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psnet.ahrq.gov/issue/irish-national-adverse-events-study-inaes-frequency-and-nature-adverse-events-irish-hospitals
March 03, 2021 - Study
The Irish National Adverse Events Study (INAES): the frequency and nature of adverse events in Irish hospitals—a retrospective record review study.
Citation Text:
Rafter N, Hickey A, Conroy RM, et al. The Irish National Adverse Events Study (INAES): the frequency and nature of adve…
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psnet.ahrq.gov/issue/reasons-bias-ambulance-clinicians-assessments-non-conveyed-patients-mixed-methods-study
January 26, 2022 - Study
Reasons for bias in ambulance clinicians' assessments of non-conveyed patients: a mixed-methods study.
Citation Text:
Johansson H, Lundgren K, Hagiwara MA. Reasons for bias in ambulance clinicians’ assessments of non-conveyed patients: a mixed-methods study. BMC Emerg Med. 2022;22(…
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-health-care-quality-primary-care-va/annual-summary/2010
January 01, 2010 - Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions between Care Settings - 2010
Project Name
Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions between Care Settings
Prin…
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psnet.ahrq.gov/issue/effect-barcode-technology-medication-preparation-safety-quasi-experimental-study
December 01, 2021 - Study
Effect of barcode technology on medication preparation safety: a quasi-experimental study.
Citation Text:
Küng K, Aeschbacher K, Rütsche A, et al. Effect of barcode technology on medication preparation safety: a quasi-experimental study. Int J Qual Health Care. 2021;33(1). doi:10.1…
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psnet.ahrq.gov/issue/analysis-nature-and-contributory-factors-medication-safety-incidents-following-hospital
October 25, 2023 - Study
Analysis of the nature and contributory factors of medication safety incidents following hospital discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study.
Citation Text:
Alqenae FA, Steinke DT, Carson-Stevens A, et al. Analysi…
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psnet.ahrq.gov/issue/longitudinal-evaluation-pediatric-rapid-response-system-realist-evaluation-framework
July 20, 2022 - Study
Longitudinal evaluation of a pediatric rapid response system with realist evaluation framework.
Citation Text:
Acorda DE, Bracken J, Abela K, et al. Longitudinal evaluation of a pediatric rapid response system with realist evaluation framework. Jt Comm J Qual Patient Saf. 2022;48(4…
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hcup-us.ahrq.gov/db/vars/ncpt_inscope/nassnote.jsp
August 01, 2019 - Healthcare Cost and Utilization Project (HCUP) NASS Notes
An official website of the Department of Health & Human Services
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digital.ahrq.gov/ahrq-funded-projects/supporting-continuity-care-poisonings-electronic-information-exchange/annual-summary/2012
January 01, 2012 - Supporting Continuity of Care for Poisonings with Electronic Information Exchange - 2012
Project Name
Supporting Continuity of Care for Poisonings With Electronic Information Exchange
Principal Investigator
Cummins, Mollie Rebecca
Organization
University of Utah
Fundi…
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psnet.ahrq.gov/issue/uncovering-system-errors-using-rapid-response-team-cross-coverage-caught-crossfire
April 24, 2018 - Study
Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire.
Citation Text:
Kaplan LJ, Maerz LL, Schuster KM, et al. Uncovering System Errors Using a Rapid Response Team: Cross-Coverage Caught in the Crossfire. The Journal of Trauma: Injury, Infect…
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psnet.ahrq.gov/issue/outcomes-and-patient-safety-overlapping-vs-nonoverlapping-total-joint-arthroplasty-systematic
February 02, 2022 - Review
Outcomes and patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a systematic review and meta-analysis.
Citation Text:
Malahias M-A, Antoniadou T, Jang SJ, et al. Outcomes and patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a syste…
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digital.ahrq.gov/ahrq-funded-projects/using-electronic-records-detect-and-learn-ambulatory-diagnostic-errors/annual-summary/2010
January 01, 2010 - Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors - 2010
Project Name
Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors
Principal Investigator
Thomas, Eric
Organization
University of Texas Health Science Center - Houst…
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digital.ahrq.gov/ahrq-funded-projects/data-flow-clinical-outcomes-perinatal-continuum-care-system/annual-summary/2011
January 01, 2011 - Data Flow & Clinical Outcomes in a Perinatal Continuum of Care System - 2011
Project Name
Data Flow & Clinical Outcomes in a Perinatal Continuum of Care System
Principal Investigator
Levick, Donald
Organization
Lehigh Valley Hospital
Funding Mechanism
PAR: HS08-270:…
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psnet.ahrq.gov/issue/patient-safety-culture-health-information-technology-implementation-and-medical-office
December 15, 2010 - Study
Patient safety culture, health information technology implementation, and medical office problems that could lead to diagnostic error.
Citation Text:
Campione JR, Mardon RE, McDonald KM. Patient Safety Culture, Health Information Technology Implementation, and Medical Office Proble…
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www.ahrq.gov/research/publications/search.html?page=12
February 01, 2015 - Search Publications
The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 121 - 130 of 192 Publications displayed
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digital.ahrq.gov/sites/default/files/docs/resource/Dataform_3_Medication_Error_and_Near_Miss_Classification_Form.pdf
September 30, 2009 - DATAFORM 3 Medication Error and Near Miss Classification Form
WBD
DATAFORM 3
Medication Error and Near Miss
Classification Form
1. Study ID Number: ____ ____-____ ____ ____ ____ ____
2. Reviewer ID Number: ____ ____
See below for codes
3.
Case #
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Script #
5.
ME o…
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psnet.ahrq.gov/issue/effect-patient-and-medication-related-factors-inpatient-medication-reconciliation-errors
May 08, 2017 - Study
Effect of patient- and medication-related factors on inpatient medication reconciliation errors.
Citation Text:
Salanitro AH, Osborn CY, Schnipper JL, et al. Effect of patient- and medication-related factors on inpatient medication reconciliation errors. J Gen Intern Med. 2012;27(8…
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psnet.ahrq.gov/issue/drug-shortage-associated-increase-catheter-related-blood-stream-infection-children
April 24, 2018 - Study
Drug shortage-associated increase in catheter-related blood stream infection in children.
Citation Text:
Ralls MW, Blackwood A, Arnold MA, et al. Drug shortage-associated increase in catheter-related blood stream infection in children. Pediatrics. 2012;130(5):e1369-73. doi:10.1542/…
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psnet.ahrq.gov/issue/perinatal-care-quality-and-safety-initiative-are-there-financial-rewards-improved-quality
April 27, 2019 - Study
A perinatal care quality and safety initiative: are there financial rewards for improved quality?
Citation Text:
Kozhimannil KB, Sommerness SA, Rauk P, et al. A perinatal care quality and safety initiative: are there financial rewards for improved quality? Jt Comm J Qual Patient …
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digital.ahrq.gov/ahrq-funded-projects/chronic-care-technology-planning-project
January 01, 2023 - The Chronic Care Technology Planning Project
Project Final Report ( PDF , 217.74 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No state…
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psnet.ahrq.gov/issue/use-medical-emergency-team-responses-reduce-hospital-cardiopulmonary-arrests
April 06, 2011 - Study
Classic
Use of medical emergency team responses to reduce hospital cardiopulmonary arrests.
Citation Text:
Devita MA, Braithwaite RS, Mahidhara R, et al. Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. Qual Saf Health …