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psnet.ahrq.gov/issue/adverse-events-during-dental-care-children-implications-practitioner-health-and-wellness
December 22, 2021 - Review
Adverse events during dental care for children: implications for practitioner health and wellness.
Citation Text:
Nainar SMH. Adverse events during dental care for children: implications for practitioner health and wellness. Pediatr Dent. 2018;40(5):323-326.
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psnet.ahrq.gov/issue/use-simulation-healthcare-systems-issues-team-building-task-training-education-and-high
October 03, 2011 - Review
The use of simulation in healthcare: from systems issues, to team building, to task training, to education and high stakes examinations.
Citation Text:
Orledge J, Phillips WJ, Murray B, et al. The use of simulation in healthcare: from systems issues, to team building, to task t…
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psnet.ahrq.gov/issue/using-interactive-voice-response-system-improve-patient-safety-following-hospital-discharge
February 01, 2017 - Study
Using an interactive voice response system to improve patient safety following hospital discharge.
Citation Text:
Forster AJ, van Walraven C. Using an interactive voice response system to improve patient safety following hospital discharge. J Eval Clin Pract. 2007;13(3):346-51.
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psnet.ahrq.gov/issue/delayed-or-missed-diagnosis-cervical-spine-injuries
May 05, 2010 - Study
Delayed or missed diagnosis of cervical spine injuries.
Citation Text:
Platzer P, Hauswirth N, Jaindl M, et al. Delayed or Missed Diagnosis of Cervical Spine Injuries. The Journal of Trauma: Injury, Infection, and Critical Care. 2006;61(1). doi:10.1097/01.ta.0000196673.58429.2a. …
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psnet.ahrq.gov/issue/patient-safety-what-how-and-when
June 23, 2021 - Commentary
Patient safety: the what, how, and when.
Citation Text:
Albrecht RM. Patient safety: the what, how, and when. Am J Surg. 2015;210(6):978-82. doi:10.1016/j.amjsurg.2015.09.003.
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psnet.ahrq.gov/issue/reliability-ahrq-common-format-harm-scales-rating-patient-safety-events
January 23, 2017 - Study
The reliability of AHRQ Common Format Harm Scales in rating patient safety events.
Citation Text:
Williams TL, Szekendi MK, Pavkovic S, et al. The reliability of AHRQ Common Format Harm Scales in rating patient safety events. J Patient Saf. 2015;11(1):52-59. doi:10.1097/PTS.0b013e3…
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psnet.ahrq.gov/issue/overuse-medical-imaging-and-its-radiation-exposure-whos-minding-our-children
August 04, 2021 - Commentary
Overuse of medical imaging and its radiation exposure: who’s minding our children?
Citation Text:
Schroeder AR, Duncan JR. Overuse of Medical Imaging and Its Radiation Exposure: Who's Minding Our Children? JAMA Pediatr. 2016;170(11):1037-1038. doi:10.1001/jamapediatrics.2016.2…
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psnet.ahrq.gov/issue/new-legal-protections-reporting-patient-errors-under-patient-safety-and-quality-improvement
November 16, 2022 - Review
New legal protections for reporting patient errors under the Patient Safety and Quality Improvement Act: a review of the medical literature and analysis.
Citation Text:
Howard J, Levy F, Mareiniss DP, et al. New legal protections for reporting patient errors under the Patient Sa…
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psnet.ahrq.gov/issue/implementing-studying-and-reporting-health-system-improvement-era-electronic-health-records
January 17, 2024 - Special or Theme Issue
Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records.
Citation Text:
Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records. Auerbach AD, Bates DW, Rao JK, et al, ed…
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psnet.ahrq.gov/issue/fixing-patient-safety-are-we-nearly-there-yet
April 14, 2021 - Commentary
Fixing patient safety: are we nearly there yet?
Citation Text:
McCulloch P. Fixing patient safety: are we nearly there yet? BMJ Qual Saf. 2024;33(8):539-542. doi:10.1136/bmjqs-2023-016589.
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psnet.ahrq.gov/issue/teamwork-during-resuscitation
January 21, 2017 - Review
Teamwork during resuscitation.
Citation Text:
Weinstock P, Halamek LP. Teamwork during resuscitation. Pediatr Clin North Am. 2008;55(4):1011-24, xi-xii. doi:10.1016/j.pcl.2008.04.001.
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psnet.ahrq.gov/issue/duration-anesthesia-indicator-morbidity-and-mortality-office-based-facial-plastic-surgery
March 19, 2018 - Study
Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surgery: a review of 1200 consecutive cases.
Citation Text:
Gordon NA, Koch ME. Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surger…
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psnet.ahrq.gov/issue/disclosure-harmful-medical-errors-out-hospital-care
June 18, 2014 - Review
Disclosure of harmful medical errors in out-of-hospital care.
Citation Text:
Lu DW, Guenther E, Wesley AK, et al. Disclosure of harmful medical errors in out-of-hospital care. Ann Emerg Med. 2013;61(2):215-21. doi:10.1016/j.annemergmed.2012.07.004.
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psnet.ahrq.gov/issue/adverse-events-medicine-easy-count-complicated-understand-and-complex-prevent
July 15, 2009 - Commentary
Adverse events in medicine: easy to count, complicated to understand, and complex to prevent.
Citation Text:
Amalberti R, Benhamou D, Auroy Y, et al. Adverse events in medicine: easy to count, complicated to understand, and complex to prevent. J Biomed Inform. 2011;44(3):390…
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psnet.ahrq.gov/issue/cost-poor-blood-specimen-quality-and-errors-preanalytical-processes
April 22, 2009 - Review
The cost of poor blood specimen quality and errors in preanalytical processes.
Citation Text:
Green SF. The cost of poor blood specimen quality and errors in preanalytical processes. Clin Biochem. 2013;46(13-14):1175-9. doi:10.1016/j.clinbiochem.2013.06.001.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d1_combo_improvementmethodsoverview.pdf
June 02, 2025 - Improvement Methods Overview
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Tool D.1 Slide 1
• Use these PowerPoint slides for any presentations
for which they may be useful.
• These slides may be useful earlier on in the process
than during implementation; feel free t…
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psnet.ahrq.gov/issue/distracted-practice-concept-analysis
February 27, 2009 - Review
Distracted practice: a concept analysis.
Citation Text:
D'Esmond LK. Distracted Practice: A Concept Analysis. Nurs Forum. 2016;51(4):275-285. doi:10.1111/nuf.12153.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/registries-guide_executive.pdf
April 01, 2007 - accuracy and falsification are rigorously evaluated and quantified (e.g.,
through database and site reviews
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/_ZPNC3vqdS3R-ggXro6UAM
April 05, 2016 - Screening for Chronic Obstructive Pulmonary Disease: USPSTF Recommendation Statement
Copyright 2016 American Medical Association. All rights reserved.
Screening for Chronic Obstructive Pulmonary Disease
US Preventive Services Task Force
Recommendation Statement
US Preventive Services Task Force (USPSTF)
T he US Pre…
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psnet.ahrq.gov/node/41690/psn-pdf
September 19, 2012 - Inappropriateness of medication prescriptions to elderly
patients in the primary care setting: a systematic review.
September 19, 2012
Opondo D, Eslami S, Visscher S, et al. Inappropriateness of medication prescriptions to elderly patients in
the primary care setting: a systematic review. PLoS One. 2012;7(8):e43617…