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  1. 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…
  2. 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. Copy Citation Format: DOI Goo…
  3. 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…
  4. 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…
  5. 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 …
  6. 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…
  7. 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…
  8. 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. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…
  9. 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…
  10. 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…
  11. 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…
  12. 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 …
  13. 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…
  14. 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…
  15. 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. Copy Citation Save Save to…
  16. 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…
  17. 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. …
  18. 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. Copy Citation Format: DOI Google Sch…
  19. 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…
  20. 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…