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www.ahrq.gov/news/newsroom/case-studies/coe0904.html
October 01, 2014 - American College of Physicians Uses AHRQ Research to Improve Clinical Practice Guidelines
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May 2009
The American College of Physicians (ACP) uses AHRQ research in creating clinical practice guidelines for its members. ACP relies primarily on two AHRQ programs—the Evidence-based…
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psnet.ahrq.gov/issue/patient-misidentification-neonatal-intensive-care-unit-quantification-risk
April 11, 2011 - Study
Patient misidentification in the neonatal intensive care unit: quantification of risk.
Citation Text:
Gray J, Suresh G, Ursprung R, et al. Patient misidentification in the neonatal intensive care unit: quantification of risk. Pediatrics. 2006;117(1):e43-e47.
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psnet.ahrq.gov/issue/why-do-hundreds-us-women-die-annually-childbirth
June 14, 2019 - Commentary
Why do hundreds of US women die annually in childbirth?
Citation Text:
Slomski A. Why Do Hundreds of US Women Die Annually in Childbirth? JAMA. 2019;321(13):1239-1241. doi:10.1001/jama.2019.0714.
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psnet.ahrq.gov/issue/roadmap-patient-safety-research-approaches-and-roadforks
July 17, 2019 - Review
Roadmap for patient safety research: approaches and roadforks.
Citation Text:
Hofoss D, Deilkås E. Roadmap for patient safety research: approaches and roadforks. Scand J Public Health. 2008;36(8):812-7. doi:10.1177/1403494808096168.
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psnet.ahrq.gov/issue/waiting-urgent-procedures-weekend-among-emergently-hospitalized-patients
September 04, 2019 - Study
Waiting for urgent procedures on the weekend among emergently hospitalized patients.
Citation Text:
Bell CM, Redelmeier DA. Waiting for urgent procedures on the weekend among emergently hospitalized patients. Am J Med. 2004;117(3):175-81.
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psnet.ahrq.gov/issue/disclosing-errors-patients-perspectives-registered-nurses
February 17, 2011 - Study
Disclosing errors to patients: perspectives of registered nurses.
Citation Text:
Shannon SE, Foglia MB, Hardy M, et al. Disclosing errors to patients: perspectives of registered nurses. Jt Comm J Qual Patient Saf. 2009;35(1):5-12.
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psnet.ahrq.gov/issue/anesthesia-workspaces-safe-medication-practices-design-guidelines
November 29, 2017 - Study
Anesthesia workspaces for safe medication practices: design guidelines.
Citation Text:
MohammadiGorji S, Joseph A, Mihandoust S, et al. Anesthesia workspaces for safe medication practices: design guidelines. HERD. 2024;17(1):64-83. doi:10.1177/19375867231190646.
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psnet.ahrq.gov/issue/what-diagnostic-safety-review-safety-science-paradigms-and-rethinking-paths-improving
April 12, 2023 - Review
What is diagnostic safety? A review of safety science paradigms and rethinking paths to improving diagnosis.
Citation Text:
Choi JJ. What is diagnostic safety? A review of safety science paradigms and rethinking paths to improving diagnosis. Diagnosis (Berl). 2024;11(4):369-373. d…
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psnet.ahrq.gov/issue/comparison-potential-risk-factors-medication-errors-and-without-patient-harm
March 04, 2011 - Study
Comparison of potential risk factors for medication errors with and without patient harm.
Citation Text:
Zaal RJ, van Doormaal JE, Lenderink AW, et al. Comparison of potential risk factors for medication errors with and without patient harm. Pharmacoepidemiol Drug Saf. 2010;19(8)…
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psnet.ahrq.gov/issue/better-understanding-downsides-low-value-healthcare-could-reduce-harm
August 11, 2021 - Commentary
Better understanding the downsides of low value healthcare could reduce harm.
Citation Text:
Brownlee SM, Korenstein D. Better understanding the downsides of low value healthcare could reduce harm. BMJ. 2021;372:n117. doi:10.1136/bmj.n117.
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psnet.ahrq.gov/issue/strategies-improve-patient-safety-evidence-base-matures
March 16, 2013 - Commentary
Strategies to improve patient safety: the evidence base matures.
Citation Text:
Wachter RM, Pronovost P, Shekelle PG. Strategies to Improve Patient Safety: The Evidence Base Matures. Ann Intern Med. 2013;158(5_Part_1):350. doi:10.7326/0003-4819-158-5-201303050-00010.
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psnet.ahrq.gov/issue/active-components-effective-training-obstetric-emergencies
September 01, 2010 - Review
The active components of effective training in obstetric emergencies.
Citation Text:
Siassakos D, Crofts JF, Winter C, et al. The active components of effective training in obstetric emergencies. BJOG. 2009;116(8):1028-32. doi:10.1111/j.1471-0528.2009.02178.x.
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psnet.ahrq.gov/issue/review-australian-incident-monitoring-system
July 23, 2008 - Study
Review of the Australian Incident Monitoring System.
Citation Text:
Spigelman AD, Swan J. Review of the Australian incident monitoring system. ANZ J Surg. 2005;75(8):657-61.
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psnet.ahrq.gov/issue/navigating-care-transitions-process-model-how-doctors-overcome-organizational-barriers-and
February 20, 2016 - Study
Navigating care transitions: a process model of how doctors overcome organizational barriers and create awareness.
Citation Text:
Hilligoss B, Vogus TJ. Navigating Care Transitions. Medical Care Research and Review. 2014;72(1). doi:10.1177/1077558714563170.
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psnet.ahrq.gov/issue/review-current-and-emerging-approaches-address-failure-rescue
March 20, 2024 - Review
A review of current and emerging approaches to address failure-to-rescue.
Citation Text:
Taenzer AH, Pyke JB, McGrath SP. A review of current and emerging approaches to address failure-to-rescue. Anesthesiology. 2011;115(2):421-31. doi:10.1097/ALN.0b013e318219d633.
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psnet.ahrq.gov/issue/evaluation-critical-incidents-general-surgery
April 29, 2009 - Study
Evaluation of critical incidents in general surgery.
Citation Text:
Zingg U, Zala-Mezoe E, Kuenzle B, et al. Evaluation of critical incidents in general surgery. Br J Surg. 2008;95(11):1420-5. doi:10.1002/bjs.6296.
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psnet.ahrq.gov/issue/reducing-interruptions-improve-medication-safety
January 04, 2015 - Study
Reducing interruptions to improve medication safety.
Citation Text:
Freeman R, McKee S, Lee-Lehner B, et al. Reducing interruptions to improve medication safety. J Nurs Care Qual. 2013;28(2):176-85. doi:10.1097/NCQ.0b013e318275ac3e.
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psnet.ahrq.gov/issue/call-systems-thinking-approach-medication-adherence-stop-blaming-patient
November 09, 2022 - Commentary
A call for a systems-thinking approach to medication adherence: stop blaming the patient.
Citation Text:
Lauffenburger JC, Choudhry NK. A Call for a Systems-Thinking Approach to Medication Adherence: Stop Blaming the Patient. JAMA Intern Med. 2018;178(7):950-951. doi:10.1001/j…
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psnet.ahrq.gov/issue/effects-stress-and-coping-surgical-performance-during-simulations
February 16, 2011 - Study
The effects of stress and coping on surgical performance during simulations.
Citation Text:
Wetzel CM, Black SA, Hanna GB, et al. The effects of stress and coping on surgical performance during simulations. Ann Surg. 2010;251(1):171-6. doi:10.1097/SLA.0b013e3181b3b2be.
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psnet.ahrq.gov/issue/bar-code-verification-reducing-not-eliminating-medication-errors
September 27, 2016 - Study
Bar-code verification: reducing but not eliminating medication errors.
Citation Text:
Henneman PL, Marquard J, Fisher DL, et al. Bar-code verification: reducing but not eliminating medication errors. J Nurs Adm. 2012;42(12):562-6. doi:10.1097/NNA.0b013e318274b545.
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