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psnet.ahrq.gov/issue/toward-patient-centered-cancer-care-patient-perceptions-problematic-events-impact-and
March 11, 2013 - Study
Toward patient-centered cancer care: patient perceptions of problematic events, impact, and response.
Citation Text:
Mazor KM, Roblin DW, Greene SM, et al. Toward patient-centered cancer care: patient perceptions of problematic events, impact, and response. J Clin Oncol. 2012;30(…
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psnet.ahrq.gov/issue/use-appreciative-inquiry-approach-improve-resident-sign-out-era-multiple-shift-changes
December 27, 2014 - Study
Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes.
Citation Text:
Helms AS, Perez TE, Baltz J, et al. Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes. J Gen Intern Med. 2…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/getready.html
October 01, 2017 - Pressure Injury Prevention Program Implementation Guide
Get Ready
Previous Page Next Page
Table of Contents
Pressure Injury Prevention Program Implementation Guide
Overview
Get Ready
Pressure Injury Prevention Program Phases
Appendix A. RACI Chart
Appendix B. Prioritize Opportunities for I…
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psnet.ahrq.gov/issue/comfort-uncertainty-reframing-our-conceptions-how-clinicians-navigate-complex-clinical
February 06, 2013 - Review
Emerging Classic
Comfort with uncertainty: reframing our conceptions of how clinicians navigate complex clinical situations.
Citation Text:
Ilgen JS, Eva KW, de Bruin A, et al. Comfort with uncertainty: reframing our conceptions of how clinicians navigate…
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psnet.ahrq.gov/issue/investigating-influence-selected-leadership-styles-patient-safety-and-quality-care-systematic
October 07, 2020 - Review
Investigating the influence of selected leadership styles on patient safety and quality of care: a systematic review and meta-analysis.
Citation Text:
Singh A, Yeravdekar R, Jadhav S. Investigating the influence of selected leadership styles on patient safety and quality of care: …
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psnet.ahrq.gov/issue/evaluation-web-based-education-program-reducing-medication-dosing-error-multicenter
May 18, 2022 - Study
Evaluation of a Web-based education program on reducing medication dosing error: a multicenter, randomized controlled trial.
Citation Text:
Frush K, Hohenhaus S, Luo X, et al. Evaluation of a Web-based education program on reducing medication dosing error: a multicenter, randomiz…
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psnet.ahrq.gov/issue/what-known-examining-empirical-literature-resident-work-hours-using-30-influential-articles
September 29, 2017 - Review
What is known: examining the empirical literature in resident work hours using 30 influential articles.
Citation Text:
Philibert I. What Is Known: Examining the Empirical Literature in Resident Work Hours Using 30 Influential Articles. J Grad Med Educ. 2016;8(5):795-805. doi:10.43…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0334_08-04-2010.pdf
January 01, 2010 - Effective Health Care
Topic Number: 0285
Document Completion Date: 3-22-11
1
Results of Topic Selection Process & Next Steps
Pharmacogenetic testing for CYP2C19 variants for guiding antiplatelet treatment will go forward for
refinement as a systematic review. The scope of this topic, including p…
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psnet.ahrq.gov/issue/causes-death-residents-acgme-accredited-programs-2000-through-2014-implications-learning
January 31, 2018 - Study
Causes of death of residents in ACGME-accredited programs 2000 through 2014: implications for the learning environment.
Citation Text:
Yaghmour NA, Brigham T, Richter T, et al. Causes of Death of Residents in ACGME-Accredited Programs 2000 Through 2014. Acad Med. 2017;92(7):976-983…
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psnet.ahrq.gov/issue/tallman-lettering-strategy-differentiation-look-alike-sound-alike-drug-names-role-familiarity
May 27, 2020 - Study
Tallman lettering as a strategy for differentiation in look-alike, sound-alike drug names: the role of familiarity in differentiating drug doppelgangers.
Citation Text:
DeHenau C, Becker MW, Bello NM, et al. Tallman lettering as a strategy for differentiation in look-alike, sound-a…
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psnet.ahrq.gov/issue/one-fourth-unplanned-transfers-higher-level-care-are-associated-highly-preventable-adverse
May 16, 2018 - Study
One fourth of unplanned transfers to a higher level of care are associated with a highly preventable adverse event: a patient record review in six Belgian hospitals.
Citation Text:
Marquet K, Claes N, De Troy E, et al. One fourth of unplanned transfers to a higher level of care are…
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psnet.ahrq.gov/issue/drug-dosing-error-drops-severe-clinical-course-codeine-intoxication-twins
September 29, 2021 - Study
Drug dosing error with drops – severe clinical course of codeine intoxication in twins.
Citation Text:
Hermanns-Clausen M, Weinmann W, Auwärter V, et al. Drug dosing error with drops: severe clinical course of codeine intoxication in twins. Eur J Pediatr. 2009;168(7):819-24. doi:…
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digital.ahrq.gov/ahrq-funded-projects/project-echo-hepatitis-c-ambulatory-care-quality-improvement-new-mexico-through/annual-summary/2012
January 01, 2012 - Project ECHO: Hepatitis C Ambulatory Care Quality Improvement in New Mexico Through Health Information Technology - 2012
Project Name
Project ECHO Hepatitis C Ambulatory Care Quality Improvement in New Mexico through Health Information Technology
Principal Investigator
Arora, Sanjeev
…
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psnet.ahrq.gov/issue/harmful-medication-errors-children-5-year-analysis-data-usps-medmarxr-program
July 12, 2010 - Study
Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX(R) program.
Citation Text:
Hicks RW, Becker SC, Cousins DD. Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX program. J Pediatr Nurs. 2006;21(4):290-8.
…
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psnet.ahrq.gov/issue/medication-errors-overweight-and-obese-pediatric-patients-systematic-review
December 09, 2020 - Review
Medication errors in overweight and obese pediatric patients: a systematic review.
Citation Text:
Procaccini D, Kim JM, Lobner K, et al. Medication errors in overweight and obese pediatric patients: a systematic review. Jt Comm J Qual Patient Saf. 2022;48(3):154-164. doi:10.1016/j…
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psnet.ahrq.gov/issue/hospitalisation-medication-misadventures-among-older-adults-and-without-dementia-5-year
August 18, 2021 - Study
Hospitalisation for medication misadventures among older adults with and without dementia: a 5-year retrospective study.
Citation Text:
Mullan J, Burns P, Mohanan L, et al. Hospitalisation for medication misadventures among older adults with and without dementia: A 5-year retrospec…
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psnet.ahrq.gov/issue/characteristics-medication-errors-and-adverse-drug-events-hospitals-participating-california
July 13, 2010 - Study
Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative.
Citation Text:
Takata GS, Taketomo CK, Waite S, et al. Characteristics of medication errors and adverse drug events in hospitals particip…
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psnet.ahrq.gov/issue/development-emergency-department-trigger-tool-using-systematic-search-and-modified-delphi
August 30, 2017 - Study
Development of an emergency department trigger tool using a systematic search and modified Delphi process.
Citation Text:
Griffey RT, Schneider RM, Adler L, et al. Development of an Emergency Department Trigger Tool Using a Systematic Search and Modified Delphi Process. J Patient S…
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psnet.ahrq.gov/issue/clinician-distress-and-inappropriate-antibiotic-prescribing-acute-respiratory-tract
December 02, 2020 - Study
Clinician distress and inappropriate antibiotic prescribing for acute respiratory tract infections: a retrospective cohort study.
Citation Text:
Brady KJS, Barlam TF, Trockel MT, et al. Clinician distress and inappropriate antibiotic prescribing for acute respiratory tract infectio…
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psnet.ahrq.gov/issue/diagnostic-performance-dashboards-tracking-diagnostic-errors-using-big-data
July 28, 2023 - Commentary
Diagnostic performance dashboards: tracking diagnostic errors using big data.
Citation Text:
Mane KK, Rubenstein KB, Nassery N, et al. Diagnostic performance dashboards: tracking diagnostic errors using big data. BMJ Qual Saf. 2018;27(7):567-570. doi:10.1136/bmjqs-2018-007945.…