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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-5-attach-5.pdf
February 02, 2012 - Finally, although
published literature reviews did not
contribute directly to the evidence
base, the … pediatrics.aappublications.org/content/128/5/1007.full.h
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February 02, 2012 - Finally, although
published literature reviews did not
contribute directly to the evidence
base, … 128/5/1007.full.h
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www.ahrq.gov/sops/news.html
March 01, 2025 - SOPS Announcements
2025 Announcements Date Announcements February 2025 AHRQ's Surveys on Patient Safety Culture® Nursing Home Survey: 2025 User Database Report Results from AHRQ’s 2025 Surveys on Patient Safety Culture® (SOPS®) Nursing Home Survey User Database Report are now available. The Database Report in…
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psnet.ahrq.gov/node/33595/psn-pdf
December 15, 2024 - Fatigue, Sleep Deprivation, and Patient Safety
December 15, 2024
Fatigue, Sleep Deprivation, and Patient Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/fatigue-sleep-deprivation-and-patient-safety
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
th…
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digital.ahrq.gov/ahrq-funded-projects/improving-patient-safety-and-clinician-cognitive-support-through-emar-redesign
April 30, 2024 - Improving Patient Safety and Clinician Cognitive Support Through eMAR Redesign
Project Final Report ( PDF , 307.77 KB) Disclaimer
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The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily repre…
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psnet.ahrq.gov/issue/impact-diagnostic-management-team-patient-time-diagnosis-and-percent-accurate-and-clinically
October 19, 2022 - Study
Impact of diagnostic management team on patient time to diagnosis and percent of accurate and clinically actionable diagnoses.
Citation Text:
Brashear J, Mize R, Laposata M, et al. Impact of diagnostic management team on patient time to diagnosis and percent of accurate and clinica…
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psnet.ahrq.gov/issue/interventions-reduction-prescribed-opioid-use-chronic-non-cancer-pain
April 04, 2011 - Review
Interventions for the reduction of prescribed opioid use in chronic non-cancer pain.
Citation Text:
Eccleston C, Fisher E, Thomas KH, et al. Interventions for the reduction of prescribed opioid use in chronic non-cancer pain. Cochrane Database Syst Rev. 2017;11:CD010323. doi:10.10…
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psnet.ahrq.gov/issue/effects-physical-environments-medical-wards-medication-communication-processes-affecting
November 17, 2021 - Study
The effects of physical environments in medical wards on medication communication processes affecting patient safety.
Citation Text:
Liu W, Manias E, Gerdtz M. The effects of physical environments in medical wards on medication communication processes affecting patient safety. Heal…
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psnet.ahrq.gov/issue/preventing-harm-icu-building-culture-safety-and-engaging-patients-and-families
March 14, 2022 - Review
Preventing harm in the ICU—building a culture of safety and engaging patients and families.
Citation Text:
Thornton KC, Schwarz JJ, Gross K, et al. Preventing Harm in the ICU-Building a Culture of Safety and Engaging Patients and Families. Crit Care Med. 2017;45(9):1531-1537. doi:…
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psnet.ahrq.gov/issue/diagnostic-errors-uncommon-conditions-systematic-review-case-reports-diagnostic-errors
June 19, 2024 - Study
Diagnostic errors in uncommon conditions: a systematic review of case reports of diagnostic errors.
Citation Text:
Harada Y, Watari T, Nagano H, et al. Diagnostic errors in uncommon conditions: a systematic review of case reports of diagnostic errors. Diagnosis (Berl). 2023;10(4):3…
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digital.ahrq.gov/ahrq-funded-projects/exploring-clinically-relevant-image-retrieval-diabetic-retinopathy-diagnosis/annual-summary/2011
January 01, 2011 - Exploring Clinically-relevant Image Retrieval for Diabetic Retinopathy Diagnosis - 2011
Project Name
Exploring Clinically-relevant Image Retrieval for Diabetic Retinopathy Diagnosis
Principal Investigator
Li, Baoxin
Organization
Arizona State University - Tempe Campus
…
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psnet.ahrq.gov/issue/visual-illusions-radiology-untrue-perceptions-medical-images-and-their-implications
July 06, 2022 - Commentary
Visual illusions in radiology: untrue perceptions in medical images and their implications for diagnostic accuracy.
Citation Text:
Alexander RG, Yazdanie F, Waite S, et al. Visual illusions in radiology: untrue perceptions in medical images and their implications for diagnosti…
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psnet.ahrq.gov/issue/identification-poor-performance-national-medical-workforce-over-11-years-observational-study
August 12, 2014 - Study
Identification of poor performance in a national medical workforce over 11 years: an observational study.
Citation Text:
Donaldson LJ, Panesar S, McAvoy PA, et al. Identification of poor performance in a national medical workforce over 11 years: an observational study. BMJ Qual Sa…
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psnet.ahrq.gov/issue/informing-design-new-pragmatic-registry-stimulate-near-miss-reporting-ambulatory-care
January 12, 2011 - Review
Informing the design of a new pragmatic registry to stimulate near miss reporting in ambulatory care.
Citation Text:
Pfoh ER, Engineer L, Singh H, et al. Informing the Design of a New Pragmatic Registry to Stimulate Near Miss Reporting in Ambulatory Care. J Patient Saf. 2021;17(3)…
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digital.ahrq.gov/ahrq-funded-projects/context-aware-knowledge-delivery-electronic-health-records/annual-summary/2011
January 01, 2011 - Context-Aware Knowledge Delivery into Electronic Health Records - 2011
Project Name
Context-Aware Knowledge Delivery into Electronic Health Records
Principal Investigator
Del Fiol, Guilherme
Organization
University of Utah
Funding Mechanism
PAR: HS09-087: Mentored R…
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psnet.ahrq.gov/issue/mix-methods-needed-identify-adverse-events-general-practice-prospective-observational-study
April 15, 2009 - Study
Mix of methods is needed to identify adverse events in general practice: a prospective observational study.
Citation Text:
Wetzels R, Wolters R, van Weel C, et al. Mix of methods is needed to identify adverse events in general practice: a prospective observational study. BMC Fam P…
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psnet.ahrq.gov/issue/electronic-health-record-safety-paradox
September 01, 2021 - Commentary
Is electronic health record safety a paradox?
Citation Text:
Harrington L. Is electronic health record safety a paradox? AACN Adv Crit Care. 2021;32(4):375-380. doi:10.4037/aacnacc2021406.
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psnet.ahrq.gov/issue/complications-acknowledging-managing-and-coping-human-error
March 13, 2024 - Review
Complications: acknowledging, managing, and coping with human error.
Citation Text:
Helo S, Moulton C-AE. Complications: acknowledging, managing, and coping with human error. Transl Androl Urol. 2017;6(4):773-782. doi:10.21037/tau.2017.06.28.
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psnet.ahrq.gov/issue/quality-improvement-initiative-reduce-safety-events-among-adolescents-hospitalized-after
July 22, 2020 - Study
A quality improvement initiative to reduce safety events among adolescents hospitalized after a suicide attempt.
Citation Text:
Noelck M, Velazquez-Campbell M, Austin JP. A Quality Improvement Initiative to Reduce Safety Events Among Adolescents Hospitalized After a Suicide Attempt…
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psnet.ahrq.gov/innovation/predicting-dispensing-errors-community-pharmacies-application-systematic-human-error
February 06, 2019 - EMERGING INNOVATIONS
Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA).
Citation Text:
Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Predic…