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psnet.ahrq.gov/issue/opioid-prescribing-and-adverse-events-opioid-naive-patients-treated-emergency-physicians
July 18, 2018 - Study
Opioid prescribing and adverse events in opioid-naive patients treated by emergency physicians versus family physicians: a population-based cohort study.
Citation Text:
Borgundvaag B, McLeod S, Khuu W, et al. Opioid prescribing and adverse events in opioid-naive patients treated by…
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psnet.ahrq.gov/issue/comprehensive-overview-medical-error-hospitals-using-incident-reporting-systems-patient
October 16, 2013 - Study
A comprehensive overview of medical error in hospitals using incident-reporting systems, patient complaints and chart review of inpatient deaths.
Citation Text:
de Feijter JM, de Grave WS, Muijtjens AM, et al. A comprehensive overview of medical error in hospitals using incident-r…
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psnet.ahrq.gov/issue/triad-vii-do-prehospital-providers-understand-physician-orders-life-sustaining-treatment
September 15, 2021 - Study
TRIAD VII: do prehospital providers understand Physician Orders for Life-Sustaining Treatment documents?
Citation Text:
Mirarchi FL, Cammarata C, Zerkle SW, et al. TRIAD VII: do prehospital providers understand Physician Orders for Life-Sustaining Treatment documents? J Patient Saf…
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psnet.ahrq.gov/issue/long-road-patient-safety-status-report-patient-safety-systems
October 04, 2011 - Study
Classic
The long road to patient safety: a status report on patient safety systems.
Citation Text:
Longo DR, Hewett JE, Ge B, et al. The long road to patient safety: a status report on patient safety systems. JAMA. 2005;294(22):2858-65.
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psnet.ahrq.gov/issue/development-prescribing-indicators-related-opioid-related-harm-patients-chronic-pain-primary
April 12, 2019 - Study
Development of prescribing indicators related to opioid-related harm in patients with chronic pain in primary care- a modified e-Delphi study.
Citation Text:
Bansal N, Campbell SM, Lin C-Y, et al. Development of prescribing indicators related to opioid-related harm in patients with…
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psnet.ahrq.gov/issue/comparison-medication-safety-effectiveness-among-nine-critical-access-hospitals
September 07, 2022 - Study
Comparison of medication safety effectiveness among nine critical access hospitals.
Citation Text:
Cochran GL, Haynatzki G. Comparison of medication safety effectiveness among nine critical access hospitals. Am J Health Syst Pharm. 2013;70(24):2218-24. doi:10.2146/ajhp130067.
Co…
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psnet.ahrq.gov/issue/factors-contributing-increase-duplicate-medication-order-errors-after-cpoe-implementation
December 31, 2014 - Study
Factors contributing to an increase in duplicate medication order errors after CPOE implementation.
Citation Text:
Wetterneck TB, Walker JM, Blosky MA, et al. Factors contributing to an increase in duplicate medication order errors after CPOE implementation. J Am Med Inform Assoc. …
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psnet.ahrq.gov/issue/suffering-silence-qualitative-study-second-victims-adverse-events
February 03, 2021 - Study
Suffering in silence: a qualitative study of second victims of adverse events.
Citation Text:
Ullström S, Sachs MA, Hansson J, et al. Suffering in silence: a qualitative study of second victims of adverse events. BMJ Qual Saf. 2014;23(4):325-331. doi:10.1136/bmjqs-2013-002035.
Co…
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psnet.ahrq.gov/issue/mixed-methods-analysis-patient-safety-incidents-involving-opioid-substitution-treatment
August 25, 2021 - Study
A mixed-methods analysis of patient safety incidents involving opioid substitution treatment with methadone or buprenorphine in community-based care in England and Wales.
Citation Text:
Gibson R, MacLeod N, Donaldson LJ, et al. A mixed‐methods analysis of patient safety incidents i…
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psnet.ahrq.gov/issue/ethical-issues-patient-safety-research-systematic-review-literature
April 21, 2021 - Review
Ethical issues in patient safety research: a systematic review of the literature.
Citation Text:
Whicher DM, Kass NE, Audera-Lopez C, et al. Ethical issues in patient safety research: a systematic review of the literature. J Patient Saf. 2015;11(3):174-184. doi:10.1097/PTS.0000000…
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psnet.ahrq.gov/issue/challenges-monitoring-and-preventing-patient-safety-incidents-people-intellectual
May 20, 2020 - Study
The challenges in monitoring and preventing patient safety incidents for people with intellectual disabilities in NHS acute hospitals: evidence from a mixed-methods study.
Citation Text:
Tuffrey-Wijne I, Goulding L, Gordon V, et al. The challenges in monitoring and preventing patie…
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psnet.ahrq.gov/issue/views-and-experiences-patients-and-health-care-professionals-disclosure-adverse-events
August 25, 2021 - Review
The views and experiences of patients and health-care professionals on the disclosure of adverse events: a systematic review and qualitative meta-ethnographic synthesis.
Citation Text:
Sattar R, Johnson J, Lawton R. The views and experiences of patients and health‐care professiona…
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psnet.ahrq.gov/issue/react-reframe-and-engage-establishing-receiver-mindset-more-effective-safety-negotiations
March 29, 2023 - Study
React, reframe and engage. Establishing a receiver mindset for more effective safety negotiations.
Citation Text:
Barlow M, Watson B, Morse K, et al. React, reframe and engage. Establishing a receiver mindset for more effective safety negotiations. J Health Organ Manag. 2024;38(7):…
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psnet.ahrq.gov/issue/effects-multicentre-teamwork-and-communication-programme-patient-outcomes-results-triad
January 16, 2013 - Study
Effects of a multicentre teamwork and communication programme on patient outcomes: results from the Triad for Optimal Patient Safety (TOPS) project.
Citation Text:
Auerbach AD, Sehgal NL, Blegen MA, et al. Effects of a multicentre teamwork and communication programme on patient o…
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psnet.ahrq.gov/issue/bridging-leadership-roles-quality-and-patient-safety-experience-6-us-academic-medical-centers
September 04, 2016 - Study
Bridging leadership roles in quality and patient safety: experience of 6 US academic medical centers.
Citation Text:
Myers JS, Tess A, McKinney K, et al. Bridging Leadership Roles in Quality and Patient Safety: Experience of 6 US Academic Medical Centers. J Grad Med Educ. 2017;9(1)…
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psnet.ahrq.gov/issue/evaluation-extended-releaselong-acting-opioid-prescribing-risk-evaluation-and-mitigation
March 06, 2019 - Study
Evaluation of the extended-release/long-acting opioid prescribing Risk Evaluation and Mitigation Strategy Program by the US Food and Drug Administration: a review.
Citation Text:
Heyward J, Olson L, Sharfstein JM, et al. Evaluation of the Extended-Release/Long-Acting Opioid Prescri…
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psnet.ahrq.gov/issue/nurse-bias-and-nursing-care-disparities-related-patient-characteristics-scoping-review
March 17, 2021 - Review
Nurse bias and nursing care disparities related to patient characteristics: a scoping review of the quantitative and qualitative evidence
Citation Text:
Groves PS, Bunch JL, Sabin JA. Nurse bias and nursing care disparities related to patient characteristics: a scoping review of t…
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psnet.ahrq.gov/issue/trauma-resuscitation-using-situ-simulation-team-training-trust-study-latent-safety-threat
October 27, 2021 - Study
Trauma Resuscitation Using in situ Simulation Team Training (TRUST) study: latent safety threat evaluation using framework analysis and video review.
Citation Text:
Petrosoniak A, Fan M, Hicks CM, et al. Trauma Resuscitation Using in situ Simulation Team Training (TRUST) study: lat…
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www.ahrq.gov/practiceimprovement/delivery-initiative/arragrantee-malouin.html
December 01, 2017 - ARRA Delivery System Initiative
Presentations and Publications by Recipients of ARRA Delivery System Grants
Comparative Effectiveness of Primary Care Practice Transformation by Two Insurers
Principal Investigator: Rebecca Malouin
Malouin R. Comparative Effectiveness of Primary Care Practice Transformation …
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psnet.ahrq.gov/issue/surgical-specimen-management-descriptive-study-648-adverse-events-and-near-misses
December 22, 2021 - Study
Surgical specimen management: a descriptive study of 648 adverse events and near misses.
Citation Text:
Steelman VM, Williams TL, Szekendi MK, et al. Surgical specimen management: a descriptive study of 648 adverse events and near misses. Arch Pathol Lab Med. 2016;140(12):1390-1396…