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psnet.ahrq.gov/issue/misdiagnosis-acute-myocardial-infarction-systematic-review-literature
July 28, 2021 - Review
Misdiagnosis of acute myocardial infarction: a systematic review of the literature.
Citation Text:
Kwok CS, Bennett S, Azam Z, et al. Misdiagnosis of acute myocardial infarction: a systematic review of the literature. Crit Pathw Cardiol. 2021;20(3):155-162. doi:10.1097/hpc.0000000…
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psnet.ahrq.gov/issue/variability-concentrations-intravenous-drug-infusions-prepared-critical-care-unit
March 02, 2011 - Study
Variability in the concentrations of intravenous drug infusions prepared in a critical care unit.
Citation Text:
Wheeler DW, Degnan BA, Sehmi JS, et al. Variability in the concentrations of intravenous drug infusions prepared in a critical care unit. Intensive Care Med. 2008;34(8…
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hcup-us.ahrq.gov/reports/factsandfigures/2009/pdfs/FF_2009_exhibit1_5.pdf
January 01, 2009 - 1.5A
HCUP Facts and Figures: Statistics on Hospital-Based Care in the United States, 2009 20
EXHIBIT 1.5 Patient Age
11,799
271
860
1,155
3,319
6,047
1,278
10,977
229
874
1,213
3,084
5,463
1,284
0 2,000 4,000 6,000 8,000 10,000 12,000 14,000
<1
1-17
18-44
45-64
65-84
85+
All Ages
Stays p…
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psnet.ahrq.gov/issue/design-patient-safety-systems-based-risk-identification-framework
February 03, 2021 - Study
Emerging Classic
Design for patient safety: a systems-based risk identification framework.
Citation Text:
Simsekler MCE, Ward JR, Clarkson J. Design for patient safety: a systems-based risk identification framework. Ergonomics. 2018;61(8):1046-1064. doi:10…
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psnet.ahrq.gov/issue/requirements-implementing-just-culture-within-healthcare-organisations-integrative-review
October 31, 2014 - Review
Requirements for implementing a 'just culture' within healthcare organisations: an integrative review.
Citation Text:
Murray JS, Lee J, Larson S, et al. Requirements for implementing a ‘just culture’ within healthcare organisations: an integrative review. BMJ Open Qual. 2023;12(2)…
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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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psnet.ahrq.gov/issue/medication-errors-and-adverse-drug-events-pediatric-inpatients
January 19, 2011 - Study
Classic
Medication errors and adverse drug events in pediatric inpatients.
Citation Text:
Kaushal R, Bates DW, Landrigan C, et al. Medication errors and adverse drug events in pediatric inpatients. JAMA. 2001;285(16):2114-20.
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Format: …
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psnet.ahrq.gov/issue/controlled-substance-drug-diversion-healthcare-workers-threat-patient-safety
April 05, 2023 - Special or Theme Issue
Controlled substance drug diversion by healthcare workers as a threat to patient safety.
Citation Text:
Controlled substance drug diversion by healthcare workers as a threat to patient safety. ISMP Medication Safety Alert! Acute care edition. February 23, 2023;28(4…
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psnet.ahrq.gov/issue/surgical-never-events-united-states
September 10, 2014 - Study
Surgical never events in the United States.
Citation Text:
Mehtsun WT, Ibrahim AM, Diener-West M, et al. Surgical never events in the United States. Surgery. 2013;153(4):465-472. doi:10.1016/j.surg.2012.10.005.
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DOI Google Scholar PubMed BibTeX …
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psnet.ahrq.gov/issue/intervention-enhance-nursing-staff-teamwork-and-engagement
June 21, 2010 - Study
An intervention to enhance nursing staff teamwork and engagement.
Citation Text:
Kalisch BJ, Curley M, Stefanov S. An intervention to enhance nursing staff teamwork and engagement. J Nurs Adm. 2007;37(2):77-84.
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Format:
Google Scholar PubMed BibTeX EndN…
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psnet.ahrq.gov/issue/developing-intervention-reduce-harm-hospitalized-patients-patients-and-families-research
December 21, 2018 - Study
Developing an intervention to reduce harm in hospitalized patients: patients and families in research.
Citation Text:
Schenk EC, Bryant RA, Van Son CR, et al. Developing an Intervention to Reduce Harm in Hospitalized Patients: Patients and Families in Research. J Nurs Care Qual. 20…
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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/patient-misidentification-laboratory-medicine-qualitative-analysis-227-root-cause-analysis
August 28, 2024 - Study
Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis reports in the Veterans Health Administration.
Citation Text:
Dunn EJ, Moga PJ. Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis …
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/gamm-ld-et-al-1998-pre
January 01, 1998 - Gamm LD et al. 1998 "Pre- and post- control model research on end-users' satisfaction with an electronic medical record: preliminary results."
Reference
Gamm LD, Barsukiewicz CK, Dansky KH, et al. Pre- and post-control model research on end-users' satisfaction with an electronic medical record: prelim…
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digital.ahrq.gov/program-overview/research-stories/use-ehr-embedded-tools-improve-screening-intimate-partner
January 01, 2023 - Use of EHR-Embedded Tools to Improve Screening for Intimate Partner Violence
Theme:
Optimizing Care Delivery for Clinicians
Subtheme:
Leveraging Technology for Personalized, Evidence-Based Care and Decision Support
An intervention with new tools and formalized procedures to screen for int…
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psnet.ahrq.gov/issue/reducing-diagnostic-errors-why-now
July 28, 2014 - Commentary
Classic
Reducing diagnostic errors—why now?
Citation Text:
Khullar D, Jha AK, Jena AB. Reducing diagnostic errors--why now? N Engl J Med. 2015;373(26):2491-2493. doi:10.1056/NEJMp1508044.
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effectivehealthcare.ahrq.gov/sites/default/files/ebctandcfinal.pdf
October 08, 2025 - AHRQ Evidence-Based Care (EBC) Challenge Terms and Conditions
Terms and Conditions:
By submitting a product in response to the AHRQ Evidence-Based Care (EBC) Challenge, each team and
each team member represents and warrants that:
The team and its members are the sole authors, creators, and owners of the pr…
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psnet.ahrq.gov/issue/medication-error-reporting-nursing-homes-identifying-targets-patient-safety-improvement
March 24, 2011 - Study
Medication error reporting in nursing homes: identifying targets for patient safety improvement.
Citation Text:
Greene SB, Williams CE, Pierson S, et al. Medication error reporting in nursing homes: identifying targets for patient safety improvement. Qual Saf Health Care. 2010;19…
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/ca20.pdf
January 10, 2012 - New Measures to Access the Quality of Race/Ethnicity Reporting in State Databases
New Measures to Access the
Quality of Race/Ethnicity
Reporting in State Databases
David Zingmond, MD, PhD
AHRQ monthly grantees call
January 10, 2012
Aim
• Develop validated audit measures for
race/ethnicity reporting …
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psnet.ahrq.gov/issue/using-portable-digital-technology-clinical-care-and-critical-incidents-new-model
June 29, 2011 - Commentary
Using portable digital technology for clinical care and critical incidents: a new model.
Citation Text:
Bolsin S, Faunce T, Colson M. Using portable digital technology for clinical care and critical incidents: a new model. Aust Health Rev. 2005;29(3):297-305.
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