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  1. Evaluation of AHRQ’s On-Time Pressure Ulcer Program - 2012 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program/annual-summary/2012
    January 01, 2012 - Evaluation of AHRQ’s On-Time Pressure Ulcer Program - 2012 Project Name Evaluation of AHRQ's On-time Pressure Ulcer Program Principal Investigator Hurd, Donna Organization Abt Associates, Inc. Funding Mechanism Accelerating Change and Transformation in Organizations…

  2. Development and content validation of a surgical safety checklist for operating theatres that use robotic technology. | PSNet

    psnet.ahrq.gov/issue/development-and-content-validation-surgical-safety-checklist-operating-theatres-use-robotic
    February 25, 2015 - Study Development and content validation of a surgical safety checklist for operating theatres that use robotic technology. Citation Text: Ahmed K, Khan N, Khan MS, et al. Development and content validation of a surgical safety checklist for operating theatres that use robotic technolog…

  3. Content analysis of nurses' reflections on medication errors in a regional hospital. | PSNet

    psnet.ahrq.gov/issue/content-analysis-nurses-reflections-medication-errors-regional-hospital
    December 23, 2020 - Study Content analysis of nurses' reflections on medication errors in a regional hospital. Citation Text: Issacs AN, RAYMOND A, KENT B. Content analysis of nurses’ reflections on medication errors in a regional hospital. Contemp Nurse. 2023;59(3):202-213. doi:10.1080/10376178.2023.222043…

  4. Performance of a trigger tool for identifying adverse events in oncology. | PSNet

    psnet.ahrq.gov/issue/performance-trigger-tool-identifying-adverse-events-oncology
    May 23, 2018 - Study Performance of a trigger tool for identifying adverse events in oncology. Citation Text: Lipitz-Snyderman A, Classen D, Pfister D, et al. Performance of a Trigger Tool for Identifying Adverse Events in Oncology. J Oncol Pract. 2017;13(3). doi:10.1200/jop.2016.016634. Copy Citatio…

  5. Use of an expedited review tool to screen for prior diagnostic error in emergency department patients. | PSNet

    psnet.ahrq.gov/issue/use-expedited-review-tool-screen-prior-diagnostic-error-emergency-department-patients
    December 16, 2020 - Study Use of an expedited review tool to screen for prior diagnostic error in emergency department patients. Citation Text: Hudspeth J, El-Kareh R, Schiff G. Use of an expedited review tool to screen for prior diagnostic error in emergency department patients. Appl Clin Inform. 2015;06(0…

  6. Clinician distress and inappropriate antibiotic prescribing for acute respiratory tract infections: a retrospective cohort study. | PSNet

    psnet.ahrq.gov/issue/clinician-distress-and-inappropriate-antibiotic-prescribing-acute-respiratory-tract
    December 02, 2020 - Study Clinician distress and inappropriate antibiotic prescribing for acute respiratory tract infections: a retrospective cohort study. Citation Text: Brady KJS, Barlam TF, Trockel MT, et al. Clinician distress and inappropriate antibiotic prescribing for acute respiratory tract infectio…

  7. How does routine disclosure of medical error affect patients' propensity to sue and their assessment of provider quality?: Evidence from survey data. | PSNet

    psnet.ahrq.gov/issue/how-does-routine-disclosure-medical-error-affect-patients-propensity-sue-and-their-assessment
    December 04, 2016 - Study How does routine disclosure of medical error affect patients' propensity to sue and their assessment of provider quality?: Evidence from survey data. Citation Text: Helmchen LA, Richards MR, McDonald TB. How does routine disclosure of medical error affect patients' propensity to …

  8. Patient outcomes after opioid dose reduction among patients with chronic opioid therapy. | PSNet

    psnet.ahrq.gov/issue/patient-outcomes-after-opioid-dose-reduction-among-patients-chronic-opioid-therapy
    April 27, 2022 - Study Patient outcomes after opioid dose reduction among patients with chronic opioid therapy. Citation Text: Hallvik SE, El Ibrahimi S, Johnston K, et al. Patient outcomes after opioid dose reduction among patients with chronic opioid therapy. Pain. 2022;163(1):83-90. doi:10.1097/j.pain…

  9. Medication histories in critically ill patients completed by pharmacy personnel. | PSNet

    psnet.ahrq.gov/issue/medication-histories-critically-ill-patients-completed-pharmacy-personnel
    September 23, 2020 - Study Medication histories in critically ill patients completed by pharmacy personnel. Citation Text: Kram BL, Trammel MA, Kram SJ, et al. Medication histories in critically ill patients completed by pharmacy personnel. Ann Pharmacother. 2019;53(6):596-602. doi:10.1177/1060028018825483. …

  10. Drug administration errors in hospital inpatients: a systematic review. | PSNet

    psnet.ahrq.gov/issue/drug-administration-errors-hospital-inpatients-systematic-review
    September 01, 2016 - Review Drug administration errors in hospital inpatients: a systematic review. Citation Text: Berdot S, Gillaizeau F, Caruba T, et al. Drug administration errors in hospital inpatients: a systematic review. PLoS One. 2013;8(6):e68856. doi:10.1371/journal.pone.0068856. Copy Citation …

  11. Medication reconciliation in oncological patients: a randomized clinical trial. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-oncological-patients-randomized-clinical-trial
    March 09, 2022 - Study Medication reconciliation in oncological patients: a randomized clinical trial. Citation Text: Vega TG-C, Sierra-Sánchez JF, Martínez-Bautista MJ, et al. Medication Reconciliation in Oncological Patients: A Randomized Clinical Trial. J Manag Care Spec Pharm. 2016;22(6):734-40. doi:…

  12. Identifying and analyzing diagnostic paths: a new approach for studying diagnostic practices. | PSNet

    psnet.ahrq.gov/issue/identifying-and-analyzing-diagnostic-paths-new-approach-studying-diagnostic-practices
    July 17, 2019 - Commentary Identifying and analyzing diagnostic paths: a new approach for studying diagnostic practices. Citation Text: Rao G, Epner P, Bauer V, et al. Identifying and analyzing diagnostic paths: a new approach for studying diagnostic practices. Diagnosis (Berl). 2017;4(2):67-72. doi:10.…

  13. Controversies in diagnosis: contemporary debates in the diagnostic safety literature. | PSNet

    psnet.ahrq.gov/issue/controversies-diagnosis-contemporary-debates-diagnostic-safety-literature
    December 21, 2018 - Review Controversies in diagnosis: contemporary debates in the diagnostic safety literature. Citation Text: Bergl PA, Wijesekera TP, Nassery N, et al. Controversies in diagnosis: contemporary debates in the diagnostic safety literature. Diagnosis (Berl). 2020;7(1):3-9. doi:10.1515/dx-201…

  14. Understanding and confronting our mistakes: the epidemiology of error in radiology and strategies for error reduction. | PSNet

    psnet.ahrq.gov/issue/understanding-and-confronting-our-mistakes-epidemiology-error-radiology-and-strategies-error
    February 02, 2022 - Commentary Understanding and confronting our mistakes: the epidemiology of error in radiology and strategies for error reduction. Citation Text: Bruno MA, Walker EA, Abujudeh H. Understanding and confronting our mistakes: the epidemiology of error in radiology and strategies for error re…

  15. Medication misadventures resulting in emergency department visits at an HMO medical center. | PSNet

    psnet.ahrq.gov/issue/medication-misadventures-resulting-emergency-department-visits-hmo-medical-center
    March 16, 2022 - Study Classic Medication misadventures resulting in emergency department visits at an HMO medical center. Citation Text: Medication misadventures resulting in emergency department visits at an HMO medical center. Schneitman-McIntire O, Farnen TA, Gordon N, et al…

  16. Importance of prevention and early intervention of adverse events in pediatric cardiac catheterization: a review of three years of experience. | PSNet

    psnet.ahrq.gov/issue/importance-prevention-and-early-intervention-adverse-events-pediatric-cardiac-catheterization
    March 24, 2019 - Study Importance of prevention and early intervention of adverse events in pediatric cardiac catheterization: a review of three years of experience. Citation Text: Huang Y-C, Chang J-S, Lai Y-C, et al. Importance of prevention and early intervention of adverse events in pediatric cardi…

  17. Association of the use of a mandatory prescription drug monitoring program with prescribing practices for patients undergoing elective surgery. | PSNet

    psnet.ahrq.gov/issue/association-use-mandatory-prescription-drug-monitoring-program-prescribing-practices-patients
    March 01, 2023 - Study Emerging Classic Association of the use of a mandatory prescription drug monitoring program with prescribing practices for patients undergoing elective surgery. Citation Text: Stucke RS, Kelly JL, Mathis KA, et al. Association of the Use of a Mandatory Pre…

  18. Structural racism and impact on sickle cell disease: sickle cell lives matter. | PSNet

    psnet.ahrq.gov/issue/structural-racism-and-impact-sickle-cell-disease-sickle-cell-lives-matter
    February 15, 2023 - Commentary Structural racism and impact on sickle cell disease: sickle cell lives matter. Citation Text: Smith WR, Valrie C, Sisler I. Structural racism and impact on sickle cell disease: sickle cell lives matter. Hematol Oncol Clin North Am. 2022;36(6):1063-1076. doi:10.1016/j.hoc.2022.…

  19. US emergency department visits attributed to medication harms, 2017-2019. | PSNet

    psnet.ahrq.gov/issue/us-emergency-department-visits-attributed-medication-harms-2017-2019
    December 15, 2021 - Study US emergency department visits attributed to medication harms, 2017-2019. Citation Text: Budnitz DS, Shehab N, Lovegrove MC, et al. US emergency department visits attributed to medication harms, 2017-2019. JAMA. 2021;326(13):1299. doi:10.1001/jama.2021.13844. Copy Citation Fo…

  20. SIMMEON-Prep study: SIMulation of Medication Errors in ONcology: prevention of antineoplastic preparation errors. | PSNet

    psnet.ahrq.gov/issue/simmeon-prep-study-simulation-medication-errors-oncology-prevention-antineoplastic
    May 28, 2014 - Study SIMMEON-Prep study: SIMulation of Medication Errors in ONcology: prevention of antineoplastic preparation errors. Citation Text: Sarfati L, Ranchon F, Vantard N, et al. SIMMEON-Prep study: SIMulation of Medication Errors in ONcology: prevention of antineoplastic preparation errors.…
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