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psnet.ahrq.gov/curated-library/covid-19-pandemic-impact-healthcare-associated-conditions
November 10, 2025 - Breadcrumb
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COVID-19 Pandemic Impact on Healthcare Associated Conditions
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Created By: Sam W…
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psnet.ahrq.gov/issue/characteristics-and-contributing-factors-diagnostic-error-surgery-analysis-closed-medico
April 16, 2019 - Study
Characteristics and contributing factors of diagnostic error in surgery: analysis of closed medico-legal cases and complaints in Canada.
Citation Text:
Kwan JL, Calder LA, Bowman CL, et al. Characteristics and contributing factors of diagnostic error in surgery: analysis of closed …
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effectivehealthcare.ahrq.gov/sites/default/files/masks-appendix-table-b-2-version-2.xlsx
January 01, 2007 - Obs Studies Masks Community
Archived: This living report is not being updated. Findings may be used for research purposes, but should not be considered current.
Appendix Table B-2. Observational studies of masks in the community
Author Publication Year Title Date Retrieved Source Link/URL Study Design Study Dates Ge…
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psnet.ahrq.gov/issue/medication-dose-calculation-errors-and-other-numeracy-mishaps-hospitals-analysis-nature-and
May 11, 2022 - Study
Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature and enablers of incident reports.
Citation Text:
Mulac A, Hagesaether E, Granas AG. Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature …
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psnet.ahrq.gov/issue/drug-related-problems-and-pharmacist-interventions-geriatric-unit-employing-electronic
June 26, 2024 - Study
Drug related problems and pharmacist interventions in a geriatric unit employing electronic prescribing.
Citation Text:
Raimbault-Chupin M, Spiesser-Robelet L, Guir V, et al. Drug related problems and pharmacist interventions in a geriatric unit employing electronic prescribing. I…
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psnet.ahrq.gov/issue/direct-oral-anticoagulant-related-medication-incidents-and-pharmacists-interventions-hospital
January 12, 2022 - Study
Direct oral anticoagulant-related medication incidents and pharmacists' interventions in hospital in-patients: evaluation using Reason's accident causation theory.
Citation Text:
Haque H, Alrowily A, Jalal Z, et al. Direct oral anticoagulant-related medication incidents and pharmac…
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psnet.ahrq.gov/issue/covid-19-has-united-patients-and-providers-against-institutional-betrayal-health-care-battle
June 29, 2009 - Commentary
COVID-19 has united patients and providers against institutional betrayal in health care: a battle to be heard, believed, and protected.
Citation Text:
Klest B, Smith CP, May C, et al. COVID-19 has united patients and providers against institutional betrayal in health care: a …
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psnet.ahrq.gov/issue/risk-managers-physicians-and-disclosure-harmful-medical-errors
February 15, 2011 - Study
Risk managers, physicians, and disclosure of harmful medical errors.
Citation Text:
Loren DJ, Garbutt J, Dunagan C, et al. Risk managers, physicians, and disclosure of harmful medical errors. Jt Comm J Qual Patient Saf. 2010;36(3):101-8.
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psnet.ahrq.gov/issue/standards-patient-monitoring-during-general-anesthesia-harvard-medical-school
February 10, 2011 - Clinical Guideline
Standards for patient monitoring during general anesthesia at Harvard Medical School.
Citation Text:
Eichhorn JH, Cooper JB, Cullen DJ, et al. Standards for patient monitoring during anesthesia at Harvard Medical School. JAMA. 1986;256(8):1017-20.
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psnet.ahrq.gov/issue/voluntary-electronic-reporting-laboratory-errors-analysis-37532-laboratory-event-reports-30
February 24, 2011 - Study
Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations.
Citation Text:
Snydman LK, Harubin B, Kumar S, et al. Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event…
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psnet.ahrq.gov/issue/identifying-electronic-health-record-contributions-diagnostic-error-ambulatory-settings
January 25, 2023 - Study
Identifying electronic health record contributions to diagnostic error in ambulatory settings through legal claims analysis.
Citation Text:
Krevat S, Samuel S, Boxley C, et al. Identifying electronic health record contributions to diagnostic error in ambulatory settings through leg…
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psnet.ahrq.gov/issue/multiple-patient-safety-events-within-single-hospitalization-national-profile-us-hospitals
November 13, 2009 - Study
Multiple patient safety events within a single hospitalization: a national profile in US hospitals.
Citation Text:
Yu H, Greenberg MD, Haviland AM, et al. Multiple patient safety events within a single hospitalization: a national profile in US hospitals. Am J Med Qual. 2012;27(6)…
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psnet.ahrq.gov/issue/diagnostic-errors-pediatric-critical-care-systematic-review
April 06, 2016 - Review
Diagnostic errors in pediatric critical care: a systematic review.
Citation Text:
Cifra CL, Custer J, Singh H, et al. Diagnostic errors in pediatric critical care: a systematic review. Pediatr Crit Care Med. 2021;22(8):701-712. doi:10.1097/pcc.0000000000002735.
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psnet.ahrq.gov/issue/adverse-drug-event-rates-six-community-hospitals-and-potential-impact-computerized-physician
January 03, 2017 - Study
Adverse drug event rates in six community hospitals and the potential impact of computerized physician order entry for prevention.
Citation Text:
Hug BL, Witkowski DJ, Sox CM, et al. Adverse Drug Event Rates in Six Community Hospitals and the Potential Impact of Computerized Phys…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0371_11-23-2010.pdf
January 01, 2010 - Effective Health Care
Topic Number: 0313
Document Completion Date: 12-12-11
1
Results of Topic Selection Process & Next Steps
Outcomes of serious mental illness will go forward for refinement as a systematic review. The scope of
this topic, including populations, interventions, comparators, and…
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psnet.ahrq.gov/issue/disclosure-dilemma-large-scale-adverse-events
January 22, 2017 - Commentary
The disclosure dilemma—large-scale adverse events.
Citation Text:
Dudzinski DM, Hébert PC, Foglia MB, et al. The disclosure dilemma--large-scale adverse events. New Engl J Med. 2010;363(10):978-986. doi:10.1056/NEJMhle1003134.
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psnet.ahrq.gov/issue/patient-outcomes-compared-between-admissions-coordinated-transfer-center-and-emergency
April 29, 2015 - Study
Patient outcomes compared between admissions coordinated by the transfer center and emergency department at a U.S. tertiary care hospital.
Citation Text:
Pagali SR, Ryu AJ, Fischer KM, et al. Patient outcomes compared between admissions coordinated by the transfer center and emerge…
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psnet.ahrq.gov/issue/adverse-events-patients-transitioning-emergency-department-inpatient-setting
September 07, 2022 - Study
Adverse events in patients transitioning from the emergency department to the inpatient setting.
Citation Text:
Tsilimingras D, Schnipper JL, Zhang L, et al. Adverse events in patients transitioning from the emergency department to the inpatient setting. J Patient Saf. 2024;20(8):5…
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digital.ahrq.gov/ahrq-funded-projects/electronic-personal-health-record-mental-health-consumers/annual-summary/2010
January 01, 2010 - An Electronic Personal Health Record for Mental Health Consumers - 2010
Project Name
An Electronic Personal Health Record for Mental Health Consumers
Principal Investigator
Druss, Benjamin
Organization
Emory University
Funding Mechanism
RFA: HS08-002: Ambulatory Saf…
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psnet.ahrq.gov/issue/misuse-abuse-and-medication-errors-adverse-events-associated-opioids-systematic-review
January 15, 2025 - Review
Misuse, abuse and medication errors' adverse events associated with opioids--a systematic review.
Citation Text:
Gustafsson M, Silva V, Valeiro C, et al. Misuse, abuse and medication errors' adverse events associated with opioids--a systematic review. Pharmaceuticals (Basel). 2024…