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psnet.ahrq.gov/issue/controlled-substance-drug-diversion-healthcare-workers-threat-patient-safety
April 05, 2023 - Special or Theme Issue
Controlled substance drug diversion by healthcare workers as a threat to patient safety.
Citation Text:
Controlled substance drug diversion by healthcare workers as a threat to patient safety. ISMP Medication Safety Alert! Acute care edition. February 23, 2023;28(4…
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psnet.ahrq.gov/issue/adverse-drug-event-rates-high-cost-and-high-use-drugs-intensive-care-unit
April 11, 2012 - Study
Adverse-drug-event rates for high-cost and high-use drugs in the intensive care unit.
Citation Text:
Kane-Gill SL, Rea RS, Verrico MM, et al. Adverse-drug-event rates for high-cost and high-use drugs in the intensive care unit. Am J Health Syst Pharm. 2006;63(19):1876-81.
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psnet.ahrq.gov/issue/sustaining-quality-improvement-and-patient-safety-training-graduate-medical-education-lessons
July 02, 2014 - Study
Sustaining quality improvement and patient safety training in graduate medical education: lessons from social theory.
Citation Text:
Wong BM, Kuper A, Hollenberg E, et al. Sustaining quality improvement and patient safety training in graduate medical education: lessons from social …
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psnet.ahrq.gov/issue/integrative-systematic-review-employee-silence-and-voice-healthcare-what-are-we-really
August 03, 2022 - Review
An integrative systematic review of employee silence and voice in healthcare: what are we really measuring.
Citation Text:
Lainidi O, Jendeby MK, Montgomery A, et al. An integrative systematic review of employee silence and voice in healthcare: what are we really measuring? Front …
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psnet.ahrq.gov/issue/effect-diagnostic-accuracy-cognitive-reasoning-tools-workplace-setting-systematic-review-and
February 02, 2022 - Review
Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis.
Citation Text:
Staal J, Hooftman J, Gunput STG, et al. Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review…
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psnet.ahrq.gov/issue/sociotechnical-work-system-approach-occupational-fatigue
January 15, 2025 - Commentary
Sociotechnical work system approach to occupational fatigue.
Citation Text:
Watterson TL, Steege LM, Mott DA, et al. Sociotechnical work system approach to occupational fatigue. Jt Comm J Qual Patient Saf. 2023;49(9):485-493. doi:10.1016/j.jcjq.2023.05.007.
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psnet.ahrq.gov/issue/abbreviation-use-decreases-effective-clinical-communication-and-can-compromise-patient-safety
October 29, 2017 - Commentary
Abbreviation use decreases effective clinical communication and can compromise patient safety.
Citation Text:
Parry D, Odedra A, Fagbohun M, et al. Abbreviation use decreases effective clinical communication and can compromise patient safety. Br J Oral Maxillofac Surg. 2023;61…
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psnet.ahrq.gov/issue/facility-level-variation-potentially-inappropriate-prescribing-older-veterans
February 17, 2017 - Study
Facility-level variation in potentially inappropriate prescribing for older veterans.
Citation Text:
Gellad WF, Good CB, Amuan ME, et al. Facility-level variation in potentially inappropriate prescribing for older veterans. J Am Geriatr Soc. 2012;60(7):1222-9. doi:10.1111/j.1532-5…
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psnet.ahrq.gov/issue/types-diagnostic-errors-neurological-emergencies-emergency-department
October 30, 2019 - Study
Types of diagnostic errors in neurological emergencies in the emergency department.
Citation Text:
Dubosh NM, Edlow JA, Lefton M, et al. Types of diagnostic errors in neurological emergencies in the emergency department. Diagnosis (Berl). 2015;2(1):21-28. doi:10.1515/dx-2014-0040. …
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psnet.ahrq.gov/issue/enhanced-free-text-search-aggregated-medication-error-report-analysis-and-risk-detection
April 12, 2019 - Study
Enhanced free-text search for aggregated medication error report analysis and risk detection.
Citation Text:
Valkonen V, Saano S, Haatainen K, et al. Enhanced free-text search for aggregated medication error report analysis and risk detection. J Patient Saf. 2024;20(4):259-266. doi…
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digital.ahrq.gov/ahrq-funded-projects/electronic-health-record-use-and-care-coordination/annual-summary/2012
January 01, 2012 - Electronic Health Record Use and Care Coordination - 2012
Project Name
Electronic Health Record Use and Care Coordination
Principal Investigator
Graetz, Ilana
Organization
University of California, Berkeley
Funding Mechanism
PAR: HS09-212: AHRQ Grants for Health Ser…
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psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-surgical-safety-checklists-cesarean
May 18, 2022 - Organizational Policy/Guidelines
Society for Maternal-Fetal Medicine Special Statement: Surgical safety checklists for cesarean delivery.
Citation Text:
Combs CA, Einerson BD, Toner LE. Society for Maternal-Fetal Medicine Special Statement: Surgical safety checklists for cesarean deliver…
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psnet.ahrq.gov/issue/initiative-improve-management-clinically-significant-test-results-large-health-care-network
November 26, 2014 - Study
An initiative to improve the management of clinically significant test results in a large health care network.
Citation Text:
Roy CL, Rothschild JM, Dighe AS, et al. An initiative to improve the management of clinically significant test results in a large health care network. Jt …
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psnet.ahrq.gov/issue/improvement-medication-event-interventions-through-use-electronic-database
December 19, 2014 - Study
Improvement of medication event interventions through use of an electronic database.
Citation Text:
Merandi J, Morvay S, Lewe D, et al. Improvement of medication event interventions through use of an electronic database. Am J Health Syst Pharm. 2013;70(19):1708-14. doi:10.2146/ajh…
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psnet.ahrq.gov/issue/effect-implementation-barcode-technology-and-electronic-medication-administration-record
February 24, 2011 - Study
Effect of the implementation of barcode technology and an electronic medication administration record on adverse drug events.
Citation Text:
Truitt E, Thompson R, Blazey-Martin D, et al. Effect of the Implementation of Barcode Technology and an Electronic Medication Administration …
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psnet.ahrq.gov/issue/design-and-implementation-icu-incident-registry
February 14, 2024 - Study
Design and implementation of an ICU incident registry.
Citation Text:
van der Veer S, Cornet R, De Jonge E. Design and implementation of an ICU incident registry. Int J Med Inform. 2007;76(2-3):103-8.
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psnet.ahrq.gov/issue/direct-observation-approach-detecting-medication-errors-and-adverse-drug-events-pediatric
June 28, 2010 - Study
Direct observation approach for detecting medication errors and adverse drug events in a pediatric intensive care unit.
Citation Text:
Buckley MS, Erstad BL, Kopp BJ, et al. Direct observation approach for detecting medication errors and adverse drug events in a pediatric intensi…
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psnet.ahrq.gov/issue/failure-medication-delivery-system-how-disclosure-and-systems-investigation-improve-patient
April 03, 2005 - Commentary
A failure in the medication delivery system-how disclosure and systems investigation improve patient safety.
Citation Text:
Lucas SR, Pollak E, Makowski C. A failure in the medication delivery system—how disclosure and systems investigation improve patient safety. J Healthc Ri…
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psnet.ahrq.gov/issue/safety-using-computerized-rounding-and-sign-out-system-reduce-resident-duty-hours
June 23, 2009 - Study
Safety of using a computerized rounding and sign-out system to reduce resident duty hours.
Citation Text:
Van Eaton EG, McDonough K, Lober WB, et al. Safety of Using a Computerized Rounding and Sign-Out System to Reduce Resident Duty Hours. Academic Medicine. 2010;85(7). doi:10.1…
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psnet.ahrq.gov/issue/declines-opioid-prescribing-after-private-insurer-policy-change-massachusetts-2011-2015
October 19, 2022 - Government Resource
Declines in opioid prescribing after a private insurer policy change—Massachusetts, 2011–2015.
Citation Text:
García MC, Dodek AB, Kowalski T, et al. Declines in Opioid Prescribing After a Private Insurer Policy Change - Massachusetts, 2011-2015. MMWR Morb Mortal Wkly…