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psnet.ahrq.gov/issue/nurse-judgements-hospitalized-patients-safety-concerns-are-affected-patient-nurse-and-event
May 13, 2020 - Study
Nurse judgements of hospitalized patients' safety concerns are affected by patient, nurse and event characteristics: a factorial survey experiment.
Citation Text:
Groves PS, Farag A, Perkhounkova Y, et al. Nurse judgements of hospitalized patients' safety concerns are affected by p…
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psnet.ahrq.gov/issue/learning-preventable-deaths-exploring-case-record-reviewers-narratives-using-change-analysis
June 17, 2014 - Study
Learning from preventable deaths: exploring case record reviewers' narratives using change analysis.
Citation Text:
Hogan H, Healey F, Neale G, et al. Learning from preventable deaths: exploring case record reviewers' narratives using change analysis. J R Soc Med. 2014;107(9):365-7…
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psnet.ahrq.gov/issue/relationship-between-preventable-hospital-deaths-and-other-measures-safety-exploratory-study
November 12, 2014 - Study
Relationship between preventable hospital deaths and other measures of safety: an exploratory study.
Citation Text:
Hogan H, Healey F, Neale G, et al. Relationship between preventable hospital deaths and other measures of safety: an exploratory study. Int J Qual Health Care. 2014;2…
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psnet.ahrq.gov/issue/unintended-medication-discrepancies-time-hospital-admission
March 18, 2015 - Study
Classic
Unintended medication discrepancies at the time of hospital admission.
Citation Text:
Cornish PL, Knowles SR, Marchesano R, et al. Unintended medication discrepancies at the time of hospital admission. Arch Intern Med. 2005;165(4):424-9.
Copy Cit…
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psnet.ahrq.gov/issue/online-patient-feedback-safety-valve-automated-language-analysis-unnoticed-and-unresolved
August 05, 2020 - Study
Online patient feedback as a safety valve: an automated language analysis of unnoticed and unresolved safety incidents.
Citation Text:
Gillespie A, Reader TW. Online patient feedback as a safety valve: an automated language analysis of unnoticed and unresolved safety incidents. Ris…
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psnet.ahrq.gov/issue/stakeholders-safety-patient-reports-unsafe-clinical-behaviors-distinguish-hospital-mortality
November 29, 2023 - Study
Stakeholders in safety: patient reports on unsafe clinical behaviors distinguish hospital mortality rates.
Citation Text:
Reader TW, Gillespie A. Stakeholders in safety: patient reports on unsafe clinical behaviors distinguish hospital mortality rates. J Appl Psychol. 2021;106(3):4…
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www.ahrq.gov/news/newsroom/case-studies/cquips0802.html
October 01, 2014 - AHRQ Research Helps Pharmacists in Mentoring Program to Reduce Drug Errors in Emergency Departments
Search All Impact Case Studies
June 2008
AHRQ-sponsored research on how clinical pharmacy services can reduce medication-related errors in hospital emergency departments has been put to use in hospitals in a …
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication3.html
July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act
Methods
Previous Page Next Page
Table of Contents
Electronic Test Result Communication in the Era of the 21st Century Cures Act
Introduction
Methods
Results
Discussion
Conclusions
References
Appendix A. Datab…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/persell_cvd_disparities.pdf
June 02, 2025 - Reducing Disparities in the Primary Prevention of Cardiovascular Disease
Research Centers for Excellence
in Clinical Preventive Services
Working to get the right services, to the right people, at the right time
Reducing Disparities in the Primary
Prevention of Cardiovascular Disease…
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psnet.ahrq.gov/issue/variation-safety-culture-dimensions-within-and-between-us-and-swiss-hospital-units
October 08, 2013 - Study
Variation in safety culture dimensions within and between US and Swiss Hospital units: an exploratory study.
Citation Text:
Schwendimann R, Zimmermann N, Küng K, et al. Variation in safety culture dimensions within and between US and Swiss Hospital Units: an exploratory study. BM…
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psnet.ahrq.gov/issue/assessing-excess-costs-hospital-adverse-events-covered-ahrqs-patient-safety-indicators
January 10, 2024 - Study
Assessing the excess costs of the in-hospital adverse events covered by the AHRQ's Patient Safety Indicators in Switzerland.
Citation Text:
Giese A, Khanam R, Nghiem S, et al. Assessing the excess costs of the in-hospital adverse events covered by the AHRQ’s Patient Safety Indicato…
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www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit1-suspected-uti-sbar.html
November 01, 2024 - Toolkit 1. Suspected UTI SBAR Toolkit
Toolkit Effectiveness A study in 12 nursing homes in Texas found that using the Suspected UTI SBAR form reduced antibiotic prescriptions for asymptomatic bacteriuria by about one-third. 1 Overview of the Toolkit Why Should a Nursing Home Use the Suspected UTI SBAR Toolkit? …
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www.ahrq.gov/news/newsroom/case-studies/cquips0703.html
October 01, 2014 - Military Hospitals Employ AHRQ Hospital Survey on Patient Safety Culture
Search All Impact Case Studies
May 2007
The Department of Defense Patient Safety Program chose AHRQ's Hospital Survey on Patient Safety Culture as an anonymous, Web-based initiative to assess staff attitudes and beliefs about patient…
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www.ahrq.gov/chsp/events/coe-workshop1.html
December 01, 2022 - First Annual Centers of Excellence Workshop
Overview
The first annual meeting of the Centers of Excellence under the Comparative Health System Performance (CHSP) Initiative was held in September 2016 and was attended by AHRQ, the Centers of Excellence, and the Coordinating Center. The purpose of these meeting…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs021544-zhou-final-report-2014.pdf
January 01, 2014 - facilitators of using clinical notes in the medication reconciliation process in the ambulatory
setting (Aim … discrepancies between notes and the structured
medication list to make further necessary changes (Aim … methods and the NotesLink system in improving medication reconciliation in
the outpatient setting (Aim … We are currently preparing
several manuscripts targeted for clinical and informatics journals (Aim 4 … Aim 1
Requirement
Analysis
Aim 4
Distribution
Aim 2
System
Development
Aim 3
Pilot &
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psnet.ahrq.gov/node/836775/psn-pdf
March 23, 2022 - Embracing multiple aims in healthcare improvement and
innovation.
March 23, 2022
Amalberti R, Staines A, Vincent CA. Embracing multiple aims in healthcare improvement and innovation.
Int J Qual Health Care. 2022;34(1):mzac006. doi:10.1093/intqhc/mzac006.
https://psnet.ahrq.gov/issue/embracing-multiple-aims-healthc…
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digital.ahrq.gov/funding-mechanism/health-information-security-and-privacy-collaborative-hispc
January 01, 2023 - Health Information Security and Privacy Collaborative (HISPC)
Privacy and Security Solutions for Interoperable Health Information Exchange / Oregon
Description
Thirty-three states and 1 territory formed the HISPC, which aims to address the privacy and security challenges prese…
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psnet.ahrq.gov/node/41456/psn-pdf
September 26, 2016 - Paradoxical effects of a hospital-based, multi-intervention
programme aimed at reducing medication round
interruptions.
September 26, 2016
Tomietto M, Sartor A, Mazzocoli E, et al. Paradoxical effects of a hospital-based, multi-intervention
programme aimed at reducing medication round interruptions. J Nurs Manag. …
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psnet.ahrq.gov/node/41970/psn-pdf
July 02, 2014 - Transformative learning in a professional development
course aimed at addressing disruptive physician
behavior: a composite case study.
July 2, 2014
Samenow CP, Worley LLM, Neufeld R, et al. Transformative learning in a professional development course
aimed at addressing disruptive physician behavior: a composite …
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psnet.ahrq.gov/node/40747/psn-pdf
September 07, 2011 - Misdiagnosis: analysis based on case record review with
proposals aimed to improve diagnostic processes.
September 7, 2011
Neale G, Hogan H, Sevdalis N. Misdiagnosis: analysis based on case record review with proposals aimed
to improve diagnostic processes. Clin Med (Lond). 2011;11(4):317-321.
https://psnet.ahrq.g…