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psnet.ahrq.gov/issue/pain-management-and-opioid-epidemic-balancing-societal-and-individual-benefits-and-risks
March 29, 2006 - Book/Report
Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use.
Citation Text:
Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use. Bonnie RJ, Ford M…
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psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-too-little-too-much
November 25, 2009 - Commentary
Failure mode and effects analysis: too little for too much?
Citation Text:
Franklin BD, Shebl NA, Barber N. Failure mode and effects analysis: too little for too much? BMJ Qual Saf. 2012;21(7):607-11. doi:10.1136/bmjqs-2011-000723.
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digital.ahrq.gov/ahrq-funded-projects/e3ivr-conference-ethics-investigational-and-interventional-uses-immersive-vr
January 01, 2023 - e3iVR: Conference on Ethics in Investigational and Interventional Uses of Immersive VR
Project Final Report ( PDF , 844.27 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 necessa…
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digital.ahrq.gov/ahrq-funded-projects/developing-guide-identifying-and-remediating-unintended-consequences/annual-summary/2011
January 01, 2011 - Developing a Guide to Identifying and Remediating Unintended Consequences of Implementing Health IT - 2011
Project Name
Developing a Guide to Identifying and Remediating Unintended Consequences of Implementing Health Information Technology
Principal Investigator
Koppel, Ross
Orga…
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psnet.ahrq.gov/issue/using-multi-method-user-centred-prospective-hazard-analysis-assess-care-quality-and-patient
May 27, 2011 - Study
Using a multi-method, user centred, prospective hazard analysis to assess care quality and patient safety in a care pathway.
Citation Text:
Dean JE, Hutchinson A, Escoto KH, et al. Using a multi-method, user centred, prospective hazard analysis to assess care quality and patient …
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psnet.ahrq.gov/issue/artificial-intelligence-health-care-benefits-and-challenges-machine-learning-technologies
October 12, 2022 - Book/Report
Artificial Intelligence in Health Care: Benefits and Challenges of Machine Learning Technologies for Medical Diagnostics.
Citation Text:
Artificial Intelligence in Health Care: Benefits and Challenges of Machine Learning Technologies for Medical Diagnostics. Washington DC: Un…
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psnet.ahrq.gov/issue/inpatients-notes-sensemaking-fostering-shared-understanding-clinical-teams
November 25, 2020 - Commentary
Inpatients notes: sensemaking—fostering a shared understanding in clinical teams.
Citation Text:
Leykum LK, O'Leary KJ. Web Exclusives. Annals for Hospitalists Inpatient Notes - Sensemaking-Fostering a Shared Understanding in Clinical Teams. Ann Intern Med. 2017;167(4):HO2-HO3…
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psnet.ahrq.gov/issue/concept-analysis-situational-awareness-nursing
August 12, 2015 - Review
A concept analysis of situational awareness in nursing.
Citation Text:
Fore AM, Sculli GL. A concept analysis of situational awareness in nursing. J Adv Nurs. 2013;69(12):2613-21. doi:10.1111/jan.12130.
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psnet.ahrq.gov/issue/request-information-creating-national-healthcare-system-action-alliance-advance-patient
June 22, 2022 - Press Release/Announcement
Request for Information: Creating a National Healthcare System Action Alliance to Advance Patient Safety.
Citation Text:
Request for Information: Creating a National Healthcare System Action Alliance to Advance Patient Safety. Agency for Healthcare Research and…
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psnet.ahrq.gov/issue/ahrq-announces-interest-research-about-epidemiology-patient-safety-risks-and-harms-ambulatory
August 15, 2018 - Government Resource
AHRQ Announces Interest in Research About the Epidemiology of Patient Safety Risks and Harms in Ambulatory Health Care Settings.
Citation Text:
AHRQ Announces Interest in Research About the Epidemiology of Patient Safety Risks and Harms in Ambulatory Health Care Setti…
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psnet.ahrq.gov/issue/implicit-bias-stroke-care-recurring-old-problem-rising-incidence-young-stroke
June 08, 2010 - Review
Implicit bias in stroke care: a recurring old problem in the rising incidence of young stroke.
Citation Text:
Bhat A, Mahajan V, Wolfe N. Implicit bias in stroke care: A recurring old problem in the rising incidence of young stroke. J Clin Neurosci. 2021;85(Mar):27-35. doi:10.1016…
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psnet.ahrq.gov/issue/testing-and-labeling-medical-devices-safety-magnetic-resonance-mr-environment
March 12, 2019 - Book/Report
Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment.
Citation Text:
Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment. Silver Spring, MD: US Department of Health and Human Services, Food and Drug …
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psnet.ahrq.gov/issue/evaluation-nurse-interaction-bar-code-medication-administration-technology-work-environment
April 15, 2020 - Study
Evaluation of nurse interaction with bar code medication administration technology in the work environment.
Citation Text:
Carayon P, Wetterneck TB, Hundt AS, et al. Evaluation of Nurse Interaction With Bar Code Medication Administration Technology in the Work Environment. J Pati…
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psnet.ahrq.gov/issue/cascade-iatrogenesis-factors-leading-development-adverse-events-hospitalized-older-adults
June 27, 2012 - Commentary
Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults.
Citation Text:
Thornlow D, Anderson RA, Oddone E. Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. Int J Nurs Stud…
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psnet.ahrq.gov/issue/infection-prevention-compendium-long-term-care-facilities
November 08, 2017 - Tools/Toolkit
Infection Prevention Compendium For Long-Term Care Facilities.
Citation Text:
Infection Prevention Compendium For Long-Term Care Facilities. Center for Healthy Aging--New York Academy of Medicine, Yale School of Nursing.
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psnet.ahrq.gov/issue/opioids-medicare-part-d-concerns-about-extreme-use-and-questionable-prescribing
October 29, 2008 - Book/Report
Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing.
Citation Text:
Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing. Office of the Inspector General. Washington, DC: US Department of Health and Human Services…
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psnet.ahrq.gov/issue/exploratory-analyses-failure-rescue-measure-evaluation-through-medical-record-review
December 15, 2008 - Study
Exploratory analyses of the "failure to rescue" measure: evaluation through medical record review.
Citation Text:
Talsma AN, Bahl V, Campbell D. Exploratory analyses of the "failure to rescue" measure: evaluation through medical record review. J Nurs Care Qual. 2008;23(3):202-210. …
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psnet.ahrq.gov/issue/medication-discrepancies-integrated-electronic-health-records
July 21, 2021 - Study
Medication discrepancies in integrated electronic health records.
Citation Text:
Linsky A, Simon SR. Medication discrepancies in integrated electronic health records. BMJ Qual Saf. 2013;22(2):103-9. doi:10.1136/bmjqs-2012-001301.
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psnet.ahrq.gov/issue/identifying-and-understanding-ways-address-impact-racism-patient-safety-health-care-settings
May 21, 2014 - Book/Report
Identifying and Understanding Ways to Address the Impact of Racism on Patient Safety in Health Care Settings.
Citation Text:
Identifying and Understanding Ways to Address the Impact of Racism on Patient Safety in Health Care Settings. Schulson LB, Thomas AD, Tsuei J, et al.&n…
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psnet.ahrq.gov/issue/call-systems-thinking-approach-medication-adherence-stop-blaming-patient
November 09, 2022 - Commentary
A call for a systems-thinking approach to medication adherence: stop blaming the patient.
Citation Text:
Lauffenburger JC, Choudhry NK. A Call for a Systems-Thinking Approach to Medication Adherence: Stop Blaming the Patient. JAMA Intern Med. 2018;178(7):950-951. doi:10.1001/j…