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psnet.ahrq.gov/issue/when-disasters-strike-emergency-department-case-series-and-narrative-review
September 30, 2020 - Commentary
When disasters strike the emergency department: a case series and narrative review.
Citation Text:
Barten DG, Klokman VW, Cleef S, et al. When disasters strike the emergency department: a case series and narrative review. Int J Emerg Med. 2021;14(1):49. doi:10.1186/s12245-021-…
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psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act
October 12, 2018 - EMERGING INNOVATIONS
Let us to the TWISST; Plan, Simulate, Study and Act.
Citation Text:
Colman N, Hebbar KB. Let us to the TWISST; Plan, Simulate, Study and Act. Pediatr Qual Saf. 2023;8(4):e664. doi:10.1097/pq9.0000000000000664.
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psnet.ahrq.gov/issue/impact-electronic-alert-reduce-risk-co-prescription-low-molecular-weight-heparins-and-direct
August 17, 2022 - Study
The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight heparins and direct oral anticoagulants.
Citation Text:
Brown A, Cavell G, Dogra N, et al. The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight…
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psnet.ahrq.gov/issue/addressing-veteran-health-related-social-needs-how-joint-commission-standards-accelerated
November 24, 2021 - Commentary
Addressing veteran health-related social needs: how Joint Commission standards accelerated integration and expansion of tools and services in the Veterans Health Administration.
Citation Text:
List JM, Russell LE, Hausmann LRM, et al. Addressing veteran health-related social n…
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www.ahrq.gov/funding/policies/human-subjects/index.html
June 01, 2022 - Protection of Human Subjects
Revised Common Rule
The U.S. Department of Health and Human Services and fifteen other Federal Departments and Agencies have issued final revisions to the Federal Policy for the Protection of Human Subjects (the Common Rule). A final rule was published in the Federal Register (F…
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psnet.ahrq.gov/issue/evaluating-efforts-optimize-teamstepps-implementation-surgical-and-pediatric-intensive-care
April 12, 2014 - Study
Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units.
Citation Text:
Mayer CM, Cluff L, Lin W-T, et al. Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units. Jt Comm J Qual Patie…
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psnet.ahrq.gov/issue/findings-first-consensus-conference-medical-emergency-teams
August 04, 2021 - Commentary
Findings of the first consensus conference on medical emergency teams.
Citation Text:
DeVita MA, Bellomo R, Hillman KM, et al. Findings of the First Consensus Conference on Medical Emergency Teams*. Crit Care Med. 2006;34(9). doi:10.1097/01.ccm.0000235743.38172.6e.
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www.ahrq.gov/patient-safety/reports/national-academy-medicine.html
February 01, 2018 - National Academy of Medicine (NAM) Reports
AHRQ has long collaborated with the National Academy of Medicine (formerly Institute of Medicine) to develop comprehensive reports on topics that are critical to making the American health care system safer and higher quality. These reports represent the consensus reco…
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psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-ambulatory-setting-study-closed-malpractice-claims
October 26, 2010 - Study
Classic
Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims.
Citation Text:
Gandhi TK, Kachalia A, Thomas EJ, et al. Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. An…
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psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-potential-adverse-drug-events-implications-prevention
February 10, 2011 - Study
Classic
Incidence of adverse drug events and potential adverse drug events: implications for prevention.
Citation Text:
Bates DW, Cullen DJ, Laird N, et al. Incidence of adverse drug events and potential adverse drug events. Implications for prevention. …
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/state-and-regional-demonstration-projects/colorado
January 01, 2023 - Colorado
Project Overview | Data and Functionality | Technical Design and Architecture
Project Overview
The goal of this initiative is to implement statewide information and communications technologies to enable clinicians to access patient information from other clinical data …
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psnet.ahrq.gov/issue/impact-rapid-response-system-delayed-emergency-team-activation-patient-characteristics-and
November 03, 2008 - Study
The impact of Rapid Response System on delayed emergency team activation patient characteristics and outcomes—a follow-up study.
Citation Text:
Calzavacca P, Licari E, Tee A, et al. The impact of Rapid Response System on delayed emergency team activation patient characteristics a…
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psnet.ahrq.gov/issue/impact-interventions-designed-reduce-medication-administration-errors-hospitals-systematic
April 01, 2015 - Review
Impact of interventions designed to reduce medication administration errors in hospitals: a systematic review.
Citation Text:
Keers RN, Williams SD, Cooke J, et al. Impact of interventions designed to reduce medication administration errors in hospitals: a systematic review. Drug …
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psnet.ahrq.gov/issue/communication-patterns-during-routine-patient-care-pediatric-intensive-care-unit-behavioral
October 05, 2022 - Study
Communication patterns during routine patient care in a pediatric intensive care unit: the behavioral impact of in situ simulation.
Citation Text:
Ulmer FF, Lutz AM, Müller F, et al. Communication patterns during routine patient care in a pediatric intensive care unit: the behavior…
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psnet.ahrq.gov/issue/critical-events-during-land-based-interfacility-transport
April 15, 2019 - Study
Critical events during land-based interfacility transport.
Citation Text:
Singh JM, MacDonald RD, Ahghari M. Critical events during land-based interfacility transport. Ann Emerg Med. 2014;64(1):9-15.e2. doi:10.1016/j.annemergmed.2013.12.009.
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psnet.ahrq.gov/issue/hospital-nurse-staffing-and-patient-mortality-emotional-exhaustion-and-job-dissatisfaction
February 09, 2011 - Study
Hospital nurse staffing and patient mortality, emotional exhaustion, and job dissatisfaction.
Citation Text:
Halm M, Peterson M, Kandels M, et al. Hospital nurse staffing and patient mortality, emotional exhaustion, and job dissatisfaction. Clin Nurse Spec. 2005;19(5):241-254.
C…
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psnet.ahrq.gov/issue/effectiveness-inking-needle-core-prostate-biopsies-preventing-patient-specimen-identification
August 04, 2021 - Study
The effectiveness of inking needle core prostate biopsies for preventing patient specimen identification errors: a technique to address Joint Commission patient safety goals in specialty laboratories.
Citation Text:
Raff LJ, Engel G, Beck KR, et al. The effectiveness of inking ne…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldataapa.html
May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
A. Acronyms and Abbreviations
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Table of Contents
Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Summary
Reviewers
1. Introduction
2. Evidenc…
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psnet.ahrq.gov/issue/detecting-unapproved-abbreviations-electronic-medical-record
August 08, 2018 - Study
Detecting unapproved abbreviations in the electronic medical record.
Citation Text:
Capraro A, Stack AM, Harper MB, et al. Detecting unapproved abbreviations in the electronic medical record. Jt Comm J Qual Patient Saf. 2012;38(4):178-183. doi:10.1016/s1553-7250(12)38023-9.
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psnet.ahrq.gov/issue/front-line-staff-perspectives-opportunities-improving-safety-and-efficiency-hospital-work
February 04, 2009 - Study
Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems.
Citation Text:
Tucker AL, Singer SJ, Hayes J, et al. Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems. H…