A, Tilly J‐L, Kaufman L, et al. Hospital commitments to address diagnostic errors: an assessment of 95 US hospitals. J Hosp Med. 2025;20(2):120-134. doi:10.1002/jhm.13…
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psnet.ahrq.gov/issue/national-quality-forum-30-safe-practices-priority-and-progress-iowa-hospitals
November 17, 2010 - Study
National Quality Forum 30 safe practices: priority and progress in Iowa hospitals.
Citation Text:
Ward MM, Evans TC, Spies AJ, et al. National Quality Forum 30 safe practices: priority and progress in Iowa hospitals. Am J Med Qual. 2006;21(2):101-8.
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psnet.ahrq.gov/issue/how-are-medication-errors-defined-systematic-literature-review-definitions-and
May 30, 2012 - Review
How are medication errors defined? A systematic literature review of definitions and characteristics.
Citation Text:
Lisby M, Nielsen LP, Brock B, et al. How are medication errors defined? A systematic literature review of definitions and characteristics. International Journal f…
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psnet.ahrq.gov/issue/methicillin-resistant-staphylococcus-aureus-disease-three-communities
July 03, 2014 - Study
Methicillin-resistant Staphylococcus aureus disease in three communities.
Citation Text:
Fridkin SK, Hageman JC, Morrison M, et al. Methicillin-resistant Staphylococcus aureus disease in three communities. N Engl J Med. 2005;352(14):1436-44.
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psnet.ahrq.gov/issue/proposal-surgical-checklist-ambulatory-oral-surgery
January 17, 2012 - Commentary
Proposal for a 'surgical checklist' for ambulatory oral surgery.
Citation Text:
Perea-Pérez B, Santiago-Sáez A, García-Marín F, et al. Proposal for a 'surgical checklist' for ambulatory oral surgery. Int J Oral Maxillofac Surg. 2011;40(9):949-54. doi:10.1016/j.ijom.2011.04.0…
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psnet.ahrq.gov/issue/patient-safety-dentistry-dental-care-risk-management-plan
March 27, 2013 - Commentary
Patient safety in dentistry: dental care risk management plan.
Citation Text:
Perea-Pérez B, Santiago-Sáez A, García-Marín F, et al. Patient safety in dentistry: dental care risk management plan. Med Oral Patol Oral Cir Bucal. 2011;16(6):e805-9.
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psnet.ahrq.gov/issue/inpatient-housestaff-discontinuity-care-and-patient-adverse-events
July 02, 2008 - Study
Inpatient housestaff discontinuity of care and patient adverse events.
Citation Text:
Fletcher KE, Singh S, Schapira MM, et al. Inpatient Housestaff Discontinuity of Care and Patient Adverse Events. Am J Med. 2016;129(3):341-7.e21. doi:10.1016/j.amjmed.2015.11.008.
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psnet.ahrq.gov/issue/identifying-adverse-events-reflections-imperfect-gold-standard-after-20-years-patient-safety
September 09, 2015 - Commentary
Identifying adverse events: reflections on an imperfect gold standard after 20 years of patient safety research.
Citation Text:
Shojania KG, Marang-van de Mheen PJ. Identifying adverse events: reflections on an imperfect gold standard after 20 years of patient safety research.…