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psnet.ahrq.gov/issue/mindful-workarounds-bar-code-medication-administration
July 20, 2022 - Commentary
Mindful workarounds in bar code medication administration.
Citation Text:
Lichtner V, Dowding D. Mindful workarounds in bar code medication administration. Stud Health Technol Inform. 2022;294:740-744. doi:10.3233/shti220575.
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psnet.ahrq.gov/issue/adverse-drug-event-related-emergency-department-visits-associated-complex-chronic-conditions
August 20, 2016 - Study
Adverse drug event–related emergency department visits associated with complex chronic conditions.
Citation Text:
Feinstein JA, Feudtner C, Kempe A. Adverse drug event-related emergency department visits associated with complex chronic conditions. Pediatrics. 2014;133(6):e1575-85. …
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digital.ahrq.gov/sites/default/files/docs/resource/PCC_Krist_Q2_Richmond_times_Article_3_08.pdf
March 06, 2008 - VCU Web study targets preventive careOnline tool helps track patients' history and can prompt them to get care
Richmond times Article
VCU Web study targets preventive care
Online tool helps track patients' history and can prompt them to get care
Thursday, Mar 06, 2008 - 12:05 AM
By A.J. HOSTETLER
TIMES-…
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psnet.ahrq.gov/issue/efficiency-and-interpretability-text-paging-communication-medical-inpatients-mixed-methods
August 09, 2023 - Study
Efficiency and interpretability of text paging communication for medical inpatients: a mixed-methods analysis.
Citation Text:
Mandl KD, Khoong EC. Pagers and Beyond in an Era of Microcommunications—What Is Old Is New Again. JAMA Intern Med. 2017;177(8). doi:10.1001/jamainternmed.20…
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www.ahrq.gov/sops/about/index.html
July 01, 2024 - About the SOPS Program
Since 2001, the AHRQ Surveys on Patient Safety Culture® (SOPS®) Program has supported AHRQ's mission by advancing the scientific understanding of patient safety culture in healthcare settings. What Is Patient Safety Culture? Patient safety culture is an aspect of an organization's cultu…
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www.ahrq.gov/news/newsroom/case-studies/201516.html
June 01, 2015 - San Diego Universities Collaborate Using TeamSTEPPS® to Boost Professional Education
Search All Impact Case Studies
June 2015
About 900 students at two San Diego universities have been instructed in the team-based methods of TeamSTEPPS® , AHRQ's evidence-based patient safety training program for health car…
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psnet.ahrq.gov/issue/microsystems-health-care-part-2-creating-rich-information-environment
July 19, 2023 - Study
Classic
Microsystems in health care: Part 2. Creating a rich information environment.
Citation Text:
Nelson EC, Batalden PB, Homa K, et al. Microsystems in health care: Part 2. Creating a rich information environment. Jt Comm J Qual Patient Saf. 2003;29(…
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psnet.ahrq.gov/issue/preventable-adverse-drug-events-and-their-causes-and-contributing-factors-analysis-register
August 01, 2016 - Study
Preventable adverse drug events and their causes and contributing factors: the analysis of register data.
Citation Text:
Jylhä V, Saranto K, Bates DW. Preventable adverse drug events and their causes and contributing factors: the analysis of register data. Int J Qual Health Care. 2…
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psnet.ahrq.gov/issue/simulation-design-research-evaluating-safety-innovations-anaesthesia
February 25, 2009 - Study
A simulation design for research evaluating safety innovations in anaesthesia.
Citation Text:
Merry AF, Weller JM, Robinson BJ, et al. A simulation design for research evaluating safety innovations in anaesthesia*. Anaesthesia. 2008;63(12):1349-57. doi:10.1111/j.1365-2044.2008.…
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psnet.ahrq.gov/issue/iatrogenesis-context-residential-dementia-care-concept-analysis
August 17, 2022 - Commentary
Iatrogenesis in the context of residential dementia care: a concept analysis.
Citation Text:
Morris P, McCloskey R, Bulman D. Iatrogenesis in the context of residential dementia care: a concept analysis. Innov Aging. 2022;6(4):iagc028. doi:10.1093/geroni/igac028.
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psnet.ahrq.gov/issue/periodic-resuscitation-cart-checks-and-nurse-situational-awareness-observational-study
March 18, 2020 - Study
Periodic resuscitation cart checks and nurse situational awareness: an observational study.
Citation Text:
Aljuaid J, Al-Moteri M. Periodic resuscitation cart checks and nurse situational awareness: an observational study. J Emerg Nurs. 2022;48(2):189-201. doi:10.1016/j.jen.2021.12…
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psnet.ahrq.gov/issue/preventing-dispensing-errors-alerting-drug-confusions-pharmacy-information-system-survey
August 19, 2009 - Study
Preventing dispensing errors by alerting for drug confusions in the pharmacy information system—a survey of users.
Citation Text:
Campmans Z, van Rhijn A, Dull RM, et al. Preventing dispensing errors by alerting for drug confusions in the pharmacy information system-A survey of use…
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integrationacademy.ahrq.gov/news-and-events/news/opioid-use-disorder-resources-2019-updates
October 04, 2019 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
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Español
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The Academy
Integrating Behavioral Health & Primary Care
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digital.ahrq.gov/principal-investigator/atlas-steven-j
January 01, 2023 - Atlas, Steven J.
Population-based breast cancer screening in a primary care network.
Citation
Atlas SJ, Ashburner JM, Chang Y, et al. Population-based breast cancer screening in a primary care network. Am J Manag Care 2012 Dec;18(12):821-9. PMID: 23286611.
Principal Inve…
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digital.ahrq.gov/2020-year-review/research-summary/virtual-smart-assistant-how-voice-controlled-technology-can-support-self-management-healthcare
January 01, 2020 - The Virtual Smart Assistant: How Voice-Controlled Technology Can Support Self-Management of Healthcare in Older Adults
Enhancing an evidence-based electronic health intervention, Elder Tree, with voice-controlled technology can broaden its use, leading to improved overall health and reduced hospital readmission for…
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pso.ahrq.gov/become/establish-policies
August 01, 2021 - SHARE:
More topics in this section
Work With a PSO
How To Choose a PSO
Become a PSO
Assess Eligibility to Become a PSO
Assess Compatibility of Anticipated PSO Operations with Patient Safety Rule Requirements
Establish Po…
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psnet.ahrq.gov/issue/development-icu-safety-reporting-system
May 27, 2011 - Study
Development of the ICU safety reporting system.
Citation Text:
Development of the ICU safety reporting system. Wu AW, Holzmueller CG, Lubomski LH, et al. J Patient Saf. 2005;1(1):23-32.
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www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/key-strategies.html
October 01, 2024 - MRSA Prevention Toolkit: ICUs & Non-ICUs
The Four Key Strategies of MRSA Prevention
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Table of Contents
MRSA Prevention Toolkit: ICUs & Non-ICUs
The Four Key Strategies of MRSA Prevention
The Importance of MRSA Prevention
Decolonization
Tools & Resources for Decolonizat…
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psnet.ahrq.gov/issue/understanding-ultrarare-adverse-events-lessons-learned-twelve-year-review-intraoperative
March 29, 2023 - Review
Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative deaths at an academic medical center.
Citation Text:
Cohen TN, Kanji FF, Wang AS, et al. Understanding ultrarare adverse events - lessons learned from a twelve-year review of intra…
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psnet.ahrq.gov/issue/reducing-errors-resulting-commonly-missed-chest-radiography-findings
August 20, 2018 - Commentary
Reducing errors resulting from commonly missed chest radiography findings.
Citation Text:
Gefter WB, Hatabu H. Reducing errors resulting from commonly missed chest radiography findings. Chest. 2023;163(3):634-649. doi:10.1016/j.chest.2022.12.003.
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