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psnet.ahrq.gov/issue/enhance-patient-safety-identifying-and-minimizing-risk-exposures-affecting-nurse-practitioner
December 04, 2015 - Study
Enhance patient safety by identifying and minimizing risk exposures affecting nurse practitioner practice.
Citation Text:
Leigh J, Flynn J. Enhance patient safety by identifying and minimizing risk exposures affecting nurse practitioner practice. J Healthc Risk Manag. 2013;33(2):2…
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psnet.ahrq.gov/issue/responding-medical-errors-implementing-modern-ethical-paradigm
August 18, 2021 - Commentary
Responding to medical errors — implementing the modern ethical paradigm.
Citation Text:
Gallagher TH, Kachalia A. Responding to medical errors — implementing the modern ethical paradigm. New Engl J Med. 2024;390(3):193-197. doi:10.1056/nejmp2309554.
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psnet.ahrq.gov/issue/emergency-department-adverse-events-detected-using-emergency-department-trigger-tool
September 30, 2020 - Study
Emergency department adverse events detected using the emergency department trigger tool.
Citation Text:
Griffey RT, Schneider RM, Todorov AA. Emergency department adverse events detected using the emergency department trigger tool. Ann Emerg Med. 2022;80(6):528-538. doi:10.1016/j.…
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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/national-patterns-codeine-prescriptions-children-emergency-department
November 16, 2022 - Study
National patterns of codeine prescriptions for children in the emergency department.
Citation Text:
Kaiser S, Asteria-Peñaloza R, Vittinghoff E, et al. National patterns of codeine prescriptions for children in the emergency department. Pediatrics. 2014;133(5):e1139-47. doi:10.1542…
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psnet.ahrq.gov/issue/addressing-opioid-epidemic-united-states-lessons-department-veterans-affairs
September 07, 2022 - Commentary
Classic
Addressing the opioid epidemic in the United States: lessons from the Department of Veterans Affairs.
Citation Text:
Gellad WF, Good CB, Shulkin DJ. Addressing the Opioid Epidemic in the United States: Lessons From the Department of Veterans A…
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psnet.ahrq.gov/issue/what-do-family-physicians-consider-error-comparison-definitions-and-physician-perception
February 15, 2011 - Study
What do family physicians consider an error? A comparison of definitions and physician perception.
Citation Text:
Elder NC, Pallerla H, Regan S. What do family physicians consider an error? A comparison of definitions and physician perception. BMC Fam Pract. 2006;7:73.
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psnet.ahrq.gov/issue/rural-community-members-perceptions-harm-medical-mistakes-high-plains-research-network-hprn
February 03, 2011 - Study
Rural community members' perceptions of harm from medical mistakes: a High Plains Research Network (HPRN) study.
Citation Text:
Van Vorst RF, Araya-Guerra R, Felzien M, et al. Rural community members' perceptions of harm from medical mistakes: a High Plains Research Network (HPRN…
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psnet.ahrq.gov/issue/learning-near-misses-quick-fixes-closing-swiss-cheese-holes
April 11, 2012 - Study
Learning from near misses: from quick fixes to closing off the Swiss-cheese holes.
Citation Text:
Jeffs L, Berta W, Lingard LA, et al. Learning from near misses: from quick fixes to closing off the Swiss-cheese holes. BMJ Qual Saf. 2012;21(4):287-94. doi:10.1136/bmjqs-2011-000256…
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psnet.ahrq.gov/issue/hospital-autopsy-endangered-or-extinct
November 21, 2021 - Study
Hospital autopsy: endangered or extinct?
Citation Text:
Turnbull A, Osborn M, Nicholas N. Hospital autopsy: Endangered or extinct? J Clin Pathol. 2015;68(8):601-604. doi:10.1136/jclinpath-2014-202700.
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psnet.ahrq.gov/issue/adverse-events-during-hospitalization-results-patient-survey
December 29, 2014 - Study
Adverse events during hospitalization: results of a patient survey.
Citation Text:
Fowler FJ, Epstein AM, Weingart SN, et al. Adverse events during hospitalization: results of a patient survey. Jt Comm J Qual Patient Saf. 2008;34(10):583-90.
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Goog…
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psnet.ahrq.gov/issue/using-logic-model-design-and-evaluate-quality-and-patient-safety-improvement-programs
November 10, 2010 - Commentary
Using a logic model to design and evaluate quality and patient safety improvement programs.
Citation Text:
Goeschel CA, Weiss WM, Pronovost P. Using a logic model to design and evaluate quality and patient safety improvement programs. Int J Qual Health Care. 2012;24(4):330-7. …
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psnet.ahrq.gov/issue/beyond-corrective-action-hierarchy-systems-approach-organizational-change
March 10, 2021 - Commentary
Beyond the corrective action hierarchy: a systems approach to organizational change.
Citation Text:
Wood LJ, Wiegmann DA. Beyond the corrective action hierarchy: a systems approach to organizational change. Int J Qual Health Care. 2020;32(7):438-444. doi:10.1093/intqhc/mzaa068…
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psnet.ahrq.gov/issue/psychosocial-factors-and-safety-high-risk-industries-systematic-literature-review
July 15, 2020 - Review
Psychosocial factors and safety in high-risk industries: a systematic literature review.
Citation Text:
Derdowski LA, Mathisen GE. Psychosocial factors and safety in high-risk industries: a systematic literature review. Safety Sci. 2022;157:105948. doi:10.1016/j.ssci.2022.105948. …
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psnet.ahrq.gov/issue/patient-centered-prescription-opioid-tapering-community-outpatients-chronic-pain
May 17, 2017 - Study
Emerging Classic
Patient-centered prescription opioid tapering in community outpatients with chronic pain.
Citation Text:
Darnall BD, Ziadni MS, Stieg RL, et al. Patient-Centered Prescription Opioid Tapering in Community Outpatients With Chronic Pain. JAMA…
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psnet.ahrq.gov/issue/systematic-review-behavioural-marker-systems-healthcare-what-do-we-know-about-their
January 23, 2019 - Review
A systematic review of behavioural marker systems in healthcare: what do we know about their attributes, validity and application?
Citation Text:
Dietz AS, Pronovost P, Benson KN, et al. A systematic review of behavioural marker systems in healthcare: what do we know about their a…
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digital.ahrq.gov/ahrq-funded-projects/participation-primary-care-practices-health-information-exchange-hie-colorado
January 01, 2023 - Participation by Primary Care Practices in Health Information Exchange (HIE) in Colorado
Project Description
Annual Summaries
Publications
Project Details -
Completed
Contract Number
290-07-10008-3
Funding Mechanism(s)
Prima…
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psnet.ahrq.gov/issue/validation-teamwork-perceptions-measure-increase-patient-safety
March 20, 2014 - Study
Validation of a teamwork perceptions measure to increase patient safety.
Citation Text:
Keebler JR, Dietz AS, Lazzara EH, et al. Validation of a teamwork perceptions measure to increase patient safety. BMJ Qual Saf. 2014;23(9):718-26. doi:10.1136/bmjqs-2013-001942.
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psnet.ahrq.gov/issue/effect-communication-errors-during-calls-antimicrobial-stewardship-program
June 22, 2022 - Study
Effect of communication errors during calls to an antimicrobial stewardship program.
Citation Text:
Linkin DR, Fishman NO, Landis R, et al. Effect of communication errors during calls to an antimicrobial stewardship program. Infect Control Hosp Epidemiol. 2007;28(12):1374-1381.
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psnet.ahrq.gov/issue/perspective-culture-respect-part-1-and-part-2
October 04, 2006 - Commentary
Perspective: a culture of respect—part 1 and part 2.
Citation Text:
Perspective: a culture of respect—part 1 and part 2. Leape LL, Shore MF, Dienstag JL, et al. Acad Med. 2012;87(7):845-858.
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