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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication3.html
July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act
Methods
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Table of Contents
Electronic Test Result Communication in the Era of the 21st Century Cures Act
Introduction
Methods
Results
Discussion
Conclusions
References
Appendix A. Datab…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-neurodevt.pdf
June 02, 2025 - NICU Family Information Packet, Appendix B, Neurodevelopment
Neurodevelopment
Risk Factors for Poor Neurodevelopmental Outcome
■ Developmental progress may be variable for motor and language skills.
■ BPD, even in the absence of overt brain injury, is a risk factor for neurodevelopmental delay.
■ Peri- or intra…
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psnet.ahrq.gov/issue/multidisciplinary-simulation-activity-effectively-prepares-residents-participation-patient
November 30, 2016 - Study
Multidisciplinary simulation activity effectively prepares residents for participation in patient safety activities.
Citation Text:
Weis JJ, Croft CL, Bhoja R, et al. Multidisciplinary simulation activity effectively prepares residents for participation in patient safety activities…
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psnet.ahrq.gov/issue/debunking-myth-majority-medical-errors-are-attributed-communication
February 14, 2024 - Journal Article
Debunking the myth that the majority of medical errors are attributed to communication.
Citation Text:
Clapper TC, Ching K. Debunking the myth that the majority of medical errors are attributed to communication. Med Educ. 2020;54(1):74-81. doi:10.1111/medu.13821.
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psnet.ahrq.gov/issue/observational-analysis-surgical-team-compliance-perioperative-safety-practices-after-crew
May 04, 2012 - Study
An observational analysis of surgical team compliance with perioperative safety practices after crew resource management training.
Citation Text:
France DJ, Leming-Lee S, Jackson T, et al. An observational analysis of surgical team compliance with perioperative safety practices a…
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psnet.ahrq.gov/issue/errors-laboratory-medicine-practical-lessons-improve-patient-safety
February 14, 2024 - Commentary
Classic
Errors in laboratory medicine: practical lessons to improve patient safety.
Citation Text:
Howanitz PJ. Errors in laboratory medicine: practical lessons to improve patient safety. Arch Pathol Lab Med. 2005;129(10):1252-1261.
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psnet.ahrq.gov/issue/overlapping-surgery-orthopaedics-review-efficacy-surgical-costs-surgical-outcomes-and-patient
November 03, 2021 - Review
Overlapping surgery in orthopaedics: a review of efficacy, surgical costs, surgical outcomes, and patient safety.
Citation Text:
Ahmed M, Suhrawardy A, Olszewski A, et al. Overlapping surgery in orthopaedics: a review of efficacy, surgical costs, surgical outcomes, and patient saf…
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psnet.ahrq.gov/issue/simulation-executive-suite-lessons-learned-building-patient-safety-leadership
July 21, 2017 - Study
Simulation in the executive suite: lessons learned for building patient safety leadership.
Citation Text:
Rosen MA, Goeschel CA, Che X-X, et al. Simulation in the Executive Suite: Lessons Learned for Building Patient Safety Leadership. Simul Healthc. 2015;10(6):372-377.
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psnet.ahrq.gov/issue/establishing-psychological-safety-clinical-supervision-multi-professional-perspectives
October 13, 2021 - Commentary
Establishing psychological safety in clinical supervision: multi-professional perspectives.
Citation Text:
Lee EH, Pitts S, Pignataro S, et al. Establishing psychological safety in clinical supervision: multi‐professional perspectives. Clin Teach. 2022;19(2):71-78. doi:10.1111…
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psnet.ahrq.gov/issue/squire-guidelines-evaluation-field-5-years-post-release
November 18, 2016 - Study
The SQUIRE Guidelines: an evaluation from the field, 5 years post release.
Citation Text:
Davies L, Batalden P, Davidoff F, et al. The SQUIRE Guidelines: an evaluation from the field, 5 years post release. BMJ Qual Saf. 2015;24(12):769-75. doi:10.1136/bmjqs-2015-004116.
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psnet.ahrq.gov/issue/getting-board-board-engaging-hospital-boards-quality-and-patient-safety
November 23, 2016 - Study
Getting the board on board: engaging hospital boards in quality and patient safety.
Citation Text:
Joshi MS, Hines S. Getting the board on board: Engaging hospital boards in quality and patient safety. Jt Comm J Qual Patient Saf. 2006;32(4):179-87.
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Format:
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psnet.ahrq.gov/issue/analysis-paediatric-long-term-ventilation-incidents-community
November 06, 2024 - Study
Analysis of paediatric long-term ventilation incidents in the community
Citation Text:
Nawaz RF, Page B, Harrop E, et al. Analysis of paediatric long-term ventilation incidents in the community. Arch Dis Child. 2020;105(5):446-451. doi:10.1136/archdischild-2019-317965.
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psnet.ahrq.gov/issue/improving-medication-administration-safety-using-naive-observation-assess-practice-and-guide
October 06, 2016 - Study
Improving medication administration safety: using naïve observation to assess practice and guide improvements in process and outcomes.
Citation Text:
Donaldson N, Aydin C, Fridman M, et al. Improving medication administration safety: using naïve observation to assess practice and g…
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psnet.ahrq.gov/issue/aspen-survey-parenteral-nutrition-access-issues-how-system-fails-patients
October 02, 2013 - Study
ASPEN survey of parenteral nutrition access issues: how the system fails the patients.
Citation Text:
Mirtallo JM, Allen P, Book WM, et al. ASPEN survey of parenteral nutrition access issues: how the system fails the patient. Nutr Clin Pract. 2024;39(5):1164-1181. doi:10.1002/ncp.1…
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psnet.ahrq.gov/issue/defining-minimum-necessary-anticoagulation-related-communication-discharge-consensus-care
March 04, 2020 - Study
Defining minimum necessary anticoagulation-related communication at discharge: Consensus of the Care Transitions Task Force of the New York State Anticoagulation Coalition.
Citation Text:
Triller D, Myrka A, Gassler J, et al. Defining Minimum Necessary Anticoagulation-Related Commu…
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psnet.ahrq.gov/issue/survey-outpatient-internal-medicine-clinician-perceptions-diagnostic-error
February 12, 2020 - Study
A survey of outpatient internal medicine clinician perceptions of diagnostic error.
Citation Text:
Matulis JC, Kok SN, Dankbar EC, et al. A survey of outpatient Internal Medicine clinician perceptions of diagnostic error. Diagnosis. 2020;7(2):107-114. doi:10.1515/dx-2019-0070.
Co…
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www.ahrq.gov/policymakers/chipra/measure_retirement/measure_retirement1.html
February 01, 2014 - Background Report on 2013 Retirement of Measures from the Child Core Set
Abstract
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Table of Contents
Background Report on 2013 Retirement of Measures from the Child Core Set
Abstract
Background
Methods
Results
Conclusions
References
Appendix A.
Appendix B.
…
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psnet.ahrq.gov/issue/adoption-health-information-technology-medication-safety-us-hospitals-2006
August 07, 2013 - Study
Adoption of health information technology for medication safety in US hospitals, 2006.
Citation Text:
Furukawa MF, Raghu TS, Spaulding TJ, et al. Adoption of health information technology for medication safety in U.S. Hospitals, 2006. Health Aff (Millwood). 2008;27(3):865-75. doi…
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psnet.ahrq.gov/issue/why-didnt-you-call-me-factors-junior-learners-consider-when-deciding-whether-call-their
July 14, 2021 - Study
Why didn't you call me? Factors junior learners consider when deciding whether to call their supervisor.
Citation Text:
Alibhai KM, Zabolotniuk TR, Raîche I, et al. Why didn't you call me? Factors junior learners consider when deciding whether to call their supervisor. J Surg Educ.…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab2.html
March 01, 2023 - Assessing the Health and Welfare of the HCBS Population
Table 2: Availability of Selected Medicaid 1915(c) Waiver Home and Community-Based Services, by State, 2005
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Table of Contents
Assessing the Health and Welfare of the HCBS Population
Introduction
HCBS Population
Ava…