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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…
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psnet.ahrq.gov/issue/incidents-during-out-hospital-patient-transportation
March 23, 2011 - Study
Incidents during out-of-hospital patient transportation.
Citation Text:
Flabouris A, Runciman WB, Levings B. Incidents during out-of-hospital patient transportation. Anaesth Intensive Care. 2006;34(2):228-236.
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psnet.ahrq.gov/issue/patient-safety-organizations-hospital-participation-value-and-challenges
February 11, 2015 - Book/Report
Patient Safety Organizations: Hospital Participation, Value, and Challenges.
Citation Text:
Patient Safety Organizations: Hospital Participation, Value, and Challenges. US Department of Health and Human Services; Office of the Inspector General, September 2019. OIG Report N…
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psnet.ahrq.gov/issue/critical-incident-monitoring-anaesthesia
September 04, 2024 - Review
Critical incident monitoring in anaesthesia.
Citation Text:
Choy CY. Critical incident monitoring in anaesthesia. Curr Opin Anaesthesiol. 2008;21(2):183-6. doi:10.1097/ACO.0b013e3282f33592.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNo…
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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.
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psnet.ahrq.gov/issue/analysis-transdermal-medication-patch-errors-uncovers-patchwork-safety-challenges
March 03, 2021 - Newspaper/Magazine Article
Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges.
Citation Text:
Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. ISMP Medication Safety Alert! Acute Care. March 11, 2021;26(…
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digital.ahrq.gov/program-overview/research-stories/guidelines-meaningful-and-effective-electronic-patient-reported
January 01, 2023 - Guidelines For Meaningful and Effective Electronic Patient-Reported Outcomes Use in Clinical Settings
Theme:
Supporting Health Systems in Advancing Care Delivery
Subtheme:
Integrating Patient-Generated Health Data
Governance, integration, and reporting are key systems-level principles
tha…
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digital.ahrq.gov/program-overview/research-stories/telehealth-transition-and-improving-health-systems
January 01, 2023 - The Telehealth Transition and Improving Health Systems
Theme:
Supporting Health Systems in Advancing Care Delivery
Subtheme:
Leveraging Telehealth to Improve Health Systems
Evaluation of the rapid transition to telehealth due to the COVID-19 pandemic will inform patient care post-COVID-19 …
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psnet.ahrq.gov/issue/adverse-drug-events-us-hospitals-2010-versus-2014
October 03, 2018 - Book/Report
Adverse Drug Events in U.S. Hospitals, 2010 Versus 2014.
Citation Text:
Adverse Drug Events in U.S. Hospitals, 2010 Versus 2014. Weiss AJ, Freeman WJ, Heslin KC, Barrett ML. HCUP Statistical Brief #234. Rockville, MD: Agency for Healthcare Research and Quality; January 2018. …
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/chase-h-et-al-2003
January 01, 2003 - Chase H et al. 2003 "Modem transmission of glucose values reduces the costs and need for clinic visits."
Reference
Chase H, Pearson J, Wightman C, et al. Modem transmission of glucose values reduces the costs and need for clinic visits. Diabetes Care 2003;26(5):1475.
[Link]
Abstract
"OBJECTI…
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psnet.ahrq.gov/issue/structural-and-organizational-issues-patient-safety-comparison-health-care-other-high-hazard
February 09, 2011 - Commentary
Classic
Structural and organizational issues in patient safety: a comparison of health care to other high-hazard industries.
Citation Text:
Structural and organizational issues in patient safety: a comparison of health care to other high-hazard indust…
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005
March 29, 2023 - Legislation/Case Law
Classic
Patient Safety and Quality Improvement Act of 2005.
Citation Text:
Patient Safety and Quality Improvement Act of 2005. Pub L No. 109-41.
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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…
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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.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML …
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/de-lusignan-s-et-al
January 01, 2023 - de Lusignan S et al. 2002 "Does feedback improve the quality of computerized medical records in primary care?"
Reference
de Lusignan S, Stephens PN, Adal N, et al. Does feedback improve the quality of computerized medical records in primary care? J Am Med Inform Assoc 2002;9(4):395-401.
[Link]
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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.
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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.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-133-section-2-tech-specs.pdf
January 01, 2011 - CHIPRA 133: Section 2 Technical Specifications
Section II: Detailed Measure Specifications
Provide sufficient detail to describe how a measure would be calculated from the
recommended data sour…
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www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
January 01, 2025 - this contribution—these 12 structured
questions—can help researchers and practitioners grapple with analyzing … In analyzing these cases, we found:
1. … A QMHC Interview: analyzing and minimizing error: A conversation with
Robert A. McNutt, MD.
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs025375-zhou-final-report-2022.pdf
January 01, 2022 - We developed informatics algorithms based on analyzing large
amounts of EHR data to tier alerts by importance