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psnet.ahrq.gov/issue/electronic-prescribing-systems-pediatrics-rationale-and-functionality-requirements
November 25, 2013 - Organizational Policy/Guidelines
Electronic prescribing systems in pediatrics: the rationale and functionality requirements.
Citation Text:
Technology AA of PC on CI, Gerstle RS. Electronic prescribing systems in pediatrics: the rationale and functionality requirements. Pediatrics. 200…
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psnet.ahrq.gov/issue/practical-application-high-reliability-principles-healthcare-optimize-quality-and-safety
August 14, 2024 - Commentary
Practical application of high-reliability principles in healthcare to optimize quality and safety outcomes.
Citation Text:
Oster CA, Deakins S. Practical Application of High-Reliability Principles in Healthcare to Optimize Quality and Safety Outcomes. J Nurs Admin. 2017;48(1):…
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psnet.ahrq.gov/issue/alarm-fatigue-use-evidence-based-alarm-management-strategy
July 24, 2024 - Commentary
Alarm fatigue: use of an evidence-based alarm management strategy.
Citation Text:
Turmell JW, Coke L, Catinella R, et al. Alarm Fatigue. J Nurs Care Qual. 2016;32(1):47-54. doi:10.1097/ncq.0000000000000223.
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psnet.ahrq.gov/issue/using-plan-do-study-act-transform-simulation-center
March 13, 2024 - Commentary
Using Plan Do Study Act to transform a simulation center.
Citation Text:
Murphy JI. Using Plan Do Study Act to Transform a Simulation Center. Clin Simul Nurs. 2012;9(7). doi:10.1016/j.ecns.2012.03.002.
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psnet.ahrq.gov/issue/medication-reconciliation-developing-and-implementing-program
August 21, 2024 - Study
Medication reconciliation: developing and implementing a program.
Citation Text:
Schwarz M, Wyskiel R. Medication Reconciliation: Developing and Implementing a Program. Crit Care Nurs Clin North Am. 2007;18(4). doi:10.1016/j.ccell.2006.09.003.
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psnet.ahrq.gov/issue/assessment-quality-and-impact-npsa-medication-safety-outputs-issued-nhs-england-and-wales
September 24, 2008 - Study
An assessment of the quality and impact of NPSA medication safety outputs issued to the NHS in England and Wales.
Citation Text:
Lankshear A, Lowson K, Weingart SN. An assessment of the quality and impact of NPSA medication safety outputs issued to the NHS in England and Wales. B…
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psnet.ahrq.gov/issue/your-code-cart-ready
August 30, 2017 - Newspaper/Magazine Article
Is your code cart ready?
Citation Text:
Cohen ML. Is your code cart ready? Medical economics. 2005;82(18):45-6, 48.
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psnet.ahrq.gov/issue/diagnostic-overshadowing-dentistry
March 13, 2024 - Commentary
Diagnostic overshadowing in dentistry.
Citation Text:
Clough S, Handley P. Diagnostic overshadowing in dentistry. Br Dent J. 2019;227(4):311-315. doi:10.1038/s41415-019-0623-x.
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psnet.ahrq.gov/issue/you-cant-blame-wreck-train
March 03, 2011 - Commentary
You can't blame the wreck on the train.
Citation Text:
Potts JR. You can't blame the wreck on the train. Am J Surg. 2017;214(5):974-978. doi:10.1016/j.amjsurg.2016.11.046.
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psnet.ahrq.gov/issue/patient-safety-institute-demonstration-project-model-implementing-local-health-information
May 15, 2013 - Commentary
The Patient Safety Institute demonstration project: a model for implementing a local health information infrastructure.
Citation Text:
Classen D, Kanhouwa M, Will D, et al. The patient safety institute demonstration project: a model for implementing a local health informatio…
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psnet.ahrq.gov/issue/safe-handling-concentrated-electrolyte-products-outsourcing-facilities-during-critical-drug
December 15, 2021 - Press Release/Announcement
Safe handling of concentrated electrolyte products from outsourcing facilities during critical drug shortages.
Citation Text:
Safe handling of concentrated electrolyte products from outsourcing facilities during critical drug shortages. National Alert Network. …
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psnet.ahrq.gov/issue/development-expert-system-classification-medical-errors
June 22, 2009 - Commentary
Development of an expert system for classification of medical errors.
Citation Text:
Kopec D, Levy K, Kabir M, et al. Development of an expert system for classification of medical errors. Stud Health Technol Inform. 2005;114:110-6.
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psnet.ahrq.gov/issue/pursuit-perfection-hospitals-take-heightened-actions-reduce-adverse-events
November 18, 2020 - Newspaper/Magazine Article
The pursuit of perfection: hospitals take heightened actions to reduce adverse events.
Citation Text:
May EL. The pursuit of perfection: hospitals take heightened actions to reduce adverse events. Healthcare executive. 2012;27(2):26-8, 30-3.
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psnet.ahrq.gov/issue/applying-lean-sigma-solutions-mistake-proof-chemotherapy-preparation-process
September 02, 2015 - Commentary
Applying Lean Sigma solutions to mistake-proof the chemotherapy preparation process.
Citation Text:
Aboumatar HJ, Winner L, Davis RO, et al. Applying Lean Sigma solutions to mistake-proof the chemotherapy preparation process. Jt Comm J Qual Patient Saf. 2010;36(2):79-86.
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psnet.ahrq.gov/issue/adverse-events-during-dental-care-children-implications-practitioner-health-and-wellness
December 22, 2021 - Review
Adverse events during dental care for children: implications for practitioner health and wellness.
Citation Text:
Nainar SMH. Adverse events during dental care for children: implications for practitioner health and wellness. Pediatr Dent. 2018;40(5):323-326.
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digital.ahrq.gov/program-overview/research-reports/2021-year-review
January 01, 2021 - Improving Healthcare Through AHRQ's Digital Healthcare Research Program: 2021 Year in Review
Executive Summary
"The Digital Healthcare Research Program funds research to create actionable findings around 'what and how digital healthcare technologies work best' for its key stakehold…
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psnet.ahrq.gov/issue/critical-incident-reporting-system-emergency-medicine
August 07, 2019 - Review
Critical incident reporting system in emergency medicine.
Citation Text:
Kram R. Critical incident reporting system in emergency medicine. Curr Opin Anaesthesiol. 2008;21(2):240-244. doi:10.1097/ACO.0b013e3282f60d82.
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psnet.ahrq.gov/issue/age-related-covid-19-vaccine-mix-ups
June 13, 2018 - Press Release/Announcement
Age-related COVID-19 vaccine mix-ups.
Citation Text:
Age-related COVID-19 vaccine mix-ups. National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American Society of Health-System Pharmacists. December 6, 2021.
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www.ahrq.gov/sops/resources/case-studies.html
March 01, 2025 - Impact Case Studies on the SOPS Surveys
AHRQ’s collection of Impact Case Studies highlights successes of organizations using AHRQ’s evidence-based tools and resources. Below are success stories from organizations that used the SOPS Surveys grouped by year the case study was published. Contact us at ImpactCas…
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psnet.ahrq.gov/issue/missing-clinical-information-during-primary-care-visits
March 28, 2011 - Study
Missing clinical information during primary care visits.
Citation Text:
Smith PC, Araya-Guerra R, Bublitz C, et al. Missing clinical information during primary care visits. JAMA. 2005;293(5):565-71.
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