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psnet.ahrq.gov/issue/am-i-safe-here-improving-patients-perceptions-safety-hospitals
June 25, 2010 - Study
Am I safe here? Improving patients' perceptions of safety in hospitals.
Citation Text:
Wolosin RJ, Vercler L, Matthews JL. Am I safe here?: improving patients' perceptions of safety in hospitals. J Nurs Care Qual. 2006;21(1):30-40.
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psnet.ahrq.gov/issue/communicating-patients-about-medical-errors-review-literature
December 23, 2008 - Review
Classic
Communicating with patients about medical errors: a review of the literature.
Citation Text:
Mazor KM, Simon SR, Gurwitz JH. Communicating with patients about medical errors: a review of the literature. Arch Intern Med. 2004;164(15):1690-7.
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psnet.ahrq.gov/issue/medical-emergency-team-system-two-hospital-comparison
January 15, 2009 - Study
The medical emergency team system: a two hospital comparison.
Citation Text:
Young L, Donald M, Parr M, et al. The Medical Emergency Team system: a two hospital comparison. Resuscitation. 2008;77(2):180-8. doi:10.1016/j.resuscitation.2007.11.016.
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psnet.ahrq.gov/issue/ethics-pediatric-emergency-department-when-mistakes-happen-approach-process-evaluation-and
December 13, 2013 - Review
Ethics in the pediatric emergency department: when mistakes happen: an approach to the process, evaluation, and response to medical errors.
Citation Text:
Dreisinger N, Zapolsky N. Ethics in the Pediatric Emergency Department: When Mistakes Happen: An Approach to the Process, Eval…
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/hormone-therapy-postmenopause-final-rec-bulletin.pdf
November 01, 2022 - Task Force Issues Final Recommendation Statement on Hormone Therapy for Preventing Chronic Conditions in Postmenopausal People
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http://www.uspreventiveservicestaskforce.org
Task Force Issues Final Recommendation Statement on
Hormone Therapy for Preventing Chronic Conditions in
Postmenopausal People
Ho…
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digital.ahrq.gov/2019-year-review/research-summary/health-information-exchange-streamlines-communication-between
January 01, 2019 - Health Information Exchange Streamlines Communication Between Poison Control Centers and Emergency Departments
The research team created the first HIE capability between a poison control center (PCC) and ED to reduce errors, improve decision making, and improve continuity of care for poisonings, including drug ove…
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psnet.ahrq.gov/issue/actions-needed-improve-newly-enrolled-veterans-access-primary-care
September 07, 2016 - Government Resource
Actions Needed to Improve Newly Enrolled Veterans' Access to Primary Care.
Citation Text:
Actions Needed to Improve Newly Enrolled Veterans' Access to Primary Care. Washington, DC: United States Government Accountability Office; March 18, 2016. Publication GAO-16-328.…
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qualityindicators.ahrq.gov/Downloads/Modules/PDI/V50/Pediatric_Ind.pdf
April 01, 2022 - AHRQ Quality Indicators™ Pediatric Quality Indicators
AHRQ Quality Indicators™
Pediatric Quality Indicators
Assess quality of hospital care for children, at the hospital level and across a community
Pediatric Qua…
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psnet.ahrq.gov/issue/safety-inpatient-care-surgical-settings-cohort-study
May 15, 2024 - Study
Safety of inpatient care in surgical settings: cohort study.
Citation Text:
Duclos A, Frits ML, Iannaccone C, et al. Safety of inpatient care in surgical settings: cohort study. BMJ. 2024;387:e080480. doi:10.1136/bmj-2024-080480.
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psnet.ahrq.gov/issue/dual-process-models-clinical-reasoning-central-role-knowledge-diagnostic-expertise
March 08, 2017 - Commentary
Dual process models of clinical reasoning: the central role of knowledge in diagnostic expertise.
Citation Text:
Norman G, Pelaccia T, Wyer P, et al. Dual process models of clinical reasoning: the central role of knowledge in diagnostic expertise. J Eval Clin Pract. 2024;30(5)…
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psnet.ahrq.gov/issue/feedback-loop-failure-modes-medical-diagnosis-how-biases-can-emerge-and-be-reinforced
November 01, 2023 - Study
Feedback loop failure modes in medical diagnosis: how biases can emerge and be reinforced.
Citation Text:
Aikens RC, Chen JH, Baiocchi M, et al. Feedback loop failure modes in medical diagnosis: how biases can emerge and be reinforced. Med Decis Making. 2024;44(5):481-496. doi:10.1…
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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/bar-code-medication-administration-technology-characterization-high-alert-medication-triggers
April 24, 2018 - Study
Bar code medication administration technology: characterization of high-alert medication triggers and clinician workarounds.
Citation Text:
Miller DF, Fortier CR, Garrison KL. Bar Code Medication Administration Technology: Characterization of High-Alert Medication Triggers and Cl…
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psnet.ahrq.gov/issue/rising-frequency-it-blackouts-indicates-increasing-relevance-it-emergency-concepts-ensure
October 12, 2022 - Review
The rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts to ensure patient safety.
Citation Text:
Sax U, Lipprandt M, Röhrig R. The Rising Frequency of IT Blackouts Indicates the Increasing Relevance of IT Emergency Concepts to Ensure Patien…
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psnet.ahrq.gov/issue/utilizing-pharmacy-students-transitions-care-services
October 19, 2022 - Commentary
Utilizing pharmacy students in transitions-of-care services.
Citation Text:
L'Hommedieu T, DeCoske M, Lababidi RE, et al. Utilizing pharmacy students in transitions-of-care services. Am J Health Syst Pharm. 2015;72(15):1266-8. doi:10.2146/ajhp140561.
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psnet.ahrq.gov/issue/just-culture-foundation-staff-safety-perioperative-environment
June 09, 2021 - Commentary
Just culture: the foundation of staff safety in the perioperative environment.
Citation Text:
Fencl JL, Willoughby C, Jackson K. Just culture: the foundation of staff safety in the perioperative environment. AORN J. 2021;113(4):329-336. doi:10.1002/aorn.13352.
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psnet.ahrq.gov/issue/outcomes-based-nurse-staffing-during-times-crisis-and-beyond
March 11, 2020 - Study
Outcomes-based nurse staffing during times of crisis and beyond.
Citation Text:
Dempsey C, Batten P. Outcomes-based nurse staffing during times of crisis and beyond. J Nurs Adm. 2022;52(2):91-98. doi:10.1097/nna.0000000000001114.
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psnet.ahrq.gov/issue/smartphone-distraction-during-nursing-care-systematic-literature-review
February 09, 2022 - Review
Smartphone distraction during nursing care: systematic literature review.
Citation Text:
Fiorinelli M, Di Mario S, Surace A, et al. Smartphone distraction during nursing care: systematic literature review. Appl Nurs Res. 2021;58:151405. doi:10.1016/j.apnr.2021.151405.
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psnet.ahrq.gov/issue/drug-formulations-require-potentially-inaccurate-volumes-prepare-doses-infants-and-children
April 22, 2011 - Study
Drug formulations that require potentially inaccurate volumes to prepare doses for infants and children.
Citation Text:
Uppal N, Yasseen B, Seto W, et al. Drug formulations that require less than 0.1 mL of stock solution to prepare doses for infants and children. CMAJ. 2011;183(4…
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psnet.ahrq.gov/issue/failure-events-transition-care-surgical-patients
October 19, 2022 - Study
Failure events in transition of care for surgical patients.
Citation Text:
Helling TS, Martin LC, Martin M, et al. Failure events in transition of care for surgical patients. J Am Coll Surg. 2014;218(4):723-31. doi:10.1016/j.jamcollsurg.2013.12.026.
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