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psnet.ahrq.gov/issue/incidence-adverse-drug-events-two-large-academic-long-term-care-facilities
February 11, 2009 - Study
The incidence of adverse drug events in two large academic long-term care facilities.
Citation Text:
Gurwitz JH, Field TS, Judge J, et al. The incidence of adverse drug events in two large academic long-term care facilities. Am J Med. 2005;118(3). doi:10.1016/j.amjmed.2004.09.018.…
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digital.ahrq.gov/ahrq-funded-projects/data-flow-clinical-outcomes-perinatal-continuum-care-system/annual-summary/2011
January 01, 2011 - Data Flow & Clinical Outcomes in a Perinatal Continuum of Care System - 2011
Project Name
Data Flow & Clinical Outcomes in a Perinatal Continuum of Care System
Principal Investigator
Levick, Donald
Organization
Lehigh Valley Hospital
Funding Mechanism
PAR: HS08-270:…
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psnet.ahrq.gov/issue/acute-clinical-deterioration-and-consumer-escalation-understanding-and-perceptions-hospital
May 11, 2022 - Study
Acute clinical deterioration and consumer escalation: the understanding and perceptions of hospital staff.
Citation Text:
Thiele L, Flabouris A, Thompson C. Acute clinical deterioration and consumer escalation: the understanding and perceptions of hospital staff. PLoS ONE. 2022;17(…
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hcup-us.ahrq.gov/datainnovations.jsp
April 01, 2017 - Data Innovations
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
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FAQs
Email Updates
…
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psnet.ahrq.gov/issue/clinical-diagnoses-vs-autopsy-findings-early-deceased-septic-patients-intensive-care
September 22, 2021 - Study
Clinical diagnoses vs. autopsy findings in early deceased septic patients in the intensive care: a retrospective cohort study.
Citation Text:
Driessen RGH, Latten BGH, Bergmans DCJJ, et al. Clinical diagnoses vs. autopsy findings in early deceased septic patients in the intensive c…
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psnet.ahrq.gov/issue/analysis-interprofessional-clinical-learning-environment-quality-improvement-and-patient
April 19, 2017 - Study
Analysis of the interprofessional clinical learning environment for quality improvement and patient safety from perspectives of interprofessional teams.
Citation Text:
Cheng MKW, Collins S, Baron RB, et al. Analysis of the interprofessional clinical learning environment for quality…
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psnet.ahrq.gov/issue/potential-unintended-consequences-due-medicares-no-pay-errors-rule-randomized-controlled
July 02, 2014 - Study
Potential unintended consequences due to Medicare's "No Pay for Errors Rule"? A randomized controlled trial of an educational intervention with internal medicine residents.
Citation Text:
Mookherjee S, Vidyarthi AR, Ranji SR, et al. Potential Unintended Consequences Due to Medica…
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psnet.ahrq.gov/issue/effects-computerized-decision-support-system-implementations-patient-outcomes-inpatient-care
November 06, 2019 - Review
Emerging Classic
Effects of computerized decision support system implementations on patient outcomes in inpatient care: a systematic review.
Citation Text:
Varghese J, Kleine M, Gessner SI, et al. Effects of computerized decision support system implementa…
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www.ahrq.gov/research/publications/search.html?page=14
February 01, 2014 - Search Publications
The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 141 - 150 of 191 Publications displayed
Find Publications by Keyword or To…
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psnet.ahrq.gov/issue/are-adverse-events-related-completeness-clinical-records-results-retrospective-records-review
July 01, 2009 - Study
Are adverse events related to the completeness of clinical records? Results from a retrospective records review using the Global Trigger Tool.
Citation Text:
Scarpis E, Cautero P, Tullio A, et al. Are adverse events related to the completeness of clinical records? Results from a re…
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psnet.ahrq.gov/issue/driven-distraction-prospective-controlled-study-simulated-ward-round-experience-improve
March 14, 2022 - Study
Driven to distraction: a prospective controlled study of a simulated ward round experience to improve patient safety teaching for medical students.
Citation Text:
Thomas I, Nicol L, Regan L, et al. Driven to distraction: a prospective controlled study of a simulated ward round expe…
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psnet.ahrq.gov/issue/using-claims-data-based-sentinel-system-improve-compliance-clinical-guidelines-results
October 19, 2022 - Study
Using a claims data-based sentinel system to improve compliance with clinical guidelines: results of a randomized prospective study.
Citation Text:
Javitt JC, Steinberg G, Locke T, et al. Using a claims data-based sentinel system to improve compliance with clinical guidelines: re…
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psnet.ahrq.gov/issue/strategies-improving-patient-safety-culture-hospitals-systematic-review
February 14, 2017 - Review
Strategies for improving patient safety culture in hospitals: a systematic review.
Citation Text:
Morello RT, Lowthian JA, Barker AL, et al. Strategies for improving patient safety culture in hospitals: a systematic review. BMJ Qual Saf. 2013;22(1):11-8. doi:10.1136/bmjqs-2011-0…
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psnet.ahrq.gov/issue/handling-anticipated-exceptions-clinical-care-investigating-clinician-use-exit-strategies
March 24, 2019 - Study
Handling anticipated exceptions in clinical care: investigating clinician use of 'exit strategies' in an electronic health records system.
Citation Text:
Zheng K, Hanauer DA, Padman R, et al. Handling anticipated exceptions in clinical care: investigating clinician use of 'exit str…
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psnet.ahrq.gov/issue/do-you-have-re-examine-reconsider-your-diagnosis-checklists-and-cardiac-exam
February 06, 2014 - Study
Do you have to re-examine to reconsider your diagnosis? Checklists and cardiac exam.
Citation Text:
Sibbald M, de Bruin A, Cavalcanti RB, et al. Do you have to re-examine to reconsider your diagnosis? Checklists and cardiac exam. BMJ Qual Saf. 2013;22(4):333-8. doi:10.1136/bmjqs-…
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psnet.ahrq.gov/issue/clinical-and-economic-outcomes-attributable-health-care-associated-sepsis-and-pneumonia
December 09, 2015 - Study
Clinical and economic outcomes attributable to health care–associated sepsis and pneumonia.
Citation Text:
Eber MR, Laxminarayan R, Perencevich E, et al. Clinical and economic outcomes attributable to health care-associated sepsis and pneumonia. Arch Intern Med. 2010;170(4):347-53.…
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psnet.ahrq.gov/issue/elevated-mortality-among-weekend-hospital-admissions-not-associated-adoption-seven-day
July 21, 2017 - Study
Elevated mortality among weekend hospital admissions is not associated with adoption of seven day clinical standards.
Citation Text:
Meacock R, Sutton M. Elevated mortality among weekend hospital admissions is not associated with adoption of seven day clinical standards. Emerg Med …
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psnet.ahrq.gov/issue/effects-multimodal-program-including-simulation-job-strain-among-nurses-working-intensive
November 29, 2023 - Study
Effects of a multimodal program including simulation on job strain among nurses working in intensive care units: a randomized clinical trial.
Citation Text:
Khamali RE, Mouaci A, Valera S, et al. Effects of a Multimodal Program Including Simulation on Job Strain Among Nurses Workin…
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psnet.ahrq.gov/issue/tradeoffs-between-safety-and-alert-fatigue-data-national-evaluation-hospital-medication
March 17, 2021 - Study
The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decision support.
Citation Text:
Co Z, Holmgren AJ, Classen DC, et al. The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_3_Get_to_Know_508.pdf
June 02, 2025 - Strategy 2: Communicating to Improve Quality (Tool 3)
Guide to Patient and Family Engagement :: 1
Get to Know Your Health Care Team
Getting to know your health care team helps you get
the best care possible.
The members of your health care team include:
• You
• Family or friends, as you wish
• Different…