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  1. psnet.ahrq.gov/issue/improving-emergency-department-discharge-process
    April 23, 2014 - Book/Report Improving the Emergency Department Discharge Process. Citation Text: Improving the Emergency Department Discharge Process. Boonyasai RT, Ijagbemi OM, Pham JC, et al. Rockville, MD: Agency for Healthcare Research and Quality; December 2014. AHRQ Publication No. 14(15)-0067-EF.…
  2. psnet.ahrq.gov/issue/characteristics-weekday-and-weekend-hospital-admissions-2007
    September 15, 2010 - Book/Report Characteristics of Weekday and Weekend Hospital Admissions, 2007. Citation Text: Characteristics of Weekday and Weekend Hospital Admissions, 2007. Ryan K, Levit K, Davis PH. HCUP Statistical Brief #87. Rockville, MD: Agency for Healthcare Research and Quality; March 2010.…
  3. psnet.ahrq.gov/issue/reevaluating-recovery-perceived-violations-and-preemptive-interventions-emergency-psychiatry
    September 17, 2008 - Study Reevaluating recovery: perceived violations and preemptive interventions on emergency psychiatry rounds. Citation Text: Cohen T, Blatter B, Almeida C, et al. Reevaluating recovery: perceived violations and preemptive interventions on emergency psychiatry rounds. J Am Med Inform A…
  4. psnet.ahrq.gov/issue/costs-medical-injuries-utah-and-colorado
    June 30, 2021 - Study Classic Costs of medical injuries in Utah and Colorado. Citation Text: Costs of medical injuries in Utah and Colorado. Thomas EJ; Studdert DM; Newhouse JP; Zbar BI; Howard KM; Williams EJ; Brennan TA Copy Citation Save Save to your …
  5. psnet.ahrq.gov/issue/assessment-ahrq-patient-safety-initiative-final-report-evaluation-report-iv
    May 21, 2014 - Book/Report Assessment of the AHRQ Patient Safety Initiative: Final Report Evaluation Report IV. Citation Text: Assessment of the AHRQ Patient Safety Initiative: Final Report Evaluation Report IV. Farley DO, Damberg CL, Ridgely MS, et al. Santa Monica, CA: RAND Corporation; 2008. ISBN: 9…
  6. psnet.ahrq.gov/issue/assessment-patient-safety-research-organizational-ergonomics-and-structural-perspective
    September 09, 2011 - Review Assessment of patient safety research from an organizational ergonomics and structural perspective. Citation Text: Schutz AL, Counte MA, Meurer S. Assessment of patient safety research from an organizational ergonomics and structural perspective. Ergonomics. 2007;50(9):1451-84. …
  7. psnet.ahrq.gov/issue/latent-and-active-failures-perfectly-align-allow-preventable-adverse-event-reach-patient
    March 14, 2023 - Newspaper/Magazine Article Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. Citation Text: Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. ISMP Medication Safety Alert! Acute care editi…
  8. digital.ahrq.gov/ahrq-funded-projects/impact-health-information-technology-demand-inpatient-services/annual-summary/2010
    January 01, 2010 - The Impact of Health Information Technology on Demand for Inpatient Services - 2010 Project Name The Impact of Health Information Technology on Demand for Inpatient Services Principal Investigator Barrette, Eric Organization University of Minnesota, Twin Cities Fundin…
  9. psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards
    March 14, 2023 - Newspaper/Magazine Article Implement strategies to prevent persistent medication errors and hazards. Citation Text: Implement strategies to prevent persistent medication errors and hazards. ISMP Medication Safety Alert! Acute care edition. March 23, 2023;28(6):1-4. Copy Citation …
  10. psnet.ahrq.gov/issue/errors-omission-missed-nursing-care
    September 27, 2017 - Review Errors of omission: missed nursing care. Citation Text: Kalisch BJ, Xie B. Errors of Omission: Missed Nursing Care. West J Nurs Res. 2014;36(7):875-890. doi:10.1177/0193945914531859. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML …
  11. digital.ahrq.gov/type-care/home-health-care
    January 01, 2023 - Home Health Care A Roadmap for Research: The International Summit on Innovation and Technology in Care of Older People (IS-ITCOP) Description This conference convenes interdisciplinary experts from the United States and abroad to define priorities and goals for researching tec…
  12. psnet.ahrq.gov/issue/updated-guidance-needed-longstanding-large-volume-parenteral-lvp-labeling-and-packaging
    March 10, 2021 - Newspaper/Magazine Article Updated guidance needed for longstanding large volume parenteral (LVP) labeling and packaging problems. Citation Text: Updated guidance needed for longstanding large volume parenteral (LVP) labeling and packaging problems. ISMP Medication Safety Alert! Acute ca…
  13. psnet.ahrq.gov/issue/adverse-events-hospitals-public-disclosure-information-about-events
    August 01, 2012 - Book/Report Adverse Events in Hospitals: Public Disclosure of Information About Events. Citation Text: Adverse Events in Hospitals: Public Disclosure of Information About Events. Wright S. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; Ja…
  14. psnet.ahrq.gov/issue/zebra-intensive-care-unit-metacognitive-reflection-misdiagnosis
    October 19, 2022 - Commentary Zebra in the intensive care unit: a metacognitive reflection on misdiagnosis. Citation Text: Gillon SA, Radford ST. Zebra in the intensive care unit: a metacognitive reflection on misdiagnosis. Crit Care Resusc. 2012;14(3):216-20. Copy Citation Format: Google Sch…
  15. psnet.ahrq.gov/issue/coordination-between-emergency-and-primary-care-physicians
    August 13, 2014 - Book/Report Coordination Between Emergency and Primary Care Physicians. Citation Text: Coordination Between Emergency and Primary Care Physicians. Carrier E, Yee T, Holtzwart RA. Washington, DC: National Institute for Health Care Reform; 2011. NIHCR Research Brief No. 3. Copy Citation …
  16. psnet.ahrq.gov/issue/attitudes-teamwork-and-safety-operating-theatre
    December 22, 2010 - Study Attitudes to teamwork and safety in the operating theatre. Citation Text: Flin R, Yule S, McKenzie L, et al. Attitudes to teamwork and safety in the operating theatre. Surgeon. 2006;4(3):145-51. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…
  17. digital.ahrq.gov/ahrq-funded-projects/pathways-quality-through-health-information-technology/annual-summary/2012
    January 01, 2012 - Pathways to Quality through Health Information Technology - 2012 Project Name Pathways to Quality through Health Information Technology Principal Investigator Flemming, Anjanette Organization Booz Allen Hamilton Funding Mechanism Health IT Contract Contract Nu…
  18. digital.ahrq.gov/ahrq-funded-projects/defining-barriers-and-potential-solutions-collecting-and-reporting-quality
    January 01, 2023 - Defining Barriers and Potential Solutions for Collecting and Reporting Quality Performance Measures in Primary Care Offices Project Final Report ( PDF , 1.74 MB) × Disclaimer Disclaimer details Close Project Description Annual Summaries P…
  19. psnet.ahrq.gov/issue/system-factors-analysis-line-tube-and-drain-incidents-intensive-care-unit
    December 15, 2011 - Study A system factors analysis of "line, tube, and drain" incidents in the intensive care unit. Citation Text: Needham DM, Sinopoli DJ, Thompson DA, et al. A system factors analysis of "line, tube, and drain" incidents in the intensive care unit. Crit Care Med. 2005;33(8):1701-1707. …
  20. psnet.ahrq.gov/issue/start-year-right-addressing-these-top-10-medication-safety-concerns-2021
    April 20, 2022 - Newspaper/Magazine Article Start the year off right by addressing these top 10 medication safety concerns from 2021. Citation Text: Start the year off right by addressing these top 10 medication safety concerns from 2021. ISMP Medication Safety Alert! Acute care edition. January 27, 2022…