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digital.ahrq.gov/organization/american-medical-association
January 01, 2023 - American Medical Association
Cardio-HIT Phase II - 2009
Principal Investigator
Kmetik, Karen
Project Name
Cardio-Hit Phase II
Cardio-Hit Phase II
Description
This project investigated and validated the prevalence and patterns of …
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digital.ahrq.gov/ahrq-funded-projects/maximizing-effectiveness-e-prescribing-between-physicians-and-community/citation/evaluation
January 01, 2023 - Evaluation of e-prescribing in chain community pharmacy: best-practice recommendations.
Citation
Rupp MT, Warholak TL. Evaluation of e-prescribing in chain community pharmacy: best-practice recommendations. J Am Pharm Assoc 2008 May-Jun;48(3):364-70. PMID: 18595821.
Link
https://www.ncbi.nlm.n…
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digital.ahrq.gov/ahrq-funded-projects/development-dashboards-provide-feedback-home-care-nurses/citation/usability
January 01, 2023 - Usability evaluation of a dashboard for home care nurses.
Citation
Dowding D, Merrill JA, Barrón Y, Onorato N, Jonas K, Russell D. Usability evaluation of a dashboard for home care nurses. Comput Inform Nurs. 2019 Jan;37(1):11-19. doi: 10.1097/CIN.0000000000000484. PMID: 30394879.
Link
https:/…
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psnet.ahrq.gov/node/36119/psn-pdf
January 05, 2017 - A leadership framework for culture change in health care.
January 5, 2017
Rose JS, Thomas CS, Tersigni AR, et al. A leadership framework for culture change in health care. Jt
Comm J Qual Patient Saf. 2006;32(8):433-42.
https://psnet.ahrq.gov/issue/leadership-framework-culture-change-health-care
The authors describ…
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psnet.ahrq.gov/node/36146/psn-pdf
February 05, 2019 - Guidelines for Design and Construction.
February 5, 2019
St Louis, Missouri; Facilities Guidelines Institute; 2018.
https://psnet.ahrq.gov/issue/guidelines-design-and-construction
These updated guidelines include design changes, such as the adoption of private rooms to reduce
medical error, interruptions, and hosp…
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psnet.ahrq.gov/node/41927/psn-pdf
December 19, 2012 - Should you reveal nonharmful mistakes to patients?
December 19, 2012
Yasgur BS.
https://psnet.ahrq.gov/issue/should-you-reveal-nonharmful-mistakes-patients
This article discusses the results of a survey to assess physicians' perceptions about acknowledging
mistakes that did not harm patients.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/36765/psn-pdf
August 10, 2011 - Factors influencing perioperative nurses' error reporting
preferences.
August 10, 2011
Espin S, Regehr G, Levinson W, et al. Factors influencing perioperative nurses' error reporting preferences.
AORN J. 2007;85(3):527-43.
https://psnet.ahrq.gov/issue/factors-influencing-perioperative-nurses-error-reporting-prefer…
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psnet.ahrq.gov/node/38897/psn-pdf
April 21, 2011 - Quality initiatives: developing a radiology quality and
safety program: a primer.
April 21, 2011
Johnson D, Krecke KN, Miranda R, et al. Quality initiatives: developing a radiology quality and safety
program: a primer. Radiographics. 2009;29(4):951-9. doi:10.1148/rg.294095006.
https://psnet.ahrq.gov/issue/quality-…
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psnet.ahrq.gov/node/42385/psn-pdf
June 26, 2013 - Identifying and addressing preventable process errors in
trauma care.
June 26, 2013
Pucher PH, Aggarwal R, Twaij A, et al. Identifying and addressing preventable process errors in trauma
care. World J Surg. 2013;37(4):752-8. doi:10.1007/s00268-013-1917-9.
https://psnet.ahrq.gov/issue/identifying-and-addressing-pre…
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psnet.ahrq.gov/node/36911/psn-pdf
September 01, 2011 - Managing clinical failure: a complex adaptive system
perspective.
September 1, 2011
Matthews JI, Thomas PT. Managing clinical failure: a complex adaptive system perspective. Int J Health
Care Qual Assur. 2007;20(3):184-194. doi:10.1108/09526860710743336.
https://psnet.ahrq.gov/issue/managing-clinical-failure-compl…
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psnet.ahrq.gov/node/47675/psn-pdf
November 28, 2023 - SOPS Surveys.
November 28, 2023
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/sops-surveys
Surveys are established mechanisms for organizational assessment of safety culture. This collection of
webinars provides an overview of the AHRQ Surveys on Patient Safety Culture™ (SOPS®) and a ran…
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psnet.ahrq.gov/node/50900/psn-pdf
February 12, 2020 - How to "DEAL" with disruptive physician behavior.
February 12, 2020
Junga Z, Tritsch A, Singla M. How to “DEAL” With disruptive physician behavior. Gastroenterology.
2019;157(6):1469-1472. doi:10.1053/j.gastro.2019.10.021.
https://psnet.ahrq.gov/issue/how-deal-disruptive-physician-behavior
In this commentary, the …
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psnet.ahrq.gov/node/41656/psn-pdf
September 05, 2012 - ACOG SCOPE: Safety Certification in Outpatient Practice
Excellence for Women's Health.
September 5, 2012
Sclafani J, Levy BS, Lawrence H, et al. Building a Better Safety Net. doi:10.1097/aog.0b013e318260957c.
https://psnet.ahrq.gov/issue/acog-scope-safety-certification-outpatient-practice-excellence-womens-health
…
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psnet.ahrq.gov/node/73548/psn-pdf
July 27, 2021 - Diagnostic Errors in Primary Care.
July 27, 2021
Betsy Lehman Center for Patient Safety.
https://psnet.ahrq.gov/issue/diagnostic-errors-primary-care
Case analysis provides important opportunities to highlight factors that culminate in diagnostic error. This
website supports learning generated from the Primary-Care…
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psnet.ahrq.gov/node/36571/psn-pdf
January 05, 2017 - The Objective Structured Clinical Examination as an
educational tool in patient safety.
January 5, 2017
Varkey P, Natt N. The Objective Structured Clinical Examination as an educational tool in patient safety. Jt
Comm J Qual Patient Saf. 2007;33(1):48-53.
https://psnet.ahrq.gov/issue/objective-structured-clinical-…
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psnet.ahrq.gov/node/37028/psn-pdf
April 11, 2009 - Multidisciplinary crisis simulations: the way forward for
training surgical teams.
April 11, 2009
Undre S, Koutantji M, Sevdalis N, et al. Multidisciplinary crisis simulations: the way forward for training
surgical teams. World J Surg. 2007;31(9):1843-53.
https://psnet.ahrq.gov/issue/multidisciplinary-crisis-simul…
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psnet.ahrq.gov/node/50380/psn-pdf
September 25, 2019 - Poetry and Medicine. Mistakes.
September 25, 2019
Kittleson M. JAMA. 2019;322:984.
https://psnet.ahrq.gov/issue/poetry-and-medicine-mistakes
Medical mistakes are a source of anxiety for both patients and clinicians. This poem articulates a
physician's perspective regarding the psychological impact of uncertainty a…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/fibromyalgia_disposition-comments.pdf
January 26, 2015 - TEP Reviewer 7 ES Methods ES Methods: although the main report discusses how
subgroup effects were assessed … Methods-Data Synthesis
section (pg. 11 Report; ES-4)
Wherever possible, we report interaction
results that assessed … a reference to Table 6, a statement that
within-group changes ‘for multiple other subgroups’ were
assessed
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Arroyo.pdf
June 11, 2003 - The hospital
had to undertake a paradigm shift in the way it assessed individual performance
and error
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psnet.ahrq.gov/node/865610/psn-pdf
April 24, 2024 - published the results from the initial clinical trial, ED-SAFE 1, a multicenter
study of eight EDs that assessed