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psnet.ahrq.gov/issue/prescribing-errors-resulting-adverse-drug-events-how-can-they-be-prevented
May 10, 2023 - Commentary
Prescribing errors resulting in adverse drug events: how can they be prevented?
Citation Text:
Thürmann PA. Prescribing errors resulting in adverse drug events: how can they be prevented? Expert Opin Drug Saf. 2006;5(4):489-93.
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psnet.ahrq.gov/issue/what-patient-safety-culture-review-literature
July 19, 2023 - Review
What is patient safety culture? A review of the literature.
Citation Text:
Sammer CE, Lykens K, Singh KP, et al. What is patient safety culture? A review of the literature. J Nurs Scholarsh. 2010;42(2):156-65. doi:10.1111/j.1547-5069.2009.01330.x.
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psnet.ahrq.gov/issue/case-studies-patient-safety-research-classics-build-research-capacity-low-and-middle-income
September 29, 2017 - Study
Case studies of patient safety research classics to build research capacity in low- and middle-income countries.
Citation Text:
Andermann A, Wu AW, Lashoher A, et al. Case studies of patient safety research classics to build research capacity in low- and middle-income countries. …
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psnet.ahrq.gov/issue/global-priorities-patient-safety-research
April 05, 2017 - Commentary
Global priorities for patient safety research.
Citation Text:
Bates DW, Larizgoitia I, Prasopa-Plaizier N, et al. Global priorities for patient safety research. BMJ. 2009;338:b1775. doi:10.1136/bmj.b1775.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0251_05-20-2010.pdf
January 01, 2010 - Effective Health Care
Topic Number(s): 0267 & 0302
Document Completion Date: 11-15-10
1
Results of Topic Selection Process & Next Steps
Prevention and treatment of pressure ulcers will go forward for refinement as a systematic review. The
scope of this topic, including populations, intervention…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0351_05-10-2010.pdf
January 01, 2010 - Effective Health Care
Topic Number(s): 0265
Document Completion Date: 09-13-10
1
Results of Topic Selection Process & Next Steps
Cryptorchidism (undescended testicle) will go forward for refinement as a systematic review. The
scope of this topic, including populations, interventions, compara…
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digital.ahrq.gov/ahrq-funded-projects/improving-quality-care-children-special-needs/annual-summary/2010
January 01, 2010 - Improving Quality Care for Children with Special Needs - 2010
Project Name
Improving Quality Care for Children with Special Needs
Principal Investigator
Lozzio, Carmen
Organization
University of Tennessee, Knoxville
Funding Mechanism
RFA: HS05-013: Limited Competiti…
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psnet.ahrq.gov/issue/opioids-medicare-part-d-concerns-about-extreme-use-and-questionable-prescribing
October 29, 2008 - Book/Report
Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing.
Citation Text:
Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing. Office of the Inspector General. Washington, DC: US Department of Health and Human Services…
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psnet.ahrq.gov/issue/severe-hyperglycemia-patients-incorrectly-using-insulin-pens-home
December 15, 2021 - Press Release/Announcement
Severe hyperglycemia in patients incorrectly using insulin pens at home.
Citation Text:
Severe hyperglycemia in patients incorrectly using insulin pens at home. National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American…
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psnet.ahrq.gov/issue/interdisciplinary-collaboration-maintain-culture-safety-labor-and-delivery-setting
January 02, 2017 - Commentary
Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting.
Citation Text:
Burke C, Grobman WA, Miller D. Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting. J Perinat Neonatal Nurs. 2013;27(2):…
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digital.ahrq.gov/ahrq-funded-projects/2011-2013-workshop-health-it-and-economics
January 01, 2013 - 2011-2013 Workshop on Health Information Technology and Economics
Project Final Report ( PDF , 170.96 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 vi…
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digital.ahrq.gov/ahrq-funded-projects/enabling-health-care-decisionmaking-through-use-health-information-technology/annual-summary/2010
January 01, 2010 - Enabling Health Care Decisionmaking through the Use of Health Information Technology - 2010
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/impact-health-system-membership-patient-safety-initiatives
October 12, 2011 - Study
The impact of health system membership on patient safety initiatives.
Citation Text:
Ford EW, Short JC. The impact of health system membership on patient safety initiatives. Health Care Manage Rev. 2012;33(1):13-20. doi:10.1097/01.hmr.0000304496.89684.7f.
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psnet.ahrq.gov/issue/eradicating-central-line-associated-bloodstream-infections-statewide-hawaii-experience
January 15, 2014 - Study
Eradicating central line–associated bloodstream infections statewide: the Hawaii experience.
Citation Text:
Lin D, Weeks K, Bauer L, et al. Eradicating Central Line–Associated Bloodstream Infections Statewide. American Journal of Medical Quality. 2011;27(2). doi:10.1177/106286061…
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psnet.ahrq.gov/issue/piece-my-mind-despite-my-best-intentions
September 13, 2016 - Commentary
A piece of my mind. Despite my best intentions.
Citation Text:
Kahn JS. Despite My Best Intentions. JAMA. 2017;318(17). doi:10.1001/jama.2017.6123.
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psnet.ahrq.gov/issue/waking-next-morning-surgeons-emotional-reactions-adverse-events
July 02, 2014 - Study
Waking up the next morning: surgeons' emotional reactions to adverse events.
Citation Text:
Luu S, Patel P, St-Martin L, et al. Waking up the next morning: surgeons' emotional reactions to adverse events. Med Educ. 2012;46(12):1179-88. doi:10.1111/medu.12058.
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psnet.ahrq.gov/issue/leveraging-electronic-health-record-improve-quality-and-safety-rheumatology
June 12, 2019 - Review
Leveraging the electronic health record to improve quality and safety in rheumatology.
Citation Text:
Schmajuk G, Yazdany J. Leveraging the electronic health record to improve quality and safety in rheumatology. Rheumatol Int. 2017;37(10):1603-1610. doi:10.1007/s00296-017-3804-4. …
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psnet.ahrq.gov/issue/perioperative-patient-safety-multisite-qualitative-analysis
September 20, 2023 - Study
Perioperative patient safety: a multisite qualitative analysis.
Citation Text:
Chappy S. Perioperative patient safety: a multisite qualitative analysis. AORN J. 2006;83(4):871-4, 877-88, 891-7.
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psnet.ahrq.gov/issue/intraoperative-adverse-events-and-related-postoperative-complications-spine-surgery
March 20, 2013 - Study
Intraoperative adverse events and related postoperative complications in spine surgery: implications for enhancing patient safety founded on evidence-based protocols.
Citation Text:
Intraoperative adverse events and related postoperative complications in spine surgery: implicatio…
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psnet.ahrq.gov/issue/recommendations-british-committee-standards-haematology-and-national-patient-safety-agency
November 12, 2014 - Organizational Policy/Guidelines
Recommendations from the British Committee for Standards in Haematology and National Patient Safety Agency.
Citation Text:
Baglin TP, Cousins D, Keeling DM, et al. Safety indicators for inpatient and outpatient oral anticoagulant care: [corrected] Recom…