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psnet.ahrq.gov/issue/severe-hyperglycemia-patients-incorrectly-using-insulin-pens-home
December 15, 2021 - Press Release/Announcement
Severe hyperglycemia in patients incorrectly using insulin pens at home.
Citation Text:
Severe hyperglycemia in patients incorrectly using insulin pens at home. National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American…
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digital.ahrq.gov/ahrq-funded-projects/text-messaging-improve-hypertension-medication-adherence-african-americans/annual-summary/2010
January 01, 2010 - Text Messaging to Improve Hypertension Medication Adherence in African Americans - 2010
Project Name
Text Messaging to Improve Hypertension Medication Adherence in African Americans
Principal Investigator
Buis, Lorraine
Organization
Wayne State University
Funding Mech…
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psnet.ahrq.gov/issue/research-nursing-handoffs-medical-and-surgical-settings-integrative-review
October 19, 2011 - Review
Research on nursing handoffs for medical and surgical settings: an integrative review.
Citation Text:
Staggers N, Blaz JW. Research on nursing handoffs for medical and surgical settings: an integrative review. J Adv Nurs. 2013;69(2):247-62. doi:10.1111/j.1365-2648.2012.06087.x. …
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psnet.ahrq.gov/issue/diagnostic-performance-medical-students-working-individually-or-teams
January 26, 2022 - Study
Diagnostic performance by medical students working individually or in teams.
Citation Text:
Hautz WE, Kämmer JE, Schauber SK, et al. Diagnostic performance by medical students working individually or in teams. JAMA. 2015;313(3):303-4. doi:10.1001/jama.2014.15770.
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psnet.ahrq.gov/issue/how-trainees-would-disclose-medical-errors-educational-implications-training-programmes
February 16, 2011 - Study
How trainees would disclose medical errors: educational implications for training programmes.
Citation Text:
White AA, Bell SK, Krauss MJ, et al. How trainees would disclose medical errors: educational implications for training programmes. Med Educ. 2011;45(4):372-80. doi:10.1111…
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psnet.ahrq.gov/issue/post-discharge-medication-reviews-patients-heart-failure-pilot-study
May 21, 2009 - Study
Post-discharge medication reviews for patients with heart failure: a pilot study.
Citation Text:
Ponniah A, Shakib S, Doecke CJ, et al. Post-discharge medication reviews for patients with heart failure: a pilot study. Pharm World Sci. 2008;30(6):810-5. doi:10.1007/s11096-008-92…
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/ehr_go_live_planning_checklist.pdf
January 01, 2006 - EHR Go Live Planning Checklist
EHR Go Live Planning Checklist
Note: Your EHR project team should review this list and add any items that might be specific to
your practice.
Staff
Has been trained on new EHR policies and procedures and has signed off
indicating that they understand the new policies and …
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psnet.ahrq.gov/issue/interdisciplinary-collaboration-maintain-culture-safety-labor-and-delivery-setting
January 02, 2017 - Commentary
Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting.
Citation Text:
Burke C, Grobman WA, Miller D. Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting. J Perinat Neonatal Nurs. 2013;27(2):…
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psnet.ahrq.gov/issue/national-plan-health-workforce-well-being
November 13, 2019 - Book/Report
National Plan for Health Workforce Well-Being.
Citation Text:
National Plan for Health Workforce Well-Being. Dzau VJ, Kirch D, Murthy V, Nasca T, eds; NAM’s Action Collaborative on Clinician Well-Being and Resilience. Washington DC: The National Academies Press; 2022. IS…
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psnet.ahrq.gov/issue/how-talk-about-patient-safety
June 24, 2019 - Book/Report
How to Talk About Patient Safety.
Citation Text:
How to Talk About Patient Safety. Hendricks R, O'Neil M, Volmert A. Boston, MA: Betsy Lehman Center for Patient Safety; March 2019.
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psnet.ahrq.gov/issue/only-1-5-people-opioid-addiction-get-medications-treat-it-study-finds
October 21, 2020 - Newspaper/Magazine Article
Only 1 in 5 people with opioid addiction get the medications to treat it, study finds.
Citation Text:
Only 1 in 5 people with opioid addiction get the medications to treat it, study finds. Mann B. Health Shots. National Public Radio. August 7, 2023.
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psnet.ahrq.gov/issue/pros-and-cons-ehr-clinical-decision-support-alerts
August 25, 2021 - Newspaper/Magazine Article
The pros and cons of EHR clinical decision support alerts.
Citation Text:
The pros and cons of EHR clinical decision support alerts. Jason C. EHR Intelligence. April 16, 2021.
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psnet.ahrq.gov/issue/teamwork-operating-room-frontline-perspectives-among-hospitals-and-operating-room-personnel
February 10, 2015 - Study
Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel.
Citation Text:
Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel. Sexton JB; Makary MA; Tersigni AR; Pryor D; Hendrich A; Thoma…
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psnet.ahrq.gov/issue/safety-culture-across-cultures
February 12, 2020 - Commentary
Emerging Classic
Safety culture across cultures.
Citation Text:
Yorio PL, Edwards J, Hoeneveld D. Safety culture across cultures. Safety Sci. 2019;120:402-410. doi:10.1016/j.ssci.2019.07.021.
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psnet.ahrq.gov/issue/detection-medication-related-problems-hospital-practice-review
June 16, 2021 - Review
Detection of medication-related problems in hospital practice: a review.
Citation Text:
Manias E. Detection of medication-related problems in hospital practice: a review. Br J Clin Pharmacol. 2013;76(1):7-20. doi:10.1111/bcp.12049.
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psnet.ahrq.gov/issue/profiles-patient-safety-misplaced-femoral-line-guidewire-and-multiple-failures-detect-foreign
April 03, 2017 - Commentary
Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest radiography.
Citation Text:
Lum TE, Fairbanks RJ, Pennington EC, et al. Profiles in Patient Safety: Misplaced Femoral Line Guidewire and Multiple Failures t…
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psnet.ahrq.gov/issue/after-his-wife-died-he-joined-nurses-push-new-staffing-rules-hospitals
July 10, 2024 - Newspaper/Magazine Article
After his wife died, he joined nurses to push for new staffing rules in hospitals.
Citation Text:
After his wife died, he joined nurses to push for new staffing rules in hospitals. Wells K. Health Shots. KFF News and Michigan Public. February 22, 2024.
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psnet.ahrq.gov/issue/critical-review-systems-approach-within-patient-safety-research
June 16, 2021 - Review
A critical review of the systems approach within patient safety research.
Citation Text:
Waterson P. A critical review of the systems approach within patient safety research. Ergonomics. 2009;52(10):1185-1195. doi:10.1080/00140130903042782.
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psnet.ahrq.gov/node/38699/psn-pdf
June 17, 2009 - Mapping research on culture and safety in high-risk
organizations: arguments for a sociotechnical
understanding … Mapping Research on Culture and Safety in High-Risk Organizations: Arguments for a
Sociotechnical Understanding
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/obtain-training-and-support-providers-and-staff/clinicwide-orientation-oud-treatment
January 01, 2019 - This training should improve staff’s understanding of addiction as “a chronic, relapsing brain disease … This training should help improve their basic understanding of the patients they will serve and the MAT … Understanding that opioid use disorder leads to fundamental changes in the brain can help reinforce to … Build an understanding of risk and protective factors and of the kinds of behaviors common in people … Everyone should have a basic understanding of behaviors, side effects, and complications of opioid use