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psnet.ahrq.gov/node/36508/psn-pdf
December 06, 2011 - Patient Safety.
December 6, 2011
Matlow A, Laxer RM, eds. Pediatr Clin North Am. 2006;53(6):1053-1276.
https://psnet.ahrq.gov/issue/patient-safety-3
This special issue examines patient safety through the perspectives of parents, hospital leadership, human
factors experts, and clinicians.
https://psnet.ahrq.gov/is…
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digital.ahrq.gov/principal-investigator/dziorny-adam-c
January 01, 2023 - Dziorny, Adam C.
ML-ROVER: Machine Learning to Reduce Laboratory Test Overutilization
Description
The study will develop, validate, implement, and assess the usability of a machine learning based clinical decision support tool designed to reduce laboratory testing overutilizat…
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digital.ahrq.gov/principal-investigator/shah-sareen-s
January 01, 2023 - Shah, Sareen S.
ML-ROVER: Machine Learning to Reduce Laboratory Test Overutilization
Description
The study will develop, validate, implement, and assess the usability of a machine learning based clinical decision support tool designed to reduce laboratory testing overutilizati…
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www.ahrq.gov/sops/bibliography/index.html?page=1
January 01, 2025 - SOPS Bibliography
Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture.
Results
51-100 of 505 Bibliography Items displayed
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www.ahrq.gov/es/sops/bibliography/index.html?page=1
January 01, 2025 - SOPS Bibliography
Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture.
Results
51-100 of 505 Bibliography Items displayed
Pagination
« first
« First
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psnet.ahrq.gov/node/49742/psn-pdf
September 01, 2015 - A Fumbled Handoff to Inpatient Rehab
September 1, 2015
Ashcraft LE, Kahn JM. A Fumbled Handoff to Inpatient Rehab. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/fumbled-handoff-inpatient-rehab
The Case
An 18-year-old man with no significant past medical history sustained a traumatic brain injury after a mo…
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digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/smoking-pre-visit-call
January 01, 2023 - Smoking (Pre-Visit Call, Assessment)
Description
Sample integrated voice response (IVR) prompts and logic used in a smoke cessation counseling program.
Document Type
Script
Document Source
Conversational Information Technology (IT) for Better, Safer Pediatric Primary Care
…
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digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/smoking-pre-visit-call-0
January 01, 2023 - Smoking (Pre-Visit Call, Counseling)
Description
Sample integrated voice response (IVR) prompts and logic used in a smoke cessation counseling program.
Document Type
Script
Document Source
Conversational Information Technology (IT) for Better, Safer Pediatric Primary Care
…
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psnet.ahrq.gov/node/35738/psn-pdf
July 15, 2010 - Patient safety: lessons learned.
July 15, 2010
Bagian JP. Patient safety: lessons learned. Pediatr Radiol. 2006;36(4):287-90.
https://psnet.ahrq.gov/issue/patient-safety-lessons-learned
The author summarizes the systemwide approaches to safety that can be learned from high reliability
organizations such as aviatio…
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www.ahrq.gov/topics/quality-indicators-qis.html
Topic: Quality Indicators (QIs)
AHRQ Quality Indicators (Qis) are standardized, evidence-based measures of health care quality that can be used with readily available hospital inpatient administrative data to measure and track clinical performance and outcomes.
AHRQuality…
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hcup-us.ahrq.gov/reports/statbriefs/sb309-sepsis-race-2016-2022-addendum.pdf
January 01, 2022 - with varying age and sepsis criteria: 1) maternal regardless of age, 2) adults 18 years and older, 3) pediatrics
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/engaging-caregivers-appendix-b.xlsx
May 29, 2025 - Table B-1. Evidence Table
Table B-1. Details of included studies
Author, Year Study Design Country Setting/Transition Adult, Adolescent, or Pediatric Patients Inclusion/Exclusion Criteria Condition Caregiver Details Patient Age, Years
(Mean, Unless Specified) Caregiver Age, Years
(Mean, Unless Specified) Patient Fe…
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www.ahrq.gov/coronavirus/grants.html
March 01, 2022 - COVID-19 Research Grant Awards
The U.S. Department of Health and Human Services (HHS), through the Agency for Healthcare Research and Quality (AHRQ), announced the approval of 28 research grants designed to explore essential questions about the delivery of healthcare during the COVID-19 pandemic. Research proje…
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psnet.ahrq.gov/node/33986/psn-pdf
March 07, 2005 - Distributing Cognition: ICU Handoffs Conform to Grice's
Maxims.
March 7, 2005
Brandwijk M; Nemeth C; O'Conner M; Kahana M; Cook RI
https://psnet.ahrq.gov/issue/distributing-cognition-icu-handoffs-conform-grices-maxims
A recap of ongoing research studying the important transitions, or "handoffs" of care, that occur…
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psnet.ahrq.gov/node/39704/psn-pdf
July 21, 2010 - Identifying medication errors in surgical prescription
charts.
July 21, 2010
Simons J. Identifying medication errors in surgical prescription charts. Paediatr Nurs. 2010;22(5):20-4.
https://psnet.ahrq.gov/issue/identifying-medication-errors-surgical-prescription-charts
This study used manual chart review to estima…
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psnet.ahrq.gov/node/35779/psn-pdf
July 20, 2010 - Our story.
July 20, 2010
King S. Our story. Pediatr Radiol. 2006;36(4):284-6.
https://psnet.ahrq.gov/issue/our-story
The author tells the story of medical errors that led to the death of her daughter Josie in 2001 and
discusses the activities her family has undertaken to prevent similar incidents from happening to…
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psnet.ahrq.gov/node/38438/psn-pdf
February 25, 2009 - Minimising medication errors in children.
February 25, 2009
Wong ICK, Wong LYL, Cranswick NE. Minimising medication errors in children. Arch Dis Child.
2009;94(2):161-4. doi:10.1136/adc.2007.116442.
https://psnet.ahrq.gov/issue/minimising-medication-errors-children
This review identifies factors that contribute to…
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psnet.ahrq.gov/node/39415/psn-pdf
March 31, 2010 - ISMP's Guidelines for Standard Order Sets.
March 31, 2010
Horsham, PA: Institute for Safe Medication Practices; March 2010.
https://psnet.ahrq.gov/issue/ismps-guidelines-standard-order-sets
To ensure the safety and effectiveness of standard order sets, this guide provides recommendations on
content, design, approv…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024983-pratap-final-report-2019.pdf
January 01, 2019 - Pediatrics. 2015;135(5):e1292-9. doi: 10.1542/peds.2014-2418. PubMed PMID: 25869374.
2.
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psnet.ahrq.gov/node/39689/psn-pdf
May 07, 2018 - DTaP–Tdap mix-ups now affecting hundreds of patients.
May 7, 2018
ISMP Medication Safety Alert! Acute Care Edition. July 1, 2010;15:1-2.
https://psnet.ahrq.gov/issue/dtap-tdap-mix-ups-now-affecting-hundreds-patients
This piece reports on examples of confusion between adult and pediatric immunizations and states tha…