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psnet.ahrq.gov/issue/frequency-type-and-degree-potential-harm-adverse-safety-events-among-pediatric-emergency
October 19, 2022 - Study
Frequency, type, and degree of potential harm of adverse safety events among pediatric emergency medical services encounters.
Citation Text:
Cicero MX, Baird J, Brown L, et al. Frequency, type, and degree of potential harm of adverse safety events among pediatric emergency medical …
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psnet.ahrq.gov/issue/governing-patient-safety-lessons-learned-mixed-methods-evaluation-implementing-ward-level
June 25, 2014 - Study
Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level medication safety scorecard in two English NHS hospitals.
Citation Text:
Ramsay AIG, Turner S, Cavell G, et al. Governing patient safety: lessons learned from a mixed methods ev…
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psnet.ahrq.gov/issue/codifying-knowledge-improve-patient-safety-qualitative-study-practice-based-interventions
January 29, 2014 - Study
Codifying knowledge to improve patient safety: a qualitative study of practice-based interventions.
Citation Text:
Turner S, Higginson J, Oborne A, et al. Codifying knowledge to improve patient safety: a qualitative study of practice-based interventions. Soc Sci Med. 2014;113:169-7…
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psnet.ahrq.gov/issue/automated-surveillance-adverse-drug-events-community-hospital-and-academic-medical-center
September 23, 2020 - Study
Automated surveillance for adverse drug events at a community hospital and an academic medical center.
Citation Text:
Kilbridge PM, Campbell UC, Cozart HB, et al. Automated surveillance for adverse drug events at a community hospital and an academic medical center. J Am Med Infor…
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psnet.ahrq.gov/issue/near-miss-transcription-errors-comparison-reporting-rates-between-novel-error-reporting
January 31, 2018 - Study
Near-miss transcription errors: a comparison of reporting rates between a novel error-reporting mechanism and a current formal reporting system.
Citation Text:
South DA, Skelley JW, Dang M, et al. Near-miss transcription errors: a comparison of reporting rates between a novel error…
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psnet.ahrq.gov/issue/when-disasters-strike-emergency-department-case-series-and-narrative-review
September 30, 2020 - Commentary
When disasters strike the emergency department: a case series and narrative review.
Citation Text:
Barten DG, Klokman VW, Cleef S, et al. When disasters strike the emergency department: a case series and narrative review. Int J Emerg Med. 2021;14(1):49. doi:10.1186/s12245-021-…
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psnet.ahrq.gov/issue/has-covid-pandemic-strengthened-or-weakened-health-care-teams-field-guide-healthy-workforce
August 14, 2019 - Commentary
Has the COVID pandemic strengthened or weakened health care teams? A field guide to healthy workforce best practices.
Citation Text:
Thompson R, Kusy M. Has the COVID pandemic strengthened or weakened health care teams? A field guide to healthy workforce best practices. Nurs …
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psnet.ahrq.gov/issue/exploring-barriers-and-facilitators-psychological-safety-primary-care-teams-qualitative-study
August 25, 2021 - Study
Exploring the barriers and facilitators of psychological safety in primary care teams: a qualitative study.
Citation Text:
Remtulla R, Hagana A, Houbby N, et al. Exploring the barriers and facilitators of psychological safety in primary care teams: a qualitative study. BMC Health S…
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psnet.ahrq.gov/issue/chronic-hospital-nurse-understaffing-meets-covid-19-observational-study
September 27, 2017 - Study
Emerging Classic
Chronic hospital nurse understaffing meets COVID-19: an observational study.
Citation Text:
Lasater KB, Aiken LH, Sloane DM, et al. Chronic hospital nurse understaffing meets COVID-19: an observational study. BMJ Qual Saf. 2021;8(8):639-64…
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psnet.ahrq.gov/issue/measuring-safety-older-adult-care-homes-scoping-review-international-literature
June 30, 2021 - Review
Measuring safety in older adult care homes: a scoping review of the international literature.
Citation Text:
Rand S, Smith N, Jones K, et al. Measuring safety in older adult care homes: a scoping review of the international literature. BMJ Open. 2021;11(3):e043206. doi:10.1136/bmj…
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psnet.ahrq.gov/issue/changes-weekend-and-weekday-care-quality-emergency-medical-admissions-20-hospitals-england
August 20, 2018 - Study
Changes in weekend and weekday care quality of emergency medical admissions to 20 hospitals in England during implementation of the 7-day services national health policy.
Citation Text:
Bion J, Aldridge CP, Girling AJ, et al. Changes in weekend and weekday care quality of emergency…
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psnet.ahrq.gov/issue/high-priority-drug-drug-interaction-clinical-decision-support-overrides-newly-implemented
March 09, 2022 - Study
High-priority drug-drug interaction clinical decision support overrides in a newly implemented commercial computerized provider order-entry system: override appropriateness and adverse drug events.
Citation Text:
Edrees H, Amato MG, Wong A, et al. High-priority drug-drug interactio…
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psnet.ahrq.gov/issue/evaluation-medication-errors-transition-care-icu-non-icu-location
September 23, 2020 - Study
Emerging Classic
Evaluation of medication errors at the transition of care from an ICU to non-ICU location.
Citation Text:
Tully AP, Hammond DA, Li C, et al. Evaluation of Medication Errors at the Transition of Care From an ICU to Non-ICU Location. Crit Ca…
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psnet.ahrq.gov/issue/drug-drug-interactions-and-prescription-appropriateness-hospital-discharge-experience-covid
August 11, 2021 - Study
Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patients.
Citation Text:
Cattaneo D, Pasina L, Maggioni AP, et al. Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patient…
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psnet.ahrq.gov/issue/it-time-mental-health-field-consider-unplanned-discharge-key-metric-patient-safety
June 01, 2022 - Study
Is it time for the mental health field to consider unplanned discharge a key metric of patient safety?
Citation Text:
Riblet NB, Gottlieb DJ, Watts BV, et al. Is it time for the mental health field to consider unplanned discharge a key metric of patient safety? J Nerv Ment Dis. 202…
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment
January 01, 2013 - An official website of the Department of Health & Human Services
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_3_Get_to_Know_508.docx
June 02, 2025 - Strategy 2: Communicating to Improve Quality (Tool 3)
Strategy 2: Communicating to Improve Quality (Tool 3)
Strategy 2: Communicating to Improve Quality (Tool 3)
Get to Know Your Health Care Team
Guide to Patient and Family Engagement :: 1
Getting to know your health care team helps you get the best care possible.
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_3_Get_to_Know_508.pdf
June 02, 2025 - Strategy 2: Communicating to Improve Quality (Tool 3)
Guide to Patient and Family Engagement :: 1
Get to Know Your Health Care Team
Getting to know your health care team helps you get
the best care possible.
The members of your health care team include:
• You
• Family or friends, as you wish
• Different…
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psnet.ahrq.gov/issue/presence-and-potential-impact-psychological-safety-healthcare-setting-evidence-synthesis
October 20, 2021 - Review
The presence and potential impact of psychological safety in the healthcare setting: an evidence synthesis.
Citation Text:
Grailey KE, Murray E, Reader T, et al. The presence and potential impact of psychological safety in the healthcare setting: an evidence synthesis. BMC Health …
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digital.ahrq.gov/health-care-theme/interoperability
January 01, 2023 - Interoperability
Development of SMART on FHIR Interoperable Clinical Decision Support for Emergency Department Patients with Pneumonia and Pilot Deployment into Novel Epic Electronic Health Record Environments
Description
This research will develop a SMART on FHIR version of a…