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psnet.ahrq.gov/node/853070/psn-pdf
August 30, 2023 - Activating pharmacists to reduce the frequency of
medication-related problems (ACTMed): a stepped wedge
cluster randomised trial.
August 30, 2023
Spinks J, Violette R, Boyle DIR, et al. Activating pharmacists to reduce the frequency of medication?related
problems (ACTMed): a stepped wedge cluster randomised trial.…
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psnet.ahrq.gov/node/39979/psn-pdf
November 03, 2010 - Does simulator-based clinical performance correlate with
actual hospital behavior? The effect of extended work
hours on patient care provided by medical interns.
November 3, 2010
Gordon JA, Alexander EK, Lockley SW, et al. Does Simulator-Based Clinical Performance Correlate With
Actual Hospital Behavior? The Effec…
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psnet.ahrq.gov/node/48064/psn-pdf
June 12, 2019 - Lives Lost, Lives Saved: An Updated Comparative
Analysis of Avoidable Deaths at Hospitals Graded by The
Leapfrog Group.
June 12, 2019
Austin M, Derk J. Baltimore, MD: Armstrong Institute for Patient Safety and Quality, and Johns Hopkins
Medicine; May 2019.
https://psnet.ahrq.gov/issue/lives-lost-lives-saved-updat…
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psnet.ahrq.gov/node/46690/psn-pdf
December 20, 2017 - Quality, safety, and outcomes in anaesthesia: what's to be
done? An international perspective.
December 20, 2017
Peden CJ, Campbell M, Aggarwal G. Quality, safety, and outcomes in anaesthesia: what's to be done? An
international perspective. Br J Anaesth. 2017;119. doi:10.1093/bja/aex346.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/34063/psn-pdf
September 18, 2011 - Risk factors for retained instruments and sponges after
surgery.
September 18, 2011
Gawande AA, Studdert DM, Orav J, et al. Risk factors for retained instruments and sponges after surgery.
N Engl J Med. 2003;348(3):229-35.
https://psnet.ahrq.gov/issue/risk-factors-retained-instruments-and-sponges-after-surgery
Th…
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psnet.ahrq.gov/node/40410/psn-pdf
May 11, 2011 - Evaluation of the role of the critical care pharmacist in
identifying and avoiding or minimizing significant
drug–drug interactions in medical intensive care patients.
May 11, 2011
Rivkin A, Yin H. Evaluation of the role of the critical care pharmacist in identifying and avoiding or
minimizing significant drug-dru…
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psnet.ahrq.gov/node/73313/psn-pdf
May 26, 2021 - Maintaining maternal-newborn safety during the COVID-
19 pandemic.
May 26, 2021
Patrick NA, Johnson TS. Maintaining maternal-newborn safety during the COVID-19 pandemic. Nurs
Womens Health. 2021;25(3):212-220. doi:10.1016/j.nwh.2021.03.003.
https://psnet.ahrq.gov/issue/maintaining-maternal-newborn-safety-during-co…
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psnet.ahrq.gov/node/44741/psn-pdf
January 20, 2016 - System hazards in managing laboratory test requests and
results in primary care: medical protection database
analysis and conceptual model.
January 20, 2016
Bowie P, Price J, Hepworth N, et al. System hazards in managing laboratory test requests and results in
primary care: medical protection database analysis and…
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psnet.ahrq.gov/node/35540/psn-pdf
August 05, 2009 - Lost in translation: challenges and opportunities in
physician-to-physician communication during patient
handoffs.
August 5, 2009
Solet DJ, Norvell M, Rutan GH, et al. Lost in translation: challenges and opportunities in physician-to-
physician communication during patient handoffs. Acad Med. 2005;80(12):1094-9.
…
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psnet.ahrq.gov/node/74705/psn-pdf
January 26, 2022 - 20 years after To Err Is Human: a bibliometric analysis of
‘the IOM report’s’ impact on research on patient safety.
January 26, 2022
St.Pierre M, Grawe P, Bergström J, et al. 20 years after To Err Is Human: a bibliometric analysis of ‘the
IOM report’s’ impact on research on patient safety. Safety Sci. 2021;147:1055…
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psnet.ahrq.gov/node/74205/psn-pdf
January 01, 2022 - Communicating certainty in pathology reports:
interpretation differences among staff pathologists,
clinicians, and residents in a multicenter study.
December 22, 2021
Gibson BA, McKinnon E, Bentley RC, et al. Communicating certainty in pathology reports: interpretation
differences among staff pathologists, clinici…
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digital.ahrq.gov/funding-mechanism/competitive-revision-supplements-existing-ahrq-health-service-research-hsr-grants
January 01, 2023 - Competitive Revision Supplements to Existing AHRQ Health Service Research (HSR) Grants and Cooperative Agreements to Evaluate Health System and Healthcare Professional Responsiveness to COVID-19
Implementation of a Novel Multi-Platform Evidence-Based Clinical Decision Support System
…
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psnet.ahrq.gov/node/47554/psn-pdf
November 07, 2018 - Diagnostic Excellence Initiative.
November 7, 2018
Gordon and Betty Moore Foundation.
https://psnet.ahrq.gov/issue/diagnostic-excellence-improving-experience-and-outcomes-patient-care
Missed or delayed diagnoses lead to delays in care and significant preventable harm for patients. Despite
an increasing focus on di…
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psnet.ahrq.gov/node/39030/psn-pdf
October 21, 2009 - Misleading one detail: a preventable mode of diagnostic
error?
October 21, 2009
Arzy S, Brezis M, Khoury S, et al. Misleading one detail: a preventable mode of diagnostic error? J Eval
Clin Pract. 2009;15(5):804-6. doi:10.1111/j.1365-2753.2008.01098.x.
https://psnet.ahrq.gov/issue/misleading-one-detail-preventable…
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psnet.ahrq.gov/node/867222/psn-pdf
December 04, 2024 - How many is too many? Using cognitive load theory to
determine the maximum safe number of inpatient
consultations for trainees.
December 4, 2024
Brondfield S, Blum AM, Mason JM, et al. How many is too many? Using cognitive load theory to determine
the maximum safe number of inpatient consultations for trainees. Ac…
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psnet.ahrq.gov/node/837036/psn-pdf
May 04, 2022 - Engaging patients in the use of real-time electronic
clinical data to improve the safety and reliability of their
own care.
May 4, 2022
Schnock KO, Roulier S, Butler J, et al. Engaging patients in the use of real-time electronic clinical data to
improve the safety and reliability of their own care. J Patient Saf. …
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www.ahrq.gov/evidencenow/projects/urinary/resources/guidance-clinical-trials.html
November 01, 2014 - Back to MUI Resources
Guidance for researchers developing and conducting clinical trials in practice-based research networks (PBRNs)
Resource
Full article on PubMed
Summary
There is increased interest nationally in multicenter clinical trials to answer questions about clinica…
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psnet.ahrq.gov/node/865723/psn-pdf
June 18, 2024 - Using AHRQ’s SOPS Hospital Survey and Workplace
Safety Item Set: Experiences From a State Hospital
Association.
June 18, 2024
Agency for Healthcare Research and Quality. May 23, 2024.
https://psnet.ahrq.gov/issue/using-ahrqs-sops-hospital-survey-and-workplace-safety-item-set-experiences-
state-hospital
An unders…
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www.ahrq.gov/patient-safety/news-events/psaw-2019/index.html
July 01, 2022 - Patient Safety Awareness Week 2019
Patient Safety Awareness Week is an annual health observance sponsored by the Institute for Healthcare Improvement (IHI). As the Nation's patient safety agency, AHRQ supports this event to increase awareness about patient safety among health professionals, patients, and famili…
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www.ahrq.gov/prevention/guidelines/tobacco/smoking-cessation.html
October 01, 2014 - Notice on Smoking Cessation Guideline Products
The 1996 guideline, Smoking Cessation, Clinical Practice Guideline , No. 18, sponsored by the Agency for Health Care Policy and Research, has been superseded by a new, updated Tobacco Cessation Guideline released by the Public Health Service in 2008.
The inf…