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psnet.ahrq.gov/node/40881/psn-pdf
October 26, 2011 - The effect of two different electronic health record user
interfaces on intensive care provider task load, errors of
cognition, and performance.
October 26, 2011
Ahmed A, Chandra S, Herasevich V, et al. The effect of two different electronic health record user
interfaces on intensive care provider task load, error…
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psnet.ahrq.gov/node/47388/psn-pdf
March 13, 2019 - Artificial intelligence systems for complex decision-
making in acute care medicine: a review.
March 13, 2019
Lynn LA. Artificial intelligence systems for complex decision-making in acute care medicine: a review.
Patient Saf Surg. 2019;13:6. doi:10.1186/s13037-019-0188-2.
https://psnet.ahrq.gov/issue/artificial-in…
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psnet.ahrq.gov/node/47896/psn-pdf
July 10, 2019 - Engaging patients and informal caregivers to improve
safety and facilitate person- and family-centered care
during transitions from hospital to home: a qualitative
descriptive study.
July 10, 2019
Backman C, Cho-Young D. Engaging patients and informal caregivers to improve safety and facilitate
person- and family…
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psnet.ahrq.gov/node/35404/psn-pdf
March 11, 2011 - Improving patient safety by identifying side effects from
introducing bar coding in medication administration.
March 11, 2011
Patterson ES, Cook RI, Render ML. Improving patient safety by identifying side effects from introducing bar
coding in medication administration. J Am Med Inform Assoc. 2002;9(5):540-53.
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psnet.ahrq.gov/node/43809/psn-pdf
February 25, 2015 - Application of the aviation black box principle in pediatric
cardiac surgery: tracking all failures in the pediatric
cardiac operating room.
February 25, 2015
Bowermaster R, Miller M, Ashcraft T, et al. Application of the aviation black box principle in pediatric
cardiac surgery: tracking all failures in the pedia…
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psnet.ahrq.gov/node/46506/psn-pdf
October 11, 2017 - Getting Ahead of Harm Before It Happens: A Guide About
Proactive Analysis for Improving Surgical Care Safety.
October 11, 2017
Wiley K, Davies JM. Edmonton, AB: Canadian Patient Safety Institute; 2017.
https://psnet.ahrq.gov/issue/getting-ahead-harm-it-happens-guide-about-proactive-analysis-improving-
surgical-car…
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psnet.ahrq.gov/node/60526/psn-pdf
May 27, 2020 - A qualitative content analysis of retained surgical items:
learning from root cause analysis investigations.
May 27, 2020
Hibbert PD, Thomas MJW, Deakin A, et al. A qualitative content analysis of retained surgical items:
learning from root cause analysis investigations. Int J Qual Health Care. 2020;32(3):184-189.
…
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psnet.ahrq.gov/node/48064/psn-pdf
June 12, 2019 - Lives Lost, Lives Saved: An Updated Comparative
Analysis of Avoidable Deaths at Hospitals Graded by The
Leapfrog Group.
June 12, 2019
Austin M, Derk J. Baltimore, MD: Armstrong Institute for Patient Safety and Quality, and Johns Hopkins
Medicine; May 2019.
https://psnet.ahrq.gov/issue/lives-lost-lives-saved-updat…
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psnet.ahrq.gov/node/46042/psn-pdf
July 12, 2017 - Implementation science for ambulatory care safety: a
novel method to develop context-sensitive interventions
to reduce quality gaps in monitoring high-risk patients.
July 12, 2017
McDonald KM, Su G, Lisker S, et al. Implementation science for ambulatory care safety: a novel method to
develop context-sensitive inte…
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psnet.ahrq.gov/node/852450/psn-pdf
August 16, 2023 - Incidence and severity of medication reconciliation
discrepancies in trauma patients.
August 16, 2023
Dunbar EG, Massey AC, Lee YL, et al. Incidence and severity of medication reconciliation discrepancies in
trauma patients. Am Surg. 2023;89(7):3272-3274. doi:10.1177/00031348231161686.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/74073/psn-pdf
November 17, 2021 - Use of artificial intelligence for image analysis in breast
cancer screening programmes: systematic review of test
accuracy.
November 17, 2021
Freeman K, Geppert J, Stinton C, et al. Use of artificial intelligence for image analysis in breast cancer
screening programmes: systematic review of test accuracy. BMJ. 20…
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psnet.ahrq.gov/node/46237/psn-pdf
June 21, 2017 - Identifying and analyzing diagnostic paths: a new
approach for studying diagnostic practices.
June 21, 2017
Rao G, Epner P, Bauer V, et al. Identifying and analyzing diagnostic paths: a new approach for studying
diagnostic practices. Diagnosis (Berl). 2017;4(2):67-72. doi:10.1515/dx-2016-0049.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/74088/psn-pdf
November 17, 2021 - Surgical teams' attitudes about surgical safety and the
surgical safety checklist at 10 years: a multinational
survey.
November 17, 2021
Urban D, Burian BK, Patel K, et al. Surgical teams' attitudes about surgical safety and the surgical safety
checklist at 10 years: a multinational survey. Ann Surg. 2021;2(3):e07…
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psnet.ahrq.gov/node/44741/psn-pdf
January 20, 2016 - System hazards in managing laboratory test requests and
results in primary care: medical protection database
analysis and conceptual model.
January 20, 2016
Bowie P, Price J, Hepworth N, et al. System hazards in managing laboratory test requests and results in
primary care: medical protection database analysis and…
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psnet.ahrq.gov/node/44669/psn-pdf
January 22, 2016 - Safety standards: implementing fall prevention
interventions and sustaining lower fall rates by promoting
the culture of safety on an inpatient rehabilitation unit.
January 22, 2016
Leone RM, Adams RJ. Safety Standards: Implementing Fall Prevention Interventions and Sustaining Lower
Fall Rates by Promoting the Cul…
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psnet.ahrq.gov/node/837762/psn-pdf
August 03, 2022 - A scoping review of real-time automated clinical
deterioration alerts and evidence of impacts on
hospitalised patient outcomes.
August 3, 2022
Blythe R, Parsons R, White NM, et al. A scoping review of real-time automated clinical deterioration alerts
and evidence of impacts on hospitalised patient outcomes. BMJ Qu…
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psnet.ahrq.gov/node/73081/psn-pdf
March 31, 2021 - Health professionals' perspectives of safety issues in
mental health services: a qualitative study.
March 31, 2021
Albutt AK, Berzins K, Louch G, et al. Health professionals’ perspectives of safety issues in mental health
services: A qualitative study. nt J Ment Health Nurs. 2021;30(3):798-810. doi:10.1111/inm.1283…
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psnet.ahrq.gov/node/47980/psn-pdf
May 01, 2019 - Intensive care medicine in 2050: preventing harm.
May 1, 2019
Beet C, Benoit D, Bion J. Intensive care medicine in 2050: preventing harm. Intensive Care Med.
2019;45(4):505-507. doi:10.1007/s00134-018-5353-z.
https://psnet.ahrq.gov/issue/intensive-care-medicine-2050-preventing-harm
This commentary discusses curren…
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www.ahrq.gov/news/newsroom/case-studies/criteria.html
December 01, 2019 - AHRQ Impact Case Studies Criteria
AHRQ Impact Case Studies provide evidence of how AHRQ-funded projects impact health care outcomes, quality, cost, use, and access. Each Impact Case Study demonstrates how AHRQ-funded resources are actually being used to improve the health care system.
Impact Case Studies are …
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www.ahrq.gov/policymakers/chipra/overview/background/appendix-a9.html
December 01, 2009 - Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs
Background Report on request for public comment on initial, recommended core set of Children's Healthcare Quality Measures for voluntary…