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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…
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psnet.ahrq.gov/issue/intravenous-iv-push-medications-bridging-gap-between-education-and-clinical-practice
November 17, 2021 - Newspaper/Magazine Article
Intravenous (IV) push medications – bridging the gap between education and clinical practice.
Citation Text:
Intravenous (IV) push medications – bridging the gap between education and clinical practice. ISMP Medication Safety Alert! Acute Care. November 2, …
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psnet.ahrq.gov/issue/do-panels-vary-when-assessing-intrapartum-adverse-events-reproducibility-assessments-hospital
July 07, 2021 - Study
Do panels vary when assessing intrapartum adverse events? The reproducibility of assessments by hospital risk management groups.
Citation Text:
Do panels vary when assessing intrapartum adverse events? The reproducibility of assessments by hospital risk management groups. Kerna…
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psnet.ahrq.gov/issue/health-literacy-americas-adults-results-2003-national-assessment-adult-literacy
January 16, 2019 - Government Resource
The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy.
Citation Text:
The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy. Kutner M, Greenberg E, Jin Y, et al. Washin…
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psnet.ahrq.gov/issue/assessing-medication-safety-settings-not-designated-solely-pediatric-patients
February 01, 2023 - Newspaper/Magazine Article
Assessing medication safety in settings not designated solely for pediatric patients.
Citation Text:
Assessing medication safety in settings not designated solely for pediatric patients. ISMP Medication Safety Alert! Acute care edition. June 15, 2023;28(12);1-5…
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www.ahrq.gov/teamstepps-program/curriculum/team/overview/index.html
May 01, 2023 - Section 1: Overview of Key Communication Concepts and Tools
This section provides an overview of the key concepts and tools in the Team Leadership Module. More explanations and illustrations are provided in section 2 of this module ; section 3 includes methods for teaching the concepts and tools for this modu…
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psnet.ahrq.gov/issue/prescription-errors-psychiatry-multi-centre-study
September 27, 2017 - Study
Prescription errors in psychiatry - a multi-centre study.
Citation Text:
Stubbs J, Haw C, Taylor D. Prescription errors in psychiatry - a multi-centre study. J Psychopharmacol. 2006;20(4):553-61.
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psnet.ahrq.gov/issue/interception-potential-adverse-drug-events-long-term-psychiatric-care-units
May 31, 2023 - Study
Interception of potential adverse drug events in long-term psychiatric care units.
Citation Text:
Sawamura K, Ito H, Yamazumi S, et al. Interception of potential adverse drug events in long-term psychiatric care units. Psychiatry Clin Neurosci. 2005;59(4):379-84.
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psnet.ahrq.gov/issue/philosophy-science-and-diagnostic-process
April 24, 2018 - Commentary
Philosophy of science and the diagnostic process.
Citation Text:
Willis BH, Beebee H, Lasserson DS. Philosophy of science and the diagnostic process. Fam Pract. 2013;30(5):501-5. doi:10.1093/fampra/cmt031.
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DOI Google Scholar PubMed BibTeX …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool5_portfolio_des.pptx
June 02, 2025 - Tool 5: Portfolio Design
Tool 5: Portfolio Design
Brief Description: A PowerPoint deck that includes examples of readmission reduction portfolios that can be modified to develop the data-informed, multifaceted “portfolio” of readmission reduction efforts in your hospital.
Purpose: To facilitate the formulation of you…
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psnet.ahrq.gov/issue/third-annual-report-adverse-health-events-wyoming-healthcare-facilities
October 11, 2016 - Book/Report
Third Annual Report on Adverse Health Events in Wyoming Healthcare Facilities.
Citation Text:
Third Annual Report on Adverse Health Events in Wyoming Healthcare Facilities. Chasson L, compiler; Mahoney G, Sherard BD, eds. Cheyenne, WY: Wyoming Department of Health; 2008. …
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psnet.ahrq.gov/issue/speaking-constructively-managerial-practices-elicit-solutions-front-line-employees
September 05, 2012 - Book/Report
Speaking Up Constructively: Managerial Practices that Elicit Solutions from Front-Line Employees.
Citation Text:
Speaking Up Constructively: Managerial Practices that Elicit Solutions from Front-Line Employees. Adler-Milstein JR, Singer SJ, Toffel MW. Cambridge, MA: Harva…
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psnet.ahrq.gov/issue/effectiveness-computerized-system-intravenous-heparin-administration-using-information
February 27, 2009 - Study
Effectiveness of a computerized system for intravenous heparin administration: using information technology to improve patient care and patient safety.
Citation Text:
Oyen LJ, Nishimura RA, Ou NN, et al. Effectiveness of a computerized system for intravenous heparin administration…
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psnet.ahrq.gov/issue/do-you-hear-what-i-hear-communication-practices-about-medications-between-physicians-and
August 02, 2016 - Study
Do you hear what I hear? Communication practices about medications between physicians and clients with chronic illness in Canada.
Citation Text:
Do you hear what I hear? Communication practices about medications between physicians and clients with chronic illness in Canada. Sears…
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www.ahrq.gov/research/findings/evidence-based-reports/gapkaleidtp.html
April 01, 2018 - Through the Quality Kaleidoscope
Reflections on the Science and Practice of Improving Health Care Quality
In 2004, AHRQ launched a collection of evidence reports, Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies , to bring data to bear on quality improvement opportunities. These …
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psnet.ahrq.gov/issue/medication-errors-involving-pediatric-patients
January 02, 2017 - Study
Medication errors involving pediatric patients.
Citation Text:
Santell JP, Hicks RW. Medication errors involving pediatric patients. Jt Comm J Qual Patient Saf. 2005;31(6):348-53.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …
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psnet.ahrq.gov/issue/time-get-pigs-back-human-factors-aspects-mismatch-between-device-and-real-world-knowledge
June 09, 2011 - Commentary
Time to get off this pig's back?: the human factors aspects of the mismatch between device and real-world knowledge in the health care environment.
Citation Text:
Nunnally M, Bitan Y. Time to Get Off this Pig's Back? J Patient Saf. 2008;2(3). doi:10.1097/01.jps.0000233827.90…
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psnet.ahrq.gov/issue/transdisciplinary-team-acting-evidence-through-analyses-moot-malpractice-cases
November 03, 2021 - Study
A transdisciplinary team acting on evidence through analyses of moot malpractice cases.
Citation Text:
Constantino RE. A transdisciplinary team acting on evidence through analyses of moot malpractice cases. Dimens Crit Care Nurs. 2007;26(4):150-5.
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psnet.ahrq.gov/issue/architecture-safety-hospital-design
November 15, 2023 - Review
The architecture of safety: hospital design.
Citation Text:
Joseph A, Rashid M. The architecture of safety: hospital design. Curr Opin Crit Care. 2007;13(6):714-9.
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digital.ahrq.gov/2020-year-review/research-summary/it-is-not-just-sci-fi-using-artificial-intelligence-identify-kidney-disease
January 01, 2020 - It’s Not Just for Sci-Fi: Using Artificial Intelligence to Identify Kidney Disease
Successful development and implementation of an artificial intelligence-driven clinical decision support system for detection and treatment of acute kidney injury in the emergency department may improve the quality of kidney care an…