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psnet.ahrq.gov/issue/controversy-and-quality-improvement-lingering-questions-about-ethics-oversight-and-patient
January 15, 2014 - Commentary
Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research.
Citation Text:
Kass N, Pronovost P, Sugarman J, et al. Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research. …
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psnet.ahrq.gov/issue/prescribing-discrepancies-likely-cause-adverse-drug-events-after-patient-transfer
December 08, 2010 - Study
Prescribing discrepancies likely to cause adverse drug events after patient transfer.
Citation Text:
Boockvar KS, Liu S, Goldstein N, et al. Prescribing discrepancies likely to cause adverse drug events after patient transfer. Qual Saf Health Care. 2009;18(1):32-6. doi:10.1136/qshc…
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psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-among-elderly-home-care-patients-europe
September 19, 2016 - Study
Potentially inappropriate medication use among elderly home care patients in Europe.
Citation Text:
Fialová D, Topinková E, Gambassi G, et al. Potentially inappropriate medication use among elderly home care patients in Europe. JAMA. 2005;293(11):1348-58.
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psnet.ahrq.gov/issue/investigating-impact-intensive-care-unit-interruptions-patient-safety-events-and-electronic
October 18, 2023 - Study
Investigating the impact of intensive care unit interruptions on patient safety events and electronic health records use: an observational study.
Citation Text:
Khairat S, Whitt S, Craven CK, et al. Investigating the Impact of Intensive Care Unit Interruptions on Patient Safety Eve…
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www.ahrq.gov/sites/default/files/wysiwyg/nqsfactsheet_2017.pdf
January 01, 2017 - National Quality Strategy Fact Sheet
The National Quality Strategy is a national effort to
align public- and private-sector stakeholders to achieve
better health and health care for all Americans.
About the National Quality Strategy
The National Quality Strategy (NQS) was first published in March 2011 as the Na…
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psnet.ahrq.gov/issue/association-adverse-effects-medical-treatment-mortality-united-states-secondary-analysis
November 11, 2020 - Study
Association of adverse effects of medical treatment with mortality in the United States: a secondary analysis of the Global Burden of Diseases, Injuries, and Risk Factors study.
Citation Text:
Sunshine JE, Meo N, Kassebaum NJ, et al. Association of Adverse Effects of Medical Treatm…
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psnet.ahrq.gov/issue/recommendations-individualized-medical-treatment-and-common-adverse-events-management-lung
March 24, 2019 - Commentary
Recommendations of individualized medical treatment and common adverse events management for lung cancer patients during the outbreak of COVID-19 epidemic.
Citation Text:
Zhao Z, Bai H, Duan J, et al. Recommendations of individualized medical treatment and common adverse event…
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psnet.ahrq.gov/issue/factors-contributing-registered-nurse-medication-administration-error-narrative-review
May 27, 2011 - Review
Factors contributing to Registered Nurse medication administration error: a narrative review.
Citation Text:
Parry AM, Barriball L, While AE. Factors contributing to registered nurse medication administration error: a narrative review. Int J Nurs Stud. 2015;52(1):403-20. doi:10.10…
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool2ref.html
March 01, 2025 - Re-Engineered Discharge (RED) Toolkit
Tool 2: How to Begin the Re-engineered Discharge Implementation At Your Hospital (continued)
Previous Page Next Page
Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Y…
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psnet.ahrq.gov/issue/contribution-adverse-events-death-hospitalised-patients
October 27, 2021 - Study
Contribution of adverse events to death of hospitalised patients.
Citation Text:
Haukland EC, Mevik K, von Plessen C, et al. Contribution of adverse events to death of hospitalised patients. BMJ Open Qual. 2019;8(1):e000377. doi:10.1136/bmjoq-2018-000377.
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psnet.ahrq.gov/issue/consumer-involvement-design-and-development-medication-safety-interventions-or-services
August 30, 2023 - Review
Consumer involvement in the design and development of medication safety interventions or services in primary care: a scoping review.
Citation Text:
DelDot M, Lau E, Rayner N, et al. Consumer involvement in the design and development of medication safety interventions or services i…
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psnet.ahrq.gov/issue/clinical-and-economic-impacts-explicit-tools-detecting-prescribing-errors-systematic-review
January 12, 2022 - Review
Clinical and economic impacts of explicit tools detecting prescribing errors: a systematic review.
Citation Text:
Farhat A, Al‐Hajje A, Csajka C, et al. Clinical and economic impacts of explicit tools detecting prescribing errors: A systematic review. J Clin Pharm Ther. 2021;46(4)…
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psnet.ahrq.gov/issue/association-interruptions-increased-risk-and-severity-medication-administration-errors
August 26, 2020 - Study
Classic
Association of interruptions with an increased risk and severity of medication administration errors.
Citation Text:
Westbrook JI, Woods A, Rob MI, et al. Association of interruptions with an increased risk and severity of medication administration…
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psnet.ahrq.gov/issue/risk-factors-associated-medication-administration-errors-children-prospective-direct
August 28, 2024 - Study
Risk factors associated with medication administration errors in children: a prospective direct observational study of paediatric inpatients.
Citation Text:
Westbrook JI, Li L, Woods AL, et al. Risk factors associated with medication administration errors in children: a prospective…
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psnet.ahrq.gov/issue/unlocking-potential-free-text-electronic-health-records-large-language-models-llm-enhancing
October 01, 2014 - Commentary
Unlocking the potential of free text in electronic health records with large language models (LLM): enhancing patient safety and consultation interactions.
Citation Text:
Kumarapeli P, Haddad T, de Lusignan S. Unlocking the potential of free text in electronic health records w…
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psnet.ahrq.gov/issue/stepped-wedge-cluster-rct-assess-effects-electronic-medication-system-medication
August 28, 2024 - Study
Stepped-wedge cluster RCT to assess the effects of an electronic medication system on medication administration errors.
Citation Text:
Westbrook JI, Li L, Woods AL, et al. Stepped-wedge cluster RCT to assess the effects of an electronic medication system on medication administratio…
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psnet.ahrq.gov/issue/collective-leadership-safety-culture-co-lead-team-intervention-promote-teamwork-and-patient
March 18, 2020 - Study
The Collective Leadership for Safety Culture (Co-Lead) team intervention to promote teamwork and patient safety.
Citation Text:
De Brún A, Anjara S, Cunningham U, et al. The Collective Leadership for Safety Culture (Co-Lead) team intervention to promote teamwork and patient safety.…
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www.ahrq.gov/news/blog/ahrqviews/portrait-of-sepsis.html
September 01, 2024 - AHRQ Views: Blog posts from AHRQ leaders
AHRQ’s Portrait of Sepsis Reveals Its Alarming Human Toll
SEP
27
2024
By
Robert Otto Valdez, Ph.D., M.H.S.A., and
Pamela Owens, Ph.D.
The human suffering caused by sepsis is shocking. New AHRQ analyses show that in 2021, more than 2 m…
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psnet.ahrq.gov/issue/assessing-patient-work-system-factors-medication-management-during-transition-care-among
July 20, 2022 - Study
Assessing patient work system factors for medication management during transition of care among older adults: an observational study.
Citation Text:
Xiao Y, Hsu Y-J, Hannum SM, et al. Assessing patient work system factors for medication management during transition of care among ol…
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psnet.ahrq.gov/issue/resilience-nursing-medication-administration-practice-systematic-review-narrative-synthesis
February 18, 2017 - Review
Resilience in nursing medication administration practice: a systematic review with narrative synthesis.
Citation Text:
Kellett PLR, Franklin BD, Pearce S, et al. Resilience in nursing medication administration practice: a systematic review with narrative synthesis. BMJ Open Qual. …