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psnet.ahrq.gov/issue/impact-miscommunication-medical-dispute-cases-japan
September 25, 2019 - Study
Impact of miscommunication in medical dispute cases in Japan.
Citation Text:
Aoki N, Uda K, Ohta S, et al. Impact of miscommunication in medical dispute cases in Japan. Int J Qual Health Care. 2008;20(5):358-62. doi:10.1093/intqhc/mzn028.
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psnet.ahrq.gov/issue/report-15-years-clinical-negligence-claims-rhinology
November 30, 2011 - Study
A report on 15 years of clinical negligence claims in rhinology.
Citation Text:
Geyton T, Odutoye T, Mathew R. A report on 15 years of clinical negligence claims in rhinology. Am J Rhinol Allergy. 2014;28(6):219-23. doi:10.2500/ajra.2014.28.4118.
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…
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psnet.ahrq.gov/issue/biopsy-site-selfies-quality-improvement-pilot-study-assist-correct-surgical-site
August 02, 2015 - Study
Biopsy site selfies—a quality improvement pilot study to assist with correct surgical site identification.
Citation Text:
Nijhawan RI, Lee EH, Nehal KS. Biopsy site selfies--a quality improvement pilot study to assist with correct surgical site identification. Dermatol Surg. 2015;4…
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psnet.ahrq.gov/issue/impact-senior-clinical-review-patient-disposition-emergency-department
August 28, 2024 - Study
Impact of senior clinical review on patient disposition from the emergency department.
Citation Text:
White AL, Armstrong PAR, Thakore S. Impact of senior clinical review on patient disposition from the emergency department. Emerg Med J. 2010;27(4):262-5, 296. doi:10.1136/emj.200…
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psnet.ahrq.gov/issue/ethics-pediatric-emergency-department-when-mistakes-happen-approach-process-evaluation-and
December 13, 2013 - Review
Ethics in the pediatric emergency department: when mistakes happen: an approach to the process, evaluation, and response to medical errors.
Citation Text:
Dreisinger N, Zapolsky N. Ethics in the Pediatric Emergency Department: When Mistakes Happen: An Approach to the Process, Eval…
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psnet.ahrq.gov/issue/anesthesia-machine-cause-intraoperative-code-red-labor-and-delivery-suite
August 16, 2023 - Commentary
Anesthesia machine as a cause of intraoperative "code red" in the labor and delivery suite.
Citation Text:
Kuczkowski KM. Anesthesia machine as a cause of intraoperative "code red" in the labor and delivery suite. Arch Gynecol Obstet. 2008;278(5):477-8. doi:10.1007/s00404-008-…
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psnet.ahrq.gov/issue/validity-retrospective-review-medical-records-means-identifying-adverse-events-comparison
October 25, 2023 - Study
Validity of retrospective review of medical records as a means of identifying adverse events: comparison between medical records and accident reports.
Citation Text:
Kobayashi M, Ikeda S, Kitazawa N, et al. Validity of retrospective review of medical records as a means of identif…
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psnet.ahrq.gov/issue/clinical-scenarios-enhancing-skill-set-nurse-vigilant-guardian
July 19, 2023 - Study
Clinical scenarios: enhancing the skill set of the nurse as a vigilant guardian.
Citation Text:
Jacobson T, Belcher E, Sarr B, et al. Clinical scenarios: enhancing the skill set of the nurse as a vigilant guardian. J Contin Educ Nurs. 2010;41(8):347-53; quiz 354-5. doi:10.3928/0…
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psnet.ahrq.gov/issue/how-will-it-work-qualitative-study-strategic-stakeholders-accounts-patient-safety-initiative
September 02, 2009 - Study
How will it work? A qualitative study of strategic stakeholders' accounts of a patient safety initiative.
Citation Text:
Dixon-Woods M, Tarrant C, Willars J, et al. How will it work? A qualitative study of strategic stakeholders' accounts of a patient safety initiative. Qual Saf …
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psnet.ahrq.gov/issue/patient-safety-dentistry-development-candidate-never-event-list-primary-care
April 12, 2017 - Study
Patient safety in dentistry: development of a candidate 'never event' list for primary care.
Citation Text:
Black I, Bowie P. Patient safety in dentistry: development of a candidate 'never event' list for primary care. Br Dent J. 2017;222(10):782-788. doi:10.1038/sj.bdj.2017.456.
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psnet.ahrq.gov/issue/cost-effectiveness-electronic-medication-ordering-and-administration-system-reducing-adverse
June 01, 2012 - Study
Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events.
Citation Text:
Wu RC, Laporte A, Ungar WJ. Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events. J Eval …
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psnet.ahrq.gov/issue/exaggerated-benefits-failure
November 09, 2022 - Study
The exaggerated benefits of failure.
Citation Text:
Eskreis-Winkler L, Woolley K, Erensoy E, et al. The exaggerated benefits of failure. J Exp Psychol Gen. 2024;153(7):1920-1937. doi:10.1037/xge0001610.
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psnet.ahrq.gov/issue/safe-electronic-health-record-use-requires-comprehensive-monitoring-and-evaluation-framework
May 22, 2015 - Commentary
Safe electronic health record use requires a comprehensive monitoring and evaluation framework.
Citation Text:
Sittig DF, Classen D. Safe electronic health record use requires a comprehensive monitoring and evaluation framework. JAMA. 2010;303(5):450-451. doi:10.1001/jama.20…
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www.ahrq.gov/sites/default/files/2024-01/lapane-report.pdf
January 01, 2024 - Elderly persons consume 31% of all medications prescribed
(Baum et al, 1987); the average number is … between two to six prescribed medications
(Stewart and Cooper, 1994).
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/HIT/HIT_CAHPS_Meeting_Summary.pdf
December 01, 2006 - Prescribed health information (information therapy) either as part of a personal
health connection or … Prescribed health information (information therapy) either as part of a personal
health connection or
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psnet.ahrq.gov/toolkits
March 01, 2025 - Toolkits
Patient safety toolkits provide practical applications of PSNet research and concepts for front line providers to use in their day to day work. These toolkits contain resources necessary to implement patient safety systems and protocols.
Want to submit a Toolkit?
Has your organization deve…
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www.ahrq.gov/sites/default/files/2024-10/smucker-report.pdf
January 01, 2024 - Final Progress Report: Patient Safety in Hospice Care
AHRQ Grant Final Progress Report
Title of Project: Patient Safety in Hospice Care
Principal Investigator: Douglas R. Smucker, MD, MPH, Adjunct Professor, University
of Cincinnati Department of Family and Community Medicine
Team Members:
• Nancy Elder, MD, Ass…
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www.ahrq.gov/prevention/chronic-care/decision/mcc/mccpublications.html
May 01, 2014 - AHRQ Multiple Chronic Conditions Research Network Publications
This bibliography includes publications resulting from R18, R21 and R24 AHRQ Multiple Chronic Conditions Research Network grants funded between 2008 and 2010. The publications listed below are those that were published or in press as of August 2013.…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/cellulitis-slides.pptx
November 01, 2019 - Best Practices in the Diagnosis and Treatment of Cellulitis and Skin and Soft Tissue Infections
Best Practices in the Diagnosis and Treatment of Cellulitis and Skin and Soft Tissue Infections
Acute Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub. No. 17(20)-0028-EF
November 2019
AHRQ Safety Program …
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/dental-caries-in-preschool-children-screening-2004
April 15, 2004 - Share to Facebook
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Final Recommendation Statement
Dental Caries in Preschool Children: Screening
April 15, 2004
Recommendations made by the USPSTF are independent of the U.S. g…