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psnet.ahrq.gov/node/50917/psn-pdf
February 19, 2020 - "Thank You for Listening": An exploratory study
regarding the lived experience and perception of medical
errors among those who receive care.
February 19, 2020
Terry D, Kim J-ah, Gilbert J, et al. “Thank You for Listening”: An Exploratory Study Regarding the Lived
Experience and Perception of Medical Errors Among …
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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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psnet.ahrq.gov/node/73679/psn-pdf
September 08, 2021 - Why an open disclosure procedure is and is not followed
after an avoidable adverse event.
September 8, 2021
Carrillo I, Mira JJ, Guilabert M, et al. Why an open disclosure procedure is and is not followed after an
avoidable adverse event. J Patient Saf. 2021;17(6):e529-e533. doi:10.1097/pts.0000000000000405.
https…
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psnet.ahrq.gov/node/73890/psn-pdf
September 29, 2021 - Why do systems for responding to concerns and
complaints so often fail patients, families and healthcare
staff?
September 29, 2021
Martin GP, Chew S, Dixon-Woods M. Why do systems for responding to concerns and complaints so often
fail patients, families and healthcare staff? A qualitative study. Soc Sci Med. 2021…
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psnet.ahrq.gov/node/41465/psn-pdf
January 31, 2013 - Emergency department discharge prescription
interventions by emergency medicine pharmacists.
January 31, 2013
Cesarz JL, Steffenhagen AL, Svenson J, et al. Emergency department discharge prescription interventions
by emergency medicine pharmacists. Ann Emerg Med. 2013;61(2):209-214.e1.
doi:10.1016/j.annemergmed.20…
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psnet.ahrq.gov/node/40605/psn-pdf
July 22, 2011 - Work-related critical incidents in hospital-based health
care providers and the risk of post-traumatic stress
symptoms, anxiety, and depression: a meta-analysis.
July 22, 2011
de Boer J, Lok A, Verlaat EV't, et al. Work-related critical incidents in hospital-based health care providers
and the risk of post-traumat…
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psnet.ahrq.gov/node/866433/psn-pdf
August 07, 2024 - Sepsis alert systems, mortality, and adherence in
emergency departments: a systematic review and meta-
analysis.
August 7, 2024
Kim H-J, Ko R-E, Lim SY, et al. Sepsis alert systems, mortality, and adherence in emergency departments:
a systematic review and meta-analysis. JAMA Netw Open. 2024;7(7):e2422823.
doi:10…
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psnet.ahrq.gov/node/846709/psn-pdf
March 29, 2023 - The safety and acceptability of using telehealth for follow-
up of patients following cancer surgery: a systematic
review.
March 29, 2023
Xiao K, Yeung JC, Bolger JC. The safety and acceptability of using telehealth for follow-up of patients
following cancer surgery: a systematic review. Eur J Surg Oncol. 2023;49(…
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psnet.ahrq.gov/node/867140/psn-pdf
November 13, 2024 - CMQCC obstetric sepsis toolkit update: a patient-
centered approach to quality improvement.
November 13, 2024
Main EK, Nath R, Bauer ME. CMQCC obstetric sepsis toolkit update: a patient-centered approach to
quality improvement. Semin Perinatol. 2024:151976. doi:10.1016/j.semperi.2024.151976.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/838626/psn-pdf
January 01, 2023 - How do hospital inpatients conceptualise patient safety?
A qualitative interview study using constructivist
grounded theory.
October 19, 2022
Barrow E, Lear RA, Morbi A, et al. How do hospital inpatients conceptualise patient safety? A qualitative
interview study using constructivist grounded theory. BMJ Qual Saf.…
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psnet.ahrq.gov/node/836956/psn-pdf
April 20, 2022 - Effectiveness and safety of pulse oximetry in remote
patient monitoring of patients with COVID-19: a
systematic review.
April 20, 2022
Alboksmaty A, Beaney T, Elkin S, et al. Effectiveness and safety of pulse oximetry in remote patient
monitoring of patients with COVID-19: a systematic review. Lancet Digit Health.…
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psnet.ahrq.gov/node/841474/psn-pdf
January 01, 2023 - Factors that affect opioid quality improvement initiatives
in primary care: insights from ten health systems.
December 14, 2022
Childs E, Tano CA, Mikosz CA, et al. Factors that affect opioid quality improvement initiatives in primary
care: insights from ten health systems. Jt Comm J Qual Patient Saf. 2023;49(1):26…
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digital.ahrq.gov/funding-mechanism/competitive-revision-supplements-existing-ahrq-health-service-research-hsr-grants
January 01, 2023 - Competitive Revision Supplements to Existing AHRQ Health Service Research (HSR) Grants and Cooperative Agreements to Evaluate Health System and Healthcare Professional Responsiveness to COVID-19
Implementation of a Novel Multi-Platform Evidence-Based Clinical Decision Support System
…
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www.ahrq.gov/sites/default/files/wysiwyg/funding/policies/single-IRB-plan-elements.pdf
June 02, 2025 - The Single IRB Plan Elements
The Single IRB Plan Elements
The single IRB plan should include the following elements:
• Describe how you will comply with the requirement for single IRB review
under the revised common rule at 45 CFR 46.114.
• If available, provide the name of the IRB that you anticipate wi…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/allocation-of-function-analysis
January 01, 2023 - Allocation of Function Analysis
Description
An allocation of function analysis is used during design to determine how to allocate jobs, tasks, functions, and responsibilities for the system under analysis. During the analysis, each task must be considered, weighing the advantages and disadvantages of …
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psnet.ahrq.gov/node/44246/psn-pdf
November 15, 2016 - RCA2: Improving Root Cause Analyses and Actions to
Prevent Harm.
November 15, 2016
Boston, MA: National Patient Safety Foundation; 2015.
https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm
The National Patient Safety Foundation issued these guidelines for improving root cause a…
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psnet.ahrq.gov/issue/hospitals-bid-heal-selves-saves-thousands
February 26, 2025 - Newspaper/Magazine Article
Hospitals' bid to heal selves saves thousands.
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June 28, 2006
This article article reports on the resul…
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psnet.ahrq.gov/node/46121/psn-pdf
January 01, 2021 - Quality of handoffs in community pharmacies.
May 10, 2017
Abebe E, Stone JA, Lester CA, et al. Quality of Handoffs in Community Pharmacies. J Patient Saf.
2021;17(6):405-411. doi:10.1097/PTS.0000000000000382.
https://psnet.ahrq.gov/issue/quality-handoffs-community-pharmacies
Handoffs present a significant patient …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide197.html
October 01, 2014 - 197. Specific Populations and Other Topics (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Evidence of effectiveness of tobacco dependence interventions in specific populations
Population of Smokers
Review of Evidence
Psychiatric disorders i…
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psnet.ahrq.gov/node/43957/psn-pdf
June 21, 2015 - Enhancing the effectiveness of team debriefings in
medical simulation: more best practices.
June 21, 2015
Lyons R, Lazzara EH, Benishek LE, et al. Enhancing the effectiveness of team debriefings in medical
simulation: more best practices. Jt Comm J Qual Patient Saf. 2015;41(3):115-125.
https://psnet.ahrq.gov/issue…