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digital.ahrq.gov/ahrq-funded-projects/enabling-shared-decision-making-reduce-harm-drug-interactions-end-end
January 01, 2023 - Enabling Shared Decision Making to Reduce Harm from Drug Interactions: An End-to-End Demonstration
Project Final Report ( PDF , 1.27 MB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not…
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digital.ahrq.gov/ahrq-funded-projects/preventing-wrong-drug-and-wrong-patient-errors-indication-alerts-cpoe-systems
January 01, 2023 - Preventing Wrong-Drug and Wrong-Patient Errors With Indication Alerts in CPOE Systems
Project Final Report ( PDF , 953.21 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessaril…
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digital.ahrq.gov/ahrq-funded-projects/dissemination-and-implementation-qt-risk-clinical-decision-support
January 01, 2023 - Dissemination and Implementation of QT Risk Clinical Decision Support
Project Final Report ( PDF , 978.43 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the …
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digital.ahrq.gov/ahrq-funded-projects/evaluation-spread-and-scale-patienttoc-primary-care-community-pharmacy
March 31, 2024 - An Evaluation of the Spread and Scale of PatientToc™ From Primary Care to Community Pharmacy Practice for the Collection of Patient-Reported Outcomes
Project Final Report ( PDF , 636.58 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the autho…
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psnet.ahrq.gov/node/33578/psn-pdf
September 15, 2024 - Human Factors Engineering
September 15, 2024
Human Factors Engineering. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/human-factors-engineering
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safe…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/wheelchair-service_research-protocol.pdf
July 01, 2010 - Source: www.effectivehealthcare.ahrq.gov
Published Online: July 01, 2010
1
Evidence-based Practice Center Systematic Review Protocol
Project Title: Technical Brief – Wheeled Mobility (Wheelchair) Service
Delivery
I. Background and Objectives for the Technical Brief
Wheeled mobility or wheelchair use is …
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psnet.ahrq.gov/issue/deep-medicine-how-artificial-intelligence-can-make-healthcare-human-again
January 07, 2019 - Book/Report
Classic
Deep Medicine: How Artificial Intelligence Can Make Healthcare Human Again.
Citation Text:
Deep Medicine: How Artificial Intelligence Can Make Healthcare Human Again. Topol E. New York, NY: Basic Books; 2019. ISBN: 9781541644632.
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psnet.ahrq.gov/issue/piecing-together-medication-administration
April 02, 2009 - Newspaper/Magazine Article
Piecing together medication administration.
Citation Text:
Piecing together medication administration. Anderson HJ. Health Data Management. May 1, 2009;17:22.
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psnet.ahrq.gov/issue/prescribing-errors-cause-harm
March 30, 2016 - Government Resource
Prescribing errors that cause harm.
Citation Text:
Prescribing errors that cause harm. Rider BB, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. September 2016;13:81-91.
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psnet.ahrq.gov/issue/strategies-optimizing-or-drug-safety
November 30, 2022 - Newspaper/Magazine Article
Strategies for optimizing OR drug safety.
Citation Text:
Strategies for optimizing OR drug safety. Meyer TA, McAllister RK. Pharmacy Practice News. March 19, 2018.
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psnet.ahrq.gov/issue/research-webairs-incident-reporting-system
February 15, 2023 - Special or Theme Issue
Research from webAIRS incident reporting system.
Citation Text:
Research from webAIRS incident reporting system. Anaesth Intensive Care. 2023;51(6):372-421.
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psnet.ahrq.gov/issue/small-effort-big-payoffautomated-maximum-dose-alerts-hard-stops
June 10, 2018 - Newspaper/Magazine Article
Small effort, big payoff...automated maximum dose alerts with hard stops.
Citation Text:
Small effort, big payoff...automated maximum dose alerts with hard stops. ISMP Medication Safety Alert! Acute care edition! September 19, 2013;18:1-4.
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psnet.ahrq.gov/issue/sponges-surgical-instruments-miscounted-13-surgeries
June 23, 2010 - Newspaper/Magazine Article
Sponges, surgical instruments miscounted in 13% of surgeries.
Citation Text:
Sponges, surgical instruments miscounted in 13% of surgeries. O'Reilly KB. American Medical News. September 22, 2008;51:14.
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psnet.ahrq.gov/issue/keeping-track-aging-patients-medications
December 23, 2020 - Newspaper/Magazine Article
Keeping track of aging patients’ medications.
Citation Text:
Keeping track of aging patients’ medications. Cooney E. Telegram & Gazette. January 27, 2008.
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psnet.ahrq.gov/issue/despite-technology-verbal-orders-persist-read-back-not-widespread-and-errors-continue
June 28, 2017 - Newspaper/Magazine Article
Despite technology, verbal orders persist, read back is not widespread, and errors continue.
Citation Text:
Despite technology, verbal orders persist, read back is not widespread, and errors continue. ISMP Medication Safety Alert! Acute Care Edition. May 18, 20…
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psnet.ahrq.gov/issue/findings-and-lessons-ahrq-ambulatory-safety-and-quality-program
January 07, 2015 - Book/Report
Findings and Lessons From the AHRQ Ambulatory Safety and Quality Program.
Citation Text:
Findings and Lessons From the AHRQ Ambulatory Safety and Quality Program. Rockville, MD: Agency for Healthcare Research and Quality; August 2013. AHRQ Publication No. 13-0067-EF.
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psnet.ahrq.gov/issue/perioperative-handoffs
October 04, 2017 - Special or Theme Issue
Perioperative Handoffs.
Citation Text:
Perioperative Handoffs. Abraham J, Rosen M, Greilich PE eds. Jt Comm J Qual Patient Saf. 2023;49(8):341-434.
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psnet.ahrq.gov/issue/technology-and-error-prevention-strategies-why-are-we-still-overlooking-iv-room
July 08, 2015 - Newspaper/Magazine Article
Technology and error-prevention strategies: why are we still overlooking the IV room?
Citation Text:
Technology and error-prevention strategies: why are we still overlooking the IV room? ISMP Medication Safety Alert! Acute Care Edition. January 15, 2015;20:1-4.…
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psnet.ahrq.gov/issue/quality-connection
October 09, 2024 - Newspaper/Magazine Article
The quality connection.
Citation Text:
Solovy A. The 100 most wired 2005: the quality connection. Hospitals Health Network. 2005;79(7):38-50, 2.
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psnet.ahrq.gov/issue/competent-surgeon-individual-accountability-era-systems-failure
May 30, 2014 - Commentary
The competent surgeon: individual accountability in the era of "systems" failure.
Citation Text:
Whittemore A. The competent surgeon: individual accountability in the era of "systems" failure. Ann Surg. 2009;250(3):357-62. doi:10.1097/SLA.0b013e3181b28c93.
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