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psnet.ahrq.gov/issue/care-and-oversight-deficiencies-related-multiple-homicides-louis-johnson-va-medical-center
February 10, 2021 - Book/Report
Care and Oversight Deficiencies Related to Multiple Homicides at the Louis A. Johnson VA Medical Center in Clarksburg, West Virginia.
Citation Text:
Care and Oversight Deficiencies Related to Multiple Homicides at the Louis A. Johnson VA Medical Center in Clarksburg, West Vir…
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psnet.ahrq.gov/issue/patient-safety-informatics-meeting-challenges-emerging-digital-health
June 08, 2022 - Commentary
Patient safety informatics: meeting the challenges of emerging digital health.
Citation Text:
McInerney C, Benn J, Dowding D, et al. Patient safety informatics: meeting the challenges of emerging digital health. Stud Health Technol Inform. 2022;290:364-368. doi:10.3233/shti220…
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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/review-literature-examining-linkages-between-organizational-factors-medical-errors-and
June 24, 2010 - Review
A review of the literature examining linkages between organizational factors, medical errors, and patient safety.
Citation Text:
Hoff T, Jameson L, Hannan E, et al. A review of the literature examining linkages between organizational factors, medical errors, and patient safety. …
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psnet.ahrq.gov/issue/artificial-intelligence-bias-and-clinical-safety
September 23, 2020 - Review
Artificial intelligence, bias and clinical safety.
Citation Text:
Challen R, Denny J, Pitt M, et al. Artificial intelligence, bias and clinical safety. BMJ Qual Saf. 2019;28(3):231-237. doi:10.1136/bmjqs-2018-008370.
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psnet.ahrq.gov/issue/relationship-between-psychological-safety-and-reporting-nonadherence-safety-checklist
April 06, 2022 - Study
Relationship between psychological safety and reporting nonadherence to a safety checklist.
Citation Text:
Gilmartin HM, Langner P, Gokhale M, et al. Relationship Between Psychological Safety and Reporting Nonadherence to a Safety Checklist. J Nurs Care Qual. 2018;33(1):53-60. doi:…
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psnet.ahrq.gov/issue/systematic-review-application-plan-do-study-act-method-improve-quality-healthcare
May 01, 2019 - Review
Systematic review of the application of the plan-do-study-act method to improve quality in healthcare.
Citation Text:
Taylor MJ, McNicholas C, Nicolay C, et al. Systematic review of the application of the plan-do-study-act method to improve quality in healthcare. BMJ Qual Saf. 2…
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psnet.ahrq.gov/issue/avoiding-second-wave-medical-errors-importance-human-factors-context-pandemic
March 09, 2022 - Commentary
Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic.
Citation Text:
Tejos R, Navia A, Cuadra A, et al. Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic. Aesthetic Plast Sur…
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psnet.ahrq.gov/issue/improving-patient-safety-reporting-common-formats-common-data-representation-patient-safety
October 19, 2022 - Commentary
Improving patient safety reporting with the common formats: common data representation for Patient Safety Organizations.
Citation Text:
Elkin PL, Johnson HC, Callahan MR, et al. Improving patient safety reporting with the common formats: Common data representation for Patient …
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psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2008-comparative-database-report
May 19, 2010 - Book/Report
Hospital Survey on Patient Safety Culture: 2008 Comparative Database Report.
Citation Text:
Hospital Survey on Patient Safety Culture: 2008 Comparative Database Report. Sorra J, Famolaro T, Dyer N, Nelson D, Khanna K. Rockville, MD: Agency for Healthcare Research and Quality;…
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psnet.ahrq.gov/issue/ashp-guidelines-minimum-standard-ambulatory-care-pharmacy-practice
September 23, 2020 - Commentary
ASHP guidelines: minimum standard for ambulatory care pharmacy practice.
Citation Text:
Buxton JA, Babbitt RM, Clegg CA, et al. ASHP guidelines: Minimum standard for ambulatory care pharmacy practice. Am J Health-Syst Pharm. 2015;72(14):1221-1236. doi:10.2146/sp150005.
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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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hcup-us.ahrq.gov/datainnovations/clinicaldata/OverviewAHRQSupportedAddingClinicalDataPilots09.pdf
November 18, 2009 - Slide 1
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care • www.ahrq.gov
Adding Clinical Data to
Administrative Datasets: Overview of AHRQ Pilots
Roxanne Andrews
Anne Elixhauser
13th Annual Healthcare Cost and Utilization Project
(HCUP) Partners Meeting
November 18, 2009
Advan…
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or20.jsp
July 01, 2014 - Process Diagram for Linking Data
An official website of the Department of Health & Human Services
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psnet.ahrq.gov/issue/prejudice-perceptions-physicians-influence-race-and-gender-evaluations-medical-errors
March 27, 2019 - Study
Prejudice in perceptions of physicians?: The influence of race and gender on evaluations of medical errors.
Citation Text:
Brown D, Martinez LR, Hebl MMR. Prejudice in Perceptions of Physicians?: The Influence of Race and Gender on Evaluations of Medical Errors. J Gen Intern Med. 2…
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psnet.ahrq.gov/issue/errors-surgery-case-control-study
May 01, 2024 - Study
Errors in surgery: a case control study.
Citation Text:
Marsh KM, Turrentine FE, Schenk WG, et al. Errors in surgery: a case control study. Ann Surg. 2022;276(5):e347-e352. doi:10.1097/sla.0000000000005664.
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psnet.ahrq.gov/issue/decreasing-surgical-site-infections-developing-high-reliability-culture
July 05, 2017 - Commentary
Decreasing surgical site infections by developing a high reliability culture.
Citation Text:
Pettis AM. Decreasing Surgical Site Infections by Developing a High Reliability Culture. AORN J. 2018;108(6):644-650. doi:10.1002/aorn.12416.
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psnet.ahrq.gov/issue/improving-hospital-safety-culture-falls-prevention-through-interdisciplinary-health-education
December 16, 2011 - Study
Improving hospital safety culture for falls prevention through interdisciplinary health education.
Citation Text:
Lopez-Jeng C, Eberth SD. Improving hospital safety culture for falls prevention through interdisciplinary health education. Health Promot Pract. 2020;21(6):918-925. doi…
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psnet.ahrq.gov/issue/patient-pharmacist-communication-during-post-discharge-pharmacist-home-visit
May 28, 2015 - Study
Patient–pharmacist communication during a post-discharge pharmacist home visit.
Citation Text:
Ensing HT, Vervloet M, van Dooren AA, et al. Patient-pharmacist communication during a post-discharge pharmacist home visit. Int J Clin Pharm. 2018;40(3):712-720. doi:10.1007/s11096-018-0…
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hcup-us.ahrq.gov/db/vars/ndx/kidnote.jsp
September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) KID Notes
An official website of the Department of Health & Human Services
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