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psnet.ahrq.gov/issue/association-polypharmacy-and-potential-drug-drug-interactions-adverse-treatment-outcomes
May 25, 2016 - Study
Association of polypharmacy and potential drug-drug interactions with adverse treatment outcomes in older adults with advanced cancer.
Citation Text:
Mohamed MR, Mohile SG, Juba KM, et al. Association of polypharmacy and potential drug‐drug interactions with adverse treatment outco…
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psnet.ahrq.gov/issue/learning-latent-safety-threats-identified-during-simulation-improve-patient-safety
June 10, 2020 - Study
Learning from latent safety threats identified during simulation to improve patient safety.
Citation Text:
Congenie K, Bartjen L, Gutierrez D, et al. Learning from latent safety threats identified during simulation to improve patient safety. Jt Comm J Qual Patient Saf. 2023;49(12):…
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www.ahrq.gov/pqmp/implementation-qi/lessons.html
August 01, 2021 - Lessons from the Field Reports
The Pediatric Quality Measures Program (PQMP) was established to increase the portfolio of evidence-based, consensus pediatric quality measures available to public and private purchasers of children's health care services. It was established following enactment of the Children's H…
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psnet.ahrq.gov/issue/medication-safety-systems-and-important-role-pharmacists
July 19, 2023 - Review
Medication safety systems and the important role of pharmacists.
Citation Text:
Mansur JM. Medication Safety Systems and the Important Role of Pharmacists. Drugs Aging. 2016;33(3):213-21. doi:10.1007/s40266-016-0358-1.
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psnet.ahrq.gov/issue/feeling-unsafe-healthcare-setting-patients-perspectives
June 11, 2014 - Review
Feeling unsafe in the healthcare setting: patients' perspectives.
Citation Text:
Kenward L, Whiffin C, Spalek B. Feeling unsafe in the healthcare setting: patients' perspectives. Br J Nurs. 2017;26(3):143-149. doi:10.12968/bjon.2017.26.3.143.
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psnet.ahrq.gov/issue/respectful-maternity-care-dissemination-and-implementation-perinatal-safety-culture-improve
June 08, 2011 - Book/Report
Respectful Maternity Care: Dissemination and Implementation of Perinatal Safety Culture to Improve Equitable Maternal Healthcare Delivery and Outcomes.
Citation Text:
Respectful Maternity Care: Dissemination and Implementation of Perinatal Safety Culture To Improve Equitable …
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psnet.ahrq.gov/issue/patient-safety-objective-structured-clinical-examination
October 06, 2011 - Study
A patient safety objective structured clinical examination.
Citation Text:
Singh R, Singh A, Fish R, et al. A patient safety objective structured clinical examination. J Patient Saf. 2009;5(2):55-60. doi:10.1097/PTS.0b013e31819d65c2.
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psnet.ahrq.gov/issue/systematic-review-effectiveness-compliance-and-critical-factors-implementation-safety
December 04, 2024 - Review
A systematic review of the effectiveness, compliance, and critical factors for implementation of safety checklists in surgery.
Citation Text:
Borchard A, Schwappach DLB, Barbir A, et al. A systematic review of the effectiveness, compliance, and critical factors for implementatio…
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psnet.ahrq.gov/issue/frequency-medication-errors-intravenous-acetylcysteine-acetaminophen-overdose
March 03, 2010 - Study
Frequency of medication errors with intravenous acetylcysteine for acetaminophen overdose.
Citation Text:
Hayes BD, Klein-Schwartz W, Doyon S. Frequency of medication errors with intravenous acetylcysteine for acetaminophen overdose. Ann Pharmacother. 2008;42(6):766-70. doi:10.13…
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psnet.ahrq.gov/issue/patients-and-healthcare-workers-perceptions-patient-safety-advisory
March 11, 2013 - Study
Patients' and healthcare workers' perceptions of a patient safety advisory.
Citation Text:
Schwappach DLB, Frank O, Koppenberg J, et al. Patients' and healthcare workers' perceptions of a patient safety advisory. Int J Qual Health Care. 2011;23(6):713-20. doi:10.1093/intqhc/mzr062.…
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psnet.ahrq.gov/issue/implementation-standardized-dosing-units-iv-medications
May 11, 2014 - Study
Implementation of standardized dosing units for I.V. medications.
Citation Text:
Jung B, Couldry R, Wilkinson S, et al. Implementation of standardized dosing units for i.v. medications. Am J Health Syst Pharm. 2014;71(24):2153-8. doi:10.2146/ajhp140046.
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psnet.ahrq.gov/issue/what-we-know-about-designing-effective-improvement-intervention-too-often-fail-put-practice
September 06, 2017 - Commentary
What we know about designing an effective improvement intervention (but too often fail to put into practice).
Citation Text:
Marshall M, de Silva D, Cruickshank L, et al. What we know about designing an effective improvement intervention (but too often fail to put into practic…
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psnet.ahrq.gov/issue/engineered-solution-maladministration-spinal-injections
March 14, 2022 - Study
An engineered solution to the maladministration of spinal injections.
Citation Text:
Lawton R, Gardner P, Green B, et al. An engineered solution to the maladministration of spinal injections. Qual Saf Health Care. 2009;18(6):492-5. doi:10.1136/qshc.2007.025767.
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psnet.ahrq.gov/issue/patient-safety-primary-care-has-many-aspects-interview-study-primary-care-doctors-and-nurses
July 23, 2008 - Study
Patient safety in primary care has many aspects: an interview study in primary care doctors and nurses.
Citation Text:
Gaal S, van Laarhoven E, Wolters R, et al. Patient safety in primary care has many aspects: an interview study in primary care doctors and nurses. J Eval Clin Pr…
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psnet.ahrq.gov/issue/perioperative-safety-plastic-surgery-world-health-organization-checklist-useful-broad
September 23, 2020 - Study
Perioperative safety in plastic surgery: is the World Health Organization checklist useful in a broad practice?
Citation Text:
Biskup N, Workman AD, Kutzner E, et al. Perioperative Safety in Plastic Surgery: Is the World Health Organization Checklist Useful in a Broad Practice? Ann…
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www.ahrq.gov/cahps/surveys-guidance/cancer/index.html
July 01, 2020 - CAHPS Cancer Care Survey
The CAHPS ® Cancer Care Survey assesses the experiences of adult patients with cancer treatment provided in outpatient and inpatient settings, including:
Independent community oncology practices.
Cancer centers at community hospitals.
Cancer centers at academic medical centers …
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psnet.ahrq.gov/issue/ahrq-psnet-annual-webinar-evidence-advancing-rapid-response-systems-and-opioid-stewardship
December 10, 2024 - Webinar
AHRQ PSNet Annual Webinar: Evidence on Advancing Rapid Response Systems and Opioid Stewardship.
Citation Text:
Agency for Healthcare Quality and Research. AHRQ PSNet Annual Webinar: Evidence on Advancing Rapid Response Systems and Opioid Stewardship. February 10, 2025, 1:00pm-2:0…
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psnet.ahrq.gov/issue/modes-failure-venous-thromboembolism-prophylaxis
October 19, 2022 - Study
Modes of failure in venous thromboembolism prophylaxis.
Citation Text:
Richie CD, Castle JT, Davis GA, et al. Modes of failure in venous thromboembolism prophylaxis. Angiology. 2022;73(8):712-715. doi:10.1177/00033197221083724.
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digital.ahrq.gov/health-care-theme/telehealth
January 01, 2023 - Telehealth
Patient Intestinal Failure-ECHO Project (PIF-ECHO)
Description
This study will evaluate the feasibility and effectiveness of providing chronic intestinal failure patients and their family caregivers with direct access to live, virtual, multi-disciplinary (multi-D) s…
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psnet.ahrq.gov/issue/toward-translation-systems-thinking-methods-patient-safety-practice-assessing-validity-net
April 21, 2021 - Study
Toward the translation of systems thinking methods in patient safety practice: assessing the validity of Net-HARMS and AcciMap.
Citation Text:
Salmon PM, King B, Hulme A, et al. Toward the translation of systems thinking methods in patient safety practice: assessing the validity of…