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psnet.ahrq.gov/issue/systematic-review-effectiveness-interruptive-medication-prescribing-alerts-hospital-cpoe
August 17, 2016 - Review
A systematic review of the effectiveness of interruptive medication prescribing alerts in hospital CPOE systems to change prescriber behavior and improve patient safety.
Citation Text:
Page N, Baysari MT, Westbrook JI. A systematic review of the effectiveness of interruptive medic…
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psnet.ahrq.gov/issue/understanding-facilitators-and-barriers-care-transitions-insights-project-achieve-site-visits
September 23, 2020 - Study
Classic
Understanding facilitators and barriers to care transitions: insights from Project ACHIEVE Site Visits.
Citation Text:
Scott AM, Li J, Oyewole-Eletu S, et al. Understanding facilitators and barriers to care transitions: insights from Project ACHIEV…
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www.ahrq.gov/funding/training-grants/rsrchtng.html
July 01, 2021 - Research Training Programs
Financial aid from the Agency for Healthcare Research and Quality for health care research training and career development (pre- and post-doctoral fellowships, and dissertations).
The Agency for Healthcare Research and Quality (AHRQ) provides an array of intramural and extramural pr…
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psnet.ahrq.gov/issue/time-dependent-drug-drug-interaction-alerts-care-provider-order-entry-software-may-inhibit
March 10, 2011 - Study
Time-dependent drug–drug interaction alerts in care provider order entry: software may inhibit medication error reductions.
Citation Text:
van der Sijs H, Lammers L, van den Tweel A, et al. Time-dependent drug-drug interaction alerts in care provider order entry: software may inh…
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psnet.ahrq.gov/issue/effect-antiseptic-handwashing-vs-alcohol-sanitizer-health-care-associated-infections-neonatal
July 30, 2014 - Study
Effect of antiseptic handwashing vs alcohol sanitizer on health care-associated infections in neonatal intensive care units.
Citation Text:
Larson EL, Cimiotti JP, Haas JP, et al. Effect of antiseptic handwashing vs alcohol sanitizer on health care-associated infections in neonat…
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psnet.ahrq.gov/issue/acceptability-and-feasibility-leapfrog-computerized-physician-order-entry-evaluation-tool
May 20, 2020 - Study
Acceptability and feasibility of the Leapfrog computerized physician order entry evaluation tool for hospitals outside the United States.
Citation Text:
Cho IS, Lee J-H, Choi S-K, et al. Acceptability and feasibility of the Leapfrog computerized physician order entry evaluation too…
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psnet.ahrq.gov/issue/locating-errors-through-networked-surveillance-multimethod-approach-peer-assessment-hazard
May 24, 2012 - Study
Locating errors through networked surveillance: a multimethod approach to peer assessment, hazard identification, and prioritization of patient safety efforts in cardiac surgery.
Citation Text:
Thompson DA, Marsteller JA, Pronovost P, et al. Locating Errors Through Networked Survei…
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psnet.ahrq.gov/issue/primary-care-medication-safety-surveillance-integrated-primary-and-secondary-care-electronic
November 25, 2015 - Study
Primary care medication safety surveillance with integrated primary and secondary care electronic health records: a cross-sectional study.
Citation Text:
Akbarov A, Kontopantelis E, Sperrin M, et al. Primary Care Medication Safety Surveillance with Integrated Primary and Secondary …
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/skills-qi-kickoff.pdf
June 02, 2025 - Kick-off Visit Check List
KICK-OFF VISIT CHECK LIST
PRACTICE ENHANCEMENT ASSISTANT ACADEMIC DETAILER
Four weeks before visit
Contact AD and introduce yourself
Determine ABCS assignment
Print Baseline Reports & send to AD
Four weeks before visit
Negotiate with Nicole Travis date/time
Record ABCS …
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www.ahrq.gov/patient-safety/resources/consumer-exp/systems/index.html
October 01, 2014 - Project Overview: Designing Consumer Reporting Systems for Patient Safety Events
Current patient safety event reporting systems are aimed at obtaining information from health care providers. However, patients and their family members are in a unique position to identify gaps in care that may have co…
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psnet.ahrq.gov/issue/one-needle-one-syringe-only-one-time-survey-physician-and-nurse-knowledge-attitudes-and
June 28, 2013 - Study
One needle, one syringe, only one time? A survey of physician and nurse knowledge, attitudes, and practices around injection safety.
Citation Text:
Kossover-Smith RA, Coutts K, Hatfield KM, et al. One needle, one syringe, only one time? A survey of physician and nurse knowledge, at…
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www.ahrq.gov/news/newsroom/case-studies/201714.html
September 01, 2019 - Medication Therapy Tools Help Pharmacists Educate Patients, Improve Adherence and Safety
Search All Impact Case Studies
November 2017
AHRQ’s Health Literacy Tools for Providers of Medication Therapy Management make it easier for pharmacists to help patients understand and correctly manage their medication…
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psnet.ahrq.gov/issue/effects-nursing-rounds-patients-call-light-use-satisfaction-and-safety
September 01, 2021 - Study
Effects of nursing rounds on patients' call light use, satisfaction, and safety.
Citation Text:
Meade CM, Bursell AL, Ketelsen L. Effects of nursing rounds: on patients' call light use, satisfaction, and safety. Am J Nurs. 2006;106(9):58-71.
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psnet.ahrq.gov/issue/comprehensive-overview-medical-error-hospitals-using-incident-reporting-systems-patient
October 16, 2013 - Study
A comprehensive overview of medical error in hospitals using incident-reporting systems, patient complaints and chart review of inpatient deaths.
Citation Text:
de Feijter JM, de Grave WS, Muijtjens AM, et al. A comprehensive overview of medical error in hospitals using incident-r…
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psnet.ahrq.gov/issue/preventable-proportion-healthcare-associated-infections-2005-2016-systematic-review-and-meta
April 26, 2017 - Review
The preventable proportion of healthcare-associated infections 2005-2016: systematic review and meta-analysis.
Citation Text:
Schreiber PW, Sax H, Wolfensberger A, et al. The preventable proportion of healthcare-associated infections 2005-2016: Systematic review and meta-analysis.…
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psnet.ahrq.gov/issue/risk-factors-associated-medication-ordering-errors
December 02, 2020 - Study
Risk factors associated with medication ordering errors.
Citation Text:
Abraham J, Galanter WL, Touchette DR, et al. Risk factors associated with medication ordering errors. J Am Med Inform Assoc. 2021;18(1):86-94. doi:10.1093/jamia/ocaa264.
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psnet.ahrq.gov/issue/look-back-and-talk-openly-responding-and-communicating-about-risk-large-scale-error-pathology
November 16, 2016 - Study
Look back and talk openly: responding to and communicating about the risk of large-scale error in pathology diagnoses.
Citation Text:
Aldrich R, Finlayson P, Hill K, et al. Look back and talk openly: responding to and communicating about the risk of large-scale error in pathology d…
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psnet.ahrq.gov/issue/safety-culture-cardiac-surgical-teams-data-five-programs-and-national-surgical-comparison
May 24, 2012 - Study
Safety culture in cardiac surgical teams: data from five programs and national surgical comparison.
Citation Text:
Marsteller JA, Wen M, Hsu Y-J, et al. Safety Culture in Cardiac Surgical Teams: Data From Five Programs and National Surgical Comparison. Ann Thorac Surg. 2015;100(6):…
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psnet.ahrq.gov/issue/poison-information-centre-can-provide-important-assessment-and-guidance-regarding-medication
May 11, 2022 - Study
A poison information centre can provide important assessment and guidance regarding medication errors in nursing homes: a prospective cohort study.
Citation Text:
Vinther S, Bøgevig S, Eriksen KR, et al. A poison information centre can provide important assessment and guidance rega…
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psnet.ahrq.gov/issue/occupational-therapy-utilization-veterans-dementia-retrospective-review-root-cause-analyses
March 25, 2020 - Study
Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading to adverse events.
Citation Text:
Rhodus EK, Lancaster EA, Hunter EG, et al. Occupational therapy utilization in veterans with dementia: a retrospective review…