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psnet.ahrq.gov/issue/do-micropauses-prevent-surgeons-fatigue-and-loss-accuracy-associated-prolonged-surgery
November 29, 2023 - Study
Do micropauses prevent surgeon's fatigue and loss of accuracy associated with prolonged surgery? An experimental prospective study.
Citation Text:
Dorion D, Darveau S. Do micropauses prevent surgeon's fatigue and loss of accuracy associated with prolonged surgery? An experimental…
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www.ahrq.gov/sites/default/files/wysiwyg/nqsleverfactsheet.pdf
May 01, 2014 - National Quality Strategy: Using Levers to Achieve Improved Health and Health Care
National Quality Strategy: Using Levers to
Achieve Improved Health and Health Care
About the National Quality Strategy
The National Quality Strategy is the first-ever national effort backed by legislation to align public- and
privat…
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psnet.ahrq.gov/issue/disclosing-medical-mistakes-communication-management-plan-physicians
November 16, 2022 - Commentary
Disclosing medical mistakes: a communication management plan for physicians.
Citation Text:
Petronio S, Torke A, Bosslet G, et al. Disclosing medical mistakes: a communication management plan for physicians. Perm J. 2013;17(2):73-9. doi:10.7812/TPP/12-106.
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psnet.ahrq.gov/issue/patients-perspectives-surgical-safety-do-they-feel-safe
November 18, 2013 - Study
Patients' perspectives of surgical safety: do they feel safe?
Citation Text:
Dixon JL, Tillman MM, Wehbe-Janek H, et al. Patients' Perspectives of Surgical Safety: Do They Feel Safe? The Ochsner J. 2015;15(2):143-148.
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psnet.ahrq.gov/issue/complexity-thinking-account-covid-19-pandemic-implications-systems-oriented-safety-management
February 07, 2024 - Commentary
A complexity thinking account of the COVID-19 pandemic: implications for systems-oriented safety management.
Citation Text:
Abreu Saurin T. A complexity thinking account of the COVID-19 pandemic: Implications for systems-oriented safety management. Safety Sci. 2021;134:105087.…
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psnet.ahrq.gov/issue/ncpdp-recommendations-and-guidance-standardizing-dosing-designations-prescription-container
September 09, 2020 - Book/Report
NCPDP Recommendations and Guidance for Standardizing the Dosing Designations on Prescription Container Labels of Oral Liquid Medications Version 1.0.
Citation Text:
NCPDP Recommendations and Guidance for Standardizing the Dosing Designations on Prescription Container Labels o…
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psnet.ahrq.gov/issue/ashp-guidelines-remote-medication-order-processing
April 19, 2013 - Commentary
ASHP guidelines on remote medication order processing.
Citation Text:
Processing ASHPEP on RMO, Thompson B, Conrad G, et al. ASHP guidelines on remote medication order processing. Am J Health Syst Pharm. 2010;67(8):672-7. doi:10.2146/sp100003.
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psnet.ahrq.gov/issue/quality-outpatient-clinical-notes-stakeholder-definition-derived-through-qualitative-research
September 09, 2013 - Study
Quality of outpatient clinical notes: a stakeholder definition derived through qualitative research.
Citation Text:
Hanson JL, Stephens MB, Pangaro LN, et al. Quality of outpatient clinical notes: a stakeholder definition derived through qualitative research. BMC Health Serv Res. …
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psnet.ahrq.gov/issue/survey-results-smart-pump-data-analytics-pump-metrics-should-be-monitored-improve-safety
August 08, 2018 - Newspaper/Magazine Article
Survey results: smart pump data analytics pump metrics that should be monitored to improve safety.
Citation Text:
Survey results: smart pump data analytics pump metrics that should be monitored to improve safety. ISMP Medication Safety Alert! Acute care edition…
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www.ahrq.gov/news/newsroom/case-studies/201809.html
January 01, 2019 - AHRQ Toolkit Helped NorthShore Health Track Data to Keep Infection Rates Low
Search All Impact Case Studies
January 2019
Chicago’s NorthShore University Health System was on a mission to maintain low rates of catheter-associated urinary tract infections (CAUTI). Then NorthShore infection preventionist Mona …
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psnet.ahrq.gov/issue/set-phasers-stun-and-other-true-tales-design-technology-and-human-error-second-edition
May 30, 2019 - Book/Report
Classic
Set Phasers on Stun: And Other True Tales of Design, Technology, and Human Error, Second Edition.
Citation Text:
Set Phasers on Stun: And Other True Tales of Design, Technology, and Human Error, Second Edition. Casey SM. Santa Barbara, CA: Ae…
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psnet.ahrq.gov/issue/error-medicine
November 02, 2014 - Commentary
Classic
Error in medicine.
Citation Text:
Leape L. Error in medicine. JAMA. 1994;272(23):1851-1857.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/wetterneck-tb-lapin-ja
January 01, 2023 - Wetterneck TB, Lapin JA, Krueger DJ, et al. "Development of a primary care physician task list to evaluate clinic visit workflow."
Reference
Wetterneck TB, Lapin JA, Krueger DJ, et al. Development of a primary care physician task list to evaluate clinic visit workflow. BMJ Qual Saf 2012 Jan;21(1):47-5…
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psnet.ahrq.gov/issue/medical-harm-historical-conceptual-and-ethical-dimensions-iatrogenic-illness
May 13, 2020 - Book/Report
Classic
Medical Harm: Historical, Conceptual, and Ethical Dimensions of Iatrogenic Illness.
Citation Text:
Medical Harm: Historical, Conceptual, and Ethical Dimensions of Iatrogenic Illness. Sharpe VA, Faden AI. Cambridge NY; Cambridge University…
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psnet.ahrq.gov/issue/ahrq-funded-patient-safety-project-highlights-improving-healthcare-safety-engaging-patients
March 22, 2024 - Book/Report
AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Engaging Patients and Families.
Citation Text:
AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Engaging Patients and Families. Rockville, MD: Agency for Healthcare Rese…
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psnet.ahrq.gov/issue/research-ambulatory-patient-safety-2000-2010-10-year-review
March 11, 2015 - Book/Report
Classic
Research in Ambulatory Patient Safety 2000-2010: A 10-Year Review.
Citation Text:
Research in Ambulatory Patient Safety 2000-2010: A 10-Year Review. Lorincz CY, Drazen E, Sokol PE, et al. Chicago, IL: American Medical Association; 2011.
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psnet.ahrq.gov/issue/governing-safety-artificial-intelligence-healthcare
February 28, 2024 - Review
Emerging Classic
Governing the safety of artificial intelligence in healthcare.
Citation Text:
Macrae C. Governing the safety of artificial intelligence in healthcare. BMJ Qual Saf. 2019;28(6):495-498. doi:10.1136/bmjqs-2019-009484.
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/40th-anniversary-timeline
January 01, 2006 - 40th Anniversary Timeline
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Celebrating 40 Years of Prevention Guidance
For 40 years, the U.S. Preventive Services Task Force (USPSTF or Task Force) has improved the…
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pso.ahrq.gov/sites/default/files/wysiwyg/pso-policies-procedures-topics-to-address.pdf
July 01, 2021 - Patient Safety Organization's Policies and Procedures: Suggested Topics to Address
…
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digital.ahrq.gov/ahrq-funded-projects/developing-passive-digital-marker-prediction-childhood-asthma-treatment
July 31, 2025 - Developing a Passive Digital Marker for the Prediction of Childhood Asthma Treatment Response
Project Description
Applying novel machine learning methodologies in real time to readily available risk and prognostic data in electronic health records could contribute to the develo…