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psnet.ahrq.gov/issue/quality-improvement-through-implementation-discharge-order-reconciliation
September 23, 2020 - Commentary
Quality improvement through implementation of discharge order reconciliation.
Citation Text:
Lu Y, Clifford P, Bjorneby A, et al. Quality improvement through implementation of discharge order reconciliation. Am J Health Syst Pharm. 2013;70(9):815-20. doi:10.2146/ajhp120050. …
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psnet.ahrq.gov/issue/exaggerated-benefits-failure
November 09, 2022 - Study
The exaggerated benefits of failure.
Citation Text:
Eskreis-Winkler L, Woolley K, Erensoy E, et al. The exaggerated benefits of failure. J Exp Psychol Gen. 2024;153(7):1920-1937. doi:10.1037/xge0001610.
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psnet.ahrq.gov/issue/diagnostic-errors-and-abnormal-diagnostic-tests-lost-follow-source-needless-waste-and-delay
December 22, 2008 - Commentary
Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment.
Citation Text:
Wahls TL. Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment. J Ambul Care M…
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psnet.ahrq.gov/issue/authentic-leadership-cleveland-clinic-psychological-safety-midst-crisis
October 19, 2022 - Study
Authentic leadership at the Cleveland Clinic: psychological safety in the midst of crisis.
Citation Text:
Porter TH, Peck JA, Bolwell B, et al. Authentic leadership at the Cleveland Clinic: psychological safety in the midst of crisis. BMJ Lead. 2023;7(3):196-202. doi:10.1136/leader…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/staff-survey-6mon-post-intervention-nw.pdf
June 02, 2025 - Staff Member Survey
P a g e | 1
PLEASE FLIP TO PAGE 2
Version 3 FOR COACH ONLY:
PRACTICE ID: _____________
Healthy Hearts Northwest Follow-up Staff Member Survey (#3)
Name of your practice: ________________________________________
Address of your practice: ____________________________…
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psnet.ahrq.gov/issue/publics-views-medical-error-massachusetts
January 30, 2019 - Book/Report
The Public's Views on Medical Error in Massachusetts.
Citation Text:
The Public's Views on Medical Error in Massachusetts. Boston, MA: Harvard School of Public Health; December 2014.
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psnet.ahrq.gov/issue/patient-safety-culture-hospital-settings-across-continents-systematic-review
June 13, 2018 - Review
Patient safety culture in hospital settings across continents: a systematic review.
Citation Text:
Alabdullah H, Karwowski W. Patient safety culture in hospital settings across continents: a systematic review. Appl Sci. 2024;14(18):8496. doi:10.3390/app14188496.
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psnet.ahrq.gov/issue/long-term-reduction-adverse-drug-events-evidence-based-improvement-model
August 28, 2024 - Study
Long-term reduction in adverse drug events: an evidence-based improvement model.
Citation Text:
Gazarian M, Graudins LV. Long-term reduction in adverse drug events: an evidence-based improvement model. Pediatrics. 2012;129(5):e1334-42. doi:10.1542/peds.2011-1902.
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psnet.ahrq.gov/issue/preventable-harm-canadian-organ-donation-and-transplantation-system-descriptive-study-missed
October 19, 2022 - Study
Preventable harm in the Canadian organ donation and transplantation system: a descriptive study of missed organ donor identification and referral.
Citation Text:
Zavalkoff S, O’Donnell S, Lalani J, et al. Preventable harm in the Canadian organ donation and transplantation system: a…
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psnet.ahrq.gov/issue/evaluation-role-critical-care-pharmacist-identifying-and-avoiding-or-minimizing-significant
December 15, 2021 - Study
Evaluation of the role of the critical care pharmacist in identifying and avoiding or minimizing significant drug–drug interactions in medical intensive care patients.
Citation Text:
Rivkin A, Yin H. Evaluation of the role of the critical care pharmacist in identifying and avoidi…
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psnet.ahrq.gov/issue/barriers-incident-reporting-among-nurses-qualitative-systematic-review
September 21, 2022 - Review
Emerging Classic
Barriers to incident reporting among nurses: a qualitative systematic review.
Citation Text:
Hamed MMM, Konstantinidis S. Barriers to incident reporting among nurses: a qualitative systematic review. West J Nurs Res. 2022;44(5):506-523. d…
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psnet.ahrq.gov/issue/broadening-concept-patient-safety-culture-through-value-based-healthcare
September 29, 2021 - Commentary
Broadening the concept of patient safety culture through value-based healthcare.
Citation Text:
Dombrádi V, Bíró K, Jonitz G, et al. Broadening the concept of patient safety culture through value-based healthcare. J Health Organ Manag. 2021;35(5):541-549. doi:10.1108/jhom-07-2…
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psnet.ahrq.gov/issue/decade-health-information-technology-usability-challenges-and-path-forward
January 16, 2019 - Commentary
Emerging Classic
A decade of health information technology usability challenges and the path forward.
Citation Text:
Ratwani RM, Reider J, Singh H. A Decade of Health Information Technology Usability Challenges and the Path Forward. JAMA. 2019;321(8):…
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psnet.ahrq.gov/issue/teaching-nursing-students-ethical-and-legal-consequences-medical-errors-insights-radonda
July 05, 2017 - Study
Teaching nursing students the ethical and legal consequences of medical errors: insights from the RaDonda Vaught case using the jigsaw technique.
Citation Text:
Geiselman EL, Opsahl A, Townsend C. Teaching nursing students the ethical and legal consequences of medical errors: insig…
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psnet.ahrq.gov/issue/organisational-reporting-and-learning-systems-innovating-inside-and-outside-box
July 22, 2020 - Commentary
Organisational reporting and learning systems: innovating inside and outside of the box.
Citation Text:
Sujan M, Furniss D. Organisational reporting and learning systems: Innovating inside and outside of the box. Clin Risk. 2015;21(1):7-12. doi:10.1177/1356262215574203.
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psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-safe-administration-chemotherapy-hospitalized
August 08, 2018 - Study
Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children with cancer.
Citation Text:
Robinson DL, Heigham M, Clark J. Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children with cancer…
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psnet.ahrq.gov/issue/frequency-risk-factors-potentially-increase-harm-medications-older-adults-receiving-primary
May 18, 2022 - Study
Frequency of risk factors that potentially increase harm from medications in older adults receiving primary care.
Citation Text:
Frequency of risk factors that potentially increase harm from medications in older adults receiving primary care. McCarthy L, Dolovich L, Haq M, et a…
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meps.ahrq.gov/mepsweb/data_stats/state_tables.jsp
January 01, 2024 - Medical Expenditure Panel Survey Insurance Component State Tables
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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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meps.ahrq.gov/mepsweb/data_stats/publications.jsp
July 13, 2017 - Medical Expenditure Panel Survey Publications Search
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