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psnet.ahrq.gov/issue/organizational-response-known-medical-errors-does-peer-review-protection-impede-improvement
April 24, 2018 - Commentary
Organizational response to known medical errors: does peer review protection impede improvement?
Citation Text:
Wenner WJ, Choi SW. Organizational Response to Known Medical Errors: Does Peer Review Protection Impede Improvement? Am J Med Qual. 2018;33(5):552-553. doi:10.1177/1…
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psnet.ahrq.gov/issue/patient-safety-factors-children-dying-paediatric-intensive-care-unit-picu-case-notes-review
December 03, 2014 - Study
Patient safety factors in children dying in a paediatric intensive care unit (PICU): a case notes review study.
Citation Text:
Monroe K, Wang D, Vincent CA, et al. Patient safety factors in children dying in a paediatric intensive care unit (PICU): a case notes review study. BMJ …
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www.ahrq.gov/news/newsroom/case-studies/coe1304.html
April 01, 2013 - Maryland Guides Prescribers on Use of Atypical Antipsychotic Medications
Search All Impact Case Studies
April 2013
The Maryland Department of Health and Mental Hygiene used materials created by AHRQ's Effective Health Care Program to help set up a new program for appropriate use of antipsychotic medications…
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psnet.ahrq.gov/issue/physician-characteristics-attitudes-and-use-computerized-order-entry
February 17, 2011 - Study
Physician characteristics, attitudes, and use of computerized order entry.
Citation Text:
Lindenauer PK, Ling D, Pekow PS, et al. Physician characteristics, attitudes, and use of computerized order entry. J Hosp Med. 2006;1(4):221-30.
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psnet.ahrq.gov/issue/effects-night-team-system-resident-sleep-and-work-hours
November 16, 2022 - Study
Effects of a night-team system on resident sleep and work hours.
Citation Text:
Chua K-P, Gordon M, Sectish TC, et al. Effects of a night-team system on resident sleep and work hours. Pediatrics. 2011;128(6):1142-7. doi:10.1542/peds.2011-1049.
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psnet.ahrq.gov/issue/implementing-online-medication-reconciliation-large-academic-medical-center
January 23, 2019 - Commentary
Implementing online medication reconciliation at a large academic medical center.
Citation Text:
Bails D, Clayton K, Roy K, et al. Implementing online medication reconciliation at a large academic medical center. Jt Comm J Qual Patient Saf. 2008;34(9):499-508.
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psnet.ahrq.gov/issue/accreditation-council-graduate-medical-education-resident-duty-hour-new-standards-history
November 21, 2021 - Commentary
The Accreditation Council for Graduate Medical Education resident duty hour new standards: history, changes, and impact on staffing of intensive care units.
Citation Text:
Pastores SM, O'Connor MF, Kleinpell R, et al. The Accreditation Council for Graduate Medical Education …
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psnet.ahrq.gov/issue/changes-hospital-mortality-associated-residency-work-hour-regulations
May 27, 2011 - Study
Classic
Changes in hospital mortality associated with residency work-hour regulations.
Citation Text:
Shetty KD, Bhattacharya J. Changes in hospital mortality associated with residency work-hour regulations. Ann Intern Med. 2007;147(2):73-80.
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psnet.ahrq.gov/issue/impact-reduction-working-hours-doctors-training-postgraduate-medical-education-and-patients
November 10, 2010 - Review
Impact of reduction in working hours for doctors in training on postgraduate medical education and patients' outcomes: systematic review.
Citation Text:
Moonesinghe SR, Lowery J, Shahi N, et al. Impact of reduction in working hours for doctors in training on postgraduate medical…
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psnet.ahrq.gov/issue/overlooked-guide-wire-multicomplicated-swiss-cheese-model-example-analysis-case-and-review
September 15, 2021 - Commentary
Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature.
Citation Text:
Thonon H, Espeel F, Frederic F, et al. Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of t…
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www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/location-release.docx
July 01, 2024 - AHRQ Publishing and Communications Guidelines
Location Release Form for Video Shoots
Instructions
This Location Release Form must be completed by the location’s administrative authority (herein called “Administrator”) to verify permission to conduct video recording at a particular location. It does not apply to recordi…
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www.ahrq.gov/evidencenow/projects/state/how-to-guide/index.html
August 01, 2024 - Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement
Next Page
Table of Contents
Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement
Using This Guide
1. Background and Introduction
2. Developing and Running …
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psnet.ahrq.gov/issue/medication-errors-related-computerized-order-entry-children
May 26, 2011 - Study
Medication errors related to computerized order entry for children.
Citation Text:
Walsh KE, Adams WG, Bauchner H, et al. Medication errors related to computerized order entry for children. Pediatrics. 2006;118(5):1872-1879.
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psnet.ahrq.gov/issue/evaluating-medication-process-context-cpoe-use-significance-working-around-system
February 23, 2009 - Study
Evaluating the medication process in the context of CPOE use: the significance of working around the system.
Citation Text:
Niazkhani Z, Pirnejad H, van der Sijs H, et al. Evaluating the medication process in the context of CPOE use: the significance of working around the system.…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-rural-healthcare2.html
October 01, 2024 - Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action
Improving Diagnosis in the Context of Rurality
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Table of Contents
Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action
A Path to Rural Diagnostic Excellence
Improving Diagnosis in the Context of R…
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digital.ahrq.gov/ahrq-funded-projects/visualdecisionlinc-real-time-decision-support-behavioral-health/annual-summary/2011
January 01, 2011 - VisualDecisionLinc: Real-Time Decision Support for Behavioral Health - 2011
Project Name
VisualDecisionLinc: Real-Time Decision Support for Behavioral Health
Principal Investigator
Mane, Ketan
Organization
University of North Carolina Chapel Hill
Funding Mechanism
P…
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psnet.ahrq.gov/issue/quality-care-transition-patient-safety-incidents-and-patients-health-status-structural
October 02, 2024 - Study
Quality of care transition, patient safety incidents, and patients' health status: a structural equation model on the complexity of the discharge process.
Citation Text:
Marsall M, Hornung T, Bäuerle A, et al. Quality of care transition, patient safety incidents, and patients’ heal…
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psnet.ahrq.gov/issue/anticipated-consequences-2011-duty-hours-standards-views-internal-medicine-and-surgery
August 22, 2018 - Study
Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program directors.
Citation Text:
Shea JA, Willett LL, Borman KR, et al. Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program dire…
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digital.ahrq.gov/ahrq-funded-projects/computer-based-provider-order-entry-cpoe-implementation-intensive-care-units/annual-summary/2009
January 01, 2009 - Computer-Based Provider Order Entry Implementation in Intensive Care Units - 2009
Project Name
Computer-Based Provider Order Entry (CPOE) Implementation in Intensive Care Units (ICUs)
Principal Investigator
Carayon, Pascale
Organization
University of Wisconsin - Madison
…
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psnet.ahrq.gov/issue/redesigning-rounds-towards-more-purposeful-approach-inpatient-teaching-and-learning
February 02, 2022 - Commentary
Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning.
Citation Text:
Reilly JB, Bennett N, Fosnocht K, et al. Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning. Acad Med. 2015;90(4):450-3. doi:10.1097…